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 be truthful when answering questions about your treatment."

"The nursing staff here will provide you with nonjudgmental care."

"I will only discuss your medical information with the health care team."

Answer and Explanation

The Correct Answer is A

A. "It is your choice to share personal information during group therapy" is correct. The ethical principle of autonomy emphasizes respecting a client's right to make decisions about their own care, including the right to share or withhold personal information. Allowing the client to choose what to share supports their independence and decision-making ability.

B. "I will be truthful when answering questions about your treatment" promotes veracity, not autonomy. While truthfulness is important in nursing, it does not directly pertain to the principle of client autonomy.

C. "The nursing staff here will provide you with nonjudgmental care" promotes beneficence and respect for the client's dignity, but it does not directly address the principle of autonomy, which focuses on the client’s ability to make choices.

D. "I will only discuss your medical information with the health care team" supports confidentiality and privacy, not autonomy. Autonomy involves respecting a client’s decision-making, not just protecting their information.

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Correct Answer is C

Explanation

A. "Wear sterile gloves when in contact with body fluids" is incorrect. While sterile gloves are necessary for sterile procedures, clean gloves are generally sufficient for contact with body fluids. The main focus of hand hygiene is on proper handwashing techniques.

B. "Use alcohol-based cleanser when hands are visibly soiled" is incorrect. Alcohol-based hand sanitizers should not be used when hands are visibly soiled, as they are less effective in removing dirt, grease, or organic material. Soap and water are needed for visibly soiled hands.

C. "Wash hands with soap and water for 20 seconds" is correct. The recommended duration for handwashing is 20 seconds, which is sufficient for removing pathogens effectively. This is standard practice for maintaining proper hand hygiene in healthcare settings.

D. "Artificial nails can be worn when performing direct client care" is incorrect. Artificial nails and chipped nail polish are contraindicated in healthcare settings because they can harbor bacteria and increase the risk of infection transmission.

A. Sit on the client's right side. B. Choose a room that is well-lit and free from background noise. C. Exaggerate lip movement while speaking. D. Ask a few questions at a time.

Correct Answer is B

Explanation

A. Sit on the client's right side. This is not the best approach. If the client has hearing loss in one ear, the nurse should sit on the side of the client’s better ear, not necessarily the right side.

B. Choose a room that is well-lit and free from background noise. This is the correct choice. A well-lit room helps the client read lips or better perceive any non-verbal cues. Reducing background noise ensures the client can focus on hearing or understanding speech without distractions.

C. Exaggerate lip movement while speaking. While some individuals with hearing loss may rely on lip-reading, exaggerating lip movement can make it more difficult to understand. It is more effective to speak clearly without overemphasizing movements.

D. Ask a few questions at a time. This is not the best strategy. It is better to ask one clear, simple question at a time to ensure the client understands, as too many questions at once can overwhelm them.

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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?

Nursing Test Bank

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