Question

Question 19 overhears a client who was in a "gang ight" speaks to his peers about a threat of violence against the opposing gang membe al dilemma about maintaining confidentiality versus a duty to reporting this to authorities. Which advise should the supervisor give this nurse? Select one: a. "Many vulnerable populations deal with violence in their society, so we should just let it go. O b. "Consider all alternatives and consequences and choose that which will minimize potential harms and maximize benefits to all parties. c. "The nurse should consider nonmaleficence, the principle of 'first, do no harm before reporting this incident. O d. The principle of autonomy, or respect for persons, focuses on the rights of individuals so nurses should not be involved in the client's choices. Question 20 A client is brought to the emergency department (ED) hallucinating and expenencing complications related to illicit n drug usage. The client a climbing out of bed and trying to leave the ED against medicaladvice" (AMA). The nursing perionnel should consider which factor when making the decision as to whether to have security preveat this client from leaving the facility? Fa Select one: O a. The client's situation does not meet the conditions that justify paternalism in health decision making O b. Acknowledge that it is the clients right to leave the faoility and there is no legal obligation to stop the client O Assess whether the client has the capacity to make the decision to leave AMA and is fully appraised to possible risks O d. Clients have the right to refuse to make lifestyle changes (i e stop shooting up with iticit rvdrugs) so allowing them to leave is an appropriate action

Answer 1

19. Answer is b. When choosing an intervention, consider the risk benefit ratio. The risks should be minimal and the benefits should be more.

The option a shows the negligence of the authority, as the scenario is happening in the hospital, the nurse should not have the approach of letting it go.

The option c is not applicable for the situation.

The option d is not applicable. In the scenario, nurse has the advocacy role in involving the clients choices. The nurse can help him to take a correct decision.

20. Answer is c. The nurse has to assess the decision making capacity of client and assess the risk associated with it.

The option a is not applicable. The client condition meets to justify paternalism in decision making. As the client is hallucinating and with complications, the client is not in a position to make decision.

Option b is wrong. There is legal obligation for leaving against medical advice. As the client have problems related to mental health, client cannot take an independent decision.

Option d is not applicable. Using illicit IV drug is a treatable condition and client does not have the right to refuse treatment.