A nurse on a mental health unit is caring for a client who has anorexia nervosa. Which of the following statements by the nurse promotes the ethical principle of client autonomy?
“It is your choice to share personal information during group therapy.”
"I will only discuss your medical information with the health care team."
“I will be truthful when answering questions about your treatment”
"The nursing staff here will provide you with nonjudgmental care”
The Correct Answer is A
A. “It is your choice to share personal information during group therapy.”: This statement supports client autonomy by emphasizing the client’s right to make decisions about their own participation and what personal information to disclose. Respecting autonomy involves allowing clients to make informed choices about their care and interactions.
B. "I will only discuss your medical information with the health care team.": This reflects the ethical principle of confidentiality, protecting privacy, but does not directly address autonomy.
C. “I will be truthful when answering questions about your treatment”: Truthfulness relates to veracity, ensuring honesty in the nurse-client relationship, but does not specifically promote autonomy.
D. "The nursing staff here will provide you with nonjudgmental care”: Providing nonjudgmental care supports beneficence and a therapeutic environment but does not directly empower the client to make their own decisions.
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Related Questions
Correct Answer is C
Explanation
A. Disulfiram: Disulfiram is used in the management of alcohol use disorder by producing unpleasant effects when alcohol is consumed. Disulfiram does not reduce nicotine cravings or withdrawal symptoms associated with smoking cessation.
B. Methadone: Methadone is a long-acting opioid agonist used for opioid use disorder and chronic pain management. Methadone has no role in reducing nicotine dependence or supporting smoking cessation efforts.
C. Bupropion: Bupropion is an antidepressant that also reduces nicotine cravings and withdrawal symptoms. Bupropion is commonly prescribed as part of a smoking cessation program and can be used alone or with nicotine replacement therapy.
D. Naltrexone: Naltrexone is used to reduce cravings in alcohol and opioid use disorders. While it is excellent for blocking the sedative and pleasurable effects of opioids, it does not target the specific pathways associated with nicotine addiction and is not a standard treatment for smoking cessation.
Correct Answer is A
Explanation
A. Limit the number of choices for the client: Offering too many options can overwhelm a client with Alzheimer’s disease and increase confusion or agitation. Limiting choices helps the client make decisions more easily and promotes a sense of control.
B. Provide a stimulating environment for the client: Excessive stimulation can increase confusion, agitation, and anxiety in clients with Alzheimer’s disease. A calm, structured environment is more appropriate to support cognitive function and reduce behavioral disturbances.
C. Use written signs to assist the client with locating the bathroom: As Alzheimer’s progresses, clients often lose the ability to read or interpret written language (alexia). Using pictures or symbols (e.g., a picture of a toilet on the bathroom door) is much more effective than written words for assisting with navigation.
D. Use confrontation to manage the client's behavior: Confrontation can escalate agitation and aggression in clients with Alzheimer’s disease. Approaches should focus on redirection, reassurance, and validation rather than confrontation.
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