Ethical dilemmas are puzzling moral problems in which a person, group, or community can envision morally justified reasons for both taking and not taking a certain course of action. An example of an ethical dilemma is:
1. Whether or not to set up a community health center in a rural area
2. Allocating resources in a natural disaster
3. Deciding to withdraw care on a hospice patient
4. Applying the principles of Florence Nightingale in Bangladesh
2
When resources are scarce, a dilemma may exist as to how to allocate them.
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A client has been diagnosed with fibromyalgia syndrome but does not want to take the prescribed medications. What nonpharmacologic measures can the nurse suggest to help manage this condition? (Select all that apply.)
a. Acupuncture b. Stretching c. Supplements d. Tai chi e. Vigorous aerobics
A transgender client taking spironolactone (Aldactone) is in the internal medicine clinic reporting heart palpitations. What action by the nurse takes priority?
a. Draw blood to test serum potassium. b. Have the client lie down. c. Obtain a STAT electrocardiogram (ECG). d. Take a set of vital signs.
A female patient has been prescribed valproic acid (Depakote). The nurse will inform the patient that a common adverse effect of this drug is
A) hair loss. B) hearing loss. C) weight gain D) irregular menses.
The nurse planning to teach a patient how to use Benson's relaxation techniques to treat hypertension is essentially teaching the patient to:
a. switch from the sympathetic mode of the autonomic nervous system to the parasympathetic mode. b. alter the internal state by modifying electronic signals related to physiological processes. c. replace stress-producing thoughts and activities with daily stress-reducing thoughts and activities. d. reduce catecholamine production and promote the production of additional beta-endorphins.