The nurse encounters a client crying in her room. Upon talking to the client, it is discovered that she is upset because a new nursing assistant made her go out for a walk with the group even though the client informed her that she waits for her daughter to go for her walk. This is a potential violation of which ethical principle?

A. Preferring to eat meals while watching TV is a common behavior that is not specifically associated with suicidal ideation. It may simply reflect the adolescent's comfort or routine preferences rather than a sign of continued suicidal intent.
B. Giving away personal belongings, such as a CD collection, can be a sign that the adolescent is making arrangements for their belongings in case of death. This behavior can sometimes suggest that the individual may be planning for their end, which could indicate lingering suicidal thoughts. It's important to explore this behavior further with the adolescent to understand their intentions and state of mind.
C. While avoidance of discussing the suicide attempt may indicate emotional distress or a reluctance to engage, it does not directly point to ongoing suicidal intent. It could also reflect a desire for privacy or difficulty in expressing feelings, rather than a clear indication of suicidal ideation.
D. Adolescents often express a desire to spend more time with peers rather than family, which is a common developmental behavior. This preference alone does not necessarily indicate suicidal intent and is more reflective of typical adolescent social behavior.

A. Clarification is a crucial listening skill that involves asking questions or seeking additional information to ensure understanding. Avoiding clarification to prevent interruption can lead to misunderstandings and incomplete communication.
B. While it is important to be attentive and present during communication, taking notes can be necessary to document important information. The key is to balance note-taking with active listening. If done discreetly, note-taking should not significantly detract from the ability to engage in effective listening.
C. Finishing the client’s sentences can be perceived as interruptive and may come across as disrespectful or dismissive. It is important for the client to express their thoughts and feelings fully before the nurse responds.
D. Changing the environment to minimize distractions is a valuable listening skill. A quiet and comfortable setting can enhance effective communication by allowing the client to focus and express themselves without external interruptions. This helps ensure that the nurse can fully concentrate on the client’s message and respond appropriately.