The nurse asks to meet with a healthcare provider and patient to discuss altering the patient's prescribed medication after the provider prescribes a placebo, which the nurse refuses to give. Which element of decision-making did the nurse implement?
1. Values clarification
2. Stakeholder identification
3. Moral hierarchy exploration
4. Integrity-preserving compromise
4. Integrity-preserving compromise
Explanation:
There are many different guidelines for ethical decision making, although no one "right" way to make an ethical decision. Nurses often receive threats to personal and/or professional integrity and must choose to adhere (or not) to personal values. In this situation, the nurse offered the healthcare provider an integrity-preserving compromise. Despite refusing to administer the placebo, the nurse wants to work with both the healthcare provider and the patient. The nurse had already clarified personal values and had identified the patient as the biggest stakeholder. The nurse also made it clear that in the moral hierarchy, the greatest duty is to the patient.
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a. "His masklike face makes it difficult to communicate, so I will use a white board." b. "He should not socialize outside of the house due to uncontrollable drooling." c. "This disease is associated with anxiety causing increased perspiration." d. "He may have trouble chewing, so I will offer bite-sized portions."
The patient expresses a desire to learn methods to be independent regarding self-care. Based on this, the most appropriate nursing diagnosis would be:
a. ineffective health maintenance. b. readiness for enhanced self-care. c. hygiene self-care deficit. d. disturbed body image.
Which intervention would best improve diet adherence of an older Hispanic immigrant recently diagnosed with gastroesophageal reflux disorder (GERD)?
A) Scheduling low-fat meal deliveries to the home B) Providing printed diet information in Spanish C) Interviewing the client to assess his current diet D) Giving a list of foods to avoid to the client's wife
The nurse considers enrolling in an online education program. For which reason should the staff nurse decide to apply to an in-person program instead? Select all that apply.
A) Less expensive B) Lacks motivation C) Desires socialization D) Minimal self-direction E) Limited computer skills