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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
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.
Correct Answer is ["A","E"]
Explanation
A. This is a breach of confidentiality because discussing a client's condition in a public area where unauthorized individuals can overhear is inappropriate. Confidential information should only be shared in private settings where privacy can be ensured.
B. Logging out of the computer is not a breach of confidentiality; it is a security measure to protect client information.
C. Reviewing an electronic list of clients admitted to the unit is part of routine nursing duties and does not constitute a breach of confidentiality as long as the information is not disclosed to unauthorized individuals.
D. Faxing client data to a referred provider is a part of continuity of care and is not a breach of confidentiality if done following proper protocols to ensure the information is received by the intended recipient.
E. Informing a friend of the client about their condition without consent is a breach of confidentiality. Information about a client's condition should only be shared with individuals who are authorized to receive it, typically those involved in the client's care or those the client has
given permission to be informed.
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