Correct Answer: C

Rationale: The correct answer is C: Autonomy. Autonomy is the ethical principle that respects a person's right to make their own decisions about their healthcare, even if those decisions are not in their best interest. By supporting the client's refusal of medications, the nurse is upholding the client's autonomy and right to self-determination.

Rationale for incorrect choices:
A: Justice - Justice refers to fairness and equality in healthcare. This choice does not apply as the issue at hand is about the client's autonomy, not fairness.
B: Beneficence - Beneficence is the ethical principle of doing good and acting in the best interest of the client. This choice is incorrect as the nurse is respecting the client's autonomy over beneficence.
D: Veracity - Veracity relates to truthfulness and honesty. This choice is incorrect as it does not apply to the situation where the client is refusing medications based on their own autonomy.

Correct Answer: A

Rationale: The correct answer is A: Provide consistent boundaries for the client. For individuals with borderline personality disorder, consistent boundaries are crucial in establishing a sense of security and predictability. By providing clear and consistent limits, the nurse can help the client feel safe and supported. This approach also helps in managing the client's emotions and behaviors. Encouraging the use of countertransference (
B) is inappropriate, as it involves projecting the nurse's emotions onto the client. Maintaining consistency in assigning healthcare staff (
C) is important, but it is not as directly beneficial as setting boundaries. Demonstrating a sympathetic attitude (
D) is valuable, but without consistent boundaries, it may enable manipulative behaviors. Other options are not provided.

Correct Answer: A

Rationale: The correct answer is A because assisting the client to ambulate after electroconvulsive therapy is within the scope of practice for an assistive personnel. Ambulation does not require specialized knowledge or skills, making it safe to delegate.

Choices B and C involve administering medications and obtaining informed consent, which should be done by a licensed nurse.
Choice D requires assessing the client's condition, which also falls under the nurse's responsibility.

Correct Answer: C

Rationale: The correct answer is C: The adolescent daughter who attempts to dominate the discussion. This behavior is indicative of monopolizing, where one family member dominates conversation or decision-making, limiting the participation of others. This can hinder effective communication and lead to imbalance in the family dynamic. In this scenario, the nurse should address the daughter's behavior to promote healthy dialogue and involvement of all family members.

A: The father intervening in arguments can be seen as mediation rather than monopolizing.
B: The mother expressing hostility is unrelated to monopolizing behavior.
D: The son's refusal to share personal feelings does not necessarily indicate monopolizing behavior.

Correct Answer: B

Rationale: The correct answer is B: Notify the client about designated times for meals. This intervention is important for clients with anorexia nervosa to establish a structured eating routine, prevent skipping meals, and promote regular eating habits. By notifying the client about designated times for meals, the nurse helps the client maintain a consistent and balanced diet, which is crucial for the treatment of anorexia nervosa. Weighing the client weekly (
A) may lead to increased anxiety and obsession with weight. Negotiating weight gain (
C) could reinforce unhealthy behaviors. Decreasing fiber intake (
D) is not a recommended intervention as it may compromise the client's nutritional intake.