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Domain 5: Ethics, Legal Principles, and Cultural Care ( 21-40) Flashcards | StudBud
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Domain 5: Ethics, Legal Principles, and Cultural Care ( 21-40)
Domain 5: Ethics, Legal Principles, and Cultural Care ( 21-40)
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Domain 5: Ethics, Legal Principles, and Cultural Care ( 21-40)
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1
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EBP guidelines are static and do not require updates based on new research.
EBP guarantees that all patients will respond positively to re
EBP provide a structured approach to care that is based on evidence
EBP eliminates the need for clinical judgment and decision-making.
2
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Assume that cultural factors are not relevantfocus solely on the client's
Do cultural background and beliefs, and incorporate this information.
Assess and treatment, as mental health issues are universal.
Do a cultural competence training program to address their cultural needs.
3
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PICOT stands for "Patients, Interventions, Options, Timeframes.
'Problem, intervention, comparison, outcome, timeframe
Population, Investigation, Comparison, Observation Timeframe.
Plan, Implement, Collect, Organize, Test
4
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A. Level: Meta-analysis or systematic review of RCTS
D. Level IV: Case series or case report
C. Level lll Non-randomized controlled trial
B. Level 1. High-quality RCT
5
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Maintain a secretive culture and avoid openly discussing pt safety incident
Assign disciplinary actions to those involved in any pt safety incident
Implement strict punitive measures for any employee involved in a pt error.
Encourage open reporting of errors and near misses and system’s problems.
6
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Proceed with prescribing meds based on their clinical judgment.
Respect the patient's preference for psychotherapy. discuss the treat
Refer the patient to another provider specialized in medication management.
Inform the pt that meds are the recommended treatment.
7
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Inform the patient that they will keep the information confidential.
Should assure the pt that confidentiality will be maintained
immediately contact the patient's family to inform them about the patient's
Respect the pt's request for confidentiality and advise the pt of next step
8
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Implementing a regular audit process. Examine the pt assessment records.
Do a written policy for assessment documentation and distribute it to staff
Assigning responsibility for assessment documentation to a clinic staff
Conducting a one-time training session for clinic staff on proper charting
9
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D. Level IV evidence
A. Levell evidence
C. Level evidence
B. Level II evidence
10
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D. The ethical considerations and approvals obtained for the research
C. The quality and strength of the research design and methodology
B. The statistical significance of the research findings
A. The number of participants involved in a research study
11
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The PMHNP should respect the child's wishes and maintain confidentiality.
THE RMHMP should immediately report the suspected child abuse to the CPS
Provide counseling and support to the child while monitoring the situation
Document findings in the child's medical record. and contract for safety.
12
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Contact the pt's neighbor to warn them about the delusions and potential
Continue therapy but keep detailed records of the pt's statements.
Respect the pt's confidentiality and not disclose the information.
Seek a second opinion from another mental health professional.
13
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Provide the patient with crisis hotline information and ask them to call
persuade the patient to seek prompt in-person care.
Document the patient's suicidal ideation and plan in the EMR
Contact authorities to report the patient's suicidal ideation.
14
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Admit the pt to the inpatient facility immediately to ensure safety.
Discharge the pt home with meds for antipsychotic and a follow-up.
Explore least restrictive options or crisis stabilization.
Consult with the pt's family and follow their preference of care
15
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Develops an assessment and documentation process independently and solution
Implement changes to the assessment and documentation processes mainly
Consult with clinic staff to gather input and identify areas of improvement
Concentrate on individual performance improvement and ignore clinic process
16
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Contact law enforcement or the potential victim to warn them
A. Respect the pt's confidentiality and not disclose the information.
Continue providing therapy to the pt, ensuring that the patient feels safe
Notify the pt's family members about the homicidal ideation
17
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Redesigning the clinic logo and marketing materials to attract more pts
Increasing clinic hours to accommodate more patient appointments.
Increasing the clinic's billing rates to generate more revenue.
Implementing a standardized depression screening for all patients' intake
18
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Collaboration with local media to share stories of success in psychiatry
Advocating for legal measures against those who endose the stigma
studies to gather data on the prevalence of mental health stigma.
Hosting a one-time community event focused on mental health awareness
19
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Share the improvement plan with staff and expect immediate adhererice
Gathers a multidisciplinary team to assess the care and root cause analysis
To assess the initiative's success, use only quantitative data and metrics.
Conduct a one-time review of pt's charts to identify areas of improvement
20
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Using the same treatment plan that has been effective for a previous pt
Do a literature review of various treatments regardless of their evidence.
Relying solely on personal clinical experience
search the most recent clinical practice guidelines by psychiatric sources
21
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Analyze historical data on seclusion and restraint to spot patterns.
Educate nursing staff on the importance of reducing seclusion and restraint
Implement policies and procedures for seclusion and restraint use.
Consult pts and families about experiences with seclusion and restraint.
22
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Convene a team meeting with the nursing staff to openly discuss the error
Keep the incident confidential to avoid damaging the nursing staff.
Report the incident to the hospital administration to address the situation
Reprimand the nurse involved in the error to ensure accountability
23
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A. Patient Intervention Comparison Outcome Timeframe
C. Participants Intervention Control Outcome Timing
D. Person Intervention Comparison Outcome Time
B. Population intervention Comparator Outcome Time
24
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Conduct a root cause analysis and identify contributing factors.
Assign blame to the staff members responsible for the errors and discipline
Create a new policy document outlining strict medication schedules
Implement new medication administration guidelines based on your experience
25
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Conducting a literature search to identify relevant research articles
Administering additional labs to assess extent of metabolic disturbances
Consulting colleagues and other healthcare professionals for opinions
C. Reviewing the patient's medical history and medication records
26
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Respect the patient's request for confidentiality and not disclose the info
Contact the pt's spouse and family members without the patient's consent.
discuss the pt's concerns and explore alternative ways to provide support
Inform the pt that they are legally obligated to report thoughts of harm.
