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”

Answer and Explanation

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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Correct Answer is A

Explanation

A. Observe the client during and after meals: Monitoring the client for bingeing or purging behaviors is the priority intervention because it addresses immediate safety and physical health risks, such as electrolyte imbalances. Direct observation prevents harmful behaviors and allows timely intervention.

B. Refer the client to a support group for clients who have eating disorders: Referral is important for long-term psychosocial support, but it does not address immediate risk or safety concerns during meals.

C. Instruct the client about effective coping strategies: Teaching coping strategies is beneficial for long-term management, but ensuring safety during meals takes precedence in the nursing process.

D. Suggest that the client assist with meal planning: Involving the client in meal planning promotes autonomy and engagement in treatment, but it is not the first action when immediate monitoring is required to prevent harmful behaviors.

A. Assists in finding an economic living arrangement for the client B. Promotes health by ensuring the client's nutritional needs are met C. Provides and adjusts devices to assist the client with daily living activities D. Uses heat, massage, and water to treat a client's strength and movement

Correct Answer is C

Explanation

A. Assists in finding an economic living arrangement for the client: Arranging housing or financial resources is primarily the role of a social worker, not an occupational therapist.

B. Promotes health by ensuring the client's nutritional needs are met: While occupational therapists may help with adaptive feeding techniques, overall nutrition management is the responsibility of a dietitian or nurse.

C. Provides and adjusts devices to assist the client with daily living activities: Occupational therapists evaluate and provide adaptive equipment, training, and strategies to help clients regain independence in activities such as feeding, dressing, and grooming.

D. Uses heat, massage, and water to treat a client's strength and movement: These interventions are typically performed by a physical therapist, who focuses on improving mobility, strength, and range of motion.

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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?

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