A nurse is caring for a client who is receiving acute care for the treatment of a substance use disorder. With which of the following actions is the nurse demonstrating the ethical principle of veracity?

Reinforcing information on the potential adverse effects of a medication with the client

Respecting the client's right to refuse to attend a group therapy session

Encouraging the client to attend a daily exercise program on the unit

Maintaining the client's confidentiality about a substance use disorder

Answer and Explanation

The Correct Answer is A

A.   Veracity involves providing accurate and truthful information to the client. By reinforcing information about potential adverse effects of a medication, the nurse ensures that the client is fully informed. This aligns with the principle of veracity because it involves transparency and honesty in discussing the potential risks associated with treatment.
B.   Respecting the client's autonomy and right to make decisions about their treatment plan relates more to the ethical principle of autonomy rather than veracity. While respecting autonomy is essential, it doesn't directly address truthfulness or honesty in communication.
C.   Encouraging a client to participate in a daily exercise program supports their physical well-being and can be beneficial for their recovery. However, it doesn't specifically relate to the ethical principle of veracity, which focuses on truthful communication.
D.   Confidentiality is another ethical principle that pertains to protecting the client's privacy and maintaining confidentiality of their health information. While important, it doesn't directly relate to veracity, which is about honesty and truthfulness in communication with the client.

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Correct Answer is B

Explanation

A. Reaction formation is a defense mechanism where an individual expresses feelings or impulses that are the opposite of their anxiety-provoking unconscious feelings. For example, someone who harbors unconscious aggressive feelings might demonstrate exaggerated friendliness. However, this defense mechanism is more about behaviors and attitudes rather than physical manifestations.
B. Somatization is the conversion of psychological distress into physical symptoms. It involves experiencing physical symptoms, such as pain or illness, without a clear medical cause. This defense mechanism is common in individuals with anxiety disorders who may manifest their anxiety through physical complaints rather than acknowledging their emotional distress.
C. Sublimation involves channeling unacceptable impulses or emotions into socially acceptable behaviors. It does not typically involve physical manifestations but rather a redirection of emotions or impulses into constructive activities. For example, someone with aggressive impulses might channel them into sports or artistic pursuits.
D. Intellectualization is a defense mechanism where reasoning and logic are used to distance oneself from uncomfortable or threatening feelings. It involves focusing on facts and avoiding emotions associated with a situation. This mechanism is more cognitive and may involve discussing or analyzing anxiety-inducing situations in a detached, rational manner.

A. Keep staff interactions with the client to a minimum. B. Provide range-of-motion exercises to all extremities every 2 hr. C. Request the provider renew the prescription in 24 hr. D. Document the client's behavior in the medical record every 1 hr.

Correct Answer is C

Explanation

A. Keeping staff interactions to a minimum may not be beneficial as the client might require regular monitoring and interaction to assess their condition and needs.
B. When a client is restrained, it's crucial to prevent complications such as muscle stiffness and joint contractures. Range-of-motion exercises help maintain circulation, prevent discomfort, and preserve joint mobility. However, this is not the most important action.
C. Restraints should only be used when absolutely necessary and prescribed by a provider. In many jurisdictions and healthcare facilities, the use of restraints requires a specific order that must be renewed periodically (often every 24 hours). This practice ensures that the need for restraints is continually reassessed and that they are not used longer than necessary.
D. Accurate and frequent documentation is essential when a client is restrained. Documentation should include the client's behavior, physical assessments, interventions provided (such as medication administration or hygiene care), and responses to interventions. However, this is not the most important action.

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A nurse is caring for a client who is receiving acute care for the treatment of a substance use disorder. With which of the following actions is the nurse demonstrating the ethical principle of veracity?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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