The decision to intervene as a patient advocate is clearly identified by the American Nurses Association's (ANA) code of ethics in which situation?

A suspicion that a staff member is unfit to provide client care

Working with a client to identify triggers for aggressive behavior

A client's need for assistance while ambulating post-surgery

Providing emotional support to a client experiencing a loss of a parent

Answer and Explanation

The Correct Answer is A

A.   This situation reflects the responsibility of a nurse to advocate for patients' safety by intervening if they suspect a staff member is unfit to provide proper care.
B.   Working with a client to identify triggers for aggressive behavior is more related to the therapeutic process than the specific role of patient advocacy.
C.   A client's need for assistance while ambulating post-surgery is part of standard nursing care but does not directly involve patient advocacy.
D.   Providing emotional support to a client experiencing a loss is part of nursing care but does not specifically address the nurse's role as a patient advocate.

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Correct Answer is D

Explanation

A. This alone might not be a sufficient reason for involuntary commitment. The key factor for extended hospitalization is a threat to safety.
B. Moving out of the state might not justify extended hospitalization if there's no indication of imminent danger.
C. Personal dislike, without posing an immediate danger, might not be sufficient for extended hospitalization.
D. If the client continues to pose a risk of harm to herself or others, involuntary hospitalization beyond the initial hold might be warranted.

A. "Let's talk about something else because this subject is upsetting you." B. "I can see that you feel sad about this situation." C. "Crying is a way of expressing the hurt you're experiencing." D. "The loss of your parent is very painful for you."

Correct Answer is ["B","C","D"]

Explanation

A. This response invalidates the patient's feelings and avoids addressing the emotion, hindering communication.
B. Acknowledging the patient's emotion validates their feelings and encourages further discussion.
C. Validates the patient's emotional expression and offers understanding.
D. Acknowledges the depth of the patient's pain and encourages expression without judgment.

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The decision to intervene as a patient advocate is clearly identified by the American Nurses Association's (ANA) code of ethics in which situation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a psychiatric unit is admitting a client who attacked a neighbor. The nurse should know that the client can be kept in the hospital after the 72-hr hold is over for which of the following conditions?

Correct Answer is D

Explanation

A patient cries as the nurse explores the patient's relationship with a deceased parent. The patient says, "I shouldn't be crying like this. It happened a long time ago." Which responses by the nurse will facilitate communication? (Select all that apply.)

Correct Answer is ["B","C","D"]

Explanation

Nursing behaviors associated with the implementation phase of the nursing process are concerned with the responsibilities of the psychiatric mental health nurse?

A patient diagnosed with major depressive disorder begins selective serotonin reuptake inhibitor (SSRI) antidepressant therapy. Priority information given to the patient and family should include a directive to do what?

A severely depressed patient who has been on suicide precautions tells the nurse, "I am feeling a lot better, so you can stop watching me. I have taken too much of your time already." Which is the nurse's best response?

An individual has been diagnosed with a dissociative disorder. Which comorbid psychiatric disorders are most likely to accompany this type of mental illness? (Select all that apply.)

A nurse is providing teaching for a client who has a recent diagnosis of depression. Which of the following should the nurse identify as a primary risk factor for this disorder?

A nurse in an acute mental health facility is caring for a client who jumps out of her chair and begins to shout angrily at the clients around her. Which of the following actions should the nurse take first?