A nurse arranges for an aid to sit with a client overnight to avoid the use of restraints. The nurse should identify that this as an example of which of the following ethical principles?

Beneficence

Justice

Autonomy

Nonmaleficence

Answer and Explanation

The Correct Answer is A

A. Beneficence is the duty to do good and act in the best interest of the client, which includes finding alternatives to restraints that promote dignity.

B. Justice refers to fairness in distributing resources and treatment, which does not directly apply in this scenario.

C. Autonomy involves respecting a client’s right to make decisions, but the decision in this case is made by the nurse.

D. Nonmaleficence is avoiding harm, which is closely related but not the best choice because beneficence goes beyond avoiding harm—it actively promotes the client's well-being.

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Correct Answer is D

Explanation

A. Begins to discuss how their partner and children are important to them. While discussing relationships is valuable, it does not necessarily indicate readiness for behavior change.

B. Asks to change the topic during the interview process. Changing the topic may indicate discomfort or resistance rather than engagement.

C. Requests more information about treatment options. While curiosity about treatment is positive, it does not necessarily indicate commitment to change.

D. Discusses reasons for making a behavior change. When a client verbalizes reasons for change, it shows they are actively considering taking action, which is a key goal of motivational interviewing.

A. Projection B. Countertransference C. Empathy D. Transference

Correct Answer is D

Explanation

A. Projection is a defense mechanism where a client attributes their own feelings to someone else (e.g., “I know you don’t like me” when they actually dislike the nurse).

B. Countertransference is the nurse’s emotional reaction toward the client, not the client’s reaction to the nurse.

C. Empathy involves understanding and sharing another person’s emotions, which is not what is happening in this scenario.

D. Transference occurs when a client projects feelings about another person onto the nurse (e.g., seeing the nurse as a loved one).

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A nurse arranges for an aid to sit with a client overnight to avoid the use of restraints. The nurse should identify that this as an example of which of the following ethical principles?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is interviewing a client who is contemplating a behavior change. According to the processes of Motivational Interviewing, which of the following client behaviors indicates that the nurse has successfully engaged with the client?

Correct Answer is D

Explanation

The patient telling the nurse she reminded him of his girlfriend that he loves so much is an example of what?

Correct Answer is D

Explanation

A nurse is reviewing ethical principles with a newly licensed nurse. The nurse should include which of the following as an ethical principle?

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Which of the following is a strategy to reduce nursing burnout?

A nurse is reinforcing teaching with a newly licensed nurse about the importance of therapeutic communication. Which of the following statements should the nurse include?

Which situation is an exception to the rule of maintaining patient confidentiality?

A nurse asks a client if they prefer to attend the morning or afternoon group therapy session. The nurse should identify that this as an example of which of the following ethical principles?

A nurse is discussing the scope of practice and responsibilities of mental health nurses who are not advanced practice registered nurses with a peer. Which of the following responsibilities is within the nurse's scope of practice?

A nurse is caring for a client who is in physical restraints after demonstrating aggressive behavior. Which of the following criteria must be met before the nurse can remove the restraints?