A charge nurse provides an annual in-service for the nursing staff regarding ethical practice.
Which of the following actions include as an example of ethical practice?
A nurse withholds nutrition from a client who has a do-not-resuscitate (DNR) order.
A nurse administers prescribed opioids to a client who has a terminal illness and respiratory rate of 8/min.
A nurse elects not to care for a client who had an abortion.
A nurse raises all four side rails on the bed of a client who is confused.
The Correct Answer is B
A. A nurse withholds nutrition from a client who has a do-not-resuscitate (DNR) order:
Withholding nutrition from a client solely based on a DNR order may not align with ethical practice, as nutrition should be provided unless there are specific contraindications or the client has expressed wishes to withhold nutrition.
B. A nurse administers prescribed opioids to a client who has a terminal illness and respiratory rate of 8/min: This is the correct answer. Ethical practice involves providing comfort measures, including appropriate pain management, to clients who are terminally ill and experiencing pain or distress, even if it may inadvertently decrease the respiratory rate.
C. A nurse elects not to care for a client who had an abortion: Refusing to care for a client based on personal beliefs or judgments about their medical history or decisions may not align with
ethical practice, as nurses have a professional obligation to provide nonjudgmental care to all clients.
D. A nurse raises all four side rails on the bed of a client who is confused: While ensuring client safety is important, raising all four side rails without considering the client's individual needs and preferences may not be ethical practice, as it may infringe on the client's autonomy and dignity.
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Related Questions
Correct Answer is D
Explanation
A. The client needs to have someone come in to help her bathe at home: While assistance with activities of daily living may be necessary, it does not specifically warrant a referral to a social worker.
B. The client needs to have someone bring oxygen tanks and equipment to her home: This indicates a need for home oxygen therapy but does not directly involve social work services.
C. The client needs to have range-of-motion exercises to assist with ambulation: Rehabilitation needs can be addressed by physical or occupational therapy, not necessarily by a social worker.
D. The client needs to arrange financial resources to purchase equipment: This assessment data suggests potential financial concerns related to purchasing equipment, which may require assistance from a social worker in accessing resources or financial assistance programs.
Correct Answer is D
Explanation
A. Offering to store the purse at the nurses' station is not the best option because the nurses' station is a busy area with many people coming and going, which could increase the risk of the purse being misplaced or stolen.
B. Telling the client to leave her purse in a drawer of the bedside table is not secure enough, as the bedside table is easily accessible to anyone who enters the room, including other patients, visitors, and staff.
C. Placing the purse in the clothing bag with the client's other belongings is also not ideal because the clothing bag is typically stored in a less secure area and could be accessed by various personnel, increasing the risk of theft.
D. Offering to place the purse in the facility safe is the best option because the facility safe is a secure location specifically designed to protect valuable items. This ensures the client's belongings are kept safe during the procedure, providing peace of mind for the client.
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