The physician has recommended an amniocentesis for an 18-year-old woman. The patient is 34 weeks' gestation and does not want this procedure. The physician is insistent the patient have the procedure
The physician arranges for the amniocentesis to be done. What is this would be an example of?
A) Veracity
B) Beneficence
C) Paternalism
D) Autonomy
Ans: C
Feedback: Paternalism is the intentional limitation of another's autonomy. Paternalism exists when the physician decides what is best for the patient rather than providing the patient with options and allowing the patient to make an informed decision related to care.
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The nurse is working with the parents of a child with a chronic condition. The nurse concludes that the parents' caregiver burden might become overwhelming when the mother states which of the following?
1. "My mother moved in and helps us with the care of our family." 2. "I chose to quit my job to be home with my child, and my husband helps in the evening when he can." 3. "I have to care for my child day and night, which leaves little time for me." 4. "Our health insurer sent us a rejection letter for my child's brand-name medication, and we must fill out forms to get the generic."
A 58-year-old patient with a left-brain stroke suddenly bursts into tears when family members visit. The nurse should
a. use a calm voice to ask the patient to stop the crying behavior. b. explain to the family that depression is normal following a stroke. c. have the family members leave the patient alone for a few minutes. d. teach the family that emotional outbursts are common after strokes.
A patient with cardiomyopathy is demonstrating signs of cardiogenic shock. The nurse realizes that this type of shock is due to:
1. Reduced cardiac output 2. Increased stroke volume 3. Reduced blood volume 4. Blood flow blocked in the pulmonary circulation
A nurse is providing parent training for parents of a child diagnosed with a disruptive behavior disorder involving the use of time out. When describing how to implement this, which of the following would the nurse identify as the first step?
A) Having the child recount the reason for the time out B) Clearly identifying what is required for the child C) Informing the child what will happen because of the behavior D) Placing the child in a designated area removed from others