Correct Answer: A

Rationale: The correct answer is A: Beneficence. Beneficence is the ethical principle of doing good and acting in the best interest of the client. In this scenario, arranging for an aid to sit with the client overnight demonstrates the nurse's commitment to promoting the client's well-being by ensuring safety without resorting to restrictive measures. This action aligns with the principle of beneficence as it focuses on providing a caring and compassionate approach to care.


Choice B: Justice pertains to fairness and equal treatment, which is not directly applicable in this situation.
Choice C: Autonomy refers to respecting the client's right to make their own decisions, which is not the primary focus here.
Choice D: Nonmaleficence is the principle of avoiding harm, but in this case, the emphasis is on providing positive support rather than avoiding harm.

Correct Answer: B

Rationale: Patient autonomy refers to the right of individuals to make decisions about their own healthcare.
Choice B is correct as it accurately captures this concept. Patients have the right to self-determination, meaning they can decide on treatments, procedures, and other aspects of their care. This empowers patients to have control over their health and well-being.

Choices A, C, and D are incorrect.
Choice A only focuses on the right to refuse care, which is a part of patient autonomy but not the complete definition.
Choice C is incorrect as it negates the need for patient involvement in decision-making.
Choice D is incorrect as patients do not make decisions on behalf of healthcare providers but rather for themselves.

Correct Answer: C

Rationale: The correct answer is C: Occupational therapist. Occupational therapists specialize in helping clients develop work-related skills, such as improving fine motor skills, cognitive abilities, and adapting work environments. They focus on promoting independence in activities of daily living, including work tasks. A social worker (choice
A) typically focuses on providing emotional support and connecting clients with community resources. A psychiatrist (choice
B) primarily diagnoses and treats mental health conditions with medication. A psychologist (choice
D) offers therapy and counseling services but may not have the specific expertise in vocational rehabilitation like an occupational therapist.

Correct Answer: D

Rationale: The correct answer is D: Working phase. This phase is characterized by the active involvement of both the nurse and client in achieving the established goals. It follows the orientation phase where goals are set. The working phase involves implementing interventions, evaluating progress, and adjusting goals as needed. The exploitation phase involves using the nurse-client relationship for the client's benefit, not establishing new goals. The termination phase marks the end of the relationship, not the establishment of new goals.
Therefore, the working phase is the correct choice as it aligns with the process of goal achievement and adjustment in the nurse-client relationship.

Correct Answer: B

Rationale: The correct answer is B: Providing case management. Mental health nurses who are not advanced practice registered nurses can provide case management services within their scope of practice. Case management involves coordinating services for clients, advocating for their needs, and ensuring they receive appropriate care. This responsibility aligns with the role of a mental health nurse in promoting holistic care for clients.


Choice A: Resolving insurance issues is typically handled by administrative staff or social workers, not within the direct scope of practice of a mental health nurse.


Choice C: Determining a mental health diagnosis should be done by a qualified mental health professional, such as a psychiatrist or psychologist.


Choice D: Securing affordable housing for clients is more aligned with the role of a social worker or community outreach worker, rather than a mental health nurse.