A nurse is caring for a client who is starting treatment for substance use disorder. Which of the following actions indicates the nurse is practicing the ethical principle of nonmaleficence?
Withholding a prescribed medication that is causing adverse effects for the client
Educating the client about legal rights concerning treatment
Providing the client with quality care regardless of ability to pay for treatment
Being truthful with the client about the manifestations of withdrawal.
The Correct Answer is A
A. Withholding a prescribed medication that is causing adverse effects for the client
The principle of nonmaleficence, often summarized as "do no harm," emphasizes the nurse's duty to prevent harm and to remove existing harm. If a medication prescribed to a client is causing adverse effects, the nurse should withhold the medication to prevent harm to the client.
B. Educating the client about legal rights concerning treatment
Educating the client about their legal rights falls under providing information and ensuring the client's autonomy but does not directly address the principle of non-maleficence.
C. Providing the client with quality care regardless of ability to pay for treatment
Providing quality care regardless of the client's ability to pay is an ethical practice, but it aligns more with the principles of justice and beneficence rather than nonmaleficence.
D. Being truthful with the client about the manifestations of withdrawal
Being truthful and providing accurate information to the client about withdrawal symptoms is crucial, but it doesn't directly address the principle of nonmaleficence.
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Related Questions
Correct Answer is B
Explanation
A. Initiates social interactions with caregivers:
While improving social interactions is a valuable goal, individuals with autism spectrum disorder (ASD) often struggle with social communication. Initiating social interactions can be challenging for them due to difficulties in understanding social cues and reciprocal communication. Setting this goal might be too ambitious without considering the individual's specific abilities and progress in social skills development.
B. Meets own needs without manipulating others:
This is a suitable goal for an individual with ASD. Many individuals with ASD can learn self-help skills and independence, such as personal hygiene, dressing, and basic communication, allowing them to meet their own needs. Teaching them to meet their needs without resorting to manipulation is important for fostering independence and appropriate social behavior.
C. Changes behavior as a result of peer pressure:
Individuals with ASD often struggle with understanding and responding to social cues, making it difficult for them to change their behavior based on peer pressure. Setting a goal related to conforming to peer pressure may not be realistic or developmentally appropriate for someone with ASD. Instead, interventions should focus on developing appropriate social skills and fostering self-confidence.
D. Acknowledges that his delusions are not real:
Delusions, which are false beliefs that are strongly held despite evidence to the contrary, are not typically a part of ASD. ASD is characterized by challenges in social communication, repetitive behaviors, and restricted interests. Setting a goal related to delusions is not relevant to the core features of ASD and may indicate a misunderstanding of the disorder's characteristics. Goals should be focused on addressing the specific challenges associated with ASD, such as social communication and sensory sensitivities.
Correct Answer is A
Explanation
A. "Do you feel you need treatment?"
Asking the client, "Do you feel you need treatment?" assesses their insight into their own mental health condition. Insight refers to the client's awareness and understanding of their illness, including recognizing the need for treatment. A positive response to this question indicates the client's awareness of their condition and willingness to seek help, demonstrating good insight.
B. "Who is the governor of this state?"
This question assesses the client's orientation to time, place, and current events. It is useful for assessing cognitive functioning but does not specifically measure insight into one's own mental health.
C. "What do you get when you subtract 7 from 100?"
This question assesses the client's cognitive functioning, specifically mathematical abilities. It is useful for evaluating cognitive skills but does not address insight into mental health.
D. "How do you get money for your needs?"
This question assesses the client's problem-solving abilities and understanding of practical matters. It is relevant for assessing functional abilities but does not specifically measure insight into their mental health condition.
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