A nurse is caring for a client diagnosed with a mental illness. Which of the following actions by the nurse demonstrates the ethical concept of autonomy?
Supporting the client's wish to refuse prescribed medications.
Making sure the client understands expectations for client participation.
Explaining unit rules and policies regarding unacceptable behaviors.
Encouraging client feedback about satisfaction with the facility experience.
Calmly speaking the client's name out of the car window may seem like a non-threatening action, but it involves direct engagement with the client while he is holding a weapon. This could put the nurse at risk if the client reacts unpredictably or feels threatened.
The Correct Answer is A
Choice A Reason:
Supporting the client's wish to refuse prescribed medications is a direct demonstration of respecting the client's autonomy. Autonomy in nursing is the right to self-determination, where patients are provided with adequate information to make their own decisions based on their beliefs and values. By supporting the client's decision, the nurse acknowledges the client's capacity to make informed choices about their own health care, even if the choice is different from what the medical team suggests.
Choice B Reason:
Ensuring that the client understands expectations for participation is more about informed consent and education rather than autonomy. While it is related to autonomy, it does not directly demonstrate the ethical concept since it does not involve a decision made by the client.
Choice C Reason:
Explaining unit rules and policies about unacceptable behaviors is part of the education process and setting boundaries within the healthcare environment. This action is necessary for all clients but does not specifically address the client's autonomy in making personal health decisions.
Choice D Reason:
Encouraging client feedback about satisfaction with the facility experience is a way to involve clients in the evaluation process of the facility's services. While this can be seen as respecting the client's opinions, it is not a direct action of supporting the client's autonomous decisions regarding their treatment plan
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A Reason:
Offering false reassurance occurs when a nurse or healthcare provider dismisses a patient's concerns with general comforting statements without addressing the reality of the situation or the patient's feelings. In this case, the nurse's response of "Don't worry, no one will harm your family" is an attempt to alleviate the patient's anxiety without acknowledging the patient's fear or providing a realistic plan to ensure the safety of the patient's family. This type of communication can undermine trust and prevent the patient from feeling heard and supported.
Choice B Reason:
Offering sympathy involves sharing feelings of pity or sorrow for someone else's misfortune. While the nurse's response may seem sympathetic, it does not directly express shared emotions or an understanding of the patient's distress. Therefore, it does not represent offering sympathy as a communication breakdown in this context.
Choice C Reason:
Providing a passive response would involve the nurse not actively engaging with the patient's concerns or failing to provide any response. Since the nurse in the scenario does respond to the patient's statement, this does not constitute a passive response.
Choice D Reason:
Showing disapproval would involve the nurse expressing judgment or criticism of the patient's feelings or actions. The nurse's response does not contain elements of judgment or criticism; rather, it is an attempt to reassure the patient, albeit falsely.
Correct Answer is C
Explanation
Choice A reason:
Bleeding is not commonly associated with the use of haloperidol. While antipsychotic medications can have a wide range of side effects, bleeding is not typically reported as an adverse effect of haloperidol.
Choice B reason:
Pancreatitis is not a recognized adverse effect of haloperidol. This condition involves inflammation of the pancreas and is more commonly associated with medications that affect the gastrointestinal system directly.
Choice C reason:
Dysrhythmias, or abnormal heart rhythms, are known adverse effects of haloperidol. This medication can affect the electrical activity of the heart, potentially leading to serious cardiac events.
Choice D reason:
Cataracts are not a direct adverse effect of haloperidol. While long-term use of some medications can increase the risk of developing cataracts, haloperidol is not specifically linked to this condition.
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