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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Occupational therapists help clients develop, recover, improve, and maintain the skills needed for daily living and working. Their focus includes activities of daily living (ADLs), which encompass tasks such as grooming, dressing, bathing, and oral hygiene. Therefore, a client requiring assistance with completing oral hygiene would benefit from an occupational therapist’s expertise in promoting independence in daily self-care activities.
B The client expresses the desire to join a support group: This need is better addressed by a social worker or a counselor who can facilitate connections to appropriate support groups and provide psychosocial support.
C The client reports pain when chewing solid foods: This issue may require assessment and intervention by a dentist or a speech therapist (if related to swallowing difficulties), not an occupational therapist.
D The client has difficulty ambulating with a walker: Physical therapists, rather than occupational therapists, typically address issues related to mobility and ambulation aids.
Correct Answer is C
Explanation
A. Review facility policies for taking scheduled breaks: While understanding facility policies is important, it may not directly address the reasons why the nurses are not taking their scheduled breaks. This step can be taken after understanding the underlying issues.
B. Discuss time management strategies with the nurses: While time management strategies may be helpful, it's essential to first understand why the nurses are not taking their breaks before discussing potential solutions.
C. Determine the reasons the nurses are not taking scheduled breaks: This is the correct answer.
Understanding the reasons behind the nurses' behavior is crucial for addressing the issue effectively. It could be due to workload, staffing issues, personal preferences, or other factors.
D. Provide coverage for the nurses' breaks: While providing coverage may be necessary in the short term, it does not address the underlying reasons why the nurses are not taking their breaks and may not be a sustainable solution. Understanding the root cause is essential for
implementing appropriate interventions.
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