A registered nurse is planning to care for a client who demonstrates manipulative behaviors. Which of the following interventions should be included in the plan of care?

Avoid discussing past manipulative behaviors with the client.

Allow manipulation so as to not raise the client's anxiety.

Institute consequences for manipulative behavior

Avoid discussing present behaviors with the client

Answer and Explanation

The Correct Answer is C

Manipulative behavior is not acceptable in any situation, and it is important for the nurse to set clear boundaries and expectations with the client. Allowing manipulation can enable the client's behavior and reinforce it. Avoiding discussing past or present manipulative behaviors with the client may not eﬀectively address the issue and could potentially worsen the behavior. Bargaining with the client can also reinforce manipulative behavior.

Therefore, instituting consequences for manipulative behavior is the most appropriate intervention to include in the plan of care. This could involve setting clear limits on what is acceptable behavior and consistently enforcing consequences when those limits are exceeded. The consequences should be communicated clearly to the client, and the nurse should work with the client to identify more appropriate ways to communicate their needs and concerns.

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Correct Answer is D

Explanation

Autonomy is the ethical principle that upholds an individual's right to self-determination and decision- making regarding their own life and treatment. In this case, the unit manager's policy of allowing clients to make their own choice about whether or not to attend group therapy preserves the principle of autonomy.

By not mandating group therapy, the unit manager respects the clients' right to make decisions about their own treatment and encourages them to participate in a way that feels comfortable and aligned with their own goals and values. This promotes a sense of empowerment and self-efficacy in clients, which is important for their overall recovery and well-being.

While beneficence, non-maleficence, and justice are also important ethical principles in healthcare, they are not directly applicable to this particular situation.

A. “I won’t apply perfumed lotion to my abdomen before the test.” B. “I can’t have anything to eat after midnight.” C. “I need to take a stool softener the night before the test.” D. “I will drink water before the test until my bladder feels full.”

Correct Answer is D

Explanation

A full bladder can help improve the quality of an abdominal ultrasound by pushing the intestines out of the way and providing a clearer view of the uterus and baby.

Ultrasound of the Abdomen

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A registered nurse is planning to care for a client who demonstrates manipulative behaviors. Which of the following interventions should be included in the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Group therapy is encouraged but not mandatory. on an inpatient psychiatric unit, the unit manager's policy is that clients can make a choice about whether or not to attend group therapy. Which ethical principle does the unit manager preserve?

Correct Answer is D

Explanation

A nurse is providing teaching to a client who is primigravid and is scheduled to have an abdominal ultrasound. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is D

Explanation

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A registered nurse is planning to care for a client who demonstrates manipulative behaviors. Which of the following interventions should be included in the plan of care?

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