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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
In this situation, the patient is expressing a lack of understanding and confusion about their medication. The therapeutic communication technique that would be most helpful is giving information, which involves providing the patient with accurate and clear information about their medication, its purpose, and the benefits of taking it.
Option a, "Ask for what you need," may not be effective in this situation because the patient has already expressed what they need, which is information about their medication.
Option c, "Silence," would not be helpful because the patient is seeking information and support.
Option d, "Using general leads," involves using open-ended statements or questions to encourage the patient to share more information, but it may not address the patient's primary concern of not understanding their medication.
Correct Answer is D
Explanation
The ultimate goal of inpatient mental health treatment is to help patients stabilize and manage their mental illness to the point where they can safely return to their homes and communities. Inpatient treatment is typically only used for short periods of time to stabilize a patient who is experiencing severe symptoms that cannot be managed on an outpatient basis. Once the patient is stabilized, they can be discharged and transitioned to an outpatient treatment program or a community mental health centre.
While some mental illnesses may be curable, many are chronic conditions that require ongoing management and treatment.
Finding a facility for long-term care may be appropriate in some cases, but it is not generally a goal of inpatient mental health treatment.
Being arrested and placed in prison is not a desirable outcome of mental health treatment and is not a goal of the treatment process.
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