A patient is on life support and unresponsive to stimuli. One of her daughters talks to the nurse about withdrawing life support. The other daughter asks the nurse when the patient is likely to wake up and be able to eat
The nurse talks with her charge nurse and manager about this patient situation. This action demonstrates which ethical skills outlined in the PILLAR mnemonic? Select all that apply.
1. The ability to IDENTIFY ethical issues
2. The ability to find needed RESOURCES
3. The ability to ANTICIPATE ethical issues
4. The ability to work within defined professional LIMITATIONS
5. The ability to understand how PERSONAL experiences impact care
Answer: 1, 2, 3
Explanation: Notifying supervisors of a potential ethical conflict demonstrates the ability to identify and anticipate an ethical issue. It also demonstrates that the nurse can find and utilize her resources when confronted with a situation that may develop into an ethical dilemma. This is not an example of working within defined limitations or how personal experiences may impact patient care.
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The nurse identifies actions that may assist the family of the terminally ill client including: Standard Text: Select all that apply
1. Suggesting placement in a hospice unit instead of home care 2. Allowing family to visit ad lib 3. Reinforcing information that family members may not have absorbed 4. Reorient the client who is hallucinating 5. Ask direct questions about needs
Which factor is most important in diminishing maternal, fetal, and neonatal complications in a pregnant client with diabetes?
a. Evaluation of retinopathy by an ophthalmologist b. The client's stable emotional and psychological status c. Degree of glycemic control before and during the pregnancy d. Total protein excretion and creatinine clearance within normal limits
A patient newly diagnosed with asthma receives prescriptions for an inhaled glucocorticoid and an inhaled beta2-adrenergic agonist. Which statement by the patient indicates understanding of this medication regimen?
a. "I should use the glucocorticoid as needed when symptoms flare." b. "I will need to use the beta2-adrenergic agonist drug daily." c. "The beta2-adrenergic agonist suppresses the synthesis of inflammatory mediators." d. "The glucocorticoid is used as prophylaxis to prevent exacerbations."
A criticism of transformational leadership is that it treats leadership as a personality trait
a. True b. False