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.
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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Related Questions
Correct Answer is C
Explanation
Rationale for A: Inviting a family member to be present may hinder communication, especially if the family member is involved in the abuse or the client feels unsafe speaking in their presence. Privacy is crucial for encouraging open communication.
Rationale for B: Providing basic wound care is important for physical injuries, but it does not directly address promoting communication. The nurse should focus on creating a safe environment for the client to talk.
Rationale for C: Being direct and honest when speaking with the client promotes trust and open communication. Clients who are suspected of being abused may be fearful or reluctant to share information, so clear, respectful communication helps create a supportive environment.
Rationale for D: Probing the client for a factual account of the abuse may make the client feel pressured or overwhelmed. The nurse should allow the client to share information at their own pace without feeling forced to disclose details.
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.
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