ANCC IQ Domain 5: Ethical and Legal Principles (72 questions and Answers)

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ANCC IQ Domain 5: Ethical and Legal Principles (72 questions and Answers) You have students from local psychiatric nurse practitioner programs follow you in your clinical practice to show them what... you do as a Psychiatric Nurse Practitioner. This is called being a: a. Preceptor b. Mentor c. Professor d. Teacher ✔✔ A A Psychiatric Mental Health Nurse Practitioner providing psychiatric consultation makes a home visit after the police found an 86-year-old widow wandering the streets at 4AM after emergency call from her daughter. The woman has been living with her daughter for the past ten years, after her husband died. Her daughter is a 66-year-old, single, retired schoolteacher, appears thin, exhausted, and reports little sleep for past two years trying to care for her mother. The daughter reports that her mother becomes increasingly confused every evening and wanders the house unable to sleep at night. The daughter is unable to leave her mother alone for even a short period of time because unsupervised her mother will turn on the gas stove burner, leave it unattended, and she escapes the house at every chance to wander the neighborhood. Her mother is socially pleasant, disoriented to time and place, and does not recognize her daughter. Her mother thinks that the daughter is a housekeeper intent on stealing her money and possessions, which is upsetting to the daughter. What is the most important in determining the level of care needed for this elderly client? A. Appraisal of daughter's health and her ability and willingness to continue caring for mother in home. B. Modification of environment such as bright lights in evening, identification bracelet, and safety lock on stove. C. Trial of low-dose atypical antipsychotic to reduce paranoid ideation, help sleep, and decrease wandering. D. Linkage with home health aide 4 to 6 hours, three times per week, and community resources for respite care. ✔✔ A As a psychiatric nurse practitioner, you evaluate your patients for health concerns and beyond, in a holistic manner. your current patient has a blood sugar of 186 and a hemoglobin A1C of 6.7. You refer this patient to an internal medicine practitioner with whom you frequently share patients. You have just violated: A. The DATA Act B. The Adams Act C. No statute D. The Stark law ✔✔ C Which of the following is not insured by the Universal Bill of Rights for Mental Health Patients? A. The right to refuse a particular mode of treatment regardless of informed, voluntary, written consent, or situation. B. The right to freedom from restraint or seclusion, other than as a mode of treatment during an emergency situation. C. The right to be given a reasonable explanation of one's general mental and physical condition, the objectives of treatment, and the possible adverse effects of recommended treatment. D. The right to ongoing participation in the planning of mental health services provided in a manner appropriate to a person's capabilities. ✔✔ A During an outpatient medication evaluation a depressed client reports persistent anger toward his former boss after losing his job due to arguments and assaultive behavior toward co-workers. The client has been waiting outside the plant in the afternoon, watching for the boss to leave to confront him regarding his terminated employment. What responsibility does the PMHNP have in this situation? A. Contact the client's boss to notify him of potential harm. B. Ask the client to sign a "no harm to others" agreement and document in chart. C. Consult state board of nursing regarding state law requirements on reporting potential harm. D. Advise the client to stop going to the plan and avoid any contact with his former boss. ✔✔ C [Show More]

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