Author Question: A client with persistent depression is considering electroconvulsive therapy (ECT). The nurse has ... (Read 51 times)

lb_gilbert · **on:** Jul 19, 2018

A client with persistent depression is considering electroconvulsive therapy (ECT). The nurse has seen ECT be effective in other cases.

When the client expresses fear and doubt about undergoing ECT, the nurse tries to talk him into taking it, truly believing it will help him. Which two ethical concepts are in conflict?
A) Beneficence and fidelity
B) Fidelity and paternalism
C) Paternalism and autonomy
D) Beneficence and autonomy

Question 2

A 25-year-old man is seen standing on a rooftop. His employer calls the police and tells them the man had been behaving strangely.

When the police arrive, the man states that he has special healing powers and no harm will come to him. The man believes the police have been provided to him as a courtesy, and he willingly accompanies them to a psychiatric facility. His admission is considered what?
A) Involuntary admission
B) Legal admission
C) Coerced admission
D) Emergency admission

Cnarkel · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

Ans: C
Feedback:
Paternalism and autonomy are in conflict. Paternalism is practicing with the intent to do good; however, professionals define how to do good, which may override the wishes and self-determination of the client. Autonomy is the patient's right to make decisions for himself or herself. Beneficence is the principle of the nurse doing good, not harm. Fidelity is the nurse's faithfulness to duties, obligations, and promises.

Answer to Question 2

Ans: D
Feedback:
Clients are considered to have emergency admission status when they act in a way that indicates that they are mentally ill and, due to the illness, likely to harm themselves or others.