Topic: Nursing Ethics The nurse is caring for a client who is involved in a clinical research study. The client says to the nurse, "I don't want to be a part of this study any longer. How do I get out of it?" What would the nurse's
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- Topic: Nursing Ethics The nurse is caring for a client who is involved in a clinical research study. The client says to the nurse, "I don't want to be a part of this study any longer. How do I get out of it?" What would the nurse's therapeutic response be to this client?A nurse is performing patient care for a severely ill patientwho has cancer. Which nursing interventions are likely toassist a severely ill patient with cancer to maintain a positivesense of self? Select all that apply.a. The nurse makes a point to address the patient by nameupon entering the room.b. The nurse avoids fatiguing the patient by performing allprocedures in silence.c. The nurse performs care in a manner that respects thepatient’s privacy and sensibilities.d. The nurse offers the patient a simple explanation beforemoving her in any way.e. The nurse ignores negative feelings from the patient sincethey are part of the grieving process.f. The nurse avoids conversing with the patient about her life,family, and occupation.Janie wants to call an ethics consult to clarify treatment goalsfor a patient no longer able to speak for himself. She believeshis dying is being prolonged painfully. She is troubled whenthe patient’s doctor tells her that she’ll be fired if she raisesquestions about his care or calls the consult. This is a goodexample of:a. Ethical uncertaintyb. Ethical distressc. Ethical dilemmad. Ethical residue
- A nurse is using time management techniques when planningactivities for patients. Which nursing action reflects effectivetime management?a. The nurse asks patients what is their priority to accomplisheach day.b. The nurse includes a “nice to do” for every “need to do”task on the list.c. The nurse “front loads” the schedule with “must do”priorities.d. The nurse avoids helping other nurses if scheduling doesnot permit it.A registered nurse assumes the role of nurse coach to provideteaching to patients who are recovering from strokes. Oneexample of an intervention the nurse may provide related tothis role is:a. The nurse uses discovery to identify the patients’ personalgoals and create an agenda that will result in change.b. The nurse is the expert in providing teaching and educationstrategies to provide dietary and activity modifications. c. The nurse becomes a mentor to the patients and encour-ages them to create their own fitness programs. d. The nurse assumes an authoritative role to design the structure of the coaching session and support the achieve-ment of patient goals.A nursing student asks the charge nurse about legal liabilitywhen performing clinical practice. Which statement regardingliability is true?a. Students are not responsible for their acts of negligenceresulting in patient injury.b. Student nurses are held to the same standard of carethat would be used to evaluate the actions of a registerednurse. c. Hospitals are exempt from liability for student negli-gence if the student nurse is properly supervised by an instructor.d. Most nursing programs carry group professional liabilitymaking student personal professional liability insuranceunnecessary.
- A nurse manager is attempting to update a physician’s officefrom paper to electronic health records (EHR) by using theeight-step process for planned change. Place the followingactions in the order in which they should be initiated:a. The nurse devises a plan to switch to electronic healthrecords.b. The nurse records the time spent on written records vs.electronic health records.c. The nurse seeks approval from management for newcomputersd. The nurse analyzes all options for converting to electronichealth records. e. The nurse installs new computers and provides an in-service for the staff. f. The nurse explores possible barriers to changing to elec-tronic health records. g. The nurse follows up with the staff to check compliancewith the new system.h. The nurse evaluates the effects of changing to electronichealth records.A group of family practice physicians within an Accountable Care Organization are questioning the need to have eMeasures and an eCQM program implemented. What information should the informatics nurse use to persuade these providers to participate willingly?How can nurses prevent medication errors? Discuss it
- The nurse uses blended competencies when caring for patientsin a rehabilitation facility. Which examples of interventionsinvolve cognitive skills? Select all that apply.a. The nurse uses critical thinking skills to plan care for apatient.b. The nurse correctly administers IV saline to a patient whois dehydrated.c. The nurse assists a patient to fill out an informed consentform.d. The nurse learns the correct dosages for patient painmedications.e. The nurse comforts a mother whose baby was born withDown syndrome.f. The nurse uses the proper procedure to catheterize afemale patient.The nurse is providing a group therapy session for mental health clients. The nurse notes one of theclients has remained silent for all the therapy sessions. Which of the following actions should thenurse take?a. Make an assignment for all the group members to complete and share their responses.b. Ask the client direct questions and remain silent until they respond.c. Have the client bring a friend that they are comfortable around to the sessions.d. Recommend the client would benefit better from personal therapy sessionsA nurse is using general systems theory to describe the roleof nursing to provide health promotion and patient teaching.Which statements reflect key points of this theory? Select allthat apply. (don't copy)a. A system is a set of individual elements that rarely interactwith each other.b. The whole system is always greater than its parts.c. Boundaries separate systems from each other and theirenvironments.d. A change in one subsystem will not affect othersubsystems.e. To survive, open systems maintain balance throughfeedback.f. A closed system allows input from and to the environment