A nurse is preparing to administer haloperidol 7 mg lIM to a client who is severely agitated. Available is haloperidol injection 5 mg/mL. How manymL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Choice A reason:
The statement "A unit secretary who speaks the same language as the client" is not the best option. While the unit secretary may be able to communicate in the client's language, they may not have the necessary training in medical terminology and confidentiality required for effective and accurate translation in a healthcare setting.

Choice B reason:
The statement "A translator of the same gender as the client" is the correct response. A professional translator is trained in medical terminology, confidentiality, and cultural sensitivity, ensuring accurate and effective communication. Choosing a translator of the same gender can also help the client feel more comfortable, especially when discussing sensitive topics.

Choice C reason:
The statement "Another client who speaks the same language as the client" is not appropriate. Using another client as a translator can breach confidentiality and may not provide accurate translation due to a lack of medical knowledge and training.

Choice D reason:
The statement "A family member of the client" is not the best option. While family members can help with communication, they may not be objective and could potentially misinterpret or withhold information. Additionally, using family members can compromise the client's privacy and confidentiality.

Choice A Reason:
Autonomy refers to respecting the client's right to make their own decisions about their healthcare. By supporting the client's refusal of medications, the nurse is acknowledging the client's right to self-determination and informed consent. This principle is fundamental in healthcare ethics, as it empowers clients to take control of their own treatment and make choices that align with their values and preferences. Respecting autonomy involves providing the client with all necessary information to make an informed decision and supporting their choice, even if it differs from the healthcare provider's recommendation.

Choice B Reason:
Justice in healthcare refers to fairness and equality in the distribution of resources and treatment. While justice is an important ethical principle, it is not directly related to the nurse's support of the client's refusal of medications. Justice would be more relevant in ensuring that all clients have equal access to care and that resources are allocated fairly. In this scenario, the focus is on the client's individual right to make decisions about their own treatment.

Choice C Reason:
Veracity refers to truthfulness and honesty in communication between healthcare providers and clients. While veracity is crucial in building trust and ensuring informed consent, it is not the primary ethical principle at play when supporting a client's refusal of medication. Veracity would involve providing accurate information about the benefits and risks of the medication, but the act of supporting the client's decision is more closely aligned with the principle of autonomy.

Choice D Reason:
Beneficence involves acting in the best interest of the client and promoting their well-being. While beneficence is a key ethical principle in healthcare, it can sometimes conflict with autonomy. In this case, the nurse may believe that taking the medication is in the client's best interest (beneficence), but the client has the right to refuse treatment (autonomy). Supporting the client's decision respects their autonomy, even if it means not following what the nurse believes to be the best course of action for the client's health.