A nurse refuses to give an ordered medication to a client because she believes it may cause harm to the client. This is an example of
a. beneficence c. nonmaleficence
b. autonomy d. paternalism
C
This is an example of nonmaleficence, an obligation to exercise due care in professional practice to prevent unintentional harm. Beneficence is an ethical principle focusing on promoting the welfare of others; however, it is not the best answer. Although autonomy is an independent action on the part of the nurse, it is not the best answer. Paternalism involves interference with the liberty of another in which the interference is justified by promoting the well-being of that individual.
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Which of the following strategies would facilitate communication with families?
a. Being available to talk at the nurses' station b. Referring the family to a social worker c. Meeting in a quiet room away from the care area d. Asking the family to telephone to ask ques-tions
A patient with mitral valve prolapse has been admitted to the CCU with probable infectious endocarditis. What physical changes unique to infectious endocarditis will the nurse be most likely to find?
A) Track marks on arms following peripheral veins B) New onset of or change in cardiac murmur C) Severe midsternal crushing chest pain with activity D) Fever, tachycardia, and general malaise
The nurse who has recently moved from Louisiana to Texas is uncertain about the LPN/LVN's role in applying the nursing process. The most appropriate source for the nurse to consult is:
a. hospital policies. b. the Texas State Board of Nursing. c. rules and regulations of the Louisiana Nurse Practice Act. d. the National Association of Practical Nurse Education and Service.
An example of a breach of a patient's right to privacy occurs when a nurse:
a. asks a family to share information about a patient's prehospitalization behavior. b. discusses the patient's history with other staff members during care planning. c. documents the patient's daily behaviors during hospitalization. d. releases information to the patient's employer without consent.