The nurse values autonomy above all other principles. Which patient assignment will the nurse find most difficult to accept?
a. Teenager in labor who requests epidural anesthesia
b. Middle-aged father of three with an advance directive declining life support
c. Elderly patient who requires dialysis
d. Family elder who is making the decisions for a 30-year-old female member
D
Autonomy refers to freedom from external control. A person who values autonomy highly may find it difficult to accept situations where the patient is not the primary decision maker regarding his or her care. A teenager requesting an epidural, a father with an advanced directive, and an elderly patient requiring dialysis all describe a patient or family that can make their own decisions and choices regarding care.
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The nurse recognizes that which of the following interventions is least likely to facilitate effective communication between the dying client and family?
A) The nurse encourages the client and family to identify and discuss feelings openly. B) The nurse makes decisions for the client and family to relieve them of unnecessary demands. C) The assists the client and family in carrying out spiritually meaningful practices. D) The nurse maintains a calm attitude and one of acceptance when the family or client expresses anger.
A patient is admitted for hypovolemia associated with multiple draining wounds. Which assessment would be the most accurate way for the nurse to evaluate fluid balance?
a. Skin turgor b. Daily weight c. Presence of edema d. Hourly urine output
When auscultating over the patient's abdominal aorta, the nurse hears a humming sound. The nurse documents this finding as a
a. thrill. b. bruit. c. murmur. d. normal finding.
Identify the primary purpose of the National League for Nursing
a. Establish standards of practice to ensure high-quality care. b. Maintain and improve the standards of nursing education. c. Increase the political power of nurses to influence legislation. d. Prevent unqualified nurses from practicing in hospitals.