What is the definition of patient autonomy?

The right to refuse care

The right to self-determination and making decisions about their own healthcare

The right to receive care without any input or involvement in decision-making

The right to make decisions on behalf of the healthcare provider

Answer and Explanation

The Correct Answer is B

A. The right to refuse care: Autonomy includes the right to refuse care, but it encompasses more than just refusal—it includes active decision-making.

B. The right to self-determination and making decisions about their own healthcare: Autonomy means that clients have the right to make informed decisions about their own care, including choosing, refusing, or modifying treatments.

C. The right to receive care without any input or involvement in decision-making: This contradicts autonomy, as autonomous clients must be actively involved in their healthcare choices.

D. The right to make decisions on behalf of the healthcare provider: Clients do not make decisions for healthcare providers, but rather for themselves.

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Correct Answer is B

Explanation

A. Resolving insurance issues : Insurance issues are typically handled by social workers or case managers, not bedside nurses.

B. Providing case management: General mental health nurses can provide case management, which includes coordinating care, making referrals, and advocating for resources.

C. Determining a mental health diagnosis : Only advanced practice registered nurses (APRNs), psychiatrists, and psychologists can diagnose mental health conditions.

D. Securing affordable housing for clients: Securing housing is a role of social workers, not nurses. Nurses may refer clients to resources but do not secure housing directly.

A. Upon admission B. While administering chemical or physical restraints C. When a client becomes agitated D. During debriefing after restraint removal

Correct Answer is A

Explanation

A. Upon admission: The best time to discuss policies on restraints and seclusion is at admission, when clients are calm and able to understand their rights.

B. While administering chemical or physical restraints : Explaining the policy during restraint use can increase client distress and agitation.

C. When a client becomes agitated: Discussing restraint policies while a client is already agitated is ineffective and could escalate distress.

D. During debriefing after restraint removal : While debriefing is important, waiting until after restraints are removed does not allow for proactive education.

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What is the definition of patient autonomy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is discussing the scope of practice and responsibilities of mental health nurses who are not advanced practice registered nurses with a peer. Which of the following responsibilities is within the nurse's scope of practice?

Correct Answer is B

Explanation

A nurse in a mental health unit is discussing restraints and seclusion with a group of newly hired nurses. At which of the following times should a nurse discuss the restraint and seclusion policy with a client?

Correct Answer is A

Explanation

What is included in the scope of practice for a mental health nurse?.

What phase of the therapeutic involves the nurse collects data, assesses knowledge, and works with the patient to develop mutual goals?

A nurse is discussing therapeutic milieu with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates and understanding of therapeutic milieu?

A nurse is caring for a client who has bipolar disorder and asks the nurse, "Who should get a copy of my advance directives?" Which of the following statements should the nurse make?

A nurse is assisting in the care of a client who is refusing to attend group therapy. The client states, "I don't know why you think I need therapy. I am fine without it." Which of the following responses by the nurse indicates a therapeutic response?

Which situation is an exception to the rule of maintaining patient confidentiality?

A nurse is interviewing a client who has a substance use disorder. Which of the following client behaviors indicates that the nurse has successfully evoked the client's motivation?

A nurse is caring for a client who is in physical restraints after demonstrating aggressive behavior. Which of the following criteria must be met before the nurse can remove the restraints?