The administrators and staff of a health care facility determine that it will become "smoke free" in 2 weeks; if smokers among the staff wish to smoke, they must go to a designated area. This is an example of:
a. beneficence c. nonmaleficence
b. client advocacy d. utility
D
The principle of utility, is a basic concept of teleology, is that an act must result in the greatest good for the greatest number of people. Alternative actions should be analyzed for their potential consequences, both positive and negative. In this theory, the action selected provides the most benefit and the least harm to those involved.
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A patient has prescriptions for two inhalers
One inhaler is a bronchodilator, and the other is a corticosteroid. Which instruction regarding these inhalers will the nurse give to the patient? a. "Take the corticosteroid inhaler first." b. "Take the bronchodilator inhaler first." c. "Take these two drugs at least 2 hours apart." d. "It does not matter which inhaler you use first."
A nurse observes yellow-tinged sclera on a client with dark skin. Based on this observation, what is the nurse's best action?
A. Examine the soles of the client's feet. B. Nothing; this is a normal finding in all people with dark skin. C. Inspect the client's oral mucosa and hard palate for other indications of jaundice. D. Notify the physician of the possibility that the client has a liver or hemolytic dis-order.
A woman had unprotected intercourse 36 hours ago and is concerned that she may become pregnant because it is her "fertile" time. She asks the nurse about emergency contraception. The nurse should tell her that:
1. it is too late because she needed to begin treatment within 24 hours after inter-course. 2. Levora (levonorgestrel/ethinyl estradiol), an emergency contraceptive method, is 98% effective in preventing pregnancy. 3. An over-the-counter antiemetic can be taken 1 hour before each contraceptive dose to prevent nausea and vomiting. 4. The most effective approach is to use a progestin-only preparation.
The nurse informatics (NI) specialist incorporates nursing science, computer science, and infor-mation science to support nursing in utilization of the data collection. Priorities for an NI special-ist include
a. developing computer information systems for the hospital. b. incorporating common nursing nomencla-ture into the system. c. researching evidence-based practice. d. developing restrictions of certain patient information to insurance companies.