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 B

Explanation

Bulimia nervosa is an eating disorder characterized by recurrent episodes of binge eating followed by inappropriate compensatory behaviors such as self-induced vomiting, misuse of laxatives or diuretics, fasting, or excessive exercise. Binge eating refers to the consumption of an abnormally large amount of food within a short period, accompanied by a feeling of loss of control overeating. After bingeing, individuals with bulimia nervosa feel guilty, ashamed, and anxious about their behavior, and try to compensate by purging.

Options a, c, and d are incorrect as they do not accurately describe the characteristic features of bulimia nervosa.

Avoiding social gatherings and family meals is a characteristic of social anxiety disorder, not bulimia nervosa. Restricting caloric intake all the time is a characteristic of anorexia nervosa, a diﬀerent type of eating disorder. Following a strict diet and exercise program is not necessarily a characteristic of bulimia nervosa, although some individuals with bulimia nervosa may engage in excessive exercise as a compensatory behavior.

A. "Let's talk more about the diﬀerent forms of complementary therapies." B. "l really don't know, you need to ask your health care provider about it" C. "If I were you, I would try anything that I could if I had cancer." D. "No, because complementary therapies always interact with the chemotherapy."

Correct Answer is A

Explanation

This response acknowledges the client's interest in complementary therapies and opens up a conversation about the diﬀerent types available. It also allows the nurse to provide education and information about the potential benefits and risks of complementary therapies and how they may interact with the planned treatment.

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Naxlex Comprehensive Predictor Exams

Which best describes a characteristic of bulimia nervosa?

Correct Answer is B

Explanation

A client is diagnosed with cancer and is told that surgery followed by chemotherapy will be necessary. The client states to the nurse, "l have read a lot about complementary therapies. Do you think I should try any?" The nurse should respond by making which appropriate statement? Select one:

Correct Answer is A

Explanation

Which individual with a mental illness may need emergency involuntary hospitalization for mental illness? The individual who: Select one:

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?

A nurse is caring for a client who has been diagnosed with end-stage liver cancer. Which of the following responses is an indication the client is in the denial phase of the grief process?

A single parent is experiencing feelings of inadequacy related to work and family since one teenaged child ran away 2 weeks ago. The parent seeks the help of a therapist specializing in cognitive therapy. The psychotherapist who uses cognitive therapy will treat the client by: Select one:

A 26-month-old child displays many negative behaviors. The parent says, "My child refuses toilet training and shouts, 'No, no, no!' when given directions. What do you think is wrong?" Select the registered nurse's best reply: Select one:

A new client is diagnosed with agoraphobia. Which of the following would the healthcare identify as a characteristic of this disorder? Select one:

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A nurse uses Maslow’s hierarchy of needs to plan care for a psychotic patient. Which problem will receive higher priority? The patient who: Select one: