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 C

Explanation

A. This is not the primary reason for the counseling. The decision-making recommendation is
more related to the effects of the electroconvulsive therapy and the need for the patient to recover from its associated side effects.
B. While readjustment to a work schedule might be a consideration, the primary reason for counseling against major decisions for a month is related to the potential side effects of
electroconvulsive therapy.
C. Temporary memory impairments and confusion are potential side effects of electroconvulsive therapy, which might interfere with decision-making abilities, hence the advice to refrain from major decisions.
D. Antidepressant medications causing confusion related to dietary limitations with tyramine is not directly relevant to the counseling against making major decisions after electroconvulsive therapy.

A. "Oh, I'm so pleased that you finally put on clean clothes." B. "Why did your wear clean clothes and comb your hair today?" C. “I see that you have on clean clothes and have combed your hair." D. "Your mood must be lifting because you have on clean clothes and have combed your hair."

Correct Answer is C

Explanation

A. This response may convey a sense of judgment or imply the client's previous state was unacceptable, potentially making the client feel criticized.
B. This question might inadvertently put the client on the defensive and seems intrusive, possibly making the client uncomfortable.
C. This response is observational and nonjudgmental, acknowledging the change without implying any criticism.
D. This response assumes the reason for the change without allowing the client to express herself and might not accurately reflect the client's emotional state or motivation.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

Correct Answer is C

Explanation

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?

A nurse is caring for a client who has major depressive disorder (MDD). Which of the following findings should the nurse expect?

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 nurse is caring for a client who was involved in heavy combat and observed war casualties. The nurse should suspect that the client is suffering from posttraumatic stress disorder (PTSD) if the client makes which of the following statements?

Which statement provides the best rationale for why a nurse should closely monitor a severely depressed patient during antidepressant medication therapy?

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 teaching a patient about a tyramine-restricted diet would approve which meal?

A nurse is providing teaching for a client who has a recent diagnosis of depression. Which of the following should the nurse identify as a primary risk factor for this disorder?