A Review of Basic Patient Rights in Psychiatric Care

A Review of Basic Patient Rights in Psychiatric Care Related

Review A Review of Basic Patient Rights in Psychiatric Care related questions and content

You are on-scene with a 55-year-old cardiac history patient who suddenly collapsed during dinner with his family. He is found to be pulseless and apneic with his family performing adequate CPR on arrival. His wife is distraught and hands you a legal DNR order signed by his physician. She states that he does not have a terminal illness and begs you to ignore the legal order and 'do everything in your capabilities to save him!' Which of the following would be most appropriate in this situation?

  • A. Contact medical control, and open his airway while awaiting approval for resuscitation before initiating full resuscitation efforts
  • B. Take over CPR until you reach the ambulance, then stop all resuscitation efforts as per the legal order
  • C. Advise the family to stop CPR, and explain they cannot override the legal DNR order
  • D. Initiate full resuscitation efforts including advanced cardiac life support, and contact medical control
Correct Answer: D

Rationale: The correct answer is D: Initiate full resuscitation efforts including advanced cardiac life support, and contact medical control. In this scenario, the patient is found to be pulseless and apneic with CPR being performed by the family. The legal DNR order is not applicable in this situation as the patient does not have a terminal illness. Therefore, it is crucial to prioritize the patient's immediate need for resuscitation. Initiating full resuscitation efforts, including advanced cardiac life support, is necessary to maximize the chances of survival. Contacting medical control will ensure proper guidance and support during the resuscitation process.

Choices A, B, and C are incorrect:
A: Contacting medical control and waiting for approval before initiating full resuscitation could delay life-saving interventions.
B: Stopping all resuscitation efforts based on the legal DNR order without considering the patient's current condition would be inappropriate.
C: Advising the family to stop CPR and explaining the legal D

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In order to lift objects safely the nursing assistant should

  • A. Keep objects away from her body
  • B. Lift objects above her waist line
  • C. Pull objects when possible
  • D. Keep objects close to her body
Correct Answer: D

Rationale: The correct answer is D: Keep objects close to her body. This is because keeping objects close to the body reduces strain on the back and minimizes the risk of injury. By keeping objects close, the weight is distributed more evenly, making it easier to lift safely. Choices A, B, and C are incorrect because keeping objects away from the body can strain the back, lifting above the waist line can put additional strain on the shoulders and arms, and pulling objects instead of lifting can also lead to back injuries.

For a nursing assistant pressure injury care includes

  • A. Restricting fluids
  • B. Using moisturizers on open skin
  • C. Changing position every four hours
  • D. Keeping skin dry
Correct Answer: D

Rationale: The correct answer is D, keeping skin dry. This is important in pressure injury care to prevent moisture-related skin breakdown. Moisture can lead to skin maceration and increase the risk of pressure injuries. Restricting fluids (A) is not appropriate as hydration is essential for overall skin health. Using moisturizers on open skin (B) can trap moisture and worsen the condition. Changing position every four hours (C) is important for preventing pressure injuries but does not directly address the care of existing pressure injuries.

Which of the following is normal temperature range for the axillary method?

  • A. 97.6 to 99.6 degrees Fahrenheit
  • B. 94.6 to 98.6 degrees Fahrenheit
  • C. 98.6 to 100.6 degrees Fahrenheit
  • D. 96.6 to 98.6 degrees Fahrenheit
Correct Answer: D

Rationale: The axillary method involves taking the temperature in the armpit. Normal axillary temperature range is typically around 96.6 to 98.6 degrees Fahrenheit. This range is slightly lower than the normal oral temperature range. Choice D is correct since it falls within the normal axillary temperature range. Choices A, B, and C are incorrect as they do not align with the typical temperature range for axillary method. A is too high, B is too low, and C is too high for axillary temperature.

A resident who is disoriented might not be able to correctly identify the following

  • A. The linen company the facility utilizes
  • B. The current season of the year
  • C. The car the administrator drives
  • D. The location of the emergency cart on the unit
Correct Answer: B

Rationale: The correct answer is B because a disoriented resident may struggle to accurately perceive the current season due to cognitive impairment. This could lead to confusion or incorrect identification. Choices A, C, and D involve more concrete and stable information that is less likely to be affected by disorientation. Residents may still recognize the linen company, administrator's car, and emergency cart locations even if disoriented.

Abduction is

  • A. Bending a body part backward
  • B. Another name for the hip
  • C. Another name for the leg
  • D. Moving a body part away from the body
Correct Answer: D

Rationale: Abduction refers to moving a body part away from the body's midline. The correct answer, D, aligns with this definition. Bending a body part backward (A) is hyperextension, not abduction. Another name for the hip (B) is incorrect as abduction is a movement type, not a body part. Similarly, another name for the leg (C) is irrelevant as it does not define abduction. Therefore, choice D is correct as it accurately describes the movement of abduction.