A client with a diagnosis of colorectal cancer has been presented with her treatment options, but wishes to defer any decisions to her uncle, who acts in the role of a family patriarch within the client's culture.
The client's right to self-determination is best protected by
respecting the client's desire to have the uncle make choices on her behalf.
revisiting the decision when the uncle is not present at the bedside.
holding a family meeting and encouraging the client to speak on her own behalf.
educating the client about her right to autonomy.
The Correct Answer is D
Choice A rationale
While cultural sensitivity is important, respecting the client's desire to have her uncle make decisions would undermine her legal and ethical right to self-determination, which is a fundamental principle in healthcare. This right ensures individuals make their own healthcare decisions free from coercion.
Choice B rationale
Revisiting the decision without the uncle present might pressure the client and still not directly address her right to make her own informed choices. It doesn't empower the client to exercise her autonomy.
Choice C rationale
Holding a family meeting and encouraging the client to speak on her own behalf is a supportive approach, but it doesn't guarantee the client will feel empowered to make her own decision, especially if cultural norms strongly favor the uncle's authority.
Choice D rationale
Educating the client about her right to autonomy directly addresses the ethical principle of self-determination. By understanding her rights, the client is empowered to make her own informed decisions about her treatment, regardless of cultural influences or family dynamics.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Dividing time evenly among patients reflects the professional value of justice, ensuring fair allocation of nursing resources based on patient needs rather than strict equality of time. Justice in nursing involves impartiality and equitable treatment.
Choice B rationale
Demonstrating care and concern for a patient's culture and beliefs aligns with the professional value of respect for autonomy and human dignity. It involves acknowledging and valuing the patient's individuality and their right to self-determination in healthcare decisions.
Choice C rationale
Encouraging the patient to make decisions about food selection promotes patient autonomy, allowing them to exercise their right to make choices about their care. This respects their preferences and empowers them in their healthcare journey.
Choice D rationale
Performing patient assessment and recording findings accurately exemplifies integrity, which involves honesty, truthfulness, and adherence to ethical principles. Accurate documentation provides an honest representation of the patient's condition and the care provided, crucial for safe and effective nursing practice.
Correct Answer is D
Explanation
Choice A rationale
Impaired Skin Integrity involves damage to the epidermal and/or dermal layers of the skin. While excessive fluid loss can indirectly affect skin turgor and increase the risk of breakdown over time, the primary and immediate physiological consequence of increased urinary output due to a diuretic is a potential reduction in overall fluid volume within the body, not a direct impairment of skin integrity.
Choice B rationale
Impaired Urinary Elimination describes difficulties in controlling or completely emptying the bladder. A diuretic, by its mechanism of action, increases urine production and thus promotes urinary elimination. While the *pattern* of elimination may change (increased frequency, urgency), the fundamental issue is not an impairment of the elimination process itself but rather an *increase* in it.
Choice C rationale
Urinary Retention is the inability to empty the bladder completely. A diuretic works to increase urine output, directly counteracting the physiological process of urinary retention. Therefore, this nursing diagnosis would be inappropriate for a client experiencing increased urinary output due to diuretic use.
Choice D rationale
Risk for Deficient Fluid Volume is a nursing diagnosis that identifies a vulnerability to a decrease in intravascular, interstitial, and/or intracellular fluid, which may compromise health. A diuretic increases urinary output, leading to a greater loss of fluid from the body. Without adequate fluid intake to compensate for this increased loss, the client is at a significant risk of developing a fluid volume deficit.
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