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

Answer and Explanation

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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Correct Answer is A

Explanation

This statement by the student nurse demonstrates the technique of stating the implied and seeing the client's behavior. The student nurse has observed the client pacing the halls and having a tense look on their face, which implies that the client may be feeling anxious. By stating this observation to the client, the student nurse is validating the client's experience and opening a dialogue about their feelings. This technique can help the client feel heard and understood and can facilitate a therapeutic relationship between the client and the nurse.

Option B is an open-ended question that can encourage the client to share more about their feelings, but it does not demonstrate the technique of stating the implied and making an observation about the client's behavior.

Option C is a statement that may be perceived as judgmental or confrontational and does not demonstrate the technique of stating the implied and making an observation about the client's behavior.

Option D is a statement that is focused on the nurse's agenda rather than the client's needs and does not demonstrate the technique of stating the implied and seeing the client's behavior.

A. Call the physician to ask for clarification. B. Check the states nurse practice act. C. Refer to the facility’s policy and procedures to determine the course of action. D. Contact the nursing supervisor for approval to carry out treatment.

Correct Answer is C

Explanation

When faced with an unfamiliar treatment instruction, it is important for the nurse to consult the facility’s policies and procedures to determine the appropriate course of action. These policies and procedures provide guidance on how to carry out treatments safely and eﬀectively and can help ensure that the patient receives the best possible care.

While it may also be appropriate for the nurse to call the physician for clarification (a), check the state’s nurse practice act (b), or contact the nursing supervisor for approval (d), consulting the facility’s policies and procedures should be the first step in determining the appropriate course of action.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nursing student is assigned a client to interview and is asked to practice the therapeutic communication techniques of stating the implied and making and observation about their behavior. Which statement by the student nurse best describes the technique?

Correct Answer is A

Explanation

An order written by the physician is reviewed by the nursing staﬀ, and no one is familiar with the treatment instructions. A nurse who is recently hired knows that this treatment is covered by the states nurse practice act. What is the nurses’ best course of action?

Correct Answer is C

Explanation

The capacity to understand or feel what another person is experiencing from within the other persons frame of reference i.e., the capacity to place oneself in another person’s position:

Which nursing theorists promoted the interpersonal theory between patient and nurse?

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Which question asked by the nurse would gain the most information from a patient experiencing marital crisis?

Which nurse responses could block eﬀective communication with a client? (Select all that apply)

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