A charge nurse in a community mental health clinic is discussing ethical concepts of client care with a newly licensed nurse. The charge nurse should use which of the following situations as an example of fidelity?

Spending equal time with clients regardless of their insurance status.

Explaining possible adverse effects to clients receiving new prescriptions.

Respecting the decision of clients to refuse to participate in group therapy.

Attending an educational conference on identifying clients at risk for suicide.

Answer and Explanation

The Correct Answer is C

A reason: Spending equal time with clients regardless of their insurance status. This action is an example of justice, which involves providing fair and equal treatment to all clients.

B reason: Explaining possible adverse effects to clients receiving new prescriptions. This action is an example of veracity, which involves being honest and providing accurate information to clients.

C reason: Respecting the decision of clients to refuse to participate in group therapy. This action exemplifies fidelity, which involves being faithful to commitments and respecting the client's autonomy and decisions, even when they choose to refuse treatment or participation.

D reason: Attending an educational conference on identifying clients at risk for suicide. This action demonstrates a commitment to professional development and competence, but it does not specifically exemplify the ethical concept of fidelity in client care.

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Correct Answer is C

Explanation

A reason: Document the client's behavior once every hour. While documenting the client's behavior is important, it should be done more frequently than once every hour. Monitoring should be continuous to ensure the client's safety.

B reason: Keep the client in restraints until the prescription expires. Restraints should be used for the shortest duration necessary to ensure safety, not just until the prescription expires. Regular assessments are needed to determine if they can be removed earlier.

C reason: Conduct a debriefing regarding the client with the unit staff. Debriefing with the unit staff helps ensure everyone is informed about the client's condition, the reasons for using restraints, and the plan for ongoing care. This promotes a team approach to managing the client's behavior.

D reason: Request an evaluation of the client within 12 hours of application of restraints. An evaluation should be conducted much sooner than 12 hours, typically within an hour of applying restraints, to assess the client's physical and mental status and determine if continued use is justified.

A. "These clients can receive packages after they are privately inspected by security." B. "These clients cannot be considered for a research study." C. "These clients can vote in local and federal elections." D. "These clients cannot refuse their prescribed antipsychotic medications."

Correct Answer is C

Explanation

A reason: "These clients can receive packages after they are privately inspected by security." While security measures might be in place for the safety of all clients, it does not address a fundamental right of involuntarily admitted clients.

B reason: "These clients cannot be considered for a research study." Involuntarily admitted clients can be considered for research studies, but participation must be voluntary, and informed consent is required.

C reason: "These clients can vote in local and federal elections." Clients who are involuntarily admitted retain their civil rights, including the right to vote in local and federal elections. This statement accurately reflects their rights.

D reason: "These clients cannot refuse their prescribed antipsychotic medications." Involuntarily admitted clients retain the right to refuse medication, except in specific situations where they are deemed a danger to themselves or others, and legal protocols are followed.

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A charge nurse in a community mental health clinic is discussing ethical concepts of client care with a newly licensed nurse. The charge nurse should use which of the following situations as an example of fidelity?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is aggressive toward other clients and has been placed in wrist restraints. After obtaining a prescription for restraints from the provider, which of the following actions should the nurse take?

Correct Answer is C

Explanation

A charge nurse is providing education to a group of newly licensed nurses about the rights of clients who are involuntarily admitted. Which of the following responses indicates understanding of the teaching?

Correct Answer is C

Explanation

A home health nurse is caring for a client who reports feeling tired and being unable to grocery shop. Which of the following responses by the nurse is an example of therapeutic communication?

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A nurse is reviewing the medical records of a group of clients. For which of the following clients should the nurse implement seizure precautions?

A nurse is caring for a client who has a history of suicide attempts. Which of the following findings places the client at risk for another suicide attempt?

A nurse is admitting a client who has posttraumatic stress disorder (PTSD) to a community mental health facility. Which of the following manifestations should the nurse expect when completing the admission assessment?

A nurse is conducting an admission assessment for a client who is experiencing a manic episode of bipolar disorder. Which of the following behaviors should the nurse expect? (Select all that apply)

A nurse is caring for a client who has dementia and insists that a doll is their infant child. Which of the following behavioral management techniques should the nurse use when interacting with the client?

A nurse is caring for a client who has a new diagnosis of major depressive disorder. Which of the following medications should the nurse expect the provider to prescribe to the client as a first-line treatment?