A nurse is reviewing ethical principles with a newly licensed nurse. The nurse should include which of the following as an ethical principle?
Bias
"Duty to Warn"
Justice
HIPAA
The Correct Answer is C
A. Bias: Bias is a personal or systemic prejudice, not an ethical principle.
B. "Duty to Warn": “Duty to Warn” is a legal obligation to report harm, but it is not an ethical principle—it falls under legal mandates like Tarasoff laws.
C. Justice: Justice is an ethical principle that ensures fair and equitable treatment for all clients.
D. HIPAA: HIPAA (Health Insurance Portability and Accountability Act) is a legal regulation, not an ethical principle.
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Related Questions
Correct Answer is B
Explanation
A. "Allow the client's family to attend all group therapies with the client." While family involvement can be beneficial, a client’s autonomy and confidentiality must be respected. Some clients may not feel comfortable sharing in the presence of family members.
B. "Listen attentively to a client and summarize their comments." Active listening and summarization demonstrate empathy and understanding, reinforcing the therapeutic relationship. This technique also helps ensure that the nurse accurately understands the client's concerns.
C. "Asking questions easily answered with one-word responses is important with mental health clients." Closed-ended questions limit the client’s ability to express emotions and thoughts, which can hinder the therapeutic process. Open-ended questions encourage meaningful discussion.
D. "Avoid asking clients direct questions regarding suicidal behaviors or thoughts." It is essential to directly ask about suicidal thoughts in a nonjudgmental manner. Avoiding these questions can lead to missed warning signs and inadequate intervention.
Correct Answer is D
Explanation
A. Avoid including the client's religious affiliation when discussing treatment options. Religious beliefs can impact medical decisions, so omitting this information could overlook important care considerations.
B. Include each piece of collected demographic data during change-of-shift report. Not all demographic data are relevant to patient care, and oversharing may lead to unnecessary biases.
C. Record the client’s spirituality as normal in the plan of care. Spirituality is personal and subjective, so labeling it as “normal” is inappropriate and not bias-free.
D. Provide relevant demographics during a treatment team meeting. This ensures demographic information is included only when it impacts care, avoiding bias while maintaining patient-centered treatment.
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