A young woman who is pregnant with a fetus exposed to multiple teratogens consents to have her fetus undergo serial PUBS (percutaneous umbilical blood sampling) to examine how exposure affects the fetus over time
Although these tests will not improve the fetus' outcomes and will expose it to some risks, the information gathered may help infants in the future. Which ethical principle is at greatest risk? a. Autonomy
b. Fidelity
c. Nonmaleficence
d. Beneficence
C
Nonmaleficence is the ethical principle that focuses on avoidance of harm or hurt. The nurse must balance risks and benefits of care. Repeated PUBS may place the mother and fetus at risk for infection and increased pain, and may place the mother at risk for increased emotional health stress. Fidelity refers to the agreement to keep promises. Autonomy refers to freedom from external control, and beneficence refers to taking positive actions to help others.
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The nurse makes a visit to the home of an adolescent recently discharged from the hospital for a seizure disorder. Which observations indicate that outcomes for care have been achieved?
Select all that apply. A) The client is not driving. B) The client has not had a seizure for 1 month. C) The client is participating in the school basketball team. D) The client has bruises on both arms from seizure activity. E) The client has several episodes of constipation each week.
The nurse wishes to obtain basic certification in the specialty of gerontological nursing. Which of the following is true about this credential?
a) there is an experience requirement b) one must pass an exam c) one must have a BSN d) a and b only
A nurse is counseling a client with an anxiety disorder by using cognitive therapy strategies
She gives the client a homework assignment to keep a diary in which he records the symptoms of anxiety he experiences and the events that transpired just before the onset of symptoms. The rationale for this strategy is a. to keep the client intellectually occupied to prevent dwelling on physiologic phenomena. b. to link symptoms with precipitating events, which provides a basis for discussion and reframing. c. that anxiety gives rise to automatic, negative cognitions that must be analyzed. d. that antecedent events have less to do with the anxiety onset than internal events.
patient with diabetes is surprised to learn that he has been having angina when the only problem he has been experiencing is a "bit of fatigue and shortness of breath." How should the nurse explain this to the patient?
1. Shortness of breath is the first symptom of angina. 2. There is no classic symptom of angina. 3. Slight fatigue is usually the first symptom of angina. 4. Persons with diabetes may experience pain differently.