Which scenario reflects the "two schools of thought" doctrine?
1. The nurse manager insists that standards are uniform and all nurses must act in the same manner.
2. An honest error in judgment prevented a nurse from providing quality care.
3. Nurses on one unit vary in their choice of ways to deliver quality care.
4. The hospital policy and procedures manual lists both local and national nursing care quality standards.
3
Rationale: Two schools of thought is a doctrine that allows the consideration that an individual can use different approaches when rendering care. Standards define a level of quality, and local and national standards may be also considered to determine what care is to be expected by a consumer. However, standards do allow for a different approach as long as they don't violate the tenets of the standard. Therefore, nurses may act differently and still meet the standard. The honest error of judgment rule allows the court to evaluate the standards of care given a patient even if there was an honest error in judgment.
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As a component of the family assessment, the family assists the nurse in developing an ecomap. Prior to beginning the ecomap, the nurse explains that the ecomap:
1. Provides information about the family structure including family life events, health, and illness. 2. Illustrates family relationships and interactions with community activities including school, parental jobs, and children's activities. 3. Is a short questionnaire of five questions that measures family growth, affection, and resolve. 4. Is a family assessment that consists of three categories of information about the family's strengths and problems.
A nurse is caring for a newly admitted patient with a suspected gastrointestinal (GI) bleed. The nurse assesses the patient's stool after a bowel movement and notes it to be a tarry-black color
The nurse recognizes that the bleeding is likely occurring where? A) The lower GI tract B) The upper GI tract C) The esophagus D) The anal area
Which pediatric client diagnoses necessitate close monitoring for respiratory acidosis? Select all that apply
1. Aspiration 2. Epiglottitis 3. Sepsis 4. Meningitis 5. Cystic fibrosis
Which statement would the nurse preparing an in-service program on suicide use to explain Durkheim's anomic suicide?
1. Deaths of individuals who were influenced by a group to turn against their own conscience 2. Acts of self-destruction by individuals who have become estranged from im-portant relationships in their groups 3. Self-inflicted deaths based on obedience to a group's goals that override one's own best interests 4. A death resulting from excessive regulation