On which of these ethical principles is whistle-blowing based?
a. beneficence and utility c. justice and nonmaleficence
b. fidelity and teleology d. veracity and nonmaleficence
D
Veracity is the principle of truthfulness in dealing with others. For example, if a client asks a nurse about data such as vital signs, it is the nurse's responsibility to provide these data to the client. In some instances, if a health care provider believes that providing truthful information may be harmful to a client, the principle of nonmaleficence would justify withholding the information. Nonmaleficence is the principle of duty to avoid causing harm to others; it refers to both intentional harm and the risk of harm, which may be physiologic, social, financial, or spiritual in nature. Nonmaleficence requires that a nurse weigh potential risks and benefits of treatment or research, following professional and legal standards of care.
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The psychiatric nurse is asked to explain the primary focus in the assessment and treatment of mental illnesses during the mid-20th century. Given this request, the nurse would emphasize beliefs and actions related to which of the following?
1. Faulty life habits and interactions 2. Decay of intellect or of the nervous system 3. Classification of symptoms 4. Social dimension and drug treatment
The nurse is caring for a client with trigeminal neuralgia (tic douloureux). To assist the client in meeting the adequate nutritional needs, the nurse should suggest that the client:
A) Take small meals of soft consistency B) Increase the intake of calcium and proteins C) Include additional servings of fruits and raw vegetables D) Include fish, liver, and chicken in diet
A client, recovering from a hysterectomy, has PCA (patient-controlled analgesia) prescribed. To reduce her anxiety regarding receiving adequate pain relief, the most appropriate statement for the nurse to provide is:
a. PCA is almost always effective. b. the client's comfort level will be assessed frequently. c. additional medication by IM injection will be available. d. most pain management therapies are better than frequent IM injections.
A client given a benzodiazepine for general anxiety disorder has a paradoxical reaction to the medication. When planning to administer the next scheduled dose of the benzodiazepine the nurse should:
A) hold the drug and inform the physician of the client's reaction. B) observe client closely since the reaction may occur a second time. C) notify physician and request a lower dose of the benzodiazepine. D) explain to the client the reactions will decrease as the body adjusts to the medication.