A nurse is reviewing ethical principles with a newly licensed nurse. The nurse should include which of the following as an ethical principle?

Bias

"Duty to Warn"

Justice

HIPAA

Answer and Explanation

The Correct Answer is C

A. Bias: Bias is a personal or systemic prejudice, not an ethical principle.

B. "Duty to Warn": “Duty to Warn” is a legal obligation to report harm, but it is not an ethical principle—it falls under legal mandates like Tarasoff laws.

C. Justice: Justice is an ethical principle that ensures fair and equitable treatment for all clients.

D. HIPAA: HIPAA (Health Insurance Portability and Accountability Act) is a legal regulation, not an ethical principle.

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Correct Answer is D

Explanation

A. "PAD does not allow a client to choose someone to make healthcare decisions on their behalf if they are unable to do so." PADs can include the designation of a health care proxy or durable power of attorney for health care decisions.

B. "PAD is not a legally binding document, like a living will." PADs are legally recognized in many jurisdictions and serve a similar purpose to living wills for psychiatric care.

C. "PAD is used by the majority of clients who have a mental illness." While beneficial, PADs are not widely used by most individuals with mental illness.

D. "PAD can include preferences for treatment, such as medications and preferred providers." PADs allow clients to outline their treatment preferences, including medications and preferred health care providers, in case they lose decision-making capacity.

A. Upon admission B. While administering chemical or physical restraints C. When a client becomes agitated D. During debriefing after restraint removal

Correct Answer is A

Explanation

A. Upon admission: The best time to discuss policies on restraints and seclusion is at admission, when clients are calm and able to understand their rights.

B. While administering chemical or physical restraints : Explaining the policy during restraint use can increase client distress and agitation.

C. When a client becomes agitated: Discussing restraint policies while a client is already agitated is ineffective and could escalate distress.

D. During debriefing after restraint removal : While debriefing is important, waiting until after restraints are removed does not allow for proactive education.

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A nurse is reviewing ethical principles with a newly licensed nurse. The nurse should include which of the following as an ethical principle?

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Naxlex Comprehensive Predictor Exams

A nurse is discussing psychiatric advance directives (PAD) with a client. Which of the following statements should the nurse make?

Correct Answer is D

Explanation

A nurse in a mental health unit is discussing restraints and seclusion with a group of newly hired nurses. At which of the following times should a nurse discuss the restraint and seclusion policy with a client?

Correct Answer is A

Explanation

During what phase of the nurse-client relationship does the mutual level of trust and comfort occur? The patient is more accepting of the nurse's intervention and sees the nurse as a source of aid.

What phase of the therapeutic involves the nurse collects data, assesses knowledge, and works with the patient to develop mutual goals?

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A nurse is caring for a client who is in physical restraints after demonstrating aggressive behavior. Which of the following criteria must be met before the nurse can remove the restraints?

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Which of the following describes a team of mental health LPNs and RNs who work together to provide client care?

A nurse on a mental health unit is preparing to document an incident that occurred involving a client. Which of the following considerations by the nurse will ensure competency in the documentation?