Legal and Ethical Considerations in Nursing

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Questions and Answers

What is the primary intervention required when a patient makes threats towards others?

Call law enforcement without warning

Discuss with the patient's family

Provide therapy immediately

Notify victims about the threats (correct)

Which of the following is NOT considered a risk factor for intimate partner violence (IPV)?

Desire to leave the relationship

Pregnancy

Children under 3

Stable employment (correct)

What is the most crucial step for a nurse when examining a sexual assault victim for evidence?

Obtain consent from the patient (correct)

Immediately document findings

Conduct a full medical history

Reach out to law enforcement

What is considered the number one priority in the treatment of Bulimia Nervosa?

Identifying triggers Signup and view all the answers

Which therapy is considered the best treatment for individuals with borderline personality disorder?

Dialectical behavior therapy (DBT) Signup and view all the answers

Erosion of tooth enamel is commonly associated with which eating disorder?

Bulimia Nervosa Signup and view all the answers

Which of the following is NOT a symptom of Bulimia Nervosa?

Weight gain Signup and view all the answers

What should be the top priority in the treatment of anorexia nervosa?

Restoration of healthy weight Signup and view all the answers

What physical safety concern is emphasized in the treatment of Autism?

Injury prevention strategies Signup and view all the answers

Which medication class is considered the drug of choice for treating ADHD?

Psychostimulants Signup and view all the answers

What indicates the need for contacting Child Protective Services (CPS)?

Suspected or known child abuse Signup and view all the answers

Which behavior is a hallmark characteristic of Conduct Disorder in individuals under 18?

Destruction of property Signup and view all the answers

In which scenario would using restraints typically be considered appropriate?

When all other interventions have failed Signup and view all the answers

What is a common response of children dealing with grief due to death or separation?

Somatic complaints like stomach aches Signup and view all the answers

Which of the following is a common complication linked to Bulimia Nervosa?

Sexual abuse Signup and view all the answers

What type of behavior might negatively impact sibling relationships and lead to behavioral issues?

Rivalry and conflict Signup and view all the answers

Study Notes

Legal/Ethical Considerations

Least restrictive environment is the primary goal.
Tarasoff Act mandates warning potential victims if a patient threatens them.
Judgment of harm or imminent danger is necessary.
Lack of competence often necessitates a legal guardian's involvement.
Domestic violence interventions often begin with asking for consent.
Risk factors include pregnancy, children under three, or suspected desire to leave.
CPS (Child Protective Services) is contacted when abuse or neglect is suspected.
Sexual abuse is defined as any unwanted physical or emotional contact.
Sexual assault victims need documented information, 24-hour hotlines, referrals, and follow-up appointments in court.
Therapeutic communication is needed.
RNs need to separate vulnerability from guilt.

Management of Aggression

Restraints should only be used as a last resort.
An order is required within one hour of needing restraints.
Least restrictive approaches must be attempted first.
Psychiatric emergency response protocols need to be followed.
Removing patients from shared areas and ensuring staff supervision is important.

Personality Disorders

Borderline Personality Disorder is characterized by:
- Splitting (seeing people strictly as all good or all bad)
- Manipulative behaviors
- Suicidal ideation.

Eating Disorders

Anorexia Nervosa symptoms: dehydration, osteoporosis, fatigue, enamel erosion, and organ damage.
Bulimia Nervosa symptoms: purging (vomiting, laxatives, diuretics), hypokalemia, and tooth enamel erosion.
Treatment priority: Restoring a healthy weight.
Nutrition rehabilitation: Gradual increase of food intake with promotion of positive body image and sleep.

Childhood Problems

Grief and Loss: Children may experience grief through somatic complaints and require understanding of their emotional responses.
Separation and Divorce: Children often react differently and may become hostile.
Sibling Relationships: positive relationships are protective, while negative ones can lead to problems.

Autism Spectrum Disorder

Physical Safety: top priority.
Treatments are individualized.
Characteristics include severe social impairments and repetitive behaviors (hand-flapping, tiptoeing).

ADHD

Psychostimulants (Adderall, Ritalin) are often the treatment of choice.
ADHD can sometimes manifest with behaviors such as disruptive or hyperactive.

Conduct Disorder

Serious violations of social norms: cruelty to animals or property destruction.
These behaviors are observed before the age of 18.
Often accompanied by outbursts, disruptive language, and other antisocial behaviors.

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Description

This quiz explores crucial legal and ethical considerations in nursing, including the responsibility to warn potential victims under the Tarasoff Act and the importance of consent in domestic violence interventions. It also covers management of aggression, including the proper use of restraints. Test your understanding of these vital topics to ensure patient safety and compliance with legal standards.