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 containing a prescription, resulting in injury

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

Answer and Explanation

The Correct Answer is A

A. A nurse did not clarify a client's prescription that was difficult to read resulting in a medication error: This scenario describes a medication error due to the nurse's failure to exercise reasonable care by not clarifying a difficult-to-read prescription. This constitutes negligence, making it an example of an unintentional tort.

B. A nurse posted private information on social media about a client who has substance use disorder: This scenario involves a breach of confidentiality, which is a violation of the client's privacy rights. However, it is considered an intentional tort (specifically, invasion of privacy) rather than an unintentional tort.

C. A nurse placed a client in mechanical restraints without containing a prescription, resulting in injury: This scenario describes a failure to follow proper procedures (restraining a client without a prescription), resulting in harm to the client. This also constitutes negligence, making it an example of an unintentional tort.

D. A nurse threatened a client with physical harm after the client became verbally abusive to staff members: This scenario involves the nurse's intentional act of threatening physical harm to the client, which constitutes an intentional tort (assault).

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Correct Answer is A

Explanation

A. Dissociation

Dissociation is a defense mechanism where a person disconnects from their thoughts, feelings, memories, or sense of identity as a way to cope with a traumatic or stressful situation. In the context of PTSD, dissociation may manifest as the inability to recall details of the traumatic event or feeling disconnected from reality.

B. Rationalization

Rationalization involves justifying or explaining behaviors, thoughts, or feelings in a rational or logical manner to make them acceptable to oneself or others. It is not typically associated with the inability to recall details of a traumatic event.

C. Undoing

Undoing is a defense mechanism characterized by engaging in acts or behaviors aimed at negating or "undoing" a previous undesirable thought, feeling, or action. It involves trying to make amends for perceived wrongdoings or mistakes, often through symbolic gestures. It is not typically associated with memory impairment related to trauma.

D. Reaction formation

Reaction formation is a defense mechanism where a person behaves in a manner that is opposite to their true feelings or impulses. For example, someone who feels hostility towards another person might display exaggerated friendliness. While reaction formation may be present in individuals with PTSD, it is not directly related to the inability to recall details of a traumatic event.

A. “I check my breasts for lumps every day, but I’m still really scared about getting breast cancer.” B. “I have had several negative pregnancy tests but know they are all wrong.” C. “I double-check my pills because think the pharmacist may be putting poison in them.” D. “I feel really nervous when my partner goes to work and i am home alone during the day.”

Correct Answer is A

Explanation

A. “I check my breasts for lumps every day, but I’m still really scared about getting breast cancer.”: This statement reflects excessive worry about a specific medical condition (breast cancer) despite engaging in frequent checking behaviors. It is consistent with illness anxiety disorder.

B. “I have had several negative pregnancy tests but know they are all wrong.”: This statement suggests a belief that contradicts objective evidence (negative pregnancy tests) and may indicate a somatic symptom disorder or a delusional disorder rather than illness anxiety disorder.

C. “I double-check my pills because I think the pharmacist may be putting poison in them.”: This statement reflects mistrust or paranoia about medications and the intentions of the pharmacist. While it involves health-related concerns, it may be more indicative of paranoid ideation or delusional beliefs.

D. “I feel really nervous when my partner goes to work, and I am home alone during the day.”: This statement describes anxiety related to separation from a partner and being alone, which is not a characteristic feature of illness anxiety disorder. It may be more indicative of generalized anxiety disorder or separation anxiety disorder.

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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

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Correct Answer is A

Explanation

A nurse on a mental health unit is leading a group therapy session for a group of clients. Which of the following statements should the nurse expect from a client who has illness anxiety disorder?

Correct Answer is A

Explanation

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