A psychiatric nurse is caring for a client with severe depression who refuses medication due to fear of side effects. The client expresses hopelessness but is not suicidal. The nurse believes that medication could significantly improve the client's condition. Which nursing action best demonstrates the principle of beneficence?
Respect the client's decision and avoid discussing medication to maintain trust.
Provide education about the benefits and risks of the medication.
Insist that the client take the medication to prevent worsening of symptoms.
Administer the medication covertly to ensure the client receives treatment.
The Correct Answer is B
Rationale:
A. While respecting autonomy is important, avoiding further discussion may neglect the nurse’s role in promoting the client’s well-being.
B. Beneficence involves actions that promote good and reduce harm. Educating the client empowers informed decision-making while promoting their best interest.
C. Insisting on treatment disregards the client’s autonomy and may damage the therapeutic relationship, despite good intent.
D. Covert administration is unethical and violates the client's rights, even if the intention is to help.
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Related Questions
Correct Answer is D
Explanation
Rationale:
A. Anger may involve blaming others or expressing frustration, not withdrawal and hopelessness.
B. Denial typically involves difficulty believing the loss occurred, not the low mood and physiological symptoms described.
C. Acceptance involves beginning to plan for the future, which is inconsistent with the client's current hopelessness and withdrawal.
D. The client's symptoms are consistent with the depression stage of grief. The appropriate intervention is to offer empathetic support and assess for suicidal ideation or risk of self-harm, ensuring safety while providing emotional care.
Correct Answer is B
Explanation
Rationale:
A. Impaired judgment and poor impulse control are more commonly associated with frontal lobe damage.
B. The occipital lobe is responsible for visual processing. Damage here can cause visual disturbances, hallucinations, or agnosia (inability to recognize visual stimuli).
C. Balance and coordination issues, such as a wide-based gait, are typically related to cerebellar dysfunction, not occipital lobe injury.
D. Inability to comprehend language with fluent but nonsensical speech suggests Wernicke’s aphasia, which involves the temporal lobe, not the occipital lobe.
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