A client's genetic testing reveals she is a carrier for a serious illness. Which statement indicates that an ethical dilemma is arising?
1. "I would like to have my young children tested."
2. "I really don't care if my sister develops this disease."
3. "I wonder if this is the same disease that killed my grandfather."
4. "Could this condition be the reason I miscarried two babies before my son was born?"
2
Rationale 1: The parent is a surrogate decision maker for young children. There is no ethical dilemma.
Rationale 2: If the client's statement indicates unwillingness to share this information with a sibling, the health care team has an ethical dilemma.
Rationale 3: No ethical dilemma exists in this case.
Rationale 4: The client's question about miscarriage and the disorder does not signal an ethical dilemma.
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A client was playing softball and dislocated four of his fingers when diving for a ball. The physician manipulated the fingers into alignment and applied a splint to maintain alignment. What type of procedure does the nurse document this as?
A) Open reduction B) Closed reduction C) Open reduction with internal fixation D) External fixation
The student learns the Medicare guidelines for preventive health and reimbursement policies. Which statement follows the guidelines? (Select all that apply.)
a. Medicare pays for an annual pneumococ-cal vaccination. b. Medicare covers annual influenza vacci-nations. c. Pap smears and pelvic exams are covered once every 2 years. d. Annual fecal occult blood tests are cov-ered for those who are from 50 to 85 years of age. e. A bone density scan is covered every 2 years (a co-payment is required).
A nurse is heard making this comment, "I believe human dignity is based on perceived self-worth while caring is based on perceived role in society that forms the basis of nursing practice." This nurse is:
a. demonstrating a model of human dignity. b. evaluating the relevance of Leininger's Theory. c. applying Mishel's Theory of Disease Uncertainty. d. making a proposition concerning the constructs of nursing practice.
A newborn is in respiratory distress and requires ventilation. Tests reveal that he does not pro-duce surfactant due to the absence of:
a. mucus-producing cells. b. type II alveolar cells. c. alveolar macrophages. d. goblet cells.