A male client is seeking help in a mental health clinic for anger management problems. He voices that he is fearful that his wife may divorce him because of his anger problem, and he is willing to do “whatever it takes’ to control his anger. Later in the week, the client’s wife also seeks assistance because she is going to divorce her husband.
The nurse who is caring for both of these clients tries to decide the correct action to take. The nurse is experiencing:
An ethical dilemma
Value clarification
A moral conflict
A breach of confidentiality
The Correct Answer is A
The nurse is experiencing an ethical dilemma because there are conflicting values and ethical principles that need to be considered in this situation. On one hand, the nurse has a duty to maintain the confidentiality of the information shared by each client. On the other hand, the nurse also has a duty to promote the well-being of each client, which may require sharing information between them.
Additionally, there may be issues of autonomy, justice, and beneficence that need to be considered when deciding on the best course of action. It is important for the nurse to carefully consider all of these factors and make a decision that is in the best interest of both clients while upholding ethical principles.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
This statement may give the client false reassurance because it dismisses the client's concerns without acknowledging or addressing them. It is important for the nurse to listen to the client's concerns and provide appropriate interventions and support rather than simply dismissing their worries with a blanket statement. The other
Options (a, b, and c) are observations of the client's behavior or appearance, and do not provide false reassurance.
Correct Answer is C
Explanation
The nurse’s ability to listen and observe the client’s verbal and non-verbal messages. Effective communication in the mental health setting requires the nurse to actively listen to the client and to pay close attention to their verbal and non-verbal cues. By doing so, the nurse can better understand the client’s needs and concerns and can provide appropriate support and guidance.
While the nurse’s understanding of mental health disorders (b) and their relationship with the client (d) can also play a role in effective communication, the ability to listen and observe is a fundamental skill that is essential for effective therapeutic communication. The client’s ability to communicate (a) is also important, but it is ultimately the nurse’s responsibility to use effective communication techniques to facilitate the therapeutic process.
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