A charge nurse in a community mental health clinic is discussing ethical concepts of client care with a newly licensed nurse. The charge nurse should use which of the following situations as an example of fidelity?

Spending equal time with clients regardless of their insurance status.

Explaining possible adverse effects to clients receiving new prescriptions.

Respecting the decision of clients to refuse to participate in group therapy.

Attending an educational conference on identifying clients at risk for suicide.

Answer and Explanation

The Correct Answer is C

A reason: Spending equal time with clients regardless of their insurance status. This action is an example of justice, which involves providing fair and equal treatment to all clients.

B reason: Explaining possible adverse effects to clients receiving new prescriptions. This action is an example of veracity, which involves being honest and providing accurate information to clients.

C reason: Respecting the decision of clients to refuse to participate in group therapy. This action exemplifies fidelity, which involves being faithful to commitments and respecting the client's autonomy and decisions, even when they choose to refuse treatment or participation.

D reason: Attending an educational conference on identifying clients at risk for suicide. This action demonstrates a commitment to professional development and competence, but it does not specifically exemplify the ethical concept of fidelity in client care.

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Correct Answer is B

Explanation

A reason: A client who has a new diagnosis of major depressive disorder. While clients with major depressive disorder need support, ACT is typically designed for clients with severe and persistent mental illnesses who require intensive, ongoing care.

B reason: A client who has repeated acute care admissions due to schizophrenia. Clients with schizophrenia who have frequent hospitalizations and difficulty managing their illness benefit from ACT. This program provides comprehensive, community-based care and support to reduce hospitalizations and improve quality of life.

C reason: A client who has requested family therapy following the death of a family member. Family therapy is more appropriate for addressing grief and loss. ACT is not typically indicated for clients dealing primarily with bereavement.

D reason: A client who has physical injuries following an incident of partner violence. Clients who have experienced partner violence may need crisis intervention, medical care, and counseling. ACT is not the primary referral for this situation unless the client also has a severe mental illness requiring intensive support.

A. This medication will help control my child's aggressive behavior. B. This medication can cause my child to have low blood sugar. C. This medication won't require my child to have routine lab tests. D. This medication might need to be increased if my child has muscle spasms.

Correct Answer is A

Explanation

A reason: This medication will help control my child's aggressive behavior. Risperidone is often prescribed to manage irritability and aggressive behaviors in children with autism spectrum disorder. This statement accurately reflects one of the medication's intended effects.

B reason: This medication can cause my child to have low blood sugar. Risperidone is not known to cause low blood sugar. It can, however, cause other metabolic side effects like weight gain and increased cholesterol levels.

C reason: This medication won't require my child to have routine lab tests. Routine lab tests are often necessary when taking risperidone to monitor for potential side effects, such as metabolic changes and blood glucose levels.

D reason: This medication might need to be increased if my child has muscle spasms. Muscle spasms or extrapyramidal symptoms may occur with risperidone, but they typically require management with adjunct medications rather than increasing the dosage.

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A charge nurse in a community mental health clinic is discussing ethical concepts of client care with a newly licensed nurse. The charge nurse should use which of the following situations as an example of fidelity?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical records of a group of clients. For which of the following clients should the nurse recommend a referral for assertive community treatment (ACT)?

Correct Answer is B

Explanation

A nurse is teaching the guardian of a school-age child who has autism spectrum disorder about a new prescription for risperidone. Which of the following statements by the guardian demonstrates an understanding of the teaching?

Correct Answer is A

Explanation

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