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 C

Explanation

A. Sleep disturbances are common in PTSD but might not address the immediate distress related to the sexual assault.
B. While discussing triggers is relevant, it might not directly address the current acute symptoms of reliving the traumatic event.
C. Asking about current experiences of flashbacks directly relates to one of the hallmark symptoms of PTSD, especially given the recent severe anxiety related to the assault.
D. Avoidance behavior is a symptom of PTSD, but asking about flashbacks addresses more immediate distress.

A. A suspicion that a staff member is unfit to provide client care B. Working with a client to identify triggers for aggressive behavior C. A client's need for assistance while ambulating post-surgery D. Providing emotional support to a client experiencing a loss of a parent

Correct Answer is A

Explanation

A. This situation reflects the responsibility of a nurse to advocate for patients' safety by intervening if they suspect a staff member is unfit to provide proper care.
B. Working with a client to identify triggers for aggressive behavior is more related to the therapeutic process than the specific role of patient advocacy.
C. A client's need for assistance while ambulating post-surgery is part of standard nursing care but does not directly involve patient advocacy.
D. Providing emotional support to a client experiencing a loss is part of nursing care but does not specifically address the nurse's role as a patient advocate.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

The decision to intervene as a patient advocate is clearly identified by the American Nurses Association's (ANA) code of ethics in which situation?

Correct Answer is A

Explanation

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

A soldier returns to the United States from active duty in a combat zone. The soldier is diagnosed with posttraumatic stress disorder (PTSD). The nurse's highest priority is to screen this soldier for which problem?

A nurse is teaching a newly licensed nurse about appropriate actions to take when a client threatens to harm a specific individual. Which of the following statements by the newly licensed nurse indicates understanding?

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 who has depression. The client refuses to get out of bed, go to activities, or participate in any of the unit's programs. Which of the following responses should the nurse make?