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

Manipulative behavior is not acceptable in any situation, and it is important for the nurse to set clear boundaries and expectations with the client. Allowing manipulation can enable the client's behavior and reinforce it. Avoiding discussing past or present manipulative behaviors with the client may not eﬀectively address the issue and could potentially worsen the behavior. Bargaining with the client can also reinforce manipulative behavior.

Therefore, instituting consequences for manipulative behavior is the most appropriate intervention to include in the plan of care. This could involve setting clear limits on what is acceptable behavior and consistently enforcing consequences when those limits are exceeded. The consequences should be communicated clearly to the client, and the nurse should work with the client to identify more appropriate ways to communicate their needs and concerns.

A. Monitor closely for opioid overdose. B. Monitor closely for harm to a family member. C. Monitor closely for severe anxiety and stress. D. Monitor closely for using Methamphetamines.

Correct Answer is C

Explanation

When a client is admitted with an involuntary status, it means that the client did not consent to the admission and was likely admitted due to being a danger to themselves or others. This can lead to increased stress and anxiety for the client, so the nurse should closely monitor the client for signs of severe anxiety and stress.

Options a, b, and d are not appropriate interventions for a client admitted with an involuntary status.

Option a is more appropriate for a client with a history of opioid use.

Option b is more appropriate for a client with a history of violence or aggression towards family members.

Option d is more appropriate for a client with a history of methamphetamine use.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A registered nurse is planning to care for a client who demonstrates manipulative behaviors. Which of the following interventions should be included in the plan of care?

Correct Answer is C

Explanation

When reviewing the admission assessment, the Registered nurse notes that a client was admitted to the mental health unit with involuntarily status. Based on this type of admission, the registered nurse should provide which intervention for this client? Select one:

Correct Answer is C

Explanation

A nurse is assessing a client who has generalized anxiety disorder. Which of the following findings should the nurse expect?

A registered nurse is admitting a client to an alcohol abuse program. The client states, here because of my boss. It was part of my job to go to parties and drink with clients. The client's statement is an example of which of the following defense mechanisms? Select one:

A psychiatric registered nurse best implements the ethical principle of autonomy when he or she: Select one:

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 psychiatric nurse assesses a client who commonly experiences anxiety. Which comment by this person indicates the possibility of obsessive-compulsive disorder (OCD)? Select one:

A nurse is providing teaching to a client who is primigravid and is scheduled to have an abdominal ultrasound. Which of the following statements by the client indicates an understanding of the teaching?

A client tells the nurse that he wants to kill his boss, the registered nurse tells healthcare provider. The healthcare provider tells his boss. What disciplinary action is needed? Select one:

A registered nurse is preparing a client who has chronic anxiety for discharge from the psychiatric unit. Which of the following instructions should the nurse include in the client's discharge plan?