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. While completing an incident report is important for documenting the event, the witness should not instruct the newly licensed nurse to do so. Instead, it is the responsibility of the observer (the witness nurse) to report the incident to the appropriate authority to ensure that it is addressed properly.
B. Documenting the incident in the client's medical record is not appropriate in this case. The client’s medical record should only contain information relevant to the client’s care and treatment, not details about medication errors or policy violations.
C. While transparency is important, directly informing the client about a medication error is not typically the responsibility of the witnessing nurse. The primary focus should be on addressing the immediate issue and ensuring it is reported to the appropriate authorities rather than discussing the incident with the client.
D. The nurse manager is responsible for overseeing the unit and addressing incidents such as medication errors. Reporting the incident to the nurse manager ensures that it is investigated according to facility protocols.
Correct Answer is D
Explanation
A. While consulting with the nurse manager is appropriate in some cases, it's important to first verify the AP's scope of practice.
B. If the AP is not qualified to perform the task, the nurse may need to perform it themselves or delegate it to someone who is qualified. However, it's important to first verify the AP's scope of practice to avoid unnecessary delegation.
C. This may be a viable option if the AP is not qualified to perform the task and the nurse is unable to do it themselves. However, it's important to ensure that the licensed practical nurse has the necessary training and competence to perform the task safely and effectively.
D. The AP job description outlines the specific tasks and responsibilities that the AP is authorized to perform. By checking the job description, the nurse can determine if the AP is indeed qualified to perform oral care for an unconscious client.
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