Author Question: A nurse maintains a client's confidentiality, addresses the client appropriately, and does not ... (Read 93 times)

Kthamas · **on:** Jul 19, 2018

A nurse maintains a client's confidentiality, addresses the client appropriately, and does not discriminate on the basis of gender, age, race, or religion. Which guiding principle of recovery has this nurse employed?

A. Recovery is culturally based and influenced.
B. Recovery is based on respect.
C. Recovery involves individual, family, and community strengths and responsibility.
D. Recovery is person-driven.

Question 2

A client with cognitive deficits is extremely suicidal. The client has not responded to antidepressants and the treatment team is considering electroconvulsive therapy (ECT). What client information would impact the feasibility of this treatment option?

A. Because the client is extremely suicidal, ECT is an appropriate option.
B. Because antidepressant medications have been ineffective, ECT is a good alternative.
C. Because informed consent is required for ECT, cognitive deficits could preclude this option.
D. Because of the client's cognitive deficits, a signed consent is waived.

ecabral0 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: B
The SAMHSA lists the following as guiding principles for the recovery model: recovery emerges from hope; recovery is person-driven; recovery occurs via many pathways; recovery is holistic; recovery is supported by peers and allies; recovery is supported through relationship and social networks; recovery is culturally based and influenced; recovery is supported by addressing trauma; recovery involves individual, family, and community strengths and responsibility; and recovery is based on respect. This nurse accepts and appreciates clients who are affected by mental health and substance use problems. This nurse protects the rights of clients and does not discriminate against them.

Answer to Question 2

ANS: C
A client who is experiencing cognitive deficits cannot give informed consent, which is required prior to ECT. A court proceeding could determine the client's level of competency and, if necessary, the judge would appoint a guardian.