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

Answer and Explanation

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.

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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.

A. Why did you do that? B. Tell me more about your relationship with your daughter? C. This is what I think you should say. D. Don’t stress over it, everything will turn out fine.

Correct Answer is ["A","C","D"]

Explanation

Why did you do that? - This question can come across as judgmental and accusatory, and may cause the client to become defensive or feel criticized.

Tell me more about your relationship with your daughter? - This question encourages the client to open up and share more about themselves, which can promote eﬀective communication.

This is what I think you should say. - This response takes away the client's autonomy and can make them feel like their feelings and opinions are not important.

Don’t stress over it, everything will turn out fine. - This response minimizes the client's concerns and can make them feel like their feelings are not valid or important. It can also come across as dismissive and unempathetic.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During a client nurse interaction, which nursing statement may give the client false reassurance?

Correct Answer is D

Explanation

Which nurse responses could block eﬀective communication with a client? (Select all that apply)

Correct Answer is ["A","C","D"]

Explanation

Nurses who care for patients who are homeless understand that the in the United States:

While the nurse is talking with a female client, the client becomes quiet for several hours. Which is the nurse’s best response?

While dining in a restaurant the nurse overhears two co-workers in the next booth discussing a client who is being cared for on the mental health unit which they work. What action have the nurse’s co-workers committed for which they could be held liable for?

Eﬀexor 150 po daily for depression is ordered. On hand, the nurse has Eﬀexor 37.5 mg tablets. How many tablets will the nurse administer? Enter answer as a number only.

You are working on a mental health unit and have a diverse group of patients. Some of the patients are of Middle Eastern descent. These patients have communicated to you that they would like to follow the same period for praying as they did prior to admission. What is your response?

An example of a client who requires emergency admission to a mental hospital is one who has been diagnosed with:

The psychiatrist asks the nurse to perform a procedure that she is not familiar with and the nurse is unsure whether this is something within the scope of practice. Where can the nurse find the answer to this question?

Order reads: Lithium 600 mg PO BID for Bipolar. Nurse has lithium 150 mg capsules on hand. How many capsules will the nurse administer? Enter answer as a number only.