A psychiatric registered nurse best implements the ethical principle of autonomy when he or she:
Select one:
suggests that two patients who have been fighting stay in their rooms.
explores alternative solutions with a patient, who then makes his/her own choice among the alternatives
stays with a patient who is demonstrating a severe level of anxiety.
intervenes when a self-mutilating patient attempts to harm him/herself.
The Correct Answer is B
The ethical principle of autonomy refers to an individual's right to make decisions about their own healthcare, treatment, and life choices. As a registered nurse, it is important to respect and promote the autonomy of patients. Option b best exemplifies the implementation of the ethical principle of autonomy because it involves exploring alternative solutions with the patient and allowing them to make their own choice among those alternatives. This approach respects the patient's right to make decisions about their own care, while also ensuring that they have the information they need to make an informed decision.
Option a suggests that the nurse is imposing their own decision on the patients, which violates the principle of autonomy.
Option c may involve staying with the patient to provide support and reassurance, but it does not necessarily involve promoting the patient's autonomy.
Option d involves intervening to prevent harm to the patient, which may be necessary at times but is not necessarily an example of promoting the patient's autonomy.
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Related Questions
Correct Answer is D
Explanation
This client is experiencing auditory hallucinations and may be at risk for self-harm or suicide. The nurse should prioritize visiting this client first to assess their safety and provide appropriate interventions.
Option a. A client who recently burned her arm by accident while using a hot iron at home may require wound care and education on safety, but this situation is not as urgent as the client experiencing auditory hallucinations.
Option b. A client who tells the nurse he experienced manifestations of severe anxiety before and during a job interview may benefit from interventions to manage anxiety, but this situation is not as urgent as the client experiencing auditory hallucinations.
Option c. A client who requests that her antipsychotic medication be changed due to some new adverse effects may require medication adjustment and monitoring for side effects, but this situation is not as urgent as the client experiencing auditory hallucinations.
Correct Answer is C
Explanation
The Industry versus Inferiority stage occurs during the ages of 6 to 12 years old. At this stage, children start to develop a sense of competence and work towards mastering new skills. Success during this stage leads to a sense of pride, while failure leads to feelings of inferiority.
Chronic illness can interfere with a child's ability to develop a sense of competence and mastery, leading to feelings of failure and inferiority. This can have a negative impact on their self-esteem and overall development.
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