Which action by a psychiatric nurse best applies the ethical principle of autonomy?

Intervening when a self-mutilating patient attempts to harm self.

Exploring alternative solutions with the patient, who then makes a choice.

Staying with a patient demonstrating a high level of anxiety.

Suggesting that two patients who were fighting be restricted to the unit.

Answer and Explanation

The Correct Answer is B

A. Intervening when a self-mutilating patient attempts to harm self reflects beneficence and nonmaleficence, prioritizing safety rather than autonomy.

B. Supporting the patient to explore alternatives and make their own choice directly respects and promotes the ethical principle of autonomy.

C. Staying with a patient demonstrating a high level of anxiety demonstrates beneficence by providing support, not autonomy.

D. Suggesting restrictions for patients who were fighting reflects justice or safety measures, not the patient’s personal decision-making.

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Correct Answer is C

Explanation

A. This involves memory loss due to brain injury or alcohol abuse, not acute fluctuating confusion.

B. Alzheimer’s causes progressive, irreversible memory decline that develops gradually, not suddenly over 2 days.

C. Delirium is characterized by acute onset, fluctuating levels of orientation, confusion, speech changes, and impaired gait, often triggered by medications, infections, or metabolic issues.

D. Dementia develops slowly and progressively, not suddenly like delirium.

A. distorted thought self-control. B. sleep pattern stabilization, C. interest in the environment. D. developing an optimistic outlook.

Correct Answer is A

Explanation

A. Clients experiencing grandiose thinking during acute mania often have inflated self-esteem and unrealistic ideas of ability or importance, making controlling or monitoring their thoughts a priority nursing outcome.

B. While sleep disturbances are common in mania, this outcome does not directly address grandiose thinking.

C. Increased engagement in the environment may occur, but it is not the primary expected outcome for controlling grandiose thoughts.

D. Optimism may be present, but grandiosity involves exaggerated self-perceptions rather than realistic optimism.

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Which action by a psychiatric nurse best applies the ethical principle of autonomy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An older adult patient takes multiple medications daily. Over 2 days, the patient developed confusion, slurred speech, an unsteady galt, and fluctuating levels of orientation. These findings are most characteristics of

Correct Answer is C

Explanation

Which outcome is expected for a client experiencing grandiose thinking associated with acute mania?

Correct Answer is A

Explanation

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