A psychiatric nurse is assigned to advocate for equitable access to mental health services for a diverse patient population in an underserved community. Several clients require specialized therapy, but limited resources restrict availability to only a few individuals. Which action by the nurse best reflects the principle of justice?

Offering therapy only to clients who have insurance coverage to maximize resource efficiency.

Allowing clients to self-select into therapy groups on a first-come, first-served basis.

Prioritizing therapy for clients who demonstrate the highest motivation for treatment.

Ensuring therapy resources are allocated fairly based on clinical need and without discrimination.

Answer and Explanation

The Correct Answer is D

Rationale:

A. Limiting therapy to insured clients prioritizes financial concerns over fairness and excludes vulnerable populations, violating the principle of justice.

B. A first-come, first-served approach may seem fair, but it often disadvantages clients with less access or mobility, failing to address underlying inequities.

C. Motivation is important but not always reflective of clinical need; this method may ignore those in more severe distress who lack insight or ability to engage.

D. Justice in healthcare involves fair and impartial treatment. Allocating therapy based on clinical need and free from discrimination ensures equitable access.

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Correct Answer is A

Explanation

Rationale:

A. Displacement involves transferring emotional responses from the original source of distress (the supervisor) to a safer or more acceptable substitute target (family members).

B. Denial is the refusal to accept reality or facts, often to avoid painful emotions, and is not demonstrated in this scenario.

C. Projection involves attributing one's own unacceptable thoughts or feelings to someone else (e.g., accusing others of being angry when you're angry).

D. Sublimation is a healthy defense mechanism where negative impulses are channeled into positive, socially acceptable activities (e.g., exercising or creating art instead of acting out anger).

A. "Avoid all physical activity to reduce the risk of dehydration." B. "You should stop the medication immediately if you experience increased thirst or frequent urination." C. "Maintain a consistent salt and fluid intake daily to help prevent hum toxicity" D. "You do not need regular blood tests once you feel better on the medication"

Correct Answer is C

Explanation

Rationale:

A. Avoiding all physical activity is not necessary. Patients should stay hydrated during activity, but exercise can be safely performed with appropriate precautions.

B. Increased thirst and urination can be side effects of lithium, but the medication should not be stopped abruptly. The patient should contact their provider.

C. Lithium levels are influenced by sodium and fluid balance. Consistent intake helps maintain therapeutic levels and reduces the risk of toxicity.

D. Regular blood tests are required to monitor lithium levels and kidney function, even when symptoms are controlled.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is frustrated and angry with their supervisor at work but chooses to express this anger by yelling at their family members at home. According to Freud's psychoanalytic theory, this behavior is an example of which defense mechanism?

Correct Answer is A

Explanation

A nurse is preparing discharge teaching for a patient starting lithium therapy for bipolar disorder. Which of the following instructions should the nurse include to ensure safe and effective use of lithium?

Correct Answer is C

Explanation

A client with major depressive disorder says to the nurse. 1 don't think I can go on living like this anymore." Which of the following responses by the nurse demonstrate nontherapeutic communication techniques? (Select all that apply.)

A patient 38-year-old patient came back from the army and is experiencing signs and symptoms of PTSD. What findings are expected in a patient with posttraumatic stress disorder (PTSD)? (Select All that Apply.)

A nurse is performing a neurological assessment on a patient who recently suffered an ischemic stroke affecting the occipital lobe. Which of the following findings would be most consistent with this area of brain injury?

In behavioral therapy, which of the following best describes the effect of random reinforcement on a client's behavior?

Which of the following statements best reflects the core principle of humanistic theory that a psychiatric nurse should uphold to facilitate therapeutic growth in a client?