D
(Without understanding one's own beliefs and values, a bias or preconceived belief by the nurse could create an unexpected conflict or an area of
... [Show More] neglect in the plan of care for a client (who might be expecting something totally different from the care). During assessment values, beliefs, practices should be identified by the nurse and used as a guide to identify the choices by the nurse to meet specific needs/outcomes of that client. Therefore identification of values, beliefs, and practices allows for planning meaningful and beneficial care specific for this client.)
Which statement would best explain the role of the nurse when planning care for a culturally diverse population? The nurse will plan care to:
A Include care that is culturally congruent with the staff from predetermined criteria
B Focus only on the needs of the client, ignoring the nurse's beliefs and practices
C Blend the values of the nurse that are for the good of the client and minimize the client's individual values and beliefs during care
D Provide care while aware of one's own bias, focusing on the client's individual needs rather than the staff's practices
A
(This set of ethical principles provides the professional guidelines established by the ANA to maintain the highest standards for ideal conduct in practice. As a profession, the ANA wanted to establish rules and then incorporate guidelines for accountability and responsibility of each nurse within the practice setting.)
Ethical principles for professional nursing practice in a clinical setting are guided by the principles of conduct that are written as the:
A American Nurses Association's (ANA's) Code of Ethics
B Nurse Practice Act (NPA) written by state legislation
C Standards of care from experts in the practice field
D Good Samaritan laws for civil guidelines
B
(The ethical issue was the inequality of treatment based strictly upon racial differences. Secondly, the drug was deliberately withheld even after results showed that the drug was working to cure the disease process in the white men for many years. So after many years, the black men were still not treated despite the outcome of the research process that showed the drug to be effective in controlling the disease early in the beginning of the research project. Therefore harm was done. Nonmaleficence, veracity, and justice were not followed.)
A bioethical issue should be described as:
A The physician's making all decisions of client management without getting input from the client
B A research project that included treating all the white men and not treating all the black men to compare the outcomes of a specific drug therapy.
C The withholding of food and treatment at the request of the client in a written advance directive given before a client acquired permanent brain damage from an accident.
D After the client gives permission, the physician's disclosing all information to the family for their support in the management of the client.
C
(Justice is defined as the fairness of distribution of resources. However, guidelines for a hierarchy of needs have been established, such as with organ transplantation. Nurses are moved to areas of greatest need when shortages occur on the floors. No floor is left without staff, and another floor that had five staff will give up two to go help the floor that had no staff.)
The distribution of nurses to areas of "most need" in the time of a nursing shortage is an example of:
A Utilitarianism theory
B Deontological theory
C Justice
D Beneficence
A (Statutory law is created by legislature. It creates statues such as the NPA, which defines the role of the nurse and expectations of the performance of one's duties and explains what is contraindicated as guidelines for breech of those regulations.)
Nurses are bound by a variety of laws. Which description of a type of law is correct?
A Statutory law is created by elected legislature, such as the state legislature that defines the Nurse Practice Act (NPA).
B Regulatory law includes prevention of harm for the public and punishment for those laws that are broken.
C Common law protects the rights of the individual within society for fair and equal treatment.
D Criminal law creates boards that pass rules and regulations to control society.
D
(Your signature as a witness only states that the person signing the form was the person who was listed in the procedure.)
When signing a form as a witness, your signature shows that the client:
A Is fully informed and is aware of all consequences.
B Was awake and fully alert and not medicated with narcotics.
C Was free to sign without pressure
D Has signed that form and the witness saw it being done
A
(A guardian has been appointed by a court and has full legal rights to choose management of care.)
Which criterion is needed for someone to give consent to a procedure?
A An appointed guardianship
B Unemancipated minor
C Minimum of 21 years or older
D An advocate for a child
A
(Anyone, at any age, can be treated without parental permission for an STD infection. The client is "advised" to contact sexual partners but is not "required" to give names. Permission from parents is not needed, based upon current privacy laws.)
Which statement is correct?
A Consent for medical treatment can be given by a minor with a sexually transmitted disease (STD).
B A second trimester abortion can be given without state involvement.
C Student nurses cannot be sued for malpractice while in a nursing clinical class.
D Nurses who get sick and leave during a shift are not abandoning clients if they call their supervisor and leave a message about their emergency illness.
D
(It is helpful for the nurse to find simple care activities for the family to perform, such as feeding the client, washing the client's face, combing hair, and filling out the client's menu. This helps the family demonstrate their caring for the client and enables the client to feel their closeness and concern. a. Older adults often become particularly lonely at night and may feel more secure if a family member stays at the bedside during the night. The nurse should allow visitors to remain with dying clients at any time if the client wants them. It is up to the family to determine if they are feeling overwhelmed, not the nurse.)
A client is hospitalized in the end stage of terminal cancer. His family members are sitting at his bedside. What can the nurse do to best aid the family at this time?
A Limit the time visitors may stay so they do not become overwhelmed by the situation
B Avoid telling family members about the client's actual condition so they will not lose hope
C Discourage spiritual practices because this will have little connection to the client at this time
D Find simple and appropriate care activities for the family to perform
A
(Spending time to let clients share their life experiences enables the nurse to know clients better. Knowing clients then facilitates choice of therapies that promote client decision making and autonomy, thus promoting a client's self-esteem and dignity.)
When caring for a terminally ill client, it is important for the nurse maintain the client's dignity. This can be facilitated by:
A Spending time to let clients share their life experiences
B Decreasing emphasis on attending to the clients' appearance because it only increases their fatigue
C Making decisions for clients so they do not have to make them
D Placing the client in a private room to provide privacy at all times
C
(The body of the deceased should be prepared before the family comes in to view and say their goodbyes. This includes removing all equipment, tubes, supplies, and dirty linens according to protocol, bathing the client, applying clean sheets, and removing trash from the room.)
A client who had a "Do Not Resuscitate" order passed away. After verifying there is no pulse or respirations, the nurse should next:
A Have family members say goodbye to the deceased
B Call the transplant team to retrieve vital organs
C Remove all tubes and equipment (unless organ donation is to take place), clean the body, and position appropriately.
D Call the funeral director to come and get the body
B
(The goal of palliative care is the prevention, relief, reduction, or soothing of symptoms of disease or disorders without effecting a cure.)
A client's family member says to the nurse, "The doctor said he will provide palliative care. What does that mean?" The nurse's best response is:
A "Palliative care is given to those who have less than 6 months to live."
B "Palliative care aims to relieve or reduce the symptoms of a disease."
C "The goal of palliative care is to affect a cure of a serious illness or disease."
D "Palliative care means the client and family take a more passive role and the doctor focuses on the physiological needs of the client. The location of death will most likely occur in the hospital setting."
D
A health care issue often becomes an ethical dilemma because:
A A clients legal rights coexist with a health professionals obligation
B Decisions must be made quickly, often under stressful conditions
C Decisions must be made based on value systems
D The choices involved do not appear to be clearly right or wrong
D
A document that lists the medical treatment a person chooses to refuse if unable to make decisions is the:
A Durable power of attorney
B Informed consent
C Living will
D Advance directives
A
Which statement about an institutional ethics committee is correct?
A The ethics committee is an additional resource for clients and healthcare professionals
B The ethics committee relieves health care professionals from dealing with ethical issues
C The ethics committee would be the first option in addressing an ethical dilemma
D The ethics committee replaces decision making by the client and health care providers
B
The nurse is working with parents of a seriousl [Show Less]