A client diagnosed with schizophrenia receives fluphenazine decanoate (Prolixin Decanoate) from a home health nurse. The client refuses medication at one regularly scheduled home visit. Which nursing intervention is ethically appropriate?

Correct Answer: A

Rationale: A client has the right to refuse medication, and it is essential to respect their autonomy and decision-making capacity. Allowing the client to decline the medication and documenting the refusal is an ethically appropriate nursing intervention in this situation. Coercion, such as threatening hospitalization (Option B) or administering medication without consent (Option D), is not in line with ethical principles and can violate the client's rights. Similarly, adding medication to the client's orange juice without their knowledge or consent (Option C) is deceptive and unethical. Respecting the client's autonomy and documenting their refusal allows for open communication and partnership in addressing their healthcare needs.

Correct Answer: C

Rationale: In this scenario, the client who requires emergency commitment is the individual who is delusional and has a plan to kill his wife (Choice C). This client poses an immediate threat to themselves or others due to the specific plan of harm they have. The presence of a specific plan for harm, in this case, killing his wife, is a red flag that necessitates immediate intervention to ensure safety.

Correct Answer: C

Rationale: Stress-related disorders may be influenced by various factors, including values that are prominent in a person's life. Values that contribute to high levels of stress, such as perfectionism, workaholism, or chronic self-doubt, can increase the risk of developing stress-related disorders. These disorders, such as post-traumatic stress disorder (PTSD), acute stress disorder, and adjustment disorders, are characterized by psychological distress that exceeds typical stress responses and can significantly impact a person's mental well-being. Therefore, a nurse should recognize that certain values and beliefs held by individuals may play a role in the development or exacerbation of stress-related disorders.

Correct Answer: A

Rationale: Maintaining eye contact can be seen as disrespectful or confrontational in some cultures. It is important for a nurse to be aware of cultural differences and norms when working with clients from diverse backgrounds. While eye contact may be encouraged in some cultures as a sign of active listening and engagement, it may be perceived differently in others. It is essential for nurses to adapt their communication styles and practices to best accommodate the needs and preferences of the individual client, respecting their cultural beliefs and norms. Thus, avoiding assumptions and being culturally sensitive are crucial in providing holistic and patient-centered care.

Correct Answer: D

Rationale: Western European Americans are typically future-oriented and place a significant emphasis on preventive health care practices. They strive to maintain good health through regular check-ups, screenings, and healthy lifestyle choices. Additionally, they often prioritize planning ahead for future health concerns and may engage in behaviors that promote long-term health and wellness. This cultural consideration is important for nurses to recognize in order to provide appropriate care and support tailored to the values and beliefs of Western European American individuals.