A nurse is admitting a client who is in the manic phase of bipolar disorder. The nurse should plan to make which of the following room assignments for the client?

A private room dose to the nursing station

A semi-private room with a roommate who has a similar diagnosis

A seclusion room until the client's activity level becomes more subdued

A private room in a quiet location on the unit

Answer and Explanation

The Correct Answer is D

Answer: D. A private room in a quiet location on the unit

Rationale:

A) A private room close to the nursing station: While proximity to the nursing station can facilitate monitoring, a room close to a busy area may lead to increased stimuli and noise, which can exacerbate the client’s manic symptoms.

B) A semi-private room with a roommate who has a similar diagnosis: Sharing a room with another client experiencing mania could lead to increased stimulation and competition for attention, potentially worsening the manic phase for both clients.

C) A seclusion room until the client's activity level becomes more subdued: Seclusion is typically used as a last resort for managing severe agitation or aggression. It may not be necessary or appropriate for all clients in a manic phase, especially if the client can be safely managed in a less restrictive environment.

D) A private room in a quiet location on the unit: This option is ideal as it provides the client with a calm environment, minimizing external stimuli that could trigger or escalate manic behaviors. A quiet space can help promote a sense of safety and allow the client to regain control over their emotions and behavior.

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Correct Answer is C

Explanation

A. Tell the child it is candy: Deceiving the child by telling them medication is candy can lead to trust issues and may cause confusion if the child later discovers the truth. It's important to promote honesty and transparency in healthcare interactions.
B. Tell the child he will have to have a shot instead: Threatening the child with a shot as an alternative to taking medication can induce fear and anxiety, making the child more resistant to cooperation. Using fear as a motivator can have negative psychological effects and should be avoided.
C. Offer the child a choice of taking the medication with juice or water: This strategy empowers the child by giving them a sense of control and autonomy over the situation. Offering choices can help the child feel more involved in their care and increase cooperation. By allowing the child to choose how they take the medication, they may be more willing to comply.
D. Hide the medication in a large dish of ice cream: While hiding medication in food may be effective for some children, it can undermine trust if the child discovers the deception. Additionally, this method does not teach the child how to take medication independently and may not be feasible in all situations. Offering choices and involving the child in the decision-making process is a more respectful and effective approach.

A. Utility B. Non-maleficence C. Paternalism D. Justice

Correct Answer is B

Explanation

Answer: B. Non-maleficence

Rationale:

A. Utility:
The principle of utility refers to actions that maximize the overall good or benefit for the greatest number of people. In this scenario, the nurse’s refusal to share the surgeon's medical diagnosis does not directly relate to maximizing benefits, so this principle is not applicable.

B. Non-maleficence:
Non-maleficence is the ethical principle that involves the obligation to avoid causing harm to others. By not disclosing the surgeon's medical diagnosis, the nurse is protecting the surgeon's privacy and confidentiality, thereby preventing potential harm that could arise from sharing sensitive health information without consent.

C. Paternalism:
Paternalism refers to making decisions for others with the belief that it is in their best interest, often overriding their autonomy. The nurse's action of withholding information is not based on deciding what is best for the other nurse but rather on adhering to confidentiality principles.

D. Justice:
Justice in healthcare refers to fairness in the distribution of resources and treatment. The situation does not pertain to equitable treatment or allocation of resources, so this principle is not relevant in this context.

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A nurse is admitting a client who is in the manic phase of bipolar disorder. The nurse should plan to make which of the following room assignments for the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a 4-year-old child who is resistant to taking medication. Which of the following strategies should the nurse use to elicit the child's cooperation?

Correct Answer is C

Explanation

A nurse is providing care for a surgeon on a medical-surgical unit. A nurse from another unit asks the nurse about the surgeon's medical diagnosis. The nurse responds that he is unable to provide the information requested. The nurse is displaying which of the following ethical principles?

Correct Answer is B

Explanation

Rationale:

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