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. "The gathering spaces should have the chairs positioned around the perimeter of the day room." Seating arrangements should encourage interaction and engagement, not isolation. A circular arrangement fosters group discussion and socialization.
B. "The milieu consists of the physical and psychosocial environmental factors." Therapeutic milieu refers to the structured environment of a mental health unit, which includes both physical (safety, layout) and psychosocial (staff interactions, routines) components that support healing.
C. "The clients can keep any personal items they would like in their rooms." While personal items can be comforting, safety concerns may limit what clients can keep. Sharp objects, lighters, or items that could be used for self-harm are typically restricted.
D. "A therapeutic milieu requires unstructured programming, allowing clients to focus on their interests." A structured routine is essential in a therapeutic milieu to promote stability, predictability, and therapeutic engagement. Unstructured environments may increase anxiety or behavioral issues.
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.
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