When addressing an ethical dilemma, contextual, physiological, and personal factors of the situation must be considered. Which of the following is an example of a personal factor?
a. The hospital has a policy that everyone must have an advanced directive on the chart.
b. The patient has lost 20 pounds in the past month and is fatigued all of time.
c. The patient has told you what quality of life means and his or her wishes.
d. The physician considers care to be futile in a given situation.
C
Personal factors include competence, stated wishes, goals and hopes, definition of quality of life, and family relationships. Hospital policy is a contextual factor. Weight loss and fatigue are physiological factors. The physician's belief is a contextual factor.
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A 10-week, prenuptial counseling group composed of five couples is terminating. At the last group meeting, a nurse notices that the two most faithful and participative couples are absent
When considering concepts of group development, what might explain this behavior? 1. They are experiencing problems with termination, leading to feelings of abandonment. 2. They did not think any new material would be covered at the last session. 3. They were angry with the leader for not extending the length of the group. 4. They were bored with the material covered in the group.
A nurse suspects her a co-worker is abusing drugs. Which of the following symptoms, noticed in the co-worker, would contribute to the suspicions?
a. Spending more time with co-workers b. Frequently absent from the unit c. Rapid changes in mood and performance d. Increased somatic complaints e. Patients report they did not receive their medications
An antagonist for narcotics must be readily available at delivery because
a. all clients receiving narcotics within 2 hours of delivery are given the antagonist b. narcotics can potentially cause hypotension in the mother c. narcotics can potentially depress the new-born's respiratory system d. narcotics cannot be metabolized in the newborn's system
During the health history, a patient tells the nurse that she is in an abusive relationship and is fearful of getting hurt if her husband finds out that she told the nurse. Which response by the nurse is most appropriate for this patient?
1. "Don't worry. They only strike back when they are angry." 2. "Are you saying that you are in danger?" 3. "I would get an attorney if I were you." 4. "Remember, what goes around comes around."