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Review Questions

1 .
What term means that all parties have not been involved at this point?
  1. psychiatric hold
  2. conditional release
  3. ex parte
  4. commitment
2 .
If a person in a psychiatric hospital has been adjudicated incompetent, what is true about their care?
  1. They have the right to refuse treatment.
  2. They must give informed consent for all care.
  3. They may sign out with a family member.
  4. They may have treatment imposed on them.
3 .
What statement by a family member tells the nurse that they need further education about conditional release?
  1. “Conditional release means no more medication or therapy.”
  2. “Conditional release means mandated community treatment.”
  3. “Conditional release means leaving the hospital with other requirements.”
  4. “Conditional release means the psychiatric evaluation is complete.”
4 .
When approaching an angry client, what would be the nurse’s best assessment to evaluate the risk for violence?
  1. try reasoning with the client to explain why behavior must change
  2. move quickly to subdue the client before escalation occurs
  3. address the client’s emotions and offer to walk with the client
  4. remain in populated areas so all staff is available
5 .
A nurse in orientation in the mental health unit asks the preceptor, “Why is medication considered a form of restraint?” What would preceptor’s best response be?
  1. “The sedating effect limits the client’s movements and thought processes.”
  2. “It is not really a restraint.”
  3. “Because nurses can use medication PRN.”
  4. “Because medication can be hidden in the client’s food.”
6 .
When reviewing information from a transferring hospital, what would the nurse recognize as a risk factor for violent behavior in the client’s history?
  1. hypertension controlled with medication
  2. membership in a support group
  3. part-time employment
  4. traumatic events in childhood
7 .
What is the purpose of a power of attorney (POA) in mental health care?
  1. to make decisions after a person’s death
  2. to designate a decision-maker if the person is not able to make decisions for themselves
  3. to prevent social withdrawal associated with mental illness
  4. to enforce a national standard of care
8 .
What characteristic is true of proxy directives?
  1. Proxy means representative and may have limited authority.
  2. Proxy directives are the same throughout the United States.
  3. Proxy cannot include any other persons or have an alternative proxy.
  4. Proxy directive is the same as a living will.
9 .
In a community mental health clinic, a client asks the nurse, “What is a psychiatric advance directive?” What is the nurse’s best response?
  1. “It is a legal document, according to our state laws, that appoints a financial advisor for you.”
  2. “It is a legal document, according to our state laws, but not necessary if you have family.”
  3. “It is a legal document, according to our state laws, that you can only complete after you have had several involuntary hospital admissions.”
  4. “It is a legal document, created in compliance with state law, that you can create to have someone make your treatment choices known if you cannot make your own decisions.”
10 .
What is the role of a guardian or conservator?
  1. The guardian or conservator is the court-appointed agent to represent the incapacitated person as decision-maker in legal, financial, and personal matters.
  2. The guardian or conservator is the court-appointed agent to prevent involuntary treatment under the law.
  3. The guardian or conservator is the court-appointed agent who keeps the person from participating in their own care.
  4. The guardian or conservator is the court-appointed agent who can never be taken over by a health-care proxy.
11 .
What are steps in the process to appoint a guardian or conservator?
  1. Twenty-four hours after a court petition is filed, an investigation is conducted, and the agent is authorized to represent the person.
  2. Conservators sign up for payment, a hearing is held, and the person is notified.
  3. The court petition is filed, the person is notified, and a court hearing, with possible investigation, is held.
  4. In federal court, a hearing is held, fees are paid, and the person is released.
12 .
An experienced mental health nurse is working with a new graduate nurse. What statement by the new nurse would the experienced nurse recognize as an ethical concern?
  1. “That client has a conservator who helps manage their finances.”
  2. “That client’s guardian seems helpful and involved in his treatment.”
  3. “That client hasn’t consistently taken her medication, but she has kept her job.”
  4. “That client was not eating due to delusional thinking, so now she’s getting help.”

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