A very anxious client is hesitant to start a new medication and asks the nurse for guidance. The nurse responds, "I'm happy to review the side effects with you and discuss the pros and cons. This may help you make an informed decision, and I support you." In this scenario, the nurse is upholding the client's:

Autonomy

Beneficence

Fidelity

Veracity

Answer and Explanation

The Correct Answer is A

Choice A reason: The correct answer is a) because the nurse is supporting the client's right to make an informed decision about their treatment.

Choice B reason: Beneficence involves doing good and acting in the best interest of the client, but the focus here is on supporting the client's decision-making.

Choice C reason: Fidelity refers to being faithful and keeping promises, which is not the primary focus in this scenario.

Choice D reason: Veracity refers to truthfulness, but the primary focus here is on supporting the client's autonomy.

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Correct Answer is D

Explanation

Choice A reason: Providing a show of force is not therapeutic and does not align with the purpose of a therapeutic milieu.

Choice B reason: Fostering social relationships is important but is not the primary purpose.

Choice C reason: Synergizing with an autocratic leadership style is not the goal of a therapeutic milieu.

Choice D reason: The correct answer is d) because the primary purpose of managing the milieu on a psychiatric unit is to create an environment that supports clients in meeting their treatment goals.

A. A strong professional relationship. B. Countertransference. C. Successful relationship building. D. Boundary blurring.

Correct Answer is D

Explanation

Choice A reason: A strong professional relationship does not involve personal plans outside of the therapeutic context.

Choice B reason: Countertransference refers to the nurse's emotional response to the client, not planning personal activities together.

Choice C reason: Successful relationship building occurs within professional boundaries and does not involve personal plans.

Choice D reason: The correct answer is d) because making personal plans with a client blurs the boundaries of the professional therapeutic relationship, which can affect the nurse's objectivity and professionalism.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The psychiatric nurse works towards providing a therapeutic milieu for clients. What is the primary purpose of managing the milieu on a psychiatric unit?

Correct Answer is D

Explanation

Correct Answer is D

Explanation

A nurse delegates a licensed practical nurse (LPN) to perform suicide precautions. Which of the following actions by the LPN indicates to the nurse that they require further education?

A community mental health nurse is addressing substance use by adolescents. Which of the following interventions should the nurse include as a method of primary prevention?

A nurse is caring for a client who was admitted to the mental health unit for treatment. The client states, "I am a nurse on the medical-surgical unit, and I don't want my coworkers to know." Which of the following actions should the nurse take?

A charge nurse is discussing examinations with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? (Select the 3 that apply.)

A nurse in an acute mental health facility is leading a nursing education session about the legal aspects of involuntary admissions. Which of the following pieces of information should the nurse include?

A nurse is caring for a client who is receiving cognitive behavioral therapy. The client tells the nurse, "Nothing good ever came from my marriage." To best support cognitive reframing, which of the following responses should the nurse offer?

A nurse performed these actions while caring for patients in an inpatient psychiatric unit. Which action violated patients' rights?