A male client is seeking help in a mental health clinic for anger management problems. He voices that he is fearful that his wife may divorce him because of his anger problem, and he is willing to do “whatever it takes’ to control his anger. Later in the week, the client’s wife also seeks assistance because she is going to divorce her husband.
The nurse who is caring for both of these clients tries to decide the correct action to take. The nurse is experiencing:
An ethical dilemma
Value clarification
A moral conflict
A breach of confidentiality
The Correct Answer is A
The nurse is experiencing an ethical dilemma because there are conflicting values and ethical principles that need to be considered in this situation. On one hand, the nurse has a duty to maintain the confidentiality of the information shared by each client. On the other hand, the nurse also has a duty to promote the well-being of each client, which may require sharing information between them.
Additionally, there may be issues of autonomy, justice, and beneficence that need to be considered when deciding on the best course of action. It is important for the nurse to carefully consider all of these factors and make a decision that is in the best interest of both clients while upholding ethical principles.
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Related Questions
Correct Answer is D
Explanation
A. Hospitals:While some mentally ill individuals may be treated in psychiatric hospitals today, historically, they were often housed in asylums, which were institutions specifically designated for the long-term care of those with mental illnesses.
B. Free-standing care centers:Free-standing care centers are a more modern concept for community-based care or outpatient services, not a term used historically for institutions that housed the mentally ill.
C. Long-term care facilities:Long-term care facilities typically refer to places that provide care for elderly individuals or those with chronic illnesses, but not specifically for mental illness in the historical context.
D. Asylums:Historically, individuals with mental illness were housed in asylums, which were often large institutions where they received care but were sometimes subject to poor conditions and inadequate treatment. Over time, the concept of mental health care shifted toward more humane and community-based approaches.
Correct Answer is A
Explanation
a. To maintain silence and be attentive to the client’s nonverbal communication and let the client gather his/her thoughts.
The best response for the nurse in this situation is to maintain silence and be attentive to the client's nonverbal communication. This allows the client to gather her thoughts and continue the conversation when she is ready. Interrupting the silence with a question or trying to push the client to share her feelings may cause her to withdraw further. It is important for the nurse to respect the client's pace and provide a safe and supportive environment for her to express her thoughts and feelings. Therefore,
Option a is the correct answer.
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