In a Behavioral Health Unit team meeting, a registered nurse Says, "l am concerned if we are behaving ethically by using restraint to prevent one patient from self-mutilation while the care plan for another patient who has also self-mutilated issues calls for one-on-one supervision."

Which ethical principle most clearly applies to this situation?

Veracity

Non maleficence

Autonomy

Justice

Answer and Explanation

The Correct Answer is D

The ethical principle of justice refers to the fair and equal treatment of all individuals. In this situation, the nurse is concerned about whether the team is behaving ethically by using diﬀerent approaches to prevent self-mutilation in two patients. The nurse is questioning whether the team is treating both patients fairly and equally.

Option a. Veracity refers to the principle of truth-telling and honesty.

Option b. non-maleficence refers to the principle of doing no harm.

Option c. Autonomy refers to the principle of respecting an individual’s right to make their own decisions.

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Correct Answer is C

Explanation

A systolic blood pressure of 62 mm Hg indicates severe hypotension and is a medical emergency. This is a life-threatening situation that requires immediate hospitalization for stabilization and treatment. Clients with eating disorders are at risk of electrolyte imbalances, cardiac complications, and other medical complications due to malnutrition and dehydration. While the other options are also abnormal findings, they are not as severe as the critically low blood pressure measurement. Therefore, the priority for hospitalization would be the client with severe hypotension.

A. I’m not sure I understand. Please give me an example... B. "Can you explain me everything again?" C. "Why do you feel like that? What would you like me to do to help you?" D. You must get your feelings under control before we can continue."

Correct Answer is A

Explanation

This response is appropriate because it seeks clarification and more information to help the nurse better understand the patient's statement. By asking for an example, the nurse can gain a better understanding of the patient's experience and identify appropriate interventions to help the patient manage their anxiety.

Option b is not an appropriate response as it does not seek clarification and instead asks the patient to repeat themselves.

Option c is partially appropriate but could be improved by asking more specific questions to help the patient articulate their feelings and needs.

Option d is not an appropriate response as it dismisses the patient's feelings and may cause the patient to feel unsupported and isolated.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which assessment finding for a client diagnosed with an eating disorder meets a criterion for hospitalization? Select one:

Correct Answer is C

Explanation

A patient who is experiencing moderate anxiety says, "l feel undone." An appropriate response for the registered nurse who needs clarification would be: Select one:

Correct Answer is A

Explanation

Lorazepam (Ativan) is prescribed for a client experiencing severe acute anxiety. Most important teaching should include instructions to:

The nurse provides care for a client with anorexia nervosa. The nurse knows which statements aretrue regarding anorexia nervosa?

A nurse is caring for a client who smokes and has lung cancer. The client reports, “I'm coughing because I have that cold that everyone has been getting.” The nurse should identify that the client is using which of the following defense mechanisms?

Which technique will best communicate to a patient that the registered nurse is interested in listening?

Group therapy is encouraged but not mandatory. on an inpatient psychiatric unit, the unit manager's policy is that clients can make a choice about whether or not to attend group therapy. Which ethical principle does the unit manager preserve?

A client is agitated and pacing in the hall near the nurses' station and swearing loudly. What response is the best for the registered nurse to provide? Select one:

A client tells the nurse. "l wanted my health care provider to prescribe alprazolam (Xanax) for my anxiety disorder but buspirone (Buspar) was prescribed instead. Why?" The registered nurse's reply should be based on that buspirone: Select one:

The registered nurse is preparing for the termination phase of the nurse-client relationship. The registered nurse prepares to implement which nursing task that is most appropriate and most important for this phase? Select one: