Advance directives such as the health care proxy and living will support what ethical principle?
a. Veracity c. Beneficence
b. Advocacy d. Autonomy
D
Autonomy implies the freedom to make choices and decisions about one's own care without in-terference even if those decisions are not in agreement with those of the health care team. Verac-ity is the duty to tell the truth. Beneficence is the duty to actively do good for patients. Speaking out on behalf of the patient is an essential part of the advocacy role of the nurse.
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A patient is experiencing intense stress during his current hospital admission for the exacerbation of chronic obstructive pulmonary disease (COPD). Which of the patient's actions best demonstrates adaptively coping?
A) Becoming controlling B) Reprioritizing needs and roles C) Using benzodiazepines as ordered D) Withdrawing
A new head nurse discovers her mental health unit has an unusually high incidence of critical incidents involving aggression
Which milieu interventions or modifications would be likely to help reduce the frequency of such events? Select all that apply. a. Make sure staffing is adequate for the needs of the patient group. b. Train staff to provide humane, person-centered, strengths-based care. c. Reward more effective staff with better schedules or pay increases. d. Increase or decrease the amount of stimulation to match patient needs. e. Structure patient schedules so patients are kept consistently busy. f. Monitor the milieu closely, and promptly address stressors or triggers.
A patient who is taking nicardipine (Cardene) develops skin lesions, itching, fever, and achy joints. What is your best first action?
a. Hold the drug and notify the prescriber. b. Document the finding as expected with this drug. c. Administer a dose of oral diphenhydramine (Benadryl). d. Apply a thin coat of hydrocortisone ointment to the lesions.
A pediatric nurse evaluating the state of evidence-based practices may be best served by reviewing peer-reviewed professional journals in addition to which of the following electronic resources?
1. Blogs regarding specific disease states 2. Agency for Healthcare Quality and Research 3. General search engine results 4. All of the above