Chapter 3: Critical Thinking, Ethical Decision Making, and the Nursing Process - Page 31

Which type of nursing diagnosis identifies an existing condition that the client is experiencing?

problem-focused

The nurse prepares to administer medication to the patient. The patient states, "I would prefer not to take that medication until I speak with my physician." The nurse honors the patient's desire to make decisions, following which common ethical principle?

Autonomy

Which ethical principle is related to the duty to do good?

Beneficence

The nurse is caring for a group of clients. What priority nursing intervention illustrates planned nursing care prioritized according to Maslow's hierarchy of needs?

Administer pain medication to a client before transportation to physical therapy for crutch-walking exercises.

Which step of the nursing process entails analyzing data related to the client's health status?

Assessment

The nurse is administering a medication to a client for the treatment of his constipation. The client states that he prefers not to take the medication today. The nurse respects the client's right and informs him if he needs it later, just let the nurse know. What professional value is the nurse displaying?

Autonomy

The nurse is caring for a terminally ill client in the intensive care unit that is on life support measures. The family members are opposed in their decision to take the client off of life support. What option does the nurse discuss with the nurse manager?

Contact the ethics committee for their input.

The nurse obtains a client's oral temperature reading of 36.8°C. How should the nurse proceed?

Document the client's temperature result as obtained.

The physician has ordered cimetidine for a client with gastric ulcers, and the nurse administers the first dose. The nurse's actions are noted in the medical record. This notation is an example of which aspect of implementing the plan of care?

Documentation

Which term is defined as a formal systematic study of moral beliefs?

Ethics

What statement does the nurse determine is a medical diagnosis rather than a nursing diagnosis?

Fever of unknown origin

Which communication technique is helpful in health teaching about relevant aspects of a client's well-being and self-care?

Informing

Telling the truth (veracity) is one of the basic principles of North American culture. Three ethical dilemmas in clinical practice can directly conflict with this principle. Choose the three from the list below.

Not revealing a diagnosis to a client Using placebos Revealing a diagnosis to people other than the client with the diagnosis

Developing a written plan of nursing care takes place during which step of the nursing process?

Planning

The RN develops an outcome standard of "client will ambulate with an assistive device 60 feet with assistance twice a day" for a client who had a hip replacement. What part of the nursing process is involved with this outcome statement?

Planning

The nurse has developed a plan of care for a client who is having a surgical procedure and is at risk for the development of pneumonia. The nurse devises the outcome statement to read: "The client will have clear lungs by the third postoperative day. " On the third postoperative day, the client has left lower lobe crackles and infiltrates on the chest x-ray. What conclusion does the nurse reach for this client?

The outcome is not achieved, and the plan requires critical reevaluation and revision.

A nurse chooses a quiet, private area to conduct an end-of-shift report to the oncoming nurse. Following this procedure is necessary because of what ethical problem in nursing?

The right of confidentiality is essential to protect each client's private information.