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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Establishing trust and rapport: Establishing trust happens in the orientation phase, not the working phase.
B. Implementing interventions and treatment plans: The working phase focuses on active interventions, therapy, and progress toward client goals, making it the most intensive phase of the nurse-client relationship.
C. Evaluating the effectiveness of interventions: Evaluation happens in the termination phase, where progress is assessed, and the relationship is closed.
D. Assessing the client's health needs: Assessment occurs in the orientation phase, where the nurse gathers initial data and sets goals.
Correct Answer is A
Explanation
A. Administering medications: Mental health nurses can administer psychiatric medications, including antipsychotics, mood stabilizers, and antidepressants.
B. Performing surgical procedures: Surgical procedures are outside a nurse’s scope of practice and are performed by surgeons, not nurses.
C. Diagnosing mental illnesses: Only advanced practice registered nurses (APRNs), psychiatrists, and psychologists can diagnose mental illnesses.
D. Providing therapeutic communication: Mental health nurses use therapeutic communication techniques like active listening, validation, and open-ended questioning.
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