A young client tells the nurse that the client's spouse died 3 months ago, and the client is feeling alone and vulnerable. Which statement indicates that the client's coping skills are adequate?

Prior to meeting with a client who is experiencing complicated grieving, the nurse should engage in self-reflection and examine their own attitudes, biases, and emotional responses related to loss and grieving. This is important because the nurse's own experiences and beliefs can influence their ability to provide empathetic and non-judgmental care to the client. By acknowledging and understanding their own feelings and reactions, the nurse can better support the client in their grieving process.

The other options are not appropriate for the following reasons:

B- Evaluating previous methods of interventions: While it is essential for the nurse to have knowledge and skills related to grief counseling and interventions, focusing solely on previous methods may not be helpful for the client's unique situation. Each individual's grieving process is different, and what worked for one client may not work for another.

C- Establishing goals for the process and presenting them to the client: While setting goals for the therapeutic relationship is important, it should be a collaborative process between the nurse and the client. The nurse should work with the client to identify their needs and goals related to the grieving process and develop a plan of care together.

D- Sharing personal information related to loss experienced by the nurse: It is not appropriate for the nurse to share their own personal experiences of loss with the client. The focus of the therapeutic relationship should be on the client's needs and experiences, not the nurse's. Sharing personal information can shift the focus away from the client and may not be helpful or therapeutic for them.

The correct answer is c. Beneficence.

Choice A: Autonomy

Autonomy refers to the right of individuals to make decisions about their own lives and bodies. In the context of nursing, it means respecting a patient’s right to make their own healthcare decisions. However, in the case of seclusion due to loud and intrusive behavior, the primary concern is not about the patient’s decision-making capacity but rather the safety and well-being of the patient and others on the unit.

Choice B: Justice

Justice is the ethical principle that emphasizes fairness and equality. It involves ensuring that patients are treated fairly and that resources are distributed equitably. While justice is important in healthcare, it does not directly address the appropriateness of seclusion in response to disruptive behavior.

Choice C: Beneficence

Beneficence is the ethical principle that focuses on doing good and acting in the best interest of the patient. It involves taking actions that promote the well-being of patients and prevent harm. In the context of seclusion, beneficence guides the nurse to consider whether secluding the patient will prevent harm to the patient and others, thereby promoting overall safety and well-being.

Choice D: Veracity

Veracity refers to the principle of truth-telling and honesty. It involves providing accurate and truthful information to patients. While veracity is crucial in building trust between healthcare providers and patients, it does not directly relate to the decision of whether to use seclusion for managing disruptive behavior.