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 based solely on a DNR order may not be 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. While it is advisable for individuals to review legal documents with their attorney, it does not directly indicate understanding of advance directives.
B. Selecting a family member as a healthcare proxy is a component of advance directives but does not directly indicate understanding of the concept.
C. Having a nurse witness the signing of a living will is not a typical requirement for advance directives and does not necessarily indicate understanding of the process.
D. This statement demonstrates an understanding that advance directives are not necessarily permanent and can be modified or revoked by the individual at any time while they have decision-making capacity. This reflects comprehension of the flexibility and autonomy inherent in advance directives.
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.
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