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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
This response is an open-ended question that encourages the client to express their concerns and feelings. It also allows the nurse to assess the client’s understanding of the procedure and provide appropriate education and support. The other
The other options are either closed-ended statements or questions that do not address the client’s concerns directly.

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.
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