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 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.

A. Dementia B. Burnout C. Traumatic brain injury D. Bipolar disorder

Correct Answer is B

Explanation

A. Dementia is a progressive cognitive decline that affects memory, reasoning, and behavior. While exhaustion and distraction could be seen in dementia, it is unlikely in an otherwise healthy nurse.

B. Burnout is a state of physical, emotional, and mental exhaustion caused by chronic workplace stress. Symptoms include fatigue, cynicism, reduced effectiveness, and dissatisfaction with work.

C. Traumatic brain injury (TBI) results from a head injury and leads to cognitive and physical symptoms like memory loss, headaches, and coordination issues, which do not align with the scenario.

D. Bipolar disorder involves episodes of mania and depression, not just exhaustion and dissatisfaction. It is a clinical mental health condition, whereas burnout is work-related stress.

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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 has described the behavioral health unit being based on milieu therapy to a client. The client asks. "How is a unit which has milieu therapy different from other hospital units?" Which of the following responses should the nurse make?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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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?