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?

Non-maleficence

Beneficence

Justice

Autonomy

Answer and Explanation

The Correct Answer is D

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.

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Correct Answer is A

Explanation

This technique is known as reﬂective listening or active listening, and it involves paraphrasing what the patient has said to show that the nurse is actively listening and trying to understand the patient's feelings and thoughts. It demonstrates empathy and helps to build trust between the nurse and patient.

Option b is not eﬀective because giving advice and opinion can convey a lack of interest in the patient's feelings and thoughts.

Option c is not ideal because it is a closed-ended question that may limit the patient's response.

Option d may also seem insincere and may not reﬂect a genuine interest in the patient's concerns.

A. Hold the medication and refuse to administer additional doses for 3 days. B. Notify the health care provider immediately and give 4 liters of ﬂuids. C. Prior to giving the next dose, notify the health care provider of these symptoms and hold the next dose until new orders from provider. D. Document the client's symptoms and continue with medication as prescribed.

Correct Answer is C

Explanation

Diarrhea, vomiting, and drowsiness are potential signs of lithium toxicity, which can be a serious and potentially life-threatening condition. If a client who is being treated with lithium carbonate develops these symptoms, the nurse should notify the health care provider immediately and hold the next dose of medication until new orders are received from the provider.

Option a. Hold the medication and refuse to administer additional doses for 3 days is not an appropriate action because it does not involve notifying the health care provider or obtaining new orders.

Option b. Notify the health care provider immediately and give 4 liters of ﬂuids is not an appropriate action because it involves administering ﬂuids without obtaining orders from the health care provider.

Option d. Document the client’s symptoms and continue with medication as prescribed is not an appropriate action because it does not involve notifying the health care provider or holding the next dose of medication.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which technique will best communicate to a patient that the registered nurse is interested in listening?

Correct Answer is A

Explanation

A client who is being treated with lithium carbonate for bipolar disorder type I begins to develop diarrhea, vomiting, and drowsiness. Which action should the registered nurse take? Select one:

Correct Answer is C

Explanation

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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?