A good friend of a licensed practical/vocational nurse (LPN/LVN) confides that she is in a serious romantic relationship with a man the LPN/LVN had as a patient when he was diagnosed with the human immunodeficiency virus (HIV)

The policies of the Health Insurance Portability and Accountability Act (HIPAA) prevent the nurse from warning her friend. What is this situa-tion considered? a. Moral dilemma
b. Moral uncertainty
c. Moral distress
d. Moral outrage


C
Moral distress occurs when a nurse feels powerless because moral beliefs cannot be honored be-cause of institutional or other barriers.

Nursing

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Your 5-year-old male patient has an absent anal reflex along with anorectal tears and ecchymosis, which are most likely caused by

a. cancer of the anus. c. sexual abuse. b. a congenital disorder. d. a spinal cord lesion.

Nursing

A client says, "I am interested in recording my family health history, but I don't know where to begin. Would you recommend the Surgeon General's Family History tool as a beginning?" How should the nurse respond?

1. "Using this tool is a very good way to encourage your relatives to participate in collecting your family health history." 2. "The problem with this tool is that is has not been updated or changed since it was first introduced." 3. "Family health history is so complicated that it is best to leave collection to someone with special training." 4. "You are taking the risk with this tool that someone will hack the storage site and have access to your information."

Nursing

A primigravida is admitted to the labor unit with contractions every 7–8 minutes. She is 3 cm dilated, 70% effaced, and 0 station. She is very anxious, is having difficulty coping with contractions, and states she did not attend prenatal classes

Which of the following would be the most effective nursing intervention? 1. Instruct the client in abdominal breathing and progressive relaxation. 2. Instruct the client in patterned paced breathing and touch relaxation. 3. Instruct the client in pelvic tilt and pelvic rock exercises. 4. Call the physician and request a sedative.

Nursing

During a mental status examination, which question would be the most helpful to assess remote memory?

A. "How long have you been here?" B. "What time did you get here today?" C. "What did you eat for breakfast?" D. "What was your mother's maiden name?"

Nursing