A facility provides annual staff education regarding ethical practice. A charge nurse recognizes a need for further education when which of the following behaviors is observed?
A nurse refuses to actively participate during an elective abortion procedure scheduled for her client.
A nurse gives prescribed opioids to a client who has a terminal illness and respirations of B/min.
A nurse explains to a client's family that a DNR order does not include withholding comfort measures.
A nurse informs a confused client who wants to go home that he is going to stay at the facility until he is better.
The Correct Answer is D
Rationale:
A. Refusing to participate in an elective abortion is an example of exercising conscientious objection, which is ethically and legally permitted, provided the nurse ensures the client’s care is not compromised and appropriate staff take over. This behavior does not indicate a need for further education.
B. Administering opioids to a terminally ill client is ethically appropriate under the principle of double effect, where the primary intent is pain relief, not hastening death. This is standard palliative care practice and does not indicate a need for further education.
C. Explaining that a DNR order does not include withholding comfort measures demonstrates correct ethical understanding. Comfort measures, such as pain relief and emotional support, are always provided, regardless of resuscitation status. This behavior is correct.
D. Informing a confused client that he must stay at the facility until he is better violates the ethical principle of autonomy. Even if the client lacks full decision-making capacity, coercion or providing false information is unethical. This behavior indicates a need for further education on respecting client rights, informed consent, and ethical care practices.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Clinical indicators are specific, measurable criteria used to evaluate the outcomes of care. They reflect the quality and effectiveness of nursing interventions, such as rates of patient falls, infection rates, or medication errors. Using clinical indicators allows the nurse manager to quantify results and determine if the quality improvement project is achieving its goals.
B. Cause-and-effect diagrams (also called fishbone or Ishikawa diagrams) are tools used to identify potential causes of a problem. While helpful for analyzing contributing factors and planning interventions, they do not measure outcomes.
C. SBAR (Situation, Background, Assessment, Recommendation) is a standardized communication tool used to convey information clearly among healthcare providers. It is not a tool for measuring outcomes but for improving communication and patient safety.
D. Flowcharts are visual tools that depict the sequence of steps in a process. They help understand workflow or identify process inefficiencies, but they do not directly measure clinical outcomes.
Correct Answer is A
Explanation
Rationale:
A. A Yankauer suction device is essential for a client with dysphagia because these clients are at increased risk of choking or aspiration while eating or drinking. Having a suction device readily available allows the nurse to quickly remove secretions or vomitus from the airway to maintain patency and prevent respiratory compromise.
B. Large-handled utensils may be helpful for clients with limited hand dexterity or weakness, but they do not address the immediate safety risk associated with dysphagia, which is aspiration.
C. A bite block is typically used during dental procedures or to prevent clients from biting tubes or fingers, not for dysphagia management.
D. While oxygen may be needed for clients with respiratory compromise, it is not a primary precaution for dysphagia. The priority is ensuring the airway is protected and that suction is available in case of choking.
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