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. “Limit your caffeine intake to 700 milligrams per day.”: Caffeine intake during pregnancy should be limited to about 200 milligrams per day. Higher amounts are associated with increased risks such as miscarriage and low birth weight, making this recommendation inaccurate.
B. “Eat 40 milligrams of protein-rich foods per day.”: Protein requirements during pregnancy are measured in grams, not milligrams. Pregnant clients typically need about 71 grams of protein per day, so this reflects an incorrect unit and inadequate intake.
C. “Increase your dietary intake by 500 calories per day.”: Caloric needs during the first trimester generally do not increase significantly. An additional 300–450 calories per day is usually recommended later in pregnancy, making this advice inappropriate at 12 weeks’ gestation.
D. “Consume 600 micrograms of folic acid per day.”: A daily intake of 600 micrograms of folic acid is recommended during pregnancy to support fetal neural tube development. Adequate folic acid intake reduces the risk of neural tube defects, especially in early pregnancy.
Correct Answer is D
Explanation
A. The restraint strap is tied into a knot: Restraints should be secured using a quick-release knot or buckle to allow rapid removal in case of an emergency. Tying a standard knot can prevent timely removal and is unsafe.
B. The skin under the restraint is cool and has changed color: Skin that is cool, discolored, or showing signs of pressure or impaired circulation indicates compromised perfusion and is a concerning finding that requires immediate intervention, not an expected outcome.
C. The restraint is attached to the side rails of the bed: Restraints should never be attached to side rails because this increases the risk of injury or asphyxiation if the client attempts to move. Safe restraint attachment is to the bed frame, not movable parts.
D. The nurse can insert two fingers under the restraint: Being able to slide two fingers under the restraint indicates that it is snug but not overly tight, allowing adequate circulation and minimizing risk of injury. This is the expected and safe finding when restraints are applied correctly.
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