A nurse is caring for a client diagnosed with a mental illness. Which of the following actions by the nurse demonstrates the ethical concept of autonomy?
Supporting the client's wish to refuse prescribed medications.
Making sure the client understands expectations for client participation.
Explaining unit rules and policies regarding unacceptable behaviors.
Encouraging client feedback about satisfaction with the facility experience.
Calmly speaking the client's name out of the car window may seem like a non-threatening action, but it involves direct engagement with the client while he is holding a weapon. This could put the nurse at risk if the client reacts unpredictably or feels threatened.
The Correct Answer is A
Choice A Reason:
Supporting the client's wish to refuse prescribed medications is a direct demonstration of respecting the client's autonomy. Autonomy in nursing is the right to self-determination, where patients are provided with adequate information to make their own decisions based on their beliefs and values. By supporting the client's decision, the nurse acknowledges the client's capacity to make informed choices about their own health care, even if the choice is different from what the medical team suggests.
Choice B Reason:
Ensuring that the client understands expectations for participation is more about informed consent and education rather than autonomy. While it is related to autonomy, it does not directly demonstrate the ethical concept since it does not involve a decision made by the client.
Choice C Reason:
Explaining unit rules and policies about unacceptable behaviors is part of the education process and setting boundaries within the healthcare environment. This action is necessary for all clients but does not specifically address the client's autonomy in making personal health decisions.
Choice D Reason:
Encouraging client feedback about satisfaction with the facility experience is a way to involve clients in the evaluation process of the facility's services. While this can be seen as respecting the client's opinions, it is not a direct action of supporting the client's autonomous decisions regarding their treatment plan
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A Reason:
Nonverbal communication is a universal aspect of human interaction and plays a crucial role in all cultures. It includes gestures, facial expressions, body language, and other forms of communication that do not involve words. Understanding and interpreting nonverbal cues correctly is essential for nurses to provide culturally competent care.
Choice B Reason:
Culture significantly influences when and how clients seek medical care. Cultural beliefs can shape perceptions of health and illness, determine the types of treatments sought, and influence the level of trust in healthcare providers. Nurses must understand these cultural factors to provide effective and respectful care.
Choice C Reason:
It is unreasonable and culturally insensitive to expect clients to adapt to the care provided without consideration of their cultural background. Instead, healthcare providers should adapt their care to meet the cultural needs of their clients, ensuring that care is patient-centered and respectful of individual cultural practices.
Choice D Reason:
Focusing on clients' cultures rather than just their ethnicity allows nurses to provide more personalized and effective care. Culture encompasses a wide range of factors, including traditions, values, beliefs, and social norms, which can all impact health behaviors and needs. By understanding the cultural context of their clients, nurses can tailor their care approaches to better meet their clients' needs.
Correct Answer is B
Explanation
Choice A reason:
Waiting for the client to initiate interaction may result in missed opportunities to build trust and rapport. Clients who are suspicious may never feel comfortable enough to initiate interaction, which could hinder their care and treatment.
Choice B reason:
Adopting a neutral attitude when providing care is recommended for clients who are suspicious. It helps to establish a non-threatening environment and conveys a sense of respect for the client's need for space and boundaries.
Choice C reason:
Disclosing personal information to demonstrate approachability can backfire with clients who are suspicious. It may be perceived as intrusive or as an attempt to elicit personal information from them in return.
Choice D reason:
Approaching the client frequently throughout the day for brief interactions might overwhelm and increase the client's suspicion. It's important to respect the client's space and allow them to set the pace for interactions.
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