Nurse H is providing care in the hospital for a 71-year-old male patient who is in the late stages of cancer and who has painful bone metastases. The client is non-responsive but groans and grimaces intermittently. Nurse H is drawing up a breakthrough dose of morphine for the patient, but Nurse R cautions that, "sure, that will address his pain, but it could depress his respiratory drive and actually kill him at this stage.". Which of the following ethical principles is Nurse R prioritizing?
A) Nonmaleficence
B) Justice
C) Beneficence
D) Fidelity
A
Feedback:
Nurse R's emphasis on preventing harm to the patient, even during an act that may be motivated by altruism, is characteristic of the principle of nonmaleficence.
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Which of the following is the primary role of the gerontological nurse, and for what reason?
A) Innovator, because gerontological nursing continues to be an evolving specialty B) Caregiver, because the nurse uses gerontological theory in the conscientious application of the nursing process to the care of elders C) Educator, because the nurse shares knowledge and skills related to the care of older adults with the general public D) Advocate, because the nurse aids older adults in asserting their rights and obtaining required services
A nurse is providing community mental health services to families identified as at risk for attachment disorder. What treatment might a nurse consider as most effective?
1. Mindfulness education 2. Parenting skills education 3. Brief solution-focused therapy 4. Cognitive-behavioral therapy
Upon assessment of respiratory excursion, the clinician notes asymmetric expansion of the chest. One side expands greater than the other. This could be due to:
A. Pneumothorax B. Pleural effusion C. Pneumonia D. Pulmonary embolism
A patient diagnosed with sepsis suddenly develops dyspnea, crackles, agitation, and confusion. The nurse recognizes these are symptoms of which health problem?
1. noncardiogenic pulmonary edema 2. right-sided heart failure 3. left-sided heart failure 4. constrictive pericarditis