A nurse is caring for a client diagnosed with a mental illness on a psychiatric unit. Which of the following actions by the nurse demonstrates the ethical concept of autonomy?

Supporting the client's wish to refuse prescribed medications.

Encouraging client feedback about satisfaction with the facility experience.

Making sure the client understands expectations for client participation.

Explaining unit rules and policies regarding unacceptable behaviors.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

The ethical concept of autonomy centers on respecting an individual's right to make decisions about their own care, even if those decisions go against medical advice. By supporting the client's wish to refuse prescribed medications, the nurse is upholding the principle of autonomy. In mental health care, it is crucial to acknowledge and respect the client's right to make choices about their treatment, even if those choices might not align with the healthcare provider's recommendations. This action promotes patient empowerment and informed decision-making.

Choice B rationale:

While client feedback about satisfaction with the facility experience is important for quality improvement, it is not directly related to the ethical concept of autonomy. Autonomy pertains to the client's right to make decisions about their treatment and care, particularly when it comes to medical interventions and choices about their own body.

Choice C rationale:

Ensuring that the client understands expectations for client participation is more aligned with the principle of informed consent and effective communication rather than autonomy. While communication is important for respecting the client's autonomy, this choice does not directly demonstrate the core concept of allowing the client to make decisions about their treatment even if they differ from medical advice.

Choice D rationale:

Explaining unit rules and policies regarding unacceptable behaviors is related to maintaining a safe and structured environment within the psychiatric unit, but it does not directly reflect the ethical concept of autonomy. Autonomy pertains to decisions specifically related to the client's medical treatment and care, not just the rules of the unit.

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Correct Answer is ["B","D"]

Explanation

The correct answers are choices B and D: "Offer ideas for ways to distract or redirect the client." and "Educate the spouse about the availability of adult care as a respite."

Choice A rationale:

Suggesting a long-term care facility should not be the first action. Early-stage Alzheimer's clients can often remain at home with proper support, and suggesting institutionalization might not be appropriate at this stage.

Choice B rationale:

This is a correct choice. Engaging the client with Alzheimer's in activities that distract or redirect their focus can be helpful. This approach can alleviate the spouse's concerns and provide some relief from exhaustion.

Choice C rationale:

While discussing dementia care options with the spouse is important, it might not directly address the spouse's current exhaustion and feelings of helplessness.

Choice D rationale:

This is a correct choice. Educating the spouse about adult care options for respite can provide much-needed breaks for the caregiver. Caring for someone with Alzheimer's can be emotionally and physically draining, so respite care can offer temporary relief.

Choice E rationale:

Suggesting anti-anxiety drugs for the spouse is not the best first action. While addressing caregiver stress is important, suggesting medication should come after considering other supportive measures.

A. "I know that men who are abusers gain power through intimidation.” B. "I have heard that abusers think of themselves as important and have high self-esteem.” C. "I know that abusers lack social supports and social skills.” D. "I have heard that abusers try to keep their partner isolated from others.”

Correct Answer is B

Explanation

Choice A rationale:

The statement "I know that men who are abusers gain power through intimidation." is accurate and aligned with the understanding of domestic violence dynamics. Abusers often use intimidation tactics to exert control over their victims, perpetuating a cycle of power and control.

Choice B rationale:

The statement "I have heard that abusers think of themselves as important and have high self-esteem." needs clarification. This statement is not entirely accurate. Abusers may display a façade of high self-esteem, but beneath it, they often have deep-seated insecurities. It's important to highlight that abusive behavior stems from a desire to control and dominate, rather than genuine self-worth.

Choice C rationale:

The statement "I know that abusers lack social supports and social skills." is inaccurate. Abusers can have social supports and social skills. Domestic violence is not solely determined by the lack of social skills or support; it is a complex issue rooted in power dynamics and learned behaviors.

Choice D rationale:

The statement "I have heard that abusers try to keep their partner isolated from others." is accurate and aligned with the understanding of domestic violence dynamics. Abusers frequently isolate their partners to maintain control over them, making it difficult for victims to seek help or support from others.

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A nurse is caring for a client diagnosed with a mental illness on a psychiatric unit. Which of the following actions by the nurse demonstrates the ethical concept of autonomy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Exhibit. The spouse of a male client with early-stage Alzheimer's disease (AD) tells the nurse, "I am just exhausted from the constant worry. I don't know what to do." Which action is best for the nurse to take next? (Select All That Apply.)

Correct Answer is ["B","D"]

Explanation

A home health nurse is speaking to a group of acute care nurses about domestic violence. Which of the following statements by one of the acute care nurses indicates a need for clarification by the home health nurse?

Correct Answer is B

Explanation

While in group therapy, a nurse is caring for a client who has cancer and is scheduled for immediate chemotherapy. The client tells the nurse that she wants to try nontraditional treatments first. Which of the following responses should the nurse make?

A nurse on a mental health unit is caring for a client who has generalized anxiety disorder. The client received a telephone call that was upsetting, and now the client is pacing up and down the hallways of the unit. Which of the following actions should the nurse take?

A nurse is admitting an older adult client to the unit who has a suspected cognitive disorder. Which of the following inventories should be included as part of the admission assessment?

During a family group therapy session, the nurse overhears the client telling her daughter, "You need to do better in school so I can love you as much as I love your brother." According to Warren, this statement discourages the development of positive self-esteem by hindering which parenting focus?

A nurse in an acute mental health unit is admitting a client diagnosed with bipolar disorder. The nurse recognizes which of the following findings supports the admitting diagnosis of acute mania?

A nurse is caring for a client who has paranoid personality disorder. Which of the following findings should the nurse expect? (Select all that apply.).

According to Bowen's theoretical approach to therapy, which of the following should the nurse recognize as a concept of a functional family interaction pattern?