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 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.
Correct Answer is B
Explanation
A. Elevated levels of serotonin are associated with a potential treatment for depression but aren't considered a primary risk factor for developing depression.
B. Past history of childhood trauma, such as abuse or neglect, is a well-established risk factor for the development of depression later in life.
C. Being an only child is not recognized as a primary risk factor for depression.
D. Recent history of stressful positive life events might not be a primary risk factor for depression; in some cases, it could be a protective factor.
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