A nurse is caring for a client who has bipolar disorder and is refusing to take prescribed medications.
Which of the following ethical principles is the nurse displaying when he supports the client's refusal of medications?

The most appropriate recommendation for the client experiencing social isolation due to depression is:

d. Join a low-impact exercise class.

Here's why:

• a. Enroll in an online self-help course:While this can be beneficial for learning coping skills,it doesn't directly address the social isolation aspect.
• b. Practice guided imagery each morning:This could be helpful for emotional regulation but doesn't necessarily promote socialization.
• c. Write in a journal daily:Though journaling can be therapeutic,it's a solitary activity and may not address social withdrawal.
• d. Join a low-impact exercise class:Participating in a group activity like a low-impact exercise class provides several benefits:
  • Physical activity:Improves mood and energy levels,reducing depression symptoms.
  • Social interaction:Creates opportunities to connect with others with similar interests,combating isolation.
  • Structure and routine:Provides a sense of purpose and accomplishment,which can be difficult with depression.
  • Reduced stress:Exercise releases endorphins,which have mood-boosting effects.

Furthermore, a low-impact class caters to the client's potential lack of motivation and energy.

Therefore, encouraging participation in a low-impact exercise class is the most suitable recommendation for this client's social isolation in the context of depression.

Remember, it's crucial to consider the client's individual preferences and tailor recommendations accordingly.

Choice A rationale:

Justice refers to the fair and equitable distribution of resources and treatment, and it doesn't directly apply to the nurse supporting the client's refusal of medications.

Choice B rationale:

Beneficence involves the promotion of the client's well-being and may sometimes conflict with the client's autonomy when they refuse treatment. This choice doesn't apply to the situation where the nurse supports the client's decision to refuse medications.

Choice C rationale:

Autonomy is the ethical principle that supports an individual's right to make decisions about their own care, even if those decisions go against medical advice. In this scenario, the nurse is respecting the client's autonomy by supporting their choice to refuse medications.

Choice D rationale:

Veracity involves truth-telling and honesty in the nurse-client relationship. While it is essential, it is not the primary ethical principle being displayed when the nurse supports the client's refusal of medications.