Author Question: A male client age 56 years is experiencing withdrawal from alcohol and is placing himself at risk ... (Read 29 times)

madam-professor · **on:** Jul 23, 2018

A male client age 56 years is experiencing withdrawal from alcohol and is placing himself at risk for falls by repeatedly attempting to scale his bedrails.

Benzodiazepines have failed to alleviate his agitation and the nurse is considering obtaining an order for physical restraints to ensure his safety. The nurse should recognize that this measure may constitute what?

A) Paternalism
B) Deception
C) Harm
D) Advocacy

Question 2

A client with a diagnosis of colorectal cancer has been presented with her treatment options, but wishes to defer any decisions to her uncle, who acts in the role of a family patriarch within the client's culture.

By which of the following is the client's right to self-determination best protected?

A) Respecting the client's desire to have the uncle make choices on her behalf
B) Revisiting the decision when the uncle is not present at the bedside
C) Teaching the client about her right to autonomy
D) Holding a family meeting and encouraging the client to speak on her own behalf

cegalasso · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Ans: A
Paternalism involves the violation of a client's autonomy in order to maximize good or minimize harm, a situation that requires careful consideration in light of ethical principles. Deception is unlikely to occur and the risk for harm is likely decreased by the use of restraints. Advocacy is the protection and support of another's rights.

Answer to Question 2

Ans: A
The right to self-determination (autonomy) means that it should never be forced on anyone. The client has the autonomous right to defer her decision-making to another individual if she freely chooses to do so.