Author Question: A client 22 years old with schizophrenia is refusing his antipsychotic medication. He states, I ... (Read 59 times)

armygirl · **on:** Jul 19, 2018

A client 22 years old with schizophrenia is refusing his antipsychotic medication. He states, I don't like the dopey way it makes me feel. I feel like I'm walking underwater when I take it. The nurse explains to him,

Your schizophrenia is caused by a chemical imbalance in your brain, and this medication helps fix that chemical imbalance. You need to take it so your symptoms will get better. This conversation reflects a conflict between which two types of ethical principles?

A) Autonomy and justice
B) Paternalism and veracity
C) Justice and nonmaleficence
D) Autonomy and beneficence

Question 2

A nurse is working on developing ways to meet the challenge of knowledge development. Which of the following would be most appropriate?

A) Access new information through continuing education programs.
B) Improve access to community psychiatric care for all populations.
C) Reduce the burden of mental illness by fighting stigma.
D) Provide culturally competent, high-quality nursing care.

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

Answer to Question 1

Ans: D
Ethical conflicts can occur when the client is being guided by the principle of autonomy and the nurse by the principle of beneficence. According to the principle of autonomy, each person has the fundamental right of self-determination. According to the principle of beneficence, the health care provider uses knowledge of science, and incorporates the art of caring, to develop an environment in which individuals achieve their maximal health care potential. Justice involves a duty to treat all fairly. Paternalism is the belief that knowledge and education authorize professionals to make decisions for the good of the client. Veracity is the duty to tell the truth. Nonmaleficence is the duty to cause no harm.

Answer to Question 2

Ans: A
Accessing new information through journals, electronic databases, and continuing education programs takes time and vigilance, but provides a sound basis for application of new knowledge. Improving access to community psychiatric care and reducing the burden of mental illness are ways to overcome stigma. Providing culturally competent, high-quality care is a means to address the challenges of the health care delivery system.