A charge nurse is planning an in-service for newly licensed nurses on tort law in mental health care. Which of the following scenarios should the charge nurse provide as an example of an unintentional tort?

A nurse did not clarify a client’s prescription that was difficult to read resulting in a medication error.

A nurse posted private information on social media about a client who has substance use disorder.

A nurse placed a client in mechanical restraints without obtaining a prescription, resulting in injury.

A nurse threatened a client with physical harm after the client became verbally abusive to staff members.

Answer and Explanation

The Correct Answer is A

Choice A reason:

An unintentional tort occurs when a healthcare provider’s actions or inactions cause harm to a patient without intent to harm. In this scenario, the nurse’s failure to clarify a difficult-to-read prescription, resulting in a medication error, is an example of negligence, which is an unintentional tort.

Choice B reason:

Posting private information about a client on social media is a breach of confidentiality and an intentional tort. This action is deliberate and violates the client’s right to privacy.

Choice C reason:

Placing a client in mechanical restraints without obtaining a prescription, resulting in injury, is an intentional tort. This action involves a deliberate decision to restrain the client without proper authorization, leading to harm.

Choice D reason:

Threatening a client with physical harm is an example of assault, which is an intentional tort. This involves a deliberate act to cause the client to fear imminent harm.

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Correct Answer is A

Explanation

Choice A reason: Serotonin deficiency is a well-known risk factor for major depressive disorder. Serotonin is a neurotransmitter that plays a crucial role in mood regulation, and its deficiency can lead to symptoms of depression. This is why many antidepressant medications, such as selective serotonin reuptake inhibitors (SSRIs), aim to increase serotonin levels in the brain.

Choice B reason: Acute bronchitis is a respiratory condition that involves inflammation of the bronchial tubes. While it can cause significant discomfort and health issues, it is not directly linked to major depressive disorder. However, chronic illnesses can sometimes contribute to depressive symptoms due to the ongoing stress and physical limitations they impose.

Choice C reason: Elevated calcium levels, or hypercalcemia, can cause a variety of symptoms, including fatigue, confusion, and depression-like symptoms. However, it is not a primary risk factor for major depressive disorder. Hypercalcemia is usually related to other underlying conditions such as hyperparathyroidism or certain cancers.

Choice D reason: Being an only child is not considered a risk factor for major depressive disorder. While family dynamics and social relationships can influence mental health, there is no direct evidence linking being an only child to an increased risk of developing major depressive disorder.

A. Provide additional attention to the client. B. Apply mechanical restraints before administering medication. C. Obtain a verbal contract from the client. D. Limit staff members who work with the client.

Correct Answer is C

Explanation

Choice A reason: Providing additional attention to the client can sometimes reinforce negative behaviors in individuals with borderline personality disorder. It is important to balance attention with promoting independence and self-regulation.

Choice B reason: Applying mechanical restraints before administering medication is not a standard practice and can be considered unethical and harmful. Restraints should only be used as a last resort when there is an immediate risk of harm to the client or others.

Choice C reason: Obtaining a verbal contract from the client is a therapeutic intervention that can help manage self-mutilation risks. This contract involves the client agreeing to communicate with staff before engaging in self-harm, which can help in developing trust and promoting safety.

Choice D reason: Limiting staff members who work with the client can help provide consistency and stability, which is beneficial for individuals with borderline personality disorder. However, it is not the primary intervention for preventing self-mutilation.

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A charge nurse is planning an in-service for newly licensed nurses on tort law in mental health care. Which of the following scenarios should the charge nurse provide as an example of an unintentional tort?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical record of a newly admitted client who has major depressive disorder. Which of the following findings should the nurse identify as a risk factor for this condition?

Correct Answer is A

Explanation

A nurse is admitting a client who has borderline personality disorder and is at risk for self-mutilation. Which of the following interventions should the nurse incorporate in the plan of care?

Correct Answer is C

Explanation

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A nurse is caring for a client who has a new diagnosis of major depressive disorder. Which of the following medications should the nurse expect the provider to prescribe to the client as a first-line treatment?

A nurse is assessing a client who takes diazepam for anxiety and hydromorphone for severe pain. Which of the following is the priority finding that the nurse should report to the provider?

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A charge nurse is planning an in-service for newly licensed nurses on tort law in mental health care. Which of the following scenarios should the charge nurse provide as an example of an unintentional tort?

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