The nurse bases individual nursing practice upon commitment to quality patient care and understanding of the nursing role. Under which broad classification of ethical theory does this fall?
1. Teleological theories
2. Deontological theories
3. Utilitarian theories
4. Applied theories
2
Rationale: Deontological theories derive norms and rules from the duties human beings owe one another by virtue of commitments that are made and roles that are assumed. Teleological theories derive norms or rules for conduct from the consequences of actions. Utilitarian theory states that what makes an action right or wrong is its utility, with useful actions bringing about the greatest good for the greatest number of people. Applied ethics analyzes specific, controversial moral issues and is not a broad category of ethics that serves as a basis for daily decisions.
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A friend tells you that he has been diagnosed with a building-related illness. You know that he will most likely obtain relief from his symptoms:
a. immediately after leaving his building. b. never; symptoms are permanent. c. one to two days after leaving his building. d. weeks to months after leaving his building.
A patient fractured her right ulna 8 weeks ago and has just had her cast removed. The orthopedic surgeon prescribes isometric exercises for the right arm. Which of the following exercises comply with the surgeon's orders?
1) Place a foam ball in the right hand and squeeze; hold the squeeze position for 6 to 8 seconds, and repeat 5 to 10 times. 2) Grasping the right wrist with the left hand, move the right arm up, down, and side to side; hold each position for 6 to 8 seconds, and repeat 5 to 10 times. 3) Grasping the right wrist with the left hand, pull the right arm across the body; hold this position for 6 to 8 seconds, and repeat 5 to 10 times. 4) Press the right hand against a wall; hold this position for 6 to 8 seconds, and repeat 5 to 10 times.
The patient is having at least 75% of his nutritional needs met by enteral feeding, so the physician has ordered the PN to be discontinued. However, the nurse notices that the PN infusion has fallen behind. The nurse should
a. Increase the rate to get the volume caught up before discon-tinuing. b. Stop the infusion and hang a normal saline drip in place. c. Taper the PN infusion gradually. d. Hang 5% dextrose if the PN runs out.
PM care is given:
a. At bedtime b. After the evening meal c. At hour seven d. In a hot shower