A nurse is caring for a client who has 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.

Explaining unit rules and policies regarding unacceptable behaviors.

Making sure the client understands expectations for client participation.

Encouraging client feedback about satisfaction with the facility experience.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Supporting the client's wish to refuse prescribed medications directly aligns with the ethical principle of autonomy. Autonomy, in the context of healthcare, grants individuals the right to make informed decisions about their own bodies and treatment plans, even if those decisions go against medical advice. It's crucial to respect a client's autonomy, even when they have a mental illness, as long as they have the capacity to make informed decisions. Key points to elaborate on:

Capacity to make informed decisions: Assess if the client can understand the risks and benefits of refusing medication, as well as the potential consequences of their decision.

Informed consent: Ensure the client has received comprehensive information about their diagnosis, treatment options, and potential risks and benefits, enabling them to make an informed choice.

Balancing autonomy with beneficence: While autonomy is paramount, nurses also have a duty of beneficence, which means acting in the client's best interests. Engaging in open discussions about the rationale for medication, exploring potential concerns, and offering alternative treatment options can help balance autonomy with beneficence.

Mental illness and decision-making: Acknowledge that mental illness can sometimes impact decision-making abilities. However, this does not automatically negate a client's right to autonomy. Careful assessment and ongoing communication are essential.

Advocacy: Nurses can play a vital role in advocating for clients' autonomy, ensuring their voices are heard and their wishes respected within the healthcare system.

I'll continue with rationales for other choices in the following responses, aiming for approximately 1000 words in total, as instructed.

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Correct Answer is A

Explanation

Step 1: The total daily dose of quetiapine is 50 mg, divided equally every 12 hours. So, each dose is 50 mg ÷ 2 = 25 mg.

Step 2: The available quetiapine tablets are 25 mg each. So, to administer a 25 mg dose, the nurse would need 25 mg ÷ 25 mg/tablet = 1 tablet.

Therefore, the nurse should administer1 tablet

A. Identify triggers for anxiety reactions. B. Contact the crisis counselor once a week. C. Eliminate stress and anxiety from daily life. D. Try to repress feelings of anxiety.

Correct Answer is A

Explanation

Choice A rationale: Identifying triggers for anxiety reactions is a crucial part of managing chronic anxiety. By recognizing what situations, thoughts, or feelings provoke anxiety, the client can begin to develop coping strategies to handle these triggers effectively. This approach is often used in cognitive-behavioral therapy, which is a common treatment for anxiety disorders.

Choice B rationale: While contacting a crisis counselor can be helpful in acute situations, it may not be necessary for a client with chronic anxiety to do so on a weekly basis. Regular therapy sessions with a mental health professional would likely be more beneficial, as they can provide ongoing support and help the client develop long-term coping strategies.

Choice C rationale: It’s unrealistic and unfeasible to completely eliminate stress and anxiety from daily life. Stress is a normal part of life, and everyone experiences it to some degree. Instead, the focus should be on managing stress and anxiety effectively through techniques such as relaxation exercises, mindfulness, and cognitive-behavioral strategies.

Choice D rationale: Trying to repress feelings of anxiety can actually exacerbate them. It’s important for individuals with anxiety disorders to acknowledge their feelings and learn how to manage them, rather than trying to suppress them. Repression can lead to increased anxiety and other mental health issues over time.

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A nurse is caring for a client who has a mental illness.Which of the following actions by the nurse demonstrates the ethical concept of autonomy?

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Naxlex Comprehensive Predictor Exams

A provider prescribes quetiapine 50 mg PO divided equally every 12 hr for 3 days. Available is quetiapine 25 mg tablets. How many tablets should the nurse administer per dose on day 3? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is A

Explanation

A mental health nurse is preparing a client who has chronic anxiety for discharge from the psychiatric unit. Which of the following instructions should the nurse include in the client's discharge plan?

Correct Answer is A

Explanation

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A nurse is caring for a client who has a mental illness.
Which of the following actions by the nurse demonstrates the ethical concept of autonomy?