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 explains to a client's family that a DNR order includes withholding comfort measures.
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 8/min.
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 A
A. A Do Not Resuscitate (DNR) order indicates that the client does not wish to receive cardiopulmonary resuscitation (CPR) in the event of cardiac or respiratory arrest. While a DNR order may include withholding CPR, it does not preclude providing comfort measures.
B. A nurse refuses to actively participate during an elective abortion procedure scheduled for her client. This behavior is an example of conscientious objection, which allows healthcare professionals to refuse to participate in procedures that conflict with their personal beliefs.
C. A nurse gives prescribed opioids to a client who has a terminal illness and respirations of 8/min. This behavior is appropriate for a client with a terminal illness who is experiencing pain, as opioid medications can be used to manage pain even if they may also depress respirations.
D. A nurse informs a confused client who wants to go home that he is going to stay at the facility until he is better. This behavior may be necessary to protect the client's safety, but it does not necessarily indicate a need for further education.
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Related Questions
Correct Answer is D
Explanation
A. By instructing the AP to stop discussing the client's care in a public area, the nurse helps prevent further exposure of sensitive information. However, while this step is necessary to immediately correct the behavior, it is not sufficient on its own to address the breach thoroughly.
B. This action is not appropriate as the primary responsibility for addressing a breach of confidentiality falls within the scope of nursing management and organizational policies, rather than the client's provider.
C. Reassigning the AP does not address the issue of confidentiality. The priority is to correct the behavior and ensure that such breaches do not occur in the future. Reassignment would not resolve the confidentiality breach or prevent further incidents.
D. This action is appropriate because it provides a formal mechanism to document the breach of confidentiality. Completing an incident report ensures that the issue is recorded and can be reviewed by management to address the breach and prevent future occurrences.
Correct Answer is C
Explanation
A. A living will does not require approval from a physician; it is a legal document that outlines a person’s
wishes regarding medical treatment in case they become unable to communicate those wishes.
B. Advance directives should be completed while the individual is still capable of making informed decisions, ideally before a serious health issue arises. These documents are intended to provide
guidance on the person’s wishes regarding medical treatment and end-of-life care in situations where they might not be able to communicate their preferences.
C. The durable power of attorney for health care (also known as a health care proxy) is a component of advance directives. It designates a person to make medical decisions on behalf of the individual if they are unable to do so themselves. This document, along with a living will, is part of advance directives that help ensure a person’s health care wishes are honored.
D. A living will does not require a family member’s co-signature to be valid. It must be signed by the individual and may require witnessing or notarization depending on state laws, but not a family member’s co-signature.
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