What areas does the nurse explore with the patient when using patient-level ethics? (Select all that apply.)
a. External factors
b. Medical indications
c. Previous health history
d. Patient preferences
e. Quality of life
A, B, D, E
In patient-level ethics, the nurse can use the four topics approach in which separating the relevant facts of the case into four categories (external factors, medical indications, patient preferences, and quality of life) the nurse will be able to identify key issues that require further investigation or that will play a role in the ethical analysis of the case. Previous health history is not included but could influence preferences.
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A nurse in a long-term care facility is approached by an older resident who is crying and states: "You need to help me. The mean little men are in my room again. They are watching me from the corner and they are laughing at me
Make them go away." The nurse accompanies the resident to the room and there is no one in the corner of the room. What is the best response by the nurse? (Select all that apply.) a. "Yup, I see them. Let me call security to haul the men away." b. "Can you tell me what you are so fright-ened of?" c. "I will do my best to keep you safe." d. "I understand that you are very frightened and upset." e. "You know that there is no one there. Stop carrying on like this."
The nurse is assisting a client who lacks coordination between hand and inhalation, but who must inhale medications. It's understood that this client may benefit from the use of a(n):
a. nebulizer. c. extender device. b. Spinhaler. d. metered-dose inhaler.