In a clinical setting, professional ethics should override personal morals and values.
a. true
b. false
Answer: a. true
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What disorder of the anus or rectum is this likely to be?
A 55-year-old retired property manager comes to your clinic, concerned that she may have a tumor in her rectum. When asked why, she states that after straining at a bowel movement she felt a mass around her rectum. She denies any blood in her stool, black stools, or pain with defecation. She admits to having had chronic constipation for 30 years. She often uses laxatives to be able to have a bowel movement. She denies any recent weight gain, weight loss, fever, or night sweats. Her past medical history consists of hypothyroidism, and she has had two spontaneous vaginal deliveries. Her mother died recently of colon cancer and her father has high blood pressure but is otherwise healthy. She denies any smoking and only occasionally drinks alcohol. On examination she seems nervous. Her blood pressure is 140/90 and her pulse is 100. Her cardiac, lung, and abdominal examinations are normal. On visualization of her anus, no inflammation, masses, or fissures are noted. When she is asked to bear down, you see a rosette of red mucosa prolapsing from the anus. On digital rectal examination there are no masses and no blood is found on the glove. A) Prolapse of the rectum B) Internal hemorrhoids C) Anorectal cancer D) Prostate cancer
A parent brings a toddler to the pediatric clinic. The nurse observes a number of bruises on the child in various stages of healing. The parent claims the toddler bruises easily
The best action on the part of the pediatrician and the nurse would be to: a. believe the parents and schedule an appointment in 2 weeks b. report this to child and family services and order a screening battery of bleeding and clotting blood work c. check with the other parent or another caregiver to see what he or she might be able to add to this history d. tell the parent that it is clear that he or she is lying and to tell the truth
A 40 year old male patient with multiple health problems has been diagnosed with a testosterone deficiency. which of the following assessment findings would his care provider attribute to an ETIOLOGY other than this deficiency?
a. the patient has a voice that is unusually high in pitch b. the patient has long standing anemia and low red cell counts. c. the patient has a history of susceptibility to upper respiratory infections d. the patient has a low muscle mass as a proportion of total weight.
Legal standards are
A. moral codes of conduct. B. guides to lawful behavior. C. ethical codes of conduct. D. voluntary agreements for workers.