A community health nurse is working with a group of clients.
The nurse practices the ethical principle of distributive justice by performing which of the following tasks?

Ensuring that a client who is homeless receives preventive medical care.

Being honest with the parents of a child about the need to report suspected abuse.

Accepting the decision of an older adult client to live alone in her home.

Keeping a promise to visit with a client who is housebound after the delivery of care.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Distributive justice refers to the fair distribution of resources, benefits, and burdens in society. Ensuring that a homeless client receives preventive medical care exemplifies distributive justice as it promotes equal access to healthcare resources for all individuals, regardless of their housing situation.

Choice B rationale:

Being honest with the parents of a child about the need to report suspected abuse is an example of veracity, which is the duty to tell the truth. While honesty is important, it does not directly relate to distributive justice.

Choice C rationale:

Accepting the decision of an older adult client to live alone in her home respects the client's autonomy and independence but does not specifically demonstrate distributive justice.

Choice D rationale:

Keeping a promise to visit with a housebound client is an example of fidelity, the duty to fulfill promises. While it is ethically important, it does not exemplify distributive justice, which pertains to fair resource allocation.

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Correct Answer is B

Explanation

The correct answer is **b. A room containing personal belongings.**

Choice A rationale:

A room without a window would not be a therapeutic environment for a cognitively impaired client. Lack of natural light and connection to the outside world can be disorienting and distressing for these patients.

Choice B rationale:

A room containing personal belongings is the most therapeutic environment for a cognitively impaired client. Familiar objects and surroundings can help provide a sense of comfort, security, and orientation. This can reduce agitation and confusion, which are common issues for cognitively impaired patients.

Choice C rationale:

A room adjacent to the nursing station may not be the most therapeutic environment. While proximity to staff can be beneficial, the increased noise and activity level near the nursing station could be overstimulating and disruptive for a cognitively impaired client.

Choice D rationale:

A room with dim lighting is not ideal for a cognitively impaired client. Adequate lighting is important to help these patients maintain orientation and avoid falls or other safety issues. Dim lighting can contribute to confusion and disorientation.

A. Request a provider to evaluate the client in person every 36 hr. B. Document the client's behavior every 15 min. C. Ensure that the prescription for restraints be renewed every 6 hr. D. Plan to monitor the client every 30 min while restrained.

Correct Answer is B

Explanation

Choice A rationale:

Requesting a provider to evaluate the client in person every 36 hours might be necessary in certain situations but is not directly related to the management of a client in seclusion and restraints. It does not ensure the immediate safety and well-being of the client in this scenario.

Choice B rationale:

Documenting the client's behavior every 15 minutes is essential when a client is in seclusion and restraints. Regular and detailed documentation is crucial to monitor the client's response to the intervention, ensuring their safety, and providing necessary information for the healthcare team.

Choice C rationale:

Ensuring that the prescription for restraints be renewed every 6 hours is important to prevent unnecessary or prolonged use of restraints, but it doesn't address the immediate need for monitoring the client in seclusion and restraints.

Choice D rationale:

Monitoring the client every 30 minutes while restrained might not provide timely information, especially if the client's condition deteriorates rapidly. More frequent monitoring, such as every 15 minutes, allows for closer observation and quicker response to any changes in the client's status.

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A community health nurse is working with a group of clients.The nurse practices the ethical principle of distributive justice by performing which of the following tasks?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is taking care of a client who is cognitively impaired. The nurse recognizes that which of the following rooms will provide a therapeutic environment for this client?

Correct Answer is B

Explanation

A nurse in an acute care mental health facility is placing a client in seclusion and restraints.Which of the following actions should the nurse plan to take?

Correct Answer is B

Explanation

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A community health nurse is working with a group of clients.
The nurse practices the ethical principle of distributive justice by performing which of the following tasks?