The nurse encounters a client crying in her room. Upon talking to the client, it is discovered that she is upset because a new nursing assistant made her go out for a walk with the group even though the client informed her that she waits for her daughter to go for her walk. This is a potential violation of which ethical principle?
Confidentiality
Autonomy
Beneficence
Nonmaleficence
The Correct Answer is B
A. This principle relates to protecting patient information. It is not relevant to this scenario.
B. This principle respects the patient's right to self-determination. By disregarding the client's preference for walking with her daughter, the nursing assistant violated the client's autonomy.
C. This principle involves doing good for the patient. While the nursing assistant might have intended to benefit the client by encouraging exercise, it was done at the expense of the client's autonomy.
D. This principle involves avoiding harm to the patient. While the client was upset, there is no evidence of physical harm in this situation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. This is the most likely diagnosis based on the information provided. The teenager's reaction to the firecrackers is a classic example of a trigger response associated with PTSD. The loud noise is likely triggering a flashback to the school shooting, causing the individual to react as if they are back in the traumatic event.
B. OCD involves recurrent, unwanted thoughts (obsessions) and repetitive behaviors (compulsions). While the behavior might seem repetitive, it's directly linked to a traumatic event, making PTSD a more likely diagnosis.
C. This is a broad term that could encompass various mental health conditions. While the behavior might seem unusual, it's a direct response to a traumatic experience, making PTSD more specific.
D. A phobia is an irrational fear of a specific object or situation. While the teenager might exhibit fear, the response is directly linked to a traumatic event, making PTSD a more appropriate diagnosis.
Correct Answer is B
Explanation
A. Preferring to eat meals while watching TV is a common behavior that is not specifically associated with suicidal ideation. It may simply reflect the adolescent's comfort or routine preferences rather than a sign of continued suicidal intent.
B. Giving away personal belongings, such as a CD collection, can be a sign that the adolescent is making arrangements for their belongings in case of death. This behavior can sometimes suggest that the individual may be planning for their end, which could indicate lingering suicidal thoughts. It's important to explore this behavior further with the adolescent to understand their intentions and state of mind.
C. While avoidance of discussing the suicide attempt may indicate emotional distress or a reluctance to engage, it does not directly point to ongoing suicidal intent. It could also reflect a desire for privacy or difficulty in expressing feelings, rather than a clear indication of suicidal ideation.
D. Adolescents often express a desire to spend more time with peers rather than family, which is a common developmental behavior. This preference alone does not necessarily indicate suicidal intent and is more reflective of typical adolescent social behavior.
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