A client nearing the end of life requests that he be given no food or fluids. The physician orders the insertion of a nasogastric tube to feed the client. What situation does this create for the nurse providing care?
A) Nurse must follow the physician's orders
B) An inability to provide care for the patient
C) An ethical dilemma about inconsistent courses of action
D) A barrier to establishing an effective nurse–patient relationship
Ans: C
In an ethical dilemma, two or more clear moral principles apply but support mutually inconsistent courses of action. In this case, the nurse must decide what to do based on ethical decision making and take action that can be justified ethically based on that process.
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The nurse, assessing a patient admitted with a chemical burn, determines the patient is to be transferred to a burn center because of which of the following assessment findings?
1. patchy burn areas over torso estimated at 8% of total body surface area burned 2. burn areas over bilateral lower extremities, mix of superficial and superficial-partial thickness with total body area estimated at 6% 3. superficial burns over left shoulder, superficial-partial thickness of left arm with total body area estimated at 4.5% 4. chemical burn to right hip, perineum, and partial genitalia
A premenopausal woman should be advised to examine her breasts:
a. Every day b. Whenever she has nipple discharge c. One week after each menstrual period d. Annually on her birthday
The mental health nurse is interviewing a client of Asian descent regarding his health care practices. The nurse understands that cultural competence is important in the care of this client
Cultural competence in health care can be best described as what? A) Striving to achieve the ability to work within the cultural context of an individual or community from a diverse cultural or ethnic background B) Knowing the characteristics of each individual cultural group in America C) A combination of a person's beliefs about cultural values and knowledge about his or her own culture D) The patient's ability to tell the health care provider about his or her cultural beliefs and practices
A student who practices the piano daily and tries new music despite the difficulty
demonstrates which trait? a. Determination b. Sociability c. Integrity d. Self-awareness