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 B

Explanation

A. This is more aligned with the evaluation phase of the nursing process, ensuring that interventions are achieving the intended results.
B. During implementation, nurses execute the care plan, carry out interventions, and coordinate care with other healthcare team members to meet the patient's needs.
C. This is primarily part of the assessment phase, ensuring a thorough understanding of the patient's situation.
D. This involves collaborative goal-setting and is more aligned with the planning phase, ensuring that patient goals are agreed upon and relevant.

A. Every client will be questioned concerning the impact the suicide had on him or her personally. B. All group therapy sessions will be held on the unit for at least a 72-hour period. C. Suicide precautions for a full 24 hours will be implemented for all clients. D. A client-focused psychological postmortem assessment will be conducted immediately.

Correct Answer is C

Explanation

A. While assessing the impact of a suicide attempt on others is important, the immediate focus following a successful suicide attempt in a mental health unit is to ensure the safety of all clients.
B. Restricting group therapy for 72 hours might impede the therapeutic process and does not directly address the safety of clients after a suicide attempt.
C. Following a suicide attempt, it's standard practice to heighten monitoring and implement suicide precautions for all clients to ensure their safety.
D. While assessing the situation is important, immediate intervention to prevent further harm to other clients is a priority following a suicide attempt. The psychological assessment might occur but would not be the primary intervention in this immediate crisis situation.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is B

Explanation

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?

Correct Answer is C

Explanation

A severely depressed patient who has been on suicide precautions tells the nurse, "I am feeling a lot better, so you can stop watching me. I have taken too much of your time already." Which is the nurse's best response?

What is the primary difference between somatic system disorders and dissociative disorders?

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?

Which institution-specific clinical practice resource will the nurse use to integrate evidence- based practice (EBP) into the care of a client hospitalized for the purpose of the evaluation of his or her current therapy plan?

A nurse is caring for a client 3 days after admission for treatment of depression. The client leaves her current activity, approaches the nurse and states, "There's no reason to go on living. I just want to end it all." Which of the following actions should the nurse take?

Which experiences are most likely to precipitate posttraumatic stress disorder (PTSD)? (Select all that apply.)

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.)

A nurse caring for a patient prescribed a selective serotonin reuptake inhibitor (SSRI) will develop outcome criteria related to what outcome?