The nurse is caring for an older client with a fractured hip. The client asks the nurse about the nature of her condition. The nurse's response should be,

a. "You have a fractured femur," stated in a loud voice.
b. "You will have to speak to your physician about your diagnosis."
c. "Do you wish to call your son to discuss it with him because he talked with the MD?"
d. "When you fell at home, you broke your hip."


ANS: D
Clear communication, altruism, caring, and professional ethics are essential components of interprofessional professionalism. In saying loudly that the patient has a fractured femur, the nurse is stereotyping the client as hard of hearing and providing information she may not understand. The patient has the right to receive information from a direct caregiver other than the physician. The client's confidentiality may have been breached when the son was informed of her condition without her knowledge.

Nursing

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Research conducted by the Ethics Center identified several ways health care organizations can have an ethical workplace or culture. These include which of the following? Select all that apply

a. formal programs can help an organization strengthen its culture b. an ethical culture makes a difference in achieving positive outcomes c. informal programs with employee involvement are more beneficial in developing a positive culture d. the most critical factor in promoting an ethical culture is leadership

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A visitor to a long-term care institution witnesses an attendant scolding a client with dementia about being incontinent. The visitor reports the incident to the charge nurse. This is an example of

A) burnout with reason. B) exploitation. C) psychological abuse. D) neglect.

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A female client has been admitted to the acute care unit with complaints of abdominal pain, nausea, and vomiting

During the interview the nurse determines the client's history includes pelvic inflammatory disease, mitral valve prolapse, and childbirth. The assessment finds the client's vital signs to be within normal limits. When analyzing the available data, what items should be clustered together? 1. Vital signs, complaints of pain history of childbirth 2. Abdominal pain, nausea, vomiting, and history of pelvic inflammatory disease 3. Gender, history of mitral valve prolapse, and vital signs 4. History of pelvic inflammatory disease, mitral valve prolapse, and pain scale reports

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The nurse is teaching student nurses about newborn screening. Which statement made by the student indicates understanding of the teaching?

a. "The newborn screening is not mandatory but voluntary." b. "It is acceptable to ‘layer' the blood on the Guthrie paper." c. "The initial specimen should be collected as close to discharge as possible." d. "It is best to collect the specimen before the newborn takes the first feeding."

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