A nurse on a mental health unit is caring for a client who has anorexia nervosa. Which of the following statements by the nurse promotes the ethical principle of client autonomy?
“It is your choice to share personal information during group therapy.”
"I will only discuss your medical information with the health care team."
“I will be truthful when answering questions about your treatment”
"The nursing staff here will provide you with nonjudgmental care”
The Correct Answer is A
A. “It is your choice to share personal information during group therapy.”: This statement supports client autonomy by emphasizing the client’s right to make decisions about their own participation and what personal information to disclose. Respecting autonomy involves allowing clients to make informed choices about their care and interactions.
B. "I will only discuss your medical information with the health care team.": This reflects the ethical principle of confidentiality, protecting privacy, but does not directly address autonomy.
C. “I will be truthful when answering questions about your treatment”: Truthfulness relates to veracity, ensuring honesty in the nurse-client relationship, but does not specifically promote autonomy.
D. "The nursing staff here will provide you with nonjudgmental care”: Providing nonjudgmental care supports beneficence and a therapeutic environment but does not directly empower the client to make their own decisions.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Tongue depressor: Tongue depressors are not recommended for seizure precautions because attempting to hold the tongue during a seizure can cause oral injury or airway obstruction. They do not provide a safe or effective intervention.
B. Tracheostomy tray: A tracheostomy tray is used for clients with a tracheostomy, not for standard seizure precautions. Having one in the room unnecessarily does not enhance seizure safety.
C. Wrist restraints: Restraints are not placed prophylactically for seizure precautions. Using restraints during a seizure can cause injury and is not a recommended safety measure.
D. Oral suction equipment: Oral suction equipment is essential for clients on seizure precautions to maintain airway patency. It allows the nurse to quickly clear secretions or vomitus, reducing the risk of aspiration during or after a seizure.
Correct Answer is D
Explanation
A. Pain rating of 4 on a scale of 0 to 10: Mild to moderate pain is expected in the early postoperative period due to surgical trauma. While pain should be monitored, a rating of 4 is not specific for infection and can be considered within normal postoperative discomfort.
B. Temperature of 37.2° C (99.0°F): A slightly elevated temperature within the normal range is common after surgery due to inflammatory response. It does not necessarily indicate infection unless it continues to rise or is accompanied by other systemic signs.
C. Increased urinary output: Increased urine output is generally a positive sign of adequate renal perfusion and fluid balance. It is not indicative of infection and may instead reflect normal postoperative recovery or fluid administration.
D. Elevated WBC count: Leukocytosis is a key laboratory indicator of infection. An elevated white blood cell count suggests an inflammatory or infectious process, which is particularly concerning in the postoperative period and warrants further assessment and intervention.
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