In a treatment team planning meeting, a nurse states her concern about whether staﬀ are behaving ethically in using restraints to prevent one client from engaging in self-mutilating behavior while for another self-mutilation client, the care plan calls for one-on-one suspension. Which ethical principle governs this situation?

Beneficence

Autonomy

Veracity

Justice

Answer and Explanation

The Correct Answer is D

The ethical principle of justice governs this situation. Justice refers to the fair and equal treatment of all individuals. In this case, the nurse is concerned about whether staﬀ are behaving ethically by using diﬀerent approaches to prevent self-mutilation in two diﬀerent clients. The principle of justice would require that both clients receive fair and equal treatment based on their individual needs and circumstances.

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Correct Answer is C

Explanation

The client is experiencing fear and anxiety while awaiting the biopsy report, which is a common reaction.

Response a, “Worrying is not going to help the situation," may come across as dismissive or insensitive, and may make the client feel like their emotions are not valid.

Response b, “Let’s wait until we hear what the biopsy report says," may be appropriate in some situations, but it does not acknowledge the client's emotions or oﬀer any support.

Response d, “Operations are not performed unless there are no other options,” is not a relevant response to the client's fear of a cancer diagnosis.

The most appropriate response, option c, acknowledges the client's feelings and oﬀers support, which can help the client feel heard and validated. The nurse can also oﬀer additional support by providing information on coping mechanisms or resources available to the client to help them manage their anxiety while they wait for the results.

A. The client will make statements that he feels less depressed by the end of the first day of admission. B. The client will express and demonstrate increases in energy by the third day of admission. C. The client will reduce self-rating on the depression scale by 10% by the second day of admission. D. The client will demonstrate increased interaction with other clients by discharge.

Correct Answer is C

Explanation

Explanation: SMART is an acronym for Specific, Measurable, Achievable, Relevant, and Time-bound. A SMART goal should be specific, clear, well-defined, measurable, attainable or achievable, relevant, and time-bound.

Option (a) is not specific, measurable, or achievable. It does not provide a clear target or timeline for the client's improvement, and it may not be attainable for some clients to feel less depressed after only one day of admission.

Option (b) is specific and measurable, but it may not be achievable or relevant for all clients. Increases in energy are not always a direct indicator of improved depressive symptoms.

Option (c) is specific, measurable, achievable, and relevant. A 10% reduction in the self-rating of the depression scale is a clear and well-defined goal that can be easily measured. It is also achievable and relevant as it directly addresses the client's depressive symptoms.

Option (d) is specific, measurable, achievable, and relevant. However, it is not time-bound, which means there is no clear timeline for the client's improvement. It is also not as direct or measurable as option (c).

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Naxlex Comprehensive Predictor Exams

While awaiting the biopsy report, the client reports being afraid of a diagnosis of cancer. How should the nurse respond?

Correct Answer is C

Explanation

During an interdisciplinary treatment team meeting, a short-term outcome is established for a client with depressive symptoms. Which SMART goal is most appropriate?

Correct Answer is C

Explanation

The nurse assists the physician with electroconvulsive therapy on a client who has refused to give consent, what possible action may this cause the nurse to be charged with?

The nurse demonstrates active listening by what action?

Which therapy focuses on the development of emotion modulation skills and distress tolerance?

While working with a client in crisis, the nurse understands which of the following interventions would be a priority.

A nurse is speaking to the family of a Trauma victim. The nurse is blocking out the siren and alarm noises while speaking with the client’s family. They ask,” How can you be so calm and focused with all this noise going on?” The nurse is practicing which defense mechanism?

What situation would qualify for an involuntary mental health admission?

When the local newspaper calls to inquire why the mayor has been admitted to the hospital, the nurse replies,” He is here because he's an alcoholic.” What possible legal action may the nurse be charged?