How does a psychiatric nurse best implement the ethical principle of autonomy?

By intervening when a self-mutilating patient attempts to harm self.

Exploring alternative options with a patient, regarding medications.

Staying with a patient who is demonstrating a high level of anxiety.

Suggesting that two patients who are fighting be restricted to the unit.

Answer and Explanation

The Correct Answer is B

A.   Intervening during self-harm is more related to beneficence (preventing harm) rather than autonomy (respecting the patient's right to make decisions).
B.   Autonomy involves respecting a patient's right to make decisions about their care, including discussing alternatives for treatment.
C.   Staying with an anxious patient is supportive but doesn't specifically address the principle of autonomy.
D.   Restricting patients who are fighting is more related to safety and order within the unit, not necessarily autonomy.

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Correct Answer is D

Explanation

A. Avoiding exposure to bright sunlight is not specifically related to SSRIs; it may be a
consideration with certain medications due to photosensitivity but isn't a primary concern with SSRIs.
B. Restricting sodium intake isn't a directive associated with SSRI antidepressant therapy.
C. Maintaining a tyramine-free diet is a concern with certain antidepressants like MAOIs (Monoamine Oxidase Inhibitors) but not typically with SSRIs.
D. Reporting increased suicidal thoughts is a crucial directive because SSRIs may initially increase the risk of suicidal ideation, especially in the early stages of treatment.

A. The recent Middle Eastern immigrant from a war-torn country B. The gay male who has been diagnosed with HIV C. The older transgender female who has been repeatedly assaulted D. The teenager recovering from a self-inflicted gunshot wound

Correct Answer is D

Explanation

A. Being an immigrant from a war-torn country is a risk factor but not an immediate priority based on the information provided.
B. While being diagnosed with HIV poses mental health risks, there's no immediate suicidal attempt or ideation described in the scenario.
C. Repeated assaults are traumatic, but there's no indication of immediate suicidal risk.
D. The teenager recovering from a self-inflicted gunshot wound indicates an immediate and recent attempt at suicide, making them the highest priority for monitoring and intervention.

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How does a psychiatric nurse best implement the ethical principle of autonomy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient diagnosed with major depressive disorder begins selective serotonin reuptake inhibitor (SSRI) antidepressant therapy. Priority information given to the patient and family should include a directive to do what?

Correct Answer is D

Explanation

When considering an individual's risk for suicide, which client will the nurse consider the priority?

Correct Answer is D

Explanation

A nurse in a psychiatric unit is admitting a client who attacked a neighbor. The nurse should know that the client can be kept in the hospital after the 72-hr hold is over for which of the following conditions?

A nurse is discussing legal exceptions to client confidentiality with nursing staff. Which of the following statements by a staff member indicates an understanding of the teaching?

A nurse is caring for a client following a suicide attempt. The client has a history ofdepression, substance abuse, and anorexia nervosa. Which of the following actions is the nurse's priority?

When assessing a patient's plan for suicide, what aspect has priority?

A patient with suicidal impulses is on the highest level of suicide precautions. Which measures should the nurse incorporate into the patient's plan of care? (Select all that apply.)

Nursing behaviors associated with the implementation phase of the nursing process are concerned with the responsibilities of the psychiatric mental health nurse?

When assessing for the subjective symptoms of posttraumatic stress disorder (PTSD), which question will the nurse ask a client hospitalized for severe anxiety related to a sexual assault by a family member as a teenager?

A client has made a successful suicide attempt while hospitalized on a unit that specializes in the treatment of depression. When considering both milieu control and crisis management, which intervention will the nursing staff implement?