A nurse is caring for a client who is receiving acute care for the treatment of a substance use disorder.
With which of the following actions is the nurse demonstrating the ethical principle of veracity?.

Encouraging the client to attend a daily exercise program on the unit.

Maintaining the client's confidentiality about a substance use disorder.

Reinforcing information on the potential adverse effects of a medication with the client.

Respecting the client's right to refuse to attend a group therapy session.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Encouraging the client to attend a daily exercise program on the unit is beneficial for the client’s health, but it does not demonstrate the ethical principle of veracity, which involves truthfulness and honesty.

Choice B rationale:

Maintaining the client’s confidentiality about a substance use disorder is an important aspect of nursing care, but it demonstrates the ethical principle of confidentiality, not veracity.

Choice C rationale:

Reinforcing information on the potential adverse effects of a medication with the client is an example of veracity. The nurse is being truthful and transparent about the potential risks associated with the medication.

Choice D rationale:

Respecting the client’s right to refuse to attend a group therapy session demonstrates the ethical principle of autonomy, not veracity.

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Correct Answer is B

Explanation

Choice A rationale:

Attending a cognitive behavioral therapy class does not require informed consent as it is a non-invasive form of treatment.

Choice B rationale:

Informed consent is necessary when taking an experimental medication to ensure the client understands the potential risks and benefits.

Choice C rationale:

Light therapy is a non-invasive treatment and does not typically require informed consent.

Choice D rationale:

Participating in a group exercise program is a non-invasive form of treatment and does not require informed consent.

A. Demonstrate a neutral demeanor. B. Be vague when answering the client's questions about instructions. C. Ask the client why he is suspicious of others. D. Use an overly friendly approach.

Correct Answer is A

Explanation

Choice A rationale:

Demonstrating a neutral demeanor helps build trust with a client who has paranoid personality disorder. It’s important to avoid showing too much emotion, which could be misinterpreted by the client.

Choice B rationale:

Being vague when answering the client’s questions about instructions could increase the client’s paranoia. Clear and direct communication is essential.

Choice C rationale:

Asking the client why he is suspicious of others could lead to defensive behavior. It’s better to focus on building trust and understanding.

Choice D rationale:

Using an overly friendly approach could be perceived as insincere or manipulative by a client with paranoid personality disorder. A neutral demeanor is more effective.

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A nurse is caring for a client who is receiving acute care for the treatment of a substance use disorder.
With which of the following actions is the nurse demonstrating the ethical principle of veracity?.