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 B

Explanation

A. Members of a health care team can share a computer password.: This is incorrect. Passwords should never be shared, as doing so can compromise the confidentiality of client information. Each team member should have their own secure login and password.

B. Information regarding client health can be e-mailed if encrypted.: This is correct. According to HIPAA guidelines, it is permissible to email client health information if the email is encrypted and appropriate security measures are taken.

C. A client is restricted from accessing his own medical records.: This is incorrect. Clients have the right to access their own medical records under the Health Insurance Portability and Accountability Act (HIPAA..

D. Unwanted printed health information can be discarded in a trash can.: This is incorrect. Printed health information should be shredded, not simply discarded in the trash, to ensure confidentiality is maintained.

A. Patient care technician B. Psychologist C. Advanced practice nurse D. Social worker

Correct Answer is C

Explanation

A. Patient care technician is incorrect. A patient care technician (PCT) is typically responsible for assisting with basic care tasks, such as taking vital signs or helping with personal hygiene. A PCT is not qualified to assess or manage medication interactions.

B. Psychologist is incorrect. A psychologist specializes in mental health and behavior but does not have the expertise to manage or review medication interactions.

C. Advanced practice nurse is correct. An advanced practice nurse (APN), such as a nurse practitioner, has advanced education and training in pharmacology and the management of complex medication regimens. They can assess potential medication interactions and provide guidance on safe medication use.

D. Social worker is incorrect. While a social worker provides support in areas like coping with illness and accessing resources, they are not typically involved in managing or reviewing medication interactions.

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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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