A nurse is caring for a client who has bipolar disorder and is refusing to take prescribed medications. Which of the following ethical principles is the nurse displaying when supporting the client's refusal of medications?
Autonomy
Beneficence
Veracity
Justice
The Correct Answer is A
Choice A reason: Autonomy is the principle that addresses the patient's right to make their own decisions regarding their health care, based on their own values and preferences. When the nurse supports the client's refusal of medications, they are respecting the client's autonomy. This principle is fundamental in healthcare ethics, emphasizing the belief that patients are capable of making informed decisions about their own treatment.
Choice B reason: Beneficence involves actions that promote the well-being of others. In the context of healthcare, this principle often refers to the healthcare provider's duty to act in the patient's best interest. While beneficence is important, it must be balanced with autonomy, especially when the patient's wishes are known and legally sound.
Choice C reason: Veracity refers to the obligation to tell the truth and not deceive others. In the healthcare setting, this means providing accurate information to patients about their condition and treatment options. While veracity is crucial, it does not directly relate to the support of a patient's decision to refuse treatment.
Choice D reason: Justice in healthcare is about fairness in the distribution of resources and respect for people's rights. It involves ensuring that all individuals have equal access to treatment and care. The principle of justice does not specifically address the issue of supporting a patient's decision to refuse treatment.
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Related Questions
Correct Answer is A
Explanation
Choice A reason: Listing the negative effects of alcohol use can help the client gain insight into the consequences of their actions and reinforce their motivation to remain sober. Reflecting on personal losses and health issues due to alcohol can be a powerful deterrent against relapse.
Choice B reason: While attending support group meetings can be beneficial, saying "as needed" may not provide the structured support necessary for preventing relapse. Regular attendance at support groups like Alcoholics Anonymous (AA) is often recommended for sustained recovery.
Choice C reason: Lorazepam is not typically prescribed to prevent relapse in alcohol use disorder due to its potential for abuse and dependence. Instead, medications like naltrexone or acamprosate may be considered to help maintain abstinence.
Choice D reason: Revisiting familiar places may trigger cravings and is generally not advised. Instead, clients are encouraged to avoid places associated with their past alcohol use to reduce the risk of relapse.
Correct Answer is D
Explanation
Choice A reason: Providing reassurance and comfort through touch can be beneficial in some cases; however, for clients experiencing command hallucinations, physical touch may be misinterpreted and could potentially escalate the situation. It's essential to gauge the client's comfort level with touch and proceed cautiously.
Choice B reason: While socialization is an important aspect of recovery, for a client experiencing command hallucinations, group therapy might be overwhelming and could exacerbate the hallucinations. It's crucial to introduce socialization gradually and in a controlled environment.
Choice C reason: Eye contact can be perceived as threatening or confrontational by clients with schizophrenia, especially when experiencing command hallucinations. It's important to respect the client's space and use non-confrontational body language to communicate effectively.
Choice D reason: Maintaining a low level of environmental stimuli is crucial for clients experiencing command hallucinations. A calm and quiet environment can help reduce the intensity and frequency of hallucinations, providing a sense of safety and reducing stress and anxiety.
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