A client asks if her medication has any possible negative side effects
The nurse considers the client highly suggestible, believes the medication will benefit the client, and, since the client has no history of cardiovascular disease, does not tell her of the potential for cardiac dysrhythmias. The nurse's actions involve a conflict between which two ethical principles?
A) Veracity and justice
B) Veracity and paternalism
C) Veracity and beneficence
D) Veracity and fidelity
Ans: B
Feedback:
The conflict is between veracity and paternalism. Veracity is a systematic behavior of honesty and truthfulness in speech. Paternalism is practicing with the intent to do good; however, professionals define how to do good, which may override the wishes and self-determination of the client. Justice in health care is seen as the equitableness of benefits, including the right to access care. Beneficence is the principle of doing good, not harm. Fidelity is the nurse's faithfulness to duties, obligations, and promises.
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Discharge planning for patients leaving the hospital should include instructions on the use of over-the-counter (OTC) drugs. Which comment by the patient would demonstrate a good understanding of OTC drugs?
A) "OTC drugs are safe and do not cause adverse effects if taken properly." B) "OTC drugs have been around for years and have not been tested by the Food and Drug Administration (FDA)." C) "OTC drugs are different from any drugs available by prescription and cost less." D) "OTC drugs could cause serious harm if not taken according to directions."
The nurse is assessing a patient's stool and notes that the color is red. While the red color does not appear to be blood, the nurse performs a hemoccult test on the stool that is found to be negative
The nurse asks the patient if he has recently consumed which of the following foods that may turn the stool red? A) Beef B) Carrots C) Spinach D) Catsup
Ethics applied to nursing can best be defined as:
a. doing what is best for the client. b. making good decisions about care. c. care based on what should be done in keeping with the values of the client. d. rules for providing competent care that is based on scientific principles.
Clients with COPD and chronic use of corticosteroids should be monitored for:
1. Calcium level and bone mineral density loss. 2. Iron level and development of anemia. 3. Vitamin A and visual loss. 4. Potassium level and lower extremity pain.