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 B

Explanation

Choice A reason: Midazolam is a benzodiazepine used primarily for sedation, anxiety relief, and anesthesia. It is not used as a first-line treatment for major depressive disorder.

Choice B reason: Fluoxetine is a selective serotonin reuptake inhibitor (SSRI) commonly prescribed as a first-line treatment for major depressive disorder. SSRIs work by increasing the levels of serotonin in the brain, which can help improve mood and alleviate depressive symptoms.

Choice C reason: Cyclobenzaprine is a muscle relaxant used to relieve muscle spasms. It is not indicated for the treatment of major depressive disorder.

Choice D reason: Valproic acid is primarily used as a mood stabilizer and anticonvulsant. It is not typically used as a first-line treatment for major depressive disorder, although it may be used in cases of bipolar disorder.

A. “ECT is contraindicated in clients who have psychotic symptoms.” B. “ECT is delivered through electrodes attached to the head.” C. “ECT cannot be administered to clients who have suicidal ideation.” D. “ECT is conducted under regional anesthesia.”

Correct Answer is B

Explanation

Choice A reason:

ECT is not contraindicated in clients with psychotic symptoms. In fact, it is often used to treat severe depression with psychotic features, as well as other conditions such as mania and catatonia. ECT can be highly effective in reducing symptoms of psychosis when other treatments have failed.

Choice B reason:

ECT is delivered through electrodes attached to the head. During the procedure, a small amount of electrical current is passed through the brain to induce a controlled seizure, which can help alleviate symptoms of severe depression and other mental health conditions.

Choice C reason:

ECT can be administered to clients with suicidal ideation. It is often considered when rapid symptom relief is needed, such as in cases of severe depression with a high risk of suicide. ECT can provide quick and significant improvement in mood and functioning.

Choice D reason:

ECT is conducted under general anesthesia, not regional anesthesia. General anesthesia ensures that the client is unconscious and does not feel pain during the procedure. Muscle relaxants are also administered to prevent physical convulsions during the induced seizure.

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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 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?

Correct Answer is B

Explanation

A nurse is preparing to teach a client who has major depressive disorder and is scheduled to undergo electroconvulsive therapy (ECT). Which of the following statements should the nurse include in the teaching?

Correct Answer is B

Explanation

A nurse is caring for a client who has bipolar disorder. The client says to the nurse, “Give me your pen to cut the pain out of my chest.” The nurse should identify that the client is at risk for which of the following?

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?

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?

A charge nurse is providing education to a group of newly licensed nurses about the rights of clients who are involuntarily admitted. Which of the following responses indicates understanding of the teaching?

A nurse is caring for a client who is aggressive toward other clients and has been placed in wrist restraints. After obtaining a prescription for restraints from the provider, which of the following actions should the nurse take?

A nurse is creating a plan of care for a newly admitted client who has obsessive-compulsive disorder (OCD). Which of the following interventions should the nurse include?

A nurse is caring for a client who has a history of suicide attempts. Which of the following findings places the client at risk for another suicide attempt? (Select all that apply.)

A home health nurse is caring for a client who reports feeling tired and being unable to grocery shop. Which of the following responses by the nurse is an example of therapeutic communication?