A very anxious client is hesitant to start a new medication and asks the nurse for guidance. The nurse responds, "I'm happy to review the side effects with you and discuss the pros and cons. This may help you make an informed decision, and I support you." In this scenario, the nurse is upholding the client's:

Autonomy

Beneficence

Fidelity

Veracity

Answer and Explanation

The Correct Answer is A

Choice A reason: The correct answer is a) because the nurse is supporting the client's right to make an informed decision about their treatment.

Choice B reason: Beneficence involves doing good and acting in the best interest of the client, but the focus here is on supporting the client's decision-making.

Choice C reason: Fidelity refers to being faithful and keeping promises, which is not the primary focus in this scenario.

Choice D reason: Veracity refers to truthfulness, but the primary focus here is on supporting the client's autonomy.

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Correct Answer is B

Explanation

Choice A reason: Telling a patient they can't wear steel-tipped boots is a safety measure and does not violate patients' rights.

Choice B reason: The correct answer is b) because patients have the right to communicate with their family, and restricting this without a valid safety concern violates their rights.

Choice C reason: Telling a patient they can't save scheduled medication is a safety measure to ensure proper medication administration.

Choice D reason: Inspecting a food basket for safety reasons is not a violation of patients' rights.

A. Remaining with the client while family members visit. B. Asking the nurse at lunchtime to assign another LPN for this task until their return. C. Ambulating the client's roommate while the client is on suicide precautions. D. Accompanying the client to physical and occupational therapy.

Correct Answer is C

Explanation

Choice A reason: Remaining with the client while family members visit is appropriate for ensuring safety.

Choice B reason: Asking for assistance during lunch is appropriate to maintain continuous observation.

Choice C reason: The correct answer is c) because leaving the client alone to ambulate the roommate indicates that the LPN is not maintaining constant observation, which is crucial for suicide precautions.

Choice D reason: Accompanying the client to therapy ensures continuous observation and is appropriate.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse performed these actions while caring for patients in an inpatient psychiatric unit. Which action violated patients' rights?

Correct Answer is B

Explanation

A nurse delegates a licensed practical nurse (LPN) to perform suicide precautions. Which of the following actions by the LPN indicates to the nurse that they require further education?

Correct Answer is C

Explanation

A nurse is caring for a client who was admitted to the mental health unit for treatment. The client states, "I am a nurse on the medical-surgical unit, and I don't want my coworkers to know." Which of the following actions should the nurse take?

A nurse is administering oral sedative to a client who is receiving care following an involuntary admission. The client states, "I'm not taking any more medication." Which of the following actions should the nurse perform?

A charge nurse is discussing examinations with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? (Select the 3 that apply.)

A client newly placed on an involuntary hold is being given an orientation to the psychiatric unit. The nurse includes information about the client's rights. Which of the following statements should the nurse include? Select all that apply.

A nurse is teaching a client who has a fear of heights about the use of systematic desensitization as a method of behavioral therapy. Which of the following client statements indicates an understanding of the teaching?

A nurse is preparing to administer diazepam 4 mg IV bolus stat. Available is diazepam injection 5 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth.)

A nurse is caring for a client who is receiving cognitive behavioral therapy. The client tells the nurse, "Nothing good ever came from my marriage." To best support cognitive reframing, which of the following responses should the nurse offer?