30 Questions
What is Haloperidol used to treat?
Psychiatric disorders
What is the dosage of Haloperidol prescribed to the client?
5mg orally two times a day
Who ordered the prescription for Haloperidol?
The physician
What is NOT related to the client's prescription?
World Health Organization Disability Assessment Schedule
What is the frequency of the Haloperidol prescription?
Two times a day
What does the medication help to fix?
A chemical imbalance in the brain
Why does the patient not like taking the medication?
Because it makes him feel like he's walking underwater
What does the patient have, according to the nurse?
Schizophrenia
What is the patient's complaint about the medication?
It makes him feel like he's walking underwater
What does the nurse attribute the patient's condition to?
A chemical imbalance in the brain
What type of conflict is reflected in the conversation?
Between autonomy and beneficence
What is the primary concern of the healthcare provider in this conversation?
The patient's best interests
Which of the following principles is NOT in conflict in this conversation?
Veracity and nonmaleficence
What is the underlying conflict in this conversation?
Between autonomy and beneficence
Which of the following principles is NOT relevant to this conversation?
Justice
What is the primary goal of the healthcare provider in this conversation?
To act in the patient's best interests
What is the definition of mental health?
A state of complete physical, mental, and social wellness
Which of the following factors is not part of individual factors influencing a person's mental health?
Vitality
What is Axis III in DSM-IV TR?
Medical problems
What is Axis II in DSM-IV TR?
Personality disorder & mental retardation
What is Axis I in DSM-IV TR?
Psychiatric disorders
What is the definition of mental retardation?
Not defined
What is the result of combining Axis III in DSM-IV TR in DSM5?
Diagnosis
What is the main difference between DSM-IV TR and DSM5?
Axis III
What ethical principle is the client utilizing when refusing antipsychotic medication?
Autonomy
What is the primary goal of seclusion?
Give the client the opportunity to gain self-control
Which of the following is a reason why the nurse may use seclusion?
To give the client the opportunity to gain self-control
What is the nurse's primary concern when a client with schizophrenia refuses medication?
The client's autonomy
Why might the nurse document that the client is utilizing the principle of autonomy?
Because the client is making a decision about their own care
What is the primary focus of the nurse when dealing with a client who refuses medication?
Ensuring the client's safety
Study Notes
Mental Health and Wellness
- A state of complete physical, mental, and social wellness is defined as mental health.
Factors Influencing Mental Health
- A person's biologic makeup is an individual factor influencing mental health.
- Sense of belonging, effective communication, coping or stress management abilities, and vitality are also individual factors influencing mental health.
DSM-IV TR and DSM-5
- DSM-IV TR is divided into three sections: Axis I (Psychiatric disorders), Axis II (Personality disorder and mental retardation), and Axis III (Medical problems).
- In DSM-5, the three axes were replaced with: Diagnosis, Psychosocial and contextual factors, and World Health Organization Disability Assessment Schedule.
Ethics in Nursing Practice
- The nurse would document that the client is utilizing the principle of beneficence in a situation where a client is prescribed Haloperidol and the nurse ensures the client takes the medication as ordered by the physician.
Seclusion
- The goal of seclusion is to give the client the opportunity to gain self-control and to promote thoughtful reflection regarding behavior.
Ethical Principles in Patient Care
- A conflict between autonomy and beneficence ethical principles arises when a nurse explains to a client with schizophrenia the importance of taking antipsychotic medication to fix the chemical imbalance in the brain, and the client refuses the medication due to its side effects.
This exam is designed to test your knowledge of psychiatric and mental health nursing. It covers various topics and concepts related to nursing care for patients with mental health issues.
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