Ethical situations remain similar to what they have always been in health care. This is sample only, Download all chapters at: testbankreal. Nurses have fewer ethical decisions, because computers now make many decisions. Ethical dilemmas have become more complex owing to technologies that prolong life. Nurses can postpone ethical decisions, because technology allows patients to live longer. Which patient characteristic is causing the nurse to have this concern?
Lower socioeconomic status b. Authoritarian family relationship c. Past experience with hospitalization d. A patient has a living will and gives it to the nurse to follow. Send a copy of the living will to medical records. Assure the patient that the nurse will not tell anyone. Encourage the patient to discuss the living will with the family. Return the living will to the patient until the family is informed. The nurse is caring for an year-old patient.
Which statement made by the nurse conveys dignity and respect to the patient? What did the charge nurse observe to come to this conclusion? A physician asking a nurse if a friend has cancer b.
A nurse asking an unknown physician for identification d. The nurse is reviewing information on the state board of nursing website prior to renewing a state license. Tort b. Civil c. While providing wound care, the nurse skips a step and does not cleanse the wound before applying a new sterile dressing. What action did this nurse make? Crime b. Summons c. Malpractice d.
The nurse is served with a summons relating to the care of a patient. Which action should the nurse take first? Notify employer immediately. Answer summons after 30 days. Acknowledge liability promptly. Seek legal counsel after 30 days. What action did the nursing assistant make to cause the nurse to come to this conclusion? Telling the patient to bathe right now b. Identifying name and title to the patient c. The nurse is deciding whether or not to obtain personal liability insurance, even though the organization has insurance for each employee.
Follow institutional policies. Have premiums payroll-deducted. Provide professional nursing care. The nurse is concerned about a patient filing a civil liability suit. What should the nurse expect to occur if a civil liability suit is planned? Receive a summons b. Receive a copy of the complaint c.
Respondeat superior determination d. A patient decides to not to have a hysterectomy, even though it is recommended by the physician. The nurse disagrees and says that it should be done, because the patient has already had children; the nurse leaves to get the consent form for the surgery. Which ethical principle is the nurse demonstrating with this patient? Autonomy b. Paternalism c. During a patient care conference, the HCPs are reviewing potential outcomes based on individual interventions.
Which bioethical theory is being demonstrated during this care conference? Religion b. Deontology c. Theological d. The ethical decision-making process is being used for a patient regarding the use of life support measures. What action should the nurse take as the final step in this decision-making process? Evaluate the outcomes. Implement the decision. Clarify the values of all the participants. Determine which action has the strongest ethical support.
The nurse educator is preparing an in-service program to review laws applicable for patient care. Medicare b. Department of Health and Human Services regulations d. While standing in the lunchroom, the nurse recognizes friends of a patient who was recently transferred to critical care. What action is this nurse demonstrating? Defamation b.
Compassion c. False Imprisonment d. The nurse returns in 10 minutes with the pain medication. Which ethical principle did the nurse demonstrate? Fidelity c. Veracity d. The nurse manager actively listens to the nursing staff and encourages the staff to be accountable for all patient care.
Which leadership style is this manager demonstrating? Coaching b. Utilitarian c. Autonomy d. Once a list of all possible actions is generated, what should the staff do next?
List the stakeholders. Determine the best action. Gather important information. Identify positive and negative consequences. A patient with malnutrition refuses to ingest animal protein products, because it is against religious teachings. Suggest to the physician that the patient is going against medical advice and should be discharged.
The nurse is informed of several victims of gang violence being brought by ambulance to the emergency department. Which injury should the nurse prepare to report to the authorities? Fractures b. Abrasions c. Lacerations d. A health care administrator is reviewing material submitted to the legislature on tort reform.
What should the administrator explain to nurse leaders about this legislation? Limits organizational liability for damages b. Requires continuing education for all caregivers c. Expects all staff to have malpractice or liability insurance. Multiple Response Identify one or more choices that best complete the statement or answer the question.
The nurse is performing a procedure while caring for a patient and unintentionally eliminates a step in the procedure. Select all that apply. Negligence b. Breach of duty c. Unintentional tort d. Assault and battery e. The nurse is preparing to delegate a task to unlicensed assistive personnel UAP. Right day b. Right place c. Right person d.
Right supervision e. Right circumstances f. A nurse is working on a medical unit in a hospital undergoing a Joint Commission review. Surgery on the wrong body part b. Paralyzed leg after falling from a bed c. Death from falling out of bed d. Having to restart an intravenous IV infusion e. Medicare is a payment system for the working poor.
Medicare Part B covers outpatient services and has a monthly cost. Medicare is a federally funded program for individuals 65 and over. Prescription drug coverage for those with Medicare is available. Medicare Part A covers inpatient hospital care and is free to those who qualify for Social Security. The nurse is planning to prepare medications for assigned patients. Which actions should the nurse take to ensure a safe environment while preparing the medications?
Find a laboratory value for a physician as requested. Listen to information provided by the charge nurse about a newly admitted patient. Ask coworkers to provide you with time to concentrate while preparing medication. Chapter 3. Issues in Nursing Practice Answer Section.
Justice is the ethical principle of fairness and equality. Welfare and legal rights are guaranteed by laws. ANS: A A. In health care, autonomy refers to individuals who are considered capable and competent making health care decisions for themselves. Veracity is the virtue of truthfulness that requires health care providers HCPs whenever possible to tell the truth and not intentionally deceive or mislead patients.
Beneficence is considering and offering treatments that are likely to provide relief. Welfare rights are guaranteed by laws. Morals are standards set by our own conscience. Nonmaleficence is doing no harm. Legal rights are guaranteed by laws. ANS: C The content of the medical record is considered the property of the patient.
The patient, however, might not understand everything that is written in the record. The best response would be for the nurse to stay with the patient while the record is being read in the event the patient does not understand the information in the record. The nurse does not need to ask the physician if the record can be read by the patient.
The nurse does not need to ask the charge nurse if the patient can read the medical record. ANS: A Justice is the ethical principle of fairness and equality. Veracity is the virtue of truthfulness. These exercises help students practice and think about what they are learning.
Research supports the importance of immediate feedback to reinforce learning, so we feel strongly that students should have access to correct answers while they are studying, without having to wait for their next instructor contact. These have been updated to reflect current practice.
Additional boxes have been added where needed. Review them before reading and then go back and check to be sure you understand them. You will find a list of new words and their pronunciations at the beginning of each chapter. These words appear in bold at either their first use or most relevant use in a chapter, and they also appear in the glossary at the end of the book. By learning the meanings of these words as you encounter them, you will increase your understanding of the material.
Man y of these words are also broken down where they are used, so you can see how the parts of each word make up the whole. You also will find learning tips to increase your understanding and retention of the material. You may want to develop your own memory techniques in addition to those pro vided. If you think of a good one, send it to us and you may f ind it in the next edition!
Many of the learning tips have been developed and used in our own classrooms. We find them helpful in fostering understanding of complex concepts or as memory aids. However, we want to stress that memorization is not the primary focus of the te xt but rather a foundation for under — standing and thinking about more comple x information.
Understanding medical surgical nursing Linda Sue Williams. Want to Read. Written in English Edition Notes Includes bibliographical references and index. Statement [edited by] Linda S. Williams, Paula D. W The Physical Object Pagination p. Share this book. Orthopaedic case studies. Amazing Sharks! I Can Read Book 2. Baking with Julia. Introduction to fluorescence microscopy. Quantile regression with censoring and endogeneity. Below the Line. Improvements in the financial structure of horseracing.
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