A client with schizophrenia who has a history of paranoid delusions asks the nurse, "Are you giving me something to poison me?" The nurse knows the client is receiving an antipsychotic medication. Applying the ethical principle of veracity, which response by the nurse is most appropriate?
"You’re imagining that. No one is trying to hurt you."
"This is your prescribed antipsychotic medication."
"I can’t discuss what the medication is because it might upset you."
"Don’t worry. This medication is just to help you sleep."
The Correct Answer is B
Choice A reason: Dismissing the client’s concern as imagination invalidates their feelings and does not uphold honesty, which may worsen paranoia.
Choice B reason: Veracity means truthfulness. Clearly identifying the medication as prescribed treatment provides honest information while supporting trust.
Choice C reason: Withholding information violates both client rights and the ethical principle of veracity. Clients have the right to know what medications they receive.
Choice D reason: Misrepresenting the purpose of the drug undermines trust and is dishonest, which goes against ethical standards.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Redirecting the sibling’s concern to the patient minimizes and dismisses the sibling’s anxiety. This is not therapeutic.
Choice B reason: Schizophrenia has a genetic component, especially in identical twins, but environment and other factors also play roles. This response provides accurate information while reducing unnecessary fear.
Choice C reason: Offering referral may be helpful later, but it does not immediately address the sibling’s expressed concern or provide reassurance.
Choice D reason: Saying there is a 50-50 chance is inaccurate and unnecessarily alarming. The risk is higher in identical twins but not absolute.
Correct Answer is D
Explanation
Choice A reason: Assault involves creating fear of being harmed, not the actual restraint of a client without justification.
Choice B reason: Malpractice is professional misconduct related to deviation from standards of care, but it does not specifically describe unlawful confinement.
Choice C reason: Negligence is the failure to act with reasonable care, but it is generally unintentional and not classified as an intentional tort.
Choice D reason: False imprisonment occurs when a person is confined or restrained against their will without legal justification, which directly applies to restraining a client without consent or physician’s order.
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