Question 1

A prenatal client,Ms.Kempter,32,admits to regularly drinking alcohol but states that she wants to have a healthy baby.In addressing this risk factor,the nurse needs to recognize that Ms.Kempter is struggling with which of the following?

Accepted Answer

Values clarification refers to the process of exploring and understanding one's own values and beliefs. Ms. Kempter's admission of regularly drinking alcohol but still wanting a healthy baby indicates that she may be struggling with conflicting values. By helping Ms. Kempter clarify her values and providing education on the risks of alcohol consumption during pregnancy, the nurse can help her make an informed decision about her behavior. Ethics refers to a set of moral principles that govern a person's behavior or actions, while morals refer to a person's individual beliefs and values about what is right and wrong. Values transmission refers to the process of passing on one's values and beliefs to others.

Question 2

Tyler,4,has just been admitted to the pediatric unit and is crying and scared.The nurse needs to initiate an IV and Tyler's mother asks if the procedure will be painful for him.How can the nurse practice veracity with her response?

Accepted Answer

The nurse should practice veracity by admitting that many children find it painful to have an IV initiated. Being honest with the parent about the potential for pain shows respect for the parent's concerns and helps to build trust between the nurse and parent.

Question 3

A nurse mistakenly gave a morning breakfast tray to a client who was NPO.Realizing his mistake,the nurse reported the error to the physician and client and documented the situation according to policy.This nurse demonstrated which of the following?

Accepted Answer

The nurse demonstrated integrity by reporting the mistake and documenting the situation according to policy. Integrity involves being honest and accountable for one's actions.

Question 4

Mrs.Morgan,29,is demanding more pain medication,even though the maximum amount ordered by the physician has been administrated to her.Which of the following actions by the nurse demonstrates respect for Mrs.Morgan's autonomy?

Accepted Answer

By calling the physician to request further orders for pain management, the nurse is demonstrating respect for Mrs.Morgan's autonomy by advocating for her right to make decisions about her own pain management. The other options do not demonstrate respect for her autonomy. Reassuring her or documenting her pain tolerance may be helpful in addressing her concerns, but it does not address her request for more pain medication. Suspecting her of drug seeking behavior is assuming ulterior motives and is not respectful of her autonomy.

Question 5

Mrs.Lingar,81,has chosen to discontinue hemodialysis but her family is not supportive of her decision.Which of the following rationales supported by the nurse demonstrates an understanding of the theory of principles-based reasoning?

Accepted Answer

This rationale supports the principle of autonomy, which holds that individuals have the right to make decisions about their own health care. Mrs. Lingar is capable of making her own decisions, and the nurse recognizes and supports her right to do so.

Question 6

Chimiko,19,a home health care client receiving social assistance,tells the visiting nurse that she is taking nutritional supplements but,because of their cost,is diluting them so that she uses only one can,not the prescribed three cans,per day.How can the nurse advocate for this client?

Accepted Answer

The nurse should help the client look for available community resources such as food banks, subsidized meal programs, or low-cost nutritional supplement programs. This may alleviate the client's financial burden and allow her to afford the prescribed amount of nutritional supplements without diluting them. Simply telling the client to take the prescribed amount or reporting the situation to the physician without offering assistance could further increase the client's financial strain and reduce compliance with the prescribed regimen. Weighing the client weekly may provide information on weight gain or loss but does not address the underlying issue of affordability.

Question 7

A local hospital's administration plans to incorporate a struggling private clinic into its existing infrastructure,although relocating the clinic may cause transportation difficulties for some clients.The nurse should recognize that which of the following is useful in guiding such a decision?

Accepted Answer

Utilitarianism weighs the potential benefits of an action against its potential harm or negative consequences. In this scenario, the hospital administration must consider the benefits of bringing the struggling private clinic under their umbrella (such as increased efficiency, shared resources and expertise, etc.) against the harm caused by potential transportation difficulties for some clients. Utilitarianism can help guide the decision-making process by considering the greatest good for the greatest number of people, which may lead to the decision to relocate the clinic despite the transportation difficulties for some clients.

Question 8

Which process implemented for continuing competence includes the stages of awareness,analysis,and new perspective?

Accepted Answer

Reflective practice is the process of reviewing and analyzing one's own experiences to gain new insights and perspectives, leading to continued learning and development. The stages of awareness, analysis, and new perspective are often cited as key components of reflective practice. Conflict resolution, scope of practice, and communication techniques may also involve some level of reflection, but do not necessarily include these specific stages.

Quiz 5: Values, ethics, and Advocacy