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 B

Explanation

A reason: "ECT is contraindicated in clients who have psychotic symptoms." ECT is not contraindicated in clients with psychotic symptoms. In fact, ECT can be an effective treatment for certain types of severe mental illnesses, including those with psychotic features, particularly when other treatments have failed.

B reason: "ECT is delivered through electrodes attached to the head." This statement accurately describes a key aspect of the ECT procedure. Electrodes are placed on the client's scalp to deliver electrical impulses, which induce a brief seizure intended to alleviate symptoms of major depressive disorder.

C reason: "ECT cannot be administered to clients who have suicidal ideation." ECT can be administered to clients with suicidal ideation and is sometimes used when rapid improvement in mood and reduction of suicidal thoughts are needed. It can be an effective treatment option in such cases.

D reason: "ECT is conducted under regional anesthesia." ECT is actually conducted under general anesthesia, not regional anesthesia. General anesthesia ensures the client is unconscious and does not feel pain during the procedure.

A. Dissociation. B. Rationalization. C. Undoing. D. Reaction formation.

Correct Answer is A

Explanation

A reason: Dissociation. Dissociation involves a disconnection between thoughts, identity, consciousness, and memory. The inability to recall details of a traumatic event is a common dissociative response in PTSD, where the mind separates from the distressing experience.

B reason: Rationalization. Rationalization involves creating a logical explanation to justify unacceptable feelings or behaviors. It does not involve memory loss or detachment from the event, making it an incorrect choice in this context.

C reason: Undoing. Undoing is a defense mechanism where a person tries to reverse or undo feelings by doing something that indicates the opposite feeling. It does not involve forgetting or dissociating from traumatic events.

D reason: Reaction formation. Reaction formation involves expressing the opposite behavior or emotion of what one truly feels. It does not involve memory loss or dissociation from the traumatic event, making it an incorrect choice in this context.

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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 preparing to teach a client who has major depressive disorder and is scheduled to undergo electroconvulsive therapy (ECT). Which of the following statements should the nurse include in the teaching?

Correct Answer is B

Explanation

A nurse is caring for a client who has posttraumatic stress disorder (PTSD) after being physically assaulted. The client is unable to recall any details of the event. Which of the following defense mechanisms should the nurse recognize that the client is displaying?

Correct Answer is A

Explanation

A nurse in an acute care facility is assessing a client who has schizophrenia. The client states, "Walk tall broom short dog bell." The nurse should document the client's speech as which of the following speech patterns?

A nurse is assessing a client who takes diazepam for anxiety and hydromorphone for severe pain. Which of the following is the priority finding that the nurse should report to the provider?

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 teaching the guardian of a school-age child who has autism spectrum disorder about a new prescription for risperidone. Which of the following statements by the guardian demonstrates an understanding of the teaching?

A nurse is caring for a client who exhibits excessive attention-seeking behaviors, including acting flirtatious and seductive. The nurse should identify these behaviors as manifestations of which of the following personality disorders?

A nurse is conducting a child maltreatment screening of a family who has a toddler. Which of the following findings should the nurse identify as an indicator of possible child neglect?

A nurse is caring for a client who has just learned that their partner has died by suicide. Which of the following actions should the nurse take first?

A nurse is administering an antidepressant medication to a client. The nurse should understand that which of the following is the major difference between selective serotonin reuptake inhibitors (SSRIs) and tricyclic antidepressants (TCAs)?