How does a psychiatric nurse best implement the ethical principle of autonomy?

By intervening when a self-mutilating patient attempts to harm self.

Exploring alternative options with a patient, regarding medications.

Staying with a patient who is demonstrating a high level of anxiety.

Suggesting that two patients who are fighting be restricted to the unit.

Answer and Explanation

The Correct Answer is B

A.   Intervening during self-harm is more related to beneficence (preventing harm) rather than autonomy (respecting the patient's right to make decisions).
B.   Autonomy involves respecting a patient's right to make decisions about their care, including discussing alternatives for treatment.
C.   Staying with an anxious patient is supportive but doesn't specifically address the principle of autonomy.
D.   Restricting patients who are fighting is more related to safety and order within the unit, not necessarily autonomy.

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Correct Answer is A

Explanation

A. This statement demonstrates the nurse's willingness to spend time with the patient to build rapport and trust, offering the nurse's presence and support.
B. This statement expresses hope but doesn't directly offer the nurse's presence or support.
C. This question encourages exploration of the patient's feelings but doesn't directly offer the nurse's presence.
D. This statement shares personal experiences but doesn't directly offer the nurse's presence or support.

A. "Identifying the problem is the first step of the EBP process." B. "Reviewing the effectiveness of the findings is the last step of the EBP process." C. "Reliance on personal experiences is important to the process of EBP." D. "There are four steps in the process of EBP."

Correct Answer is A

Explanation

A. Identifying the problem or clinical question is indeed the initial step in the EBP process, as it involves recognizing an issue or a gap in current knowledge or practice.
B. Reviewing effectiveness typically falls within the implementation phase of EBP, not necessarily the final step.
C. EBP emphasizes using research evidence over personal experiences to guide practice.
D. EBP involves multiple steps that typically include more than four distinct phases, such as identifying the problem, gathering evidence, implementing interventions, and evaluating
outcomes.

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How does a psychiatric nurse best implement the ethical principle of autonomy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse interacts with a newly hospitalized patient. Which nursing statement reflects the communication technique of "offering self"?

Correct Answer is A

Explanation

A nurse is discussing the process of evidence-based practice (EBP) with a newly licensed nurse. Which of the following statements made by the newly licensed nurse indicates an understanding of the process?

Correct Answer is A

Explanation

A patient diagnosed with major depressive disorder begins selective serotonin reuptake inhibitor (SSRI) antidepressant therapy. Priority information given to the patient and family should include a directive to do what?

How does a psychiatric nurse best implement the ethical principle of autonomy?

A nurse is planning a unit orientation for a newly admitted client who has severe depression. Which of the following should be the nurse's approach?

A nurse is performing an admission assessment for a client who is receiving treatment following a situational crisis. Which of the following assessments by the nurse is the highest priority?

Nursing behaviors associated with the implementation phase of the nursing process are concerned with the responsibilities of the psychiatric mental health nurse?

When assessing for the subjective symptoms of posttraumatic stress disorder (PTSD), which question will the nurse ask a client hospitalized for severe anxiety related to a sexual assault by a family member as a teenager?

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.)

A client has made a successful suicide attempt while hospitalized on a unit that specializes in the treatment of depression. When considering both milieu control and crisis management, which intervention will the nursing staff implement?