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. Drilling holes in the skull to drain fluid is more aligned with procedures for treating conditions like hydrocephalus (accumulation of cerebrospinal fluid in the brain) rather than a lobotomy. A lobotomy involves more invasive alterations to brain tissue.
B. In a prefrontal lobotomy, the surgeon would sever the connections between the frontal lobes and other parts of the brain, including the thalamus, to disrupt neural pathways. This was done in an attempt to alter behavior and mood. The procedure aimed to modify the function of the frontal lobes to reduce symptoms of severe mental disorders, but it often had significant and detrimental side effects.
C. This description refers to electroconvulsive therapy (ECT), not a lobotomy. ECT involves applying electrical currents to the brain to induce controlled seizures and is used to treat severe depression and other mental health conditions. It is different from the surgical approach of a lobotomy.
D. This description does not accurately describe a lobotomy. The lobotomy procedure involved cutting or damaging brain tissue rather than inserting implants. The insertion of implants into the brain is not characteristic of lobotomy and is not a common practice in the historical context of this procedure.
Correct Answer is D
Explanation
A. Group homes provide supportive living environments for individuals with chronic mental health issues or those who need assistance with daily living but are not in acute crisis. While beneficial for long-term support and rehabilitation, a group home may not offer the intensive and immediate care required for someone who is actively suicidal.
B. Long-term mental health facilities are designed for ongoing treatment and support for individuals with severe and chronic mental health conditions. While they offer extensive services and support, they are typically not intended for clients who need immediate stabilization and short-term care for acute suicidal ideation.
C. Outpatient clinics provide regular therapy and support for individuals with less acute needs. While they are valuable for ongoing mental health care and management, they may not be equipped to handle a client in immediate danger of suicide who requires 24/7 monitoring and intensive intervention.
D. An inpatient mental health unit is designed for individuals experiencing severe mental health crises, including suicidal ideation. It provides intensive, round-the-clock care, including monitoring, psychiatric evaluation, and immediate crisis intervention.
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