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.
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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Related Questions
Correct Answer is C
Explanation
A. Buspirone – This anxiolytic does not typically cause significant anticholinergic effects.
B. Lithium – Common side effects include tremor, polyuria, and mild gastrointestinal upset, not prominent anticholinergic effects.
C. Imipramine, a tricyclic antidepressant, has strong anticholinergic properties, leading to dry mouth, blurred vision, mydriasis, constipation, and urinary retention.
D. Risperidone – An atypical antipsychotic; anticholinergic effects are minimal compared to tricyclic antidepressants.
Correct Answer is B
Explanation
A. Delirium is usually acute and reversible, especially when caused by an underlying condition like a UTI.
B. Delirium in elderly patients is often secondary to an acute illness such as a urinary tract infection. Treatment of the underlying cause typically resolves the confusion, so this statement provides accurate and reassuring information to the family.
C. While the provider can give a formal prognosis, the nurse can provide evidence-based, general information about delirium recovery.
D. While supportive, this does not address the family’s question about recovery.
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