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.

Answer and Explanation

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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Correct Answer is A

Explanation

Lorazepam belongs to a class of drugs called benzodiazepines, which are central nervous system (CNS) depressants.

Taking other CNS depressants such as opioids or sedatives along with lorazepam can lead to increased sedation, respiratory depression, and other serious side eﬀects. It is crucial for patients to avoid these medications while taking lorazepam.

Reporting insomnia is important, but it is not the most critical teaching for this medication. Eating a tyramine-free diet is not relevant to lorazepam use.

Adjusting the dose and frequency based on anxiety level is not recommended as it can lead to misuse or dependence on the medication. It is important to take lorazepam only as prescribed by a healthcare provider.

A. Sudden unexplained loss of vision B. Constant worry about the undiagnosed presence of an illness for more than 6 months C. Obsession over a fictitious defect in physical appearance D. Prior physical health followed by the need for two surgeries within the last three months

Correct Answer is B

Explanation

Generalized anxiety disorder (GAD) is a type of anxiety disorder characterized by excessive and persistent worry about a variety of diﬀerent things, including health, work, relationships, and everyday situations. People with GAD may experience physical symptoms, such as fatigue, muscle tension, and restlessness.

Option a is not a typical finding associated with GAD. Sudden unexplained loss of vision may be a symptom

of a neurological or ophthalmologic condition, but not specifically related to GAD.

Option c describes a condition called body dysmorphic disorder (BDD), which is a type of obsessive- compulsive disorder characterized by an excessive preoccupation with a perceived physical ﬂaw. BDD is not typically associated with GAD.

Option d does not describe a typical finding associated with GAD. While physical health issues can contribute to anxiety, the need for surgeries within the last three months is not necessarily indicative of GAD.

Therefore, the correct option is b. Constant worry about the undiagnosed presence of an illness for more than 6 months. People with GAD often worry about their health and the possibility of having an undiagnosed illness, even when there is no evidence of a problem. This worry may persist for six months or more and can interfere with daily life.

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A psychiatric registered nurse best implements the ethical principle of autonomy when he or she: Select one:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Lorazepam (Ativan) is prescribed for a client experiencing severe acute anxiety. Most important teaching should include instructions to:

Correct Answer is A

Explanation

A nurse is assessing a client who has generalized anxiety disorder. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

A registered nurse is preparing a client who has chronic anxiety for discharge from the psychiatric unit. Which of the following instructions should the nurse include in the client's discharge plan?

A new client is diagnosed with agoraphobia. Which of the following would the healthcare identify as a characteristic of this disorder? Select one:

When reviewing the admission assessment, the Registered nurse notes that a client was admitted to the mental health unit with involuntarily status. Based on this type of admission, the registered nurse should provide which intervention for this client? Select one:

A patient cries as the nurse explores the patient's relationship with a deceased parent. The patient says, “I shouldn't be crying like this, it happened a long time ago.” Which responses by the nurse will facilitate communication? Select all that apply. Select one or more:

A nurse is communicating with a client who was just admited for treatment of a substance use disorder. Which of the following communication techniques should the nurse identify as a barrier to therapeutic communication? Select one:

A nurse is caring for several clients who are attending community-based mental health programs. Which Of the following clients should the nurse plan to visit first? Select one:

A psychiatric registered nurse best implements the ethical principle of autonomy when he or she: Select one:

A client tells the nurse. "l wanted my health care provider to prescribe alprazolam (Xanax) for my anxiety disorder but buspirone (Buspar) was prescribed instead. Why?" The registered nurse's reply should be based on that buspirone: Select one:

A psychiatric registered nurse best implements the ethical principle of autonomy when he or she:

Select one: