A patient decides to not to have a hysterectomy, even though it is recommended by the physician
The nurse disagrees and says that it should be done, because the patient has already had children; the nurse leaves to get the consent form for the surgery. Which ethical principle is the nurse demonstrating with this patient?
a. Autonomy
b. Paternalism
c. Beneficence
d. Nonmaleficence
ANS: B
B. Making a care decision for a patient without regard for the patient's preferences is paternalism. A. Autonomy refers to individuals making health care decisions for themselves. C. Beneficence is considering and offering treatments that are likely to provide relief. D. Nonmaleficence is doing no harm.
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As the caregiver for a male client whose mental retardation level is classified at a moderate level, the nurse's most appropriate action is to:
a. Encourage him to work in a supervised setting at a fast food restaurant. b. Persuade him to look for an apartment in which he can live on his own. c. Find a group home that he would adjust well to. d. Seek placement for him in a long-term setting for clients with cognitive disabilities.
The nurse, assessing a patient with a Glasgow Coma Score of 4, finds the patient's pupils to be pinpoint and nonreactive to light. The nurse takes into consideration that this finding can be due to which situations?
1. The patient was given atropine sulfate for bradycardia. 2. The patient has increased blood glucose. 3. The patient may have taken an opioid drug overdose. 4. The patient has sustained compression of the oculomotor nerve. 5. The patient has sustained damage to the pons.
Children diagnosed with dysthymia have shown improvement from which of the following treatment regimens?
a. reality therapy and authoritarian parenting b. SSRI medications and psychotherapy c. behavior modification alone d. brief solution-oriented therapy
A nurse is caring for a client with idiopathic thrombocytopenia purpura (ITP). What
intervention should be performed when caring for this client? A) Instruct the client to avoid the use of an electric razor B) Monitor the client for an increase in blood pressure C) Inform the client about the adverse effects of cytotoxic agents D) Watch the client for signs of unusual pallor