A nurse is processing an ethical dilemma by focusing on relationships and stories of the participants. Which ethical system is the nurse using?
a. Deontology
b. Utilitarianism
c. Feminist ethics
d. Ethics of care
D
Ethics of care suggest that health care workers resolve ethical dilemmas by paying attention to relationships and stories of the participants and by promoting a fundamental act of caring. Attention to relationships distinguishes the ethics of care from other ethical viewpoints because it does not necessarily apply universal principles that are intellectual or analytical. Deontology defines actions as right or wrong based on "right-making characteristics" such as truth and justice. You use utilitarian ethics when determining the value of something based primarily on its usefulness and effects or consequences. Feminist ethics proposes that we routinely ask how ethical decisions will affect women as a way to repair a history of inequality.
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The hospital acts to revoke the clinical privileges of a physician who has repeatedly refused to respond to emergency calls from nursing staff. Under which doctrine is this action advisable?
1. Respondeat superior 2. Corporate liability 3. Borrowed servant 4. Dual servant
What instructions should be included in the discharge teaching plan to assist the patient in recognizing early signs of complications?
a. Palpate the fundus daily to ensure that it is soft. b. Notify the physician of any increase in the amount of lochia or a return to bright red bleeding. c. Report any decrease in the amount of brownish red lochia. d. The passage of clots as large as an orange can be expected.
The nurse is assisting with the insertion of a subclavian central venous catheter. Which actions are indicated? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Place the patient in a prone position. 2. Ask the patient to turn the head away from the insertion site. 3. Alert the patient that the face may be covered temporarily with sterile drapes. 4. Place the bed in Trendelenburg position. 5. Ask the patient to cough when feeling the insertion catheter touch the skin.
According to Beck's studies, which of the following risk factors for postpartum depression is likely to have the greatest effect on the woman's condition?
1. Prenatal depression 2. Single-mother status 3. Low socioeconomic status 4. Unplanned or unwanted pregnancy