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20 Cards in this Set
- Front
- Back
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A nurse is caring for a client who decides not to have surgery despite significant blockages in his coronary arteries. The nurse understands that this client's choice is an example of which of the following ethical principles?
A) Fidelity B) Autonomy C) Justice D) Nonmaleficence |
B) Autonomy |
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A nurse offers pain medication to a client who is postoperative prior to ambulation. The nurse understands that this aspect of care delivery is an example of which of the following ethical principles?
A) Fidelity B) Autonomy C) Justice D) Beneficence |
D) Beneficence |
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A nurse is instructing a group of nursing students about the responsibilities involved with organ donation and procurement. When the nurse explains that all the clients waiting for a kidney transplant have to meet the same qualifications, the students should understand that this aspect of care delivery is an example of which of the following ethical principles?
A) Fidelity B) Autonomy C) Justice D) Nonmaleficence |
C) Justice |
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A nurse questions a medication prescription as too extreme in light of the client's advanced age and unstable status. The nurse understands that this action is an example of which of the following ethical principles?
A) Fidelity B) Autonomy C) Justice D) Nonmaleficence |
D) Nonmaleficence |
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A nurse is instructing a group of nursing students about how to know and what to expect when ethical dilemmas arise. Which of the following situations should students identify as an ethical dilemma?
A) A nurse on a medical-surgical unit demonstrates signs of chemical impairment. B) A nurse overhears another nurse telling an older client that if he doesn't stay in bed, she will have to apply restraints. C) A family has conflicting feelings about the initiation of enteral tube feedings for their father, who is terminally ill. D) A client who is terminally ill hesitates to name her spouse on her durable power of attorney form. |
C) A family has conflicting feelings about the initiation of enteral tube feedings for their father, who is terminally ill. |
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A nurse is using an interpreter to communicate with a client. Which of the following are appropriate when communicating with a client and his family? SATA
A) Talk to the interpreter about the family while the family is in the room. B) Ask the family one question at a time C) Look at the interpreter when asking the family questions D) Use lay terms if possible E) Do not interrupt the interpreter and the family as they talk. |
B, D, & E |
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A nurse is caring for a client who shares the same religious background. The nurse should recognize that:
A) Members of the same religions share similar feelings about their religion B) A shared religious background generates mutual regard for one another C) The same religious beliefs may influence individuals differently D) They should discuss the differences and commonalities in their beliefs |
C) The same religious beliefs may influence individuals differently |
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A nurse is caring for a client who is crying while reading from a devotional book. Which of the following interventions is appropriate for the nurse to take?
A) Contact the hospital's spiritual services. B) Ask him what is making him cry. C) Provide quiet times for these moments. D) Turn on the television for a distraction. |
C) Provide quiet times for these moments. |
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A nurse is planning care for a client who is a devout Muslim and is 3 days postoperative following a hip arthroplasty. The client is scheduled for two physical therapy sessions today. Which of the following statements by the nurse indicates culturally appropriate care to the Muslim client?
A) "I will make sure the menu includes Kosher items" B) "I will discuss the daily schedule with the client to make sure the client will have time for prayer" C) "I will make sure to use direct eye contact when speaking with this client" D) "I will make sure daily communion is available for this client" |
B) "I will discuss the daily schedule with the client to make sure the client will have time for prayer" |
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Jehovah's witness.
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D) "Let's discuss the necessity for a blood transfusion with your religious and spiritual leaders and come to a reasonable solution." |
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A nurse is caring for a client who has terminal lung cancer. The nurse observes the client's family assisting with all ADLs. Which of the following rationales for self-care should the nurse communicate with the family?
A) Allowing the client to function independently will strengthen her muscles and promote healing. B) The client needs to be given privacy at all times for self-reflecting and organizing her life. C) The client's sense of loss can be lessened through retaining control of certain areas of her life. D) Performing ADLs is required prior to discharge from an acute care facility. |
C) The client's sense of loss can be lessened through retaining control of certain areas of her life. |
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A nurse is caring for a client who has stage 4 lung cancer and is 3 days postoperative following a wedge resection. The client states, "I told myself that I would go through with the surgery and quit smoking, if I could just live long enough to attend my daughter's wedding." Based on Kubler-Ross Five Stages of Grief, which stage is the client experiencing?
A) Anger B) Denial C) Bargaining D) Acceptance |
C) Bargaining |
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A nurse is consoling the partner of a client who just expired after a long battle with liver cancer. The partner is displaying grief and states, "I hate him for leaving me." Which of the following statements by the nurse successfully facilitate mourning for the grieving partner? SATA
A) "Would you like me to contact the chaplain to come speak to you" B) "You will feel better soon. You have been expecting this for a while" C) "Lets talk about your children and how they are going to react" D) "You know, its quite normal to feel anger toward your husband at this time" E) "Tell me more about how you are feeling" |
D & E |
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A nurse is caring for a client who has a terminal illness. Death is expected within 24 hr. The client's family is at the bedside and asks the nurse what anticipated clinical findings at this time. Which of the following is an appropriate response by the nurse?
A) Regular breathing patterns B) Warm extremities C) Increased urine output D) Decreased muscle tone |
D) Decreased muscle tone |
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A nurse is assisting a newly licensed nurse with postmortem care of a client. The family wishes to view the body. Which of the following statements by the newly licensed nurse indicate an understanding of the procedure? SATA
A) "I will remove the dentures from the body" B) "I will make sure the body is lying completely flat" C) "I will apply fresh linens and place a clean gown on the body" D) "I will remove all equipment from bedside" E) "I will dim the lights in the room" |
C, D, & E |
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A nurse is caring for a client who recently had a cerebrovascular accident and has aphasia. Which of the following interventions should the nurse use to promote communication with this client? SATA
A) Speak fast and loudly B) Minimize background noise C) Write down what the client does not understand D) Allow plenty of time for the client to respond E) Use brief sentences with simple words |
A & B? (B, C, D, & E) |
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A nurse is caring for a client who had an amphetamine overdose and has sensory overload. Which of the following interventions should the nurse implement?
A) Immediately complete a thorough assessment B) Put the client in a room with a client who is hearing impaired C) Provide a private room, and limit stimulation D) Talk loudly to the client and encourage ambulation. |
C) Provide a private room, and limit stimulation |
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A nurse is caring for a client who reports difficulty hearing. Which of the following assessment findings indicate a sensorineural hearing loss in the left ear? SATA
A) Weber test showing lateralization to the right ear B) Light reflex at 10 o'clock in the left ear C) No signs of obstruction in the left ear D) Rinne test showing length of time is decreased for air and bone conduction E) Rinne test showing air conduction less than bone conduction in the left ear |
A, C, & D |
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A nurse is reviewing instructions with a patient who is hearing impaired and has just started wearing hearing aids. Which of the following statements by the client indicates understanding of the instructions?
A) "I use a damp cloth to clean the outside parts of my hearing aids" B) "I clean the ear molds of my hearing aids with rubbing alcohol" C) "I keep the volume of my hearing aids turned up so I can hear better" D) "I take my batteries out of my hearing aids when I take them off at night" |
D) "I take my batteries out of my hearing aids when I take them off at night" |
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A nurse is caring for a client who has several risk factors for hearing loss. As the nurse reviews the client's medication history, which of the following medications the client takes should alert the nurse to a further risk for ototoxicity? SATA
A) Furosemide (Lasix) B) Ibuprofen (Advil) C) Cimetidine (Tagamet) D) Simvastatin (Zocor) E) Amiodarone (Cordarone) |
B, C, D, & E? (A & B) |
