The community mental health nurse has been working for 6 months to establish a trusting
relationship with J, a delusional and suspicious client. J is fired from his job, has no money for
medication, and decompensates within the span of 1 week.
Should J be hospitalized or provided with
medication and allowed to remain at home? The ethical principles affecting the decision are
a. justice and truth.
b. beneficence and autonomy.
c. malfeasance and fidelity.
d. confidentiality and negotiation.
ANS: B
The nurse's desire to do good (beneficence) is in conflict with the client's right to the least
restrictive setting (autonomy). Option A: Justice refers to treating clients fairly and equally. Truth
refers to truth-telling or veracity. Option C: Malfeasance refers to doing harm to the client, and
fidelity refers to being loyal and committed to the client. Option D: These choices are not ethical
principles.
You might also like to view...
As the head of a nursing program, you consistently invite the ideas of your team about innova-tions in teaching, community partnerships, and curriculum design and invite participation in de-cisions
Many of these ideas have been implemented successfully, and your staff members are keen to try on other ideas. You are employing _____ leadership. a. Situational b. Trait-based c. Contingency-based d. Transformational
A variety of different organizational responses to performance exist. Some of these may be in response to positive feedback and others to negative feedback
Which of the following actions should the nurse manager implement when giving negative feedback? a. 360-degree feedback c. punishment b. ignoring the problem d. progressive discipline
The normal respiratory rate is determined by age.
Answer the following statement true (T) or false (F)
Jennifer is a 38-year-old woman who has been diagnosed with major depressive disorder
She is being placed on an antidepressant and the nurse has been asked to conduct medication teaching. Which of the following would be appropriate information to provide to Jennifer? A) "You should notice an immediate improvement in your mood." B) "You may not notice an improvement in your symptoms for 2 to 6 weeks." C) "If you do not notice an improvement in your symptoms in 1 to 2 weeks, a different antidepressant will be prescribed." D) "The antidepressant's ability to affect the neurons in your brain will take between 2 and 6 weeks."