A nurse arranges for an aid to sit with a client overnight to avoid the use of restraints. The nurse should identify that this as an example of which of the following ethical principles?
Beneficence
Justice
Autonomy
Nonmaleficence
The Correct Answer is A
A. Beneficence is the duty to do good and act in the best interest of the client, which includes finding alternatives to restraints that promote dignity.
B. Justice refers to fairness in distributing resources and treatment, which does not directly apply in this scenario.
C. Autonomy involves respecting a client’s right to make decisions, but the decision in this case is made by the nurse.
D. Nonmaleficence is avoiding harm, which is closely related but not the best choice because beneficence goes beyond avoiding harm—it actively promotes the client's well-being.
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Related Questions
Correct Answer is C
Explanation
A. "A mental health unit, which includes milieu therapy, is focused on stabilizing clients who are in an acute phase of mental illness." While stabilization is part of psychiatric care, milieu therapy focuses on the environment and interactions rather than just the acute phase of illness.
B. "A mental health unit, which includes milieu therapy, is less intensive, focusing only on one psychiatric illness or substance abuse disorder." Milieu therapy is not condition-specific; it is a comprehensive approach that applies to various mental health conditions.
C. "A mental health unit, which includes milieu therapy, ensures every aspect of care is intentionally focused on creating a safe and therapeutic environment." Milieu therapy is an approach where the entire environment, including staff interactions, group activities, and structure, contributes to the therapeutic experience.
D. "A mental health unit, which includes milieu therapy, is focused on long-term care of clients who have specific mental health disorders." Milieu therapy can be used in both short-term and long-term care settings, not just for chronic conditions.
Correct Answer is B
Explanation
A. Resolving insurance issues : Insurance issues are typically handled by social workers or case managers, not bedside nurses.
B. Providing case management: General mental health nurses can provide case management, which includes coordinating care, making referrals, and advocating for resources.
C. Determining a mental health diagnosis : Only advanced practice registered nurses (APRNs), psychiatrists, and psychologists can diagnose mental health conditions.
D. Securing affordable housing for clients: Securing housing is a role of social workers, not nurses. Nurses may refer clients to resources but do not secure housing directly.
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