A nurse manager at a home health care agency who ensures that all contracts have been completed and payments are timely is displaying the principle of:
a. veracity. c. autonomy.
b. respect for others. d. fidelity.
D
The principle of fidelity concerns the obligation of keeping one's promise or word. The nurse manager
in this example is keeping her word by making sure that all contracts have been completed and
payments are made on a timely basis, hence keeping her promise to do so. The ethical principle of
autonomy relates to a person's right to self-determination and respect for individual liberty. An
example of veracity would be to refuse to participate in any type of fraudulent activities, and to avoid
making paternalistic decisions for others is an example of respect for others.
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A 59-year-old man with type 2 diabetes is prescribed metformin. When the patient returns to the clinic, he reports that he has lost 8 pounds in a month. How should the nurse respond?
A) "We should really report this to your physician. The metformin dosage will need to be decreased." B) "We should really report this to your physician. He will likely change medications." C) "Please continue taking the medication and monitoring your weight. This is an expected outcome of this drug therapy." D) "You should discontinue this medication immediately. I will contact your physician."
The nurse is caring for a client with dark skin and needs to assess the skin for jaundice. Which of the following actions would be appropriate for the nurse in this situation?
1. Use a bright lamp and a magnifying glass. 2. Document "unable to assess" for skin changes. 3. Assess the skin the same way you would inspect a client with lighter skin. 4. Inspect the lips, oral mucosa, sclera, conjunctivae, and palms.
The nurse manager of a critical care unit is explaining the AACN Synergy Model to the critical care nurses
What will the manager include as basic parts of this model? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Based on the patients' characteristics 2. Based on the competencies of the nurses 3. Patient outcomes will be measured 4. The nurses' assessment of patient outcomes will be measured 5. Reduction of cost to provide critical care services to patients
Which of the following characterizes the health care system in the United Kingdom?
1. There is equal employer-citizen share in cost of health care. 2. It is owned and operated by the government. 3. Nurse practitioners are the primary providers of care in the system. 4. Most care is provided in hospitals.