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NUR205 QUIZ2
| Question | Answer |
|---|---|
| MALPRACTICE | unintentional negligence by health care professional that causes injury or damage to the client/patient |
| TORT | wrongful act that results in injury, loss or damage; can be unintentional or intentional |
| RESTRAINT | direct application of physical force to person without permission to restrict freedom or movement |
| SECLUSION | involuntary confinement of a person in specially constructed, locked room equipped with security window or camera for direct visual monitoring |
| CONSERVATORSHIP | person who manages a client/patient's financial affairs |
| Mental health clients who are hospitalizes voluntarily give up their rights to leave the hospital. | FALSE |
| A nurse or healthcare provider is required to maintain client confidentiality unless the client threatens a specifically identifiable person or group | TRUE |
| Unintentional Tort | Malpractice/Negligence |
| ETHICS | branch of philosophy dealing with values of human conduct related to: Rightness/wrongness of actions and goodness/badness of motives and ends of such actions |
| UTILITARIANISM | decisions based on the greater good for the greatest number |
| DEONTOLOGY | decisions based on whether action is morally right or wrong, with no regard for consequences |
| AUTONOMY | right to self determination; independence; self governance |
| BENEFICENCE | duty to benefit others or promote good |
| NONMALFEICENCE | DO NO HARM |
| JUSTICE | fairness |
| VERACITY | honesty, truthfulness |
| FIDELITY | obligation to honor commitments and contracts |
| The greatest good for the greatest number reflects the denetologic ethical theory | FALSE-this is UTILITARIANISM |
| HOSTILITY | verbal aggression |
| PHYSICAL AGGRESSION | attack and/or injury to another person or destruction of property |
| used to punish a person and /or force them into submission | Hostility and physical aggression |
| PHASES OF AGRESSION | Triggering, Escalation, Crisis, Recovery, Postcrisis |
| ANGER | a normal human emotion involving a strong, uncomfortable, emotional response to a real or perceived provocation |
| INTENTIONAL TORTS | Assault, Battery, False imprisonment |
| FOUR VERSIONS OF INSANITY | M'Naghten/ Irresistible Impulse/ Substantial capacity test/ Durham |
| INSANITY | no medical meaning but has legal meaning |
| INVOLUNTARY COMMITMENT (IVC) | committed until no longer a danger person can be detained in psychiatric facility 48-72 hrs on an emergency basis original paperwork must follow the patient everywhere once IVC is overturned, client is considered voluntary |
| LEGAL GUARDIANSHIP | Separate from civil commitment loss of rights to enter into contracts consents has to be obtained from guardian |
| A client with a history of violent or aggressive behavior is more likely to exhibit similar behavior in the future | TRUE |
| During which phase does staff debriefing occur? | RECOVERY |
| HUMAN RESTRAINT | person(s) is restraining the client/patient |
| CHEMICAL RESTRAINT | using meds not prescribes for the client's diagnosis to calm or restrain the client/patient |
| MECHANICAL RESTRAINTS | using straps to restrain the patient |
| INVOLUNTARY SECLUSIONS | used when client is aggressive/ dangerous face to face eval done w/in 1 hr by MD/NP client has to be checked every 15 mins one on one monitoring for 1hr debriefing must be done 24hrs after release from seclusion/restraints |
| VOLUNTARY SECLUSIONS | client choses seclusion door must be left opened and unlocked |
| M'Naghten | person did not know the act was wrong |
| Irresistible Impulse | person could not control conduct |
| Substantial capacity test | person lacks substantial (but not total) capacity to know the act was wrong |
| Durham | person's criminal conduct is excuse |
| ETHICAL DILEMMA | conflict of ethical principles, no clear course of action |
| Who is more likely to have explosive anger? | Men |
| Who tends to suppress anger? | Women |
| ACTING OUT | intentionally becoming hostile or aggressive to get their way |
| PARANOID DELUSION | client's belief that others are planning to harm the client or are spying, following, ridiculing or belittling the client in some way. |
| DELIRIUM | rapid onset of confusion |
| Culture bound syndromes that involve anger, aggressive behavior or anger suppression | Hwa-Byung-Korea Bouffee delirante-West African Amok-Malaysia, Philippines, Polynesia, Puerto Rico, Laos |
| Assault vs Battery | Assault-an act that can result in a person's fear that he/she will be touched w/out consent Battery -the non-consensual touching of a person |
| Bouffee delirante | characterizes by a sudden outburst of agitated and aggressive behavior , marked confusion, psychomotor behavior, visual and auditory hallucinations, and paranoid ideations that resemble psychotic episodes |
| Amok | dissociative episode characterized by period of brooding followed by outburst of violent, aggressive, or homicidal behavior directed at other people and objects; only seen in men |
| Hwa-Byung | Attributed to anger suppression. Characterized by sighing, abdominal pain, insomnia, irritability, anxiety and depression; predominately in women |
| Tegretol (carbamazepine) Depakote (valproate) | used to treat aggression associated with dementia, psychosis, and personality disorder |
| Clozaril (clozapine) Risperdal (risperidone) Zyprexa (olanzapine) | used to treat aggression associated with dementia, brain injury, intellectual disability, and personality disorders. |
| Benzodiazepines Haldol (haloperidol) Ativan (lorazepam) | can reduce irritability and agitation in older adults with dementia commonly used in combination to decrease agitation, agitation, aggression and psychotic symptoms. |
| Lithium | used to treat bipolar disorder, conduct disorders, and intellectual disability |
| 4 elements needed to prove malpractice | duty, breach of duty, injury or damage, and causation |
| CATHARSIS | activities that are supposed to provide a release for strong feelings such as anger or rage |
| Bullying | defined as abusive conduct, such as verbal abuse, threatening, intimidating or humiliating behaviors, and work interference (sabotage), which prevents work from getting done. |
| crisis phase | When the client becomes physically aggressive |
| escalation phase | the period when the client builds toward loss of control |
| recovery phase | client regains control |
| triggering phase | incident or situation that initiates an aggressive response |
| postcrisis phase | the client is removed from restraint or seclusion as soon as they meet the behavioral criteria |
| 2016 | JCAHO added workplace bullying, also known as lateral or horizontal violence, to this initiative |
| 2022 | Any accredited health care organization must now have a code of conduct that defines acceptable and disruptive and inappropriate behaviors. |
Created by:
shondell1971
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