An ethical dilemma has arisen in regard to a patient who has been declared incompetent and who left no advance directive. Which model is likely to be of best use to the ethics committee reviewing the case?
1. Social justice
2. Patient benefit
3. Autonomy
4. Patient justice
2
Rationale: The patient benefit model uses substituted judgment and facilitates decision making for the incompetent patient. The social justice model considers broad social issues and is accountable to the institution. The autonomy model facilitates decision making for the competent patient. Patient justice is not a model used by ethics committees.
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The nurse is caring for a client who was newly diagnosed with type 2 diabetes mellitus. Which intervention by the nurse best promotes client cooperation with the treatment plan?
1) Teaching the client that he must lose weight to control his blood sugar 2) Informing the client he must exercise at least three times per week 3) Explaining to the client he must come to the diabetic clinic weekly 4) Determining the client's main concerns about his diabetes
What does enzyme reverse transcriptase transcribe?
a. DNA to mimic CD4 cells b. T4-helper cells to RNA c. HIV RNA to HIV DNA d. T4 cells to HIV virions
The nurse utilized evidence-based practice to plan the care for a patient. One feature of this approach would be:
a. It is purely nursing-focused. b. Clinical practice is based upon nursing theory. c. Evaluation is based on patient outcomes. d. Individual and organizational factors guide the integration of these new practices.
Which of the following represents the best way for a new nurse to complete an in-depth self-examination of cultural competence?
A) Acknowledge and be aware of one's own culture and willingness to explore one's own feelings and biases B) Be responsible for having excellent on-the-job motivation and commitment to caring for assigned clients C) Complete a self-examination of superior social, cultural, and biophysical factors in the community D) Become involved on a monthly basis in at least one cross-cultural interaction or workshop