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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "Maintain your head and neck erect when walking with crutches.": This is incorrect. The focus should be on posture and the use of crutches, not just the head and neck. Maintaining an erect posture is essential, but this option is too narrow and doesn’t provide full guidance on proper crutch use.
B. "Keep your elbows flexed at a 35° angle when using the crutches.": This is correct. The elbows should be slightly bent, approximately at a 30- to 35-degree angle, to ensure proper use of the crutches. This position prevents excessive strain on the shoulders and wrists while providing effective support.
C. "Support your body weight by leaning on the crutches.": This is incorrect. The crutches should not bear the entire weight of the body. Instead, the weight should be distributed through the arms and hands with the crutches supporting some of the load. Leaning on the crutches can lead to nerve damage or further injury.
D. “Wash the tips of your crutches daily.": This is incorrect. While it is important to keep crutches clean, washing the tips daily is unnecessary. It is more important to check the crutches for wear and tear and ensure the rubber tips are intact and provide proper traction.
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.
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