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. Extrapyramidal symptoms are more commonly associated with antipsychotic medications rather than SSRIs.
B. SSRIs might have varying effects on motor activity, but this is not a primary outcome for their use.
C. While SSRIs may indirectly contribute to cognitive improvements, the primary expected outcome revolves around mood changes rather than thought processes.
D. SSRIs are primarily used to treat mood disorders like depression and anxiety, and the main goal of their use is to improve mood and emotional symptoms. Therefore, the expected outcome criteria often relate to mood improvement.
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.
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