A community health nurse is planning to offer community programs that benefit as many clients as possible. Which of the following ethical principles should the nurse use to guide their planning?

Fidelity

Utilitarianism

Autonomy

Veracity

Answer and Explanation

The Correct Answer is B

Rationale:

A. Fidelity: Fidelity involves loyalty, faithfulness, and keeping promises to individuals. While important in one-on-one nursing relationships, it is not the guiding principle when planning for population-wide benefit.

B. Utilitarianism: Utilitarianism is an ethical principle focused on producing the greatest good for the greatest number of people. It is most appropriate when planning community programs that aim to maximize overall health benefits.

C. Autonomy: Autonomy emphasizes respecting individual rights and decision-making. While vital in personal healthcare decisions, it does not directly guide broad community health program planning.

D. Veracity: Veracity refers to truth-telling and honesty in communication. Although essential in client interactions, it does not provide direction in choosing programs that broadly benefit the community.

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Correct Answer is D

Explanation

Rationale:

A. Stridor: Stridor is a high-pitched airway sound typically associated with hypocalcemia due to laryngeal spasms from increased neuromuscular excitability. It is not a common feature of hypercalcemia, where muscle excitability is decreased.

B. Seizure: Seizures result from heightened neuronal activity, which occurs more frequently in hypocalcemia. Hypercalcemia depresses neural and muscular activity, making seizures an unlikely symptom.

C. Elevated hematocrit: Elevated hematocrit can occur with dehydration but is not a direct effect of high serum calcium levels. It is not considered a hallmark manifestation of hypercalcemia.

D. Personality change: Hypercalcemia affects the central nervous system, often leading to confusion, lethargy, or personality changes. These alterations occur due to the depressive effects of excess calcium on brain function.

A. The client slept 5 hr the previous night. B. The client consumes 8 oz of high-calorie fluids each hour. C. The client takes short naps during the day. D. The client engages in quiet activities in their room E. The client appears to listen to unseen others.

Correct Answer is ["A","B","D"]

Explanation

Rationale:

A. The client slept 5 hr the previous night: Restorative sleep reflects stabilization in manic episodes, where insomnia is a key symptom. Sleeping for five hours is a significant improvement, indicating reduced hyperactivity and improved mood regulation.

B. The client consumes 8 oz of high-calorie fluids each hour: Adequate nutritional intake and hydration are often compromised in mania due to distractibility and hyperactivity. Regular consumption of fluids shows enhanced attention, cooperation, and reduced psychomotor agitation.

C. The client takes short naps during the day: Napping during the day may actually signal persistent hyperactivity or fragmented sleep cycles. Restful, consolidated nighttime sleep is a better indicator of clinical improvement than sporadic daytime naps.

D. The client engages in quiet activities in their room: Participation in low-stimulation activities reflects improved impulse control, attention span, and reduced need for excessive stimulation positive signs of response to lithium and therapeutic interventions.

E. The client appears to listen to unseen others: Persistent auditory hallucinations suggest ongoing psychotic features. Although lithium can reduce mood-related psychosis, hallucinations at this stage indicate incomplete resolution of manic or psychotic symptoms.

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A community health nurse is planning to offer community programs that benefit as many clients as possible. Which of the following ethical principles should the nurse use to guide their planning?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning to teach a group of newly licensed nurses about hypercalcemia. Which of the following manifestations should the nurse Include in the teaching?

Correct Answer is D

Explanation

The nurse is continuing to care for the client. Exhibits The nurse is assessing the client. Which of the following findings indicate an improvement in the client's condition? Select all that apply.

Correct Answer is ["A","B","D"]

Explanation

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