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. Spending equal time with clients regardless of their insurance status: This situation relates more to justice, ensuring fairness and equality in client care, rather than fidelity.

b. This scenario represents the principle of veracity, which involves providing truthful and accurate information to clients. It ensures that clients are fully informed and can give informed consent regarding their treatment.

c. Respecting the decision of clients to refuse to participate in group therapy: Fidelity refers to the duty to be loyal, faithful, and keep promises. It involves maintaining trust and being reliable in our interactions with clients. This situation aligns with fidelity. Respecting a client's decision to refuse treatment, even if it's something the nurse believes would be beneficial, demonstrates fidelity to the client's autonomy and their right to make choices about their care.

d. This situation reflects the principle of beneficence, which involves taking actions to benefit clients, including continuing education to improve client care and nonmaleficence (avoiding harm).

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Correct Answer is B

Explanation

A. Reach to Recovery: Reach to Recovery is a program offered by the American Cancer Society that provides support and resources to individuals facing breast cancer. While support is crucial for individuals facing cancer, it is not directly related to alcohol withdrawal.

B. 12-step program: A 12-step program, such as Alcoholics Anonymous (AA), is a widely recognized support group for individuals recovering from alcohol addiction. These programs provide a structured approach to recovery, including support from peers who have experienced similar challenges.

C. Al-Anon: Al-Anon is a support group specifically designed for family members and friends of individuals struggling with alcohol addiction. While it may not be directly applicable to the client themselves, it could be beneficial for their family members or loved ones.

D. Light therapy: Light therapy, also known as phototherapy, is a treatment used for conditions such as seasonal affective disorder (SAD) or certain types of depression. While it can be helpful for individuals experiencing mood disturbances, it is not typically recommended specifically for alcohol withdrawal.

A. A client who is a voluntary admission does not have the right to request to be discharged. B. A client who is admitted involuntarily has the right to refuse to participate in therapy C. A client who is admitted involuntarily cannot refuse to take prescribed psychotropic medications. D. A client who is a voluntary admission cannot withdraw consent after has been given

Correct Answer is B

Explanation

A. A client who is a voluntary admission does not have the right to request to be discharged.

This statement is incorrect. Clients admitted voluntarily to a mental health unit have the right to request discharge from the facility. However, there may be specific procedures and legal requirements to be followed for discharge, but the client ultimately has the right to request it.

B. A client who is admitted involuntarily has the right to refuse to participate in therapy.

This statement is generally true. Even if a client is admitted involuntarily, they still retain certain rights, including the right to refuse treatment such as therapy. However, there may be situations where treatment is deemed necessary for the client's safety or the safety of others, and in such cases, treatment may be provided against the client's wishes following appropriate legal processes.

C. A client who is admitted involuntarily cannot refuse to take prescribed psychotropic medications.

This statement is generally false. While involuntary admission may involve certain limitations on the client's autonomy, such as restrictions on leaving the facility, clients generally retain the right to refuse medications, including psychotropic medications. However, there are exceptions to this rule, such as when a client's refusal poses an imminent risk to their safety or the safety of others, in which case treatment may be provided following legal procedures.

D. A client who is a voluntary admission cannot withdraw consent after it has been given.

This statement is incorrect. Clients who are admitted voluntarily have the right to withdraw their consent for treatment or participation in any aspect of their care, including interventions previously agreed upon. However, similar to involuntary admissions, there may be situations where treatment is deemed necessary for the client's well-being, and in such cases, withdrawal of consent may be overridden following appropriate legal processes.

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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?

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