An alert, oriented, and competent frail older adult man has been told that he is dying and has asked to have a DNAR (AND) prescription put on his chart
The patient's family does not agree with his decision and asks the healthcare team to ignore the request. The healthcare team does not comply with the family's wishes, and after several days the family takes the matter to court. The court sides with the family and orders the healthcare team to remove the DNAR (AND) prescription. This is an example of which of the following?
a. An integrity-producing (good) compromise
b. An ethically sound compromise
c. Settlement of an issue by force
d. An effort to keep peace on the unit
ANS: C
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A nurse is planning care for a client with a contact dermatitis. When conducting discharge teaching, which statement by the nurse is appropriate?
A) "Bathe or shower twice daily to reduce allergen contact." B) "Avoid the use of all lotions." C) "When using steroid ointments, use a thick layer on dry skin for maximum absorption." D) "Use steroid ointments for 2 to 3 weeks for best results."
A patient, injured at work, was seen by the factory occupational nurse. The nurse treated the wound and instructed the patient to get a tetanus antitoxin injection at the county health department
The patient failed to follow instructions, developed tetanus, and subsequently filed a suit against the nurse. What is the most likely result of the ensuing trial? 1. The nurse is not liable for damages, because the nurse has a right to expect that instructions will be followed. 2. The nurse is liable, because there was no follow-up to ensure that the patient received the injection. 3. The nurse is not liable, because tetanus is a reportable disease and the health department should have insisted the patient take the injection. 4. The nurse is liable, because tetanus is easily treatable after diagnosis.
A nurse is teaching a community group ways to prevent Escherichia coli infection. Which statements made by the nurse are accurate? (Select all that apply.)
a. "Wash your hands after any contact with animals." b. "It is not necessary to buy a meat ther-mometer." c. "Stay away from people who are ill with diarrhea." d. "Use separate cutting boards for meat and vegetables." e. "Avoid swimming in backyard pools and using hot tubs."
An adult daughter brings a patient to the gerontology clinic and reports that the patient has become increasingly withdrawn and no longer goes out during the day. What response by the nurse is best?
a. Administer a mini mental state exam. b. Ask the patient why this is happening. c. Assess if the patient feels safe at home. d. Determine if abuse is occurring.