Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is caring for a client who is receiving acute care for the treatment of a substance use disorder.
With which of the following actions is the nurse demonstrating the ethical principle of veracity?.
A. Encouraging the client to attend a daily exercise program on the unit.
A rationale: Encouraging the client to attend a daily exercise program on the unit is beneficial for the client’s health, but it does not demonstrate the ethical principle of veracity, which involves truthfulness and honesty.
B. Maintaining the client's confidentiality about a substance use disorder.
B rationale: Maintaining the client’s confidentiality about a substance use disorder is an important aspect of nursing care, but it demonstrates the ethical principle of confidentiality, not veracity.
C. Reinforcing information on the potential adverse effects of a medication with the client.
C rationale: Reinforcing information on the potential adverse effects of a medication with the client is an example of veracity. The nurse is being truthful and transparent about the potential risks associated with the medication.
D. Respecting the client's right to refuse to attend a group therapy session.
D rationale: Respecting the client’s right to refuse to attend a group therapy session demonstrates the ethical principle of autonomy, not veracity.
This question is an excerpt from Nurse Dive's nursing test bank - ATI PN Mental health DEC 2023 Proctored Exam. Take the full exam now
Full Explanation
Choice A rationale:
Encouraging the client to attend a daily exercise program on the unit is beneficial for the client’s health, but it does not demonstrate the ethical principle of veracity, which involves truthfulness and honesty.
Choice B rationale:
Maintaining the client’s confidentiality about a substance use disorder is an important aspect of nursing care, but it demonstrates the ethical principle of confidentiality, not veracity.
Choice C rationale:
Reinforcing information on the potential adverse effects of a medication with the client is an example of veracity. The nurse is being truthful and transparent about the potential risks associated with the medication.
Choice D rationale:
Respecting the client’s right to refuse to attend a group therapy session demonstrates the ethical principle of autonomy, not veracity.
Similar Questions
A nurse is reinforcing teaching with a newly licensed nurse about client confidentiality.
Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?.
A. "I can discuss a client's information with staff who have provided care in the past.”.
A rationale: Discussing a client’s information with staff who have provided care in the past is not appropriate unless it is necessary for the client’s current care.
B. "The provider must give consent to discuss health information with the client's family.”.
B rationale: The provider does not need to give consent to discuss health information with the client’s family. The client is the one who must give consent.
C. "A client retains the legal right to privacy of health information even after they have died.”.
C rationale: This statement is correct. A client retains the legal right to privacy of health information even after they have died.
D. "A provider may speak to a client's employer regarding a substance use disorder.”.
D rationale: A provider may not speak to a client’s employer regarding a substance use disorder without the client’s consent.
Full Explanation
Choice A rationale:
Discussing a client’s information with staff who have provided care in the past is not appropriate unless it is necessary for the client’s current care.
Choice B rationale:
The provider does not need to give consent to discuss health information with the client’s family. The client is the one who must give consent.
Choice C rationale:
This statement is correct. A client retains the legal right to privacy of health information even after they have died.
Choice D rationale:
A provider may not speak to a client’s employer regarding a substance use disorder without the client’s consent.
A nurse is collecting data for a health history from a client who has antisocial personality disorder.
Which of the following clinical findings is associated with this disorder?.
A. Excessively anxious.
A rationale: Excessive anxiety is not typically associated with antisocial personality disorder. It is more commonly seen in anxiety disorders.
B. Withdrawn behaviors.
B rationale: Withdrawn behaviors are more commonly associated with disorders such as depression or social anxiety disorder, not antisocial personality disorder.
C. Exploitive of others.
C rationale: Exploiting others is a common characteristic of antisocial personality disorder. Individuals with this disorder often manipulate or deceive others for personal gain.
D. Blunted affect.
D rationale: Blunted affect, or reduced emotional expression, is not typically associated with antisocial personality disorder. It is more commonly seen in disorders such as schizophrenia.
Full Explanation
Choice A rationale:
Excessive anxiety is not typically associated with antisocial personality disorder. It is more commonly seen in anxiety disorders.
Choice B rationale:
Withdrawn behaviors are more commonly associated with disorders such as depression or social anxiety disorder, not antisocial personality disorder.
Choice C rationale:
Exploiting others is a common characteristic of antisocial personality disorder. Individuals with this disorder often manipulate or deceive others for personal gain.
Choice D rationale:
Blunted affect, or reduced emotional expression, is not typically associated with antisocial personality disorder. It is more commonly seen in disorders such as schizophrenia.
A nurse is caring for multiple clients on a mental health unit.
Which of the following clients should the nurse attend to first?.
A. A client who has bipolar disorder and is continuously pacing at the end of the hall.
A rationale: While pacing can indicate anxiety, this client is not currently a threat to themselves or others.
B. A client who is standing in her room, yelling obscenities and throwing her clothes.
B rationale: This client is exhibiting aggressive behavior and could potentially harm themselves or damage property.
C. A client in the dayroom who is screaming at other clients about what is on the television.
C rationale: Although this client’s behavior is disruptive, it is not immediately dangerous.
D. A client who is repeatedly approaching the nurses' station to request medication for his anxiety.
D rationale: This client’s repeated requests indicate anxiety, but they are not in immediate danger.
Full Explanation
Choice A rationale:
While pacing can indicate anxiety, this client is not currently a threat to themselves or others.
Choice B rationale:
This client is exhibiting aggressive behavior and could potentially harm themselves or damage property.
Choice C rationale:
Although this client’s behavior is disruptive, it is not immediately dangerous.
Choice D rationale:
This client’s repeated requests indicate anxiety, but they are not in immediate danger.