Which statement by the nurse reflects the application of deontology to the care of patients admitted to the mental health unit? Select all that apply
1. "I need to report this error because it is the right thing to do."
2. "I think patients have a right to refuse certain psychotropic medications."
3. "All patients need flu shots so that we can all be healthy during flu season."
4. "All patients should be treated equally whether they have insurance or not."
5. "The doctor needs to obtain informed consent so the patient can make a good decision."
Answer: 1, 2, 4, 5
Explanation: Requiring all patients to have flu shots is an example of utilitarianism, which speaks more to morality as a function of doing the greatest good for the greatest number. All the other statements refer to principles of rule-based ethics, or deontology. This concept reflects the idea of the duty to be honest, regardless of the outcome. It is about "doing the right thing."
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A client diagnosed with the Huntington gene but who has no symptoms asks for options related to family planning. Which is the nurse's best response?
a. "Most clients with the Huntington gene do not pass on Huntington disease to their children." b. "I understand that they can diagnose this disease in embryos. Therefore you could select a healthy embryo from your fertilized eggs for implantation to avoid passing on Huntington disease." c. "The need for family planning is limited because one of the hallmarks of Huntington disease is infertility." d. "Tell me more specifically what information you need about family planning so that I can direct you to the right information or health care provider."
In the emergency department, a raped client appears calm and exhibits a blunt affect. The client answers a nurse's questions in a monotone using single words. How should the nurse interpret this client's responses?
A. The client may be lying about the incident. B. The client may be experiencing a silent rape reaction. C. The client may be demonstrating a controlled response pattern. D. The client may be having a compounded rape reaction.
Both consumers and providers have a vested interest in the quality of the health care system. Which of the following are reasons for health care providers to be concerned about health care quality? Select all that apply
1. The principle of nonmaleficience, a basic ethical principle 2. The principle of beneficence, a basic principle of professionalism 3. A strong social work ethic 4. The need for advanced training to meet quality standards
The client is brought into the emergency department with a knife wound. The nurse correctly documents the client's wound as a(n):
1. Contusion wound 2. Clean wound 3. Acute wound 4. Intentional wound