CHAPTER 5: Ethical

and Legal Issues in Psychiatric/Mental Health Nursing 1. Nurse Jones decides to go against family wishes and tell the client of his terminal status because that is what she would want if she were the client. Which of the following ethical theories is considered in this decision? a. Kantianism. b. Christian ethics. c. Natural law theories. d. Ethical egoism. 2. Nurse Jones decides to respect family wishes and not tell the client of his terminal status because that would bring the most happiness to the most people. Which of the following ethical theories is considered in this decision? a. Utilitarianism. b. Kantianism. c. Christian ethics. d. Ethical egoism. 3. Nurse Jones decides to tell the client of his terminal status because she believes it is her duty to do so. Which of the following ethical theories is considered in this decision? a. Natural law theories. b. Ethical egoism. c. Kantianism. d. Utilitarianism. 4. The nurse assists the physician with electroconvulsive therapy on his client who has refused to give consent. With which of the following legal actions might the nurse be charged because of this nursing action? a. Assault. b. Battery. c. False imprisonment. d. Breach of confidentiality. 5. A competent, voluntary client has stated he wants to leave the hospital. The nurse hides his clothes in an effort to keep him from leaving. With which of the following legal actions might the nurse be charged because of this nursing action? a. Assault. b. Battery. c. False imprisonment. d. Breach of confidentiality. 6. Joe is very restless and is pacing a lot. The nurse says to Joe, If you dont sit down in the chair and be still, Im going to put you in restraints! With which of the following legal actions might the nurse be charged because of this nursing action? a. Defamation of character. b. Battery. c. Breach of confidentiality. d. Assault. 7. An individual may be considered gravely disabled for which of the following reasons? (Select all that apply.) a. A person, because of mental illness, cannot fulfill basic needs. b. A mentally ill person is in danger of physical harm based on inability to care for self. c. A mentally ill person lacks the resources to provide the necessities of life. d. A mentally ill person is unable to make use of available resources to meet daily living requirements.

8. Which of the following statements is (are) correct regarding the use of restraints? (Select all that apply.) a. Restraints may never be initiated without a physicians order. b. Orders for restraints must be reissued by a physician every 2 hours for children and adolescents. c. Clients in restraints must be observed and assessed every hour for issues regarding circulation, nutrition, respiration, hydration, and elimination. d. An in-person evaluation must be conducted within 1 hour of initiating restraints. 9. Guidelines relating to duty to warn state that a therapist should consider taking action to warn a third party when his or her client: (Select all that apply.) a. Threatens violence toward another individual. b. Identifies a specific intended victim. c. Is having command hallucinations. d. Reveals paranoid delusions about another individual. 10. Attempting to calm an angry client by using talk therapy is an example of which of the following clients rights? a. The right to privacy. b. The right to refuse medication. c. The right to the least-restrictive