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 C

Explanation

A reason: Administer a sedative medication. While administering a sedative may be necessary to calm the client, it is not the first step. The nurse should initially attempt to de-escalate the situation using non-pharmacological interventions.

B reason: Perform a debriefing with the staff. Debriefing with the staff is important after the situation is under control, but it is not the immediate priority. The focus should first be on addressing the client's behavior and emotions.

C reason: Acknowledge the client's emotions. Acknowledge the client's emotions to de-escalate the situation and help the client feel heard and understood. This can reduce the immediate risk of violence or self-harm.

D reason: Place the client in restraints. Restraints should be used as a last resort when other interventions have failed and there is an immediate risk of harm. The nurse should first try to calm the client through verbal and emotional support.

A. SSRIs are more effective in relieving manifestations. B. SSRIs produce a more sedative effect. C. TCAs are lethal in overdose. D. TCAs have fewer cardiovascular effects.

Correct Answer is C

Explanation

A reason: SSRIs are more effective in relieving manifestations. Both SSRIs and TCAs are effective in treating depression, but SSRIs are generally preferred due to their more favorable side effect profile. Effectiveness can vary among individuals, so this statement is not a significant differentiator.

B reason: SSRIs produce a more sedative effect. SSRIs are generally less sedating than TCAs. TCAs are known for their sedative properties and are often prescribed for clients who need help with insomnia related to depression.

C reason: TCAs are lethal in overdose. One major difference between TCAs and SSRIs is the toxicity level in overdose. TCAs can be lethal in overdose due to their cardiotoxic effects, making them more dangerous compared to SSRIs, which have a lower risk of toxicity.

D reason: TCAs have fewer cardiovascular effects. TCAs have more cardiovascular side effects, such as arrhythmias and orthostatic hypotension, compared to SSRIs. This statement is incorrect as TCAs are associated with higher cardiovascular risks.

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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 caring for a client who has become violent and is threatening self-harm following a crisis. After ensuring enough staff are available, which of the following actions should the nurse take first?

Correct Answer is C

Explanation

A nurse is administering an antidepressant medication to a client. The nurse should understand that which of the following is the major difference between selective serotonin reuptake inhibitors (SSRIs) and tricyclic antidepressants (TCAs)?

Correct Answer is C

Explanation

A nurse is discharging a client who was admitted for the treatment of alcohol withdrawal. Which of the following resources should the nurse recommend to the client?

A nurse on a mental health unit is leading a group therapy session for a group of clients. Which of the following statements should the nurse expect from a client who has an anxiety disorder?

A nurse is caring for a client who has dementia and insists that a doll is their infant child. Which of the following behavioral management techniques should the nurse use when interacting with the client?

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A nurse on a mental health unit is planning a group therapy session about assertiveness training. For which of the following clients should the nurse recommend the training?

A home health nurse is caring for a client who reports feeling tired and being unable to grocery shop. Which of the following responses by the nurse is an example of therapeutic communication?

A nurse is admitting a client who has posttraumatic stress disorder (PTSD) to a community mental health facility. Which of the following manifestations should the nurse expect when completing the admission assessment?

A nurse is caring for a client who is aggressive toward other clients and has been placed in wrist restraints. After obtaining a prescription for restraints from the provider, which of the following actions should the nurse take?