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: A client who is experiencing withdrawal from oxycodone. While withdrawal from oxycodone can cause significant symptoms, it is not typically associated with seizures. Other withdrawal symptoms, such as anxiety and agitation, are more common.

B reason: A client who is experiencing withdrawal from diazepam. Withdrawal from diazepam, a benzodiazepine, can lead to seizures, especially if the drug is stopped abruptly. Seizure precautions are necessary to manage this risk and ensure the client's safety.

C reason: A client who has a low lithium level. A low lithium level typically indicates subtherapeutic dosing rather than an immediate risk of seizures. Monitoring for mood symptoms is more relevant in this context.

D reason: A client who has a low imipramine level. Low levels of imipramine, an antidepressant, do not generally pose a risk for seizures. The focus should be on managing depressive symptoms and adjusting medication as needed.

A. A client who has new-onset depression. B. A client who is experiencing auditory hallucinations. C. A client who is experiencing mania. D. A client who has somatic symptom disorder.

Correct Answer is D

Explanation

A reason: A client who has new-onset depression. While assertiveness training can be beneficial for clients with depression, it may not be the most immediate need for someone with new-onset depression. Initial treatment should focus on managing depressive symptoms.

B reason: A client who is experiencing auditory hallucinations. Clients experiencing active psychotic symptoms, such as auditory hallucinations, may have difficulty engaging in and benefiting from assertiveness training. Stabilizing their symptoms is the priority.

C reason: A client who is experiencing mania. Clients in a manic state may struggle to focus and participate effectively in assertiveness training. Managing manic symptoms is the primary concern for these individuals.

D reason: A client who has somatic symptom disorder. Clients with somatic symptom disorder often struggle with expressing their needs and feelings assertively. Assertiveness training can help them communicate more effectively and reduce the psychological distress associated with their physical symptoms.

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

Correct Answer is B

Explanation

A nurse on a mental health unit is planning a group therapy session about assertiveness training. For which of the following clients should the nurse recommend the training?

Correct Answer is D

Explanation

A nurse is reviewing the medical records of a group of clients. For which of the following clients should the nurse recommend a referral for assertive community treatment (ACT)?

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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?

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