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

Answer and Explanation

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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Correct Answer is D

Explanation

A. Begins to discuss how their partner and children are important to them. While discussing relationships is valuable, it does not necessarily indicate readiness for behavior change.

B. Asks to change the topic during the interview process. Changing the topic may indicate discomfort or resistance rather than engagement.

C. Requests more information about treatment options. While curiosity about treatment is positive, it does not necessarily indicate commitment to change.

D. Discusses reasons for making a behavior change. When a client verbalizes reasons for change, it shows they are actively considering taking action, which is a key goal of motivational interviewing.

A. "The effects of ACES affect adolescents, but they do not affect them once they reach adulthood." B. "Adults are more at risk for depression, while adolescents are more at risk for obesity." C. "Adults are at a higher risk for cancer and COPD, while adolescents are more at risk for attempted suicide." D. "ACES have the same effect on adults and adolescents."

Correct Answer is C

Explanation

A. "The effects of ACEs affect adolescents, but they do not affect them once they reach adulthood." This is incorrect because ACEs have lifelong consequences, increasing the risk for mental health disorders, chronic diseases, and risky behaviors well into adulthood.

B. "Adults are more at risk for depression, while adolescents are more at risk for obesity." While both depression and obesity can occur, ACEs increase the risk of mental and physical health issues at all stages of life, and obesity is not exclusive to adolescents.

C. "Adults are at a higher risk for cancer and COPD, while adolescents are more at risk for attempted suicide." Research shows that ACEs increase the risk of chronic illnesses (e.g., cancer, COPD) in adulthood and also elevate suicidal risk in adolescents.

D. "ACEs have the same effect on adults and adolescents." While ACEs affect all age groups, their manifestations differ: adolescents may experience mental health issues and risky behaviors, while adults may develop chronic illnesses and long-term emotional dysregulation.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is interviewing a client who is contemplating a behavior change. According to the processes of Motivational Interviewing, which of the following client behaviors indicates that the nurse has successfully engaged with the client?

Correct Answer is D

Explanation

A nurse is reinforcing teaching with a newly licensed nurse about the effects of adverse childhood experiences (ACES) across the lifespan. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

Correct Answer is C

Explanation

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