A nurse is caring for a terminally ill patient with questions regarding end-of-life care options.
The nurse provides an informational packet to the patient, and discusses the various care options available.
The nurse is demonstrating which professional value?

Ethical dilemma.

Nonmaleficence.

Autonomy.

Social Justice.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Ethical dilemma involves a situation in which a person is faced with conflicting moral principles, making it difficult to choose the right course of action. In this scenario, the nurse is not dealing with conflicting moral principles but rather providing information about end-of-life care options, demonstrating respect for the patient's autonomy.

Choice B rationale:

Nonmaleficence is the principle of doing no harm. While it is an important ethical principle in nursing, it does not directly apply to the situation described. The nurse is not making decisions that could harm the patient but is instead providing information and support regarding end-of-life care options.

Choice C rationale:

Autonomy refers to the right of individuals to make their own decisions about their own lives and bodies, even if those decisions are not in their best interest according to others. In this scenario, the nurse is respecting the patient's autonomy by providing information and discussing various care options, allowing the patient to make informed decisions about their end-of-life care.

Choice D rationale:

Social justice involves promoting fairness and equity in the distribution of resources and opportunities. While social justice is an important nursing value, it does not directly apply to the situation described. The nurse is primarily focused on respecting the patient's autonomy and providing information about end-of-life care options.

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Correct Answer is A

Explanation

Choice A rationale:

"I'm sorry, I didn't hear what you said about your job. Please tell me again.”. This response demonstrates active listening and empathy. It acknowledges the patient's feelings and encourages them to share their concerns, promoting therapeutic communication. By asking the patient to repeat what they said, the nurse shows genuine interest in understanding the patient's emotions and concerns, fostering trust and rapport.

Choice B rationale:

"Why are you crying so hard about your job? What happened to your job?" This response, while well-intentioned, may come across as intrusive and judgmental. It does not encourage open communication and may make the patient feel defensive, hindering the nurse-patient relationship.

Choice C rationale:

"It's natural to be worried about your job. We all worry about our jobs sometimes.”. While this response acknowledges the patient's feelings, it does not address the specific concern the patient mentioned. It generalizes the situation and does not invite the patient to share more about their feelings, missing an opportunity for deeper communication and understanding.

Choice D rationale:

"Your job must be important to you since you are talking about it.”. This response makes an assumption about the importance of the patient's job without allowing the patient to express their feelings. It does not demonstrate active listening or empathy and may not encourage the patient to open up further about their concerns.

A. Dr. Jones paged at 1430 and 1455 about low blood pressure readings. B. No return call from Dr. Jones. C. Patient and family informed that Dr. Jones may not call back. D. Dr. Jones paged at 1430 of patient's BP 88/36 mm Hg. Repeat BP at 1450 90/40 mm Hg. Dr. Jones paged at 1455. E. No orders received.

Correct Answer is B

No explanation

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A nurse is caring for a terminally ill patient with questions regarding end-of-life care options.The nurse provides an informational packet to the patient, and discusses the various care options available.The nurse is demonstrating which professional value?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The patient is upset, crying, and mumbles something about her job, but the nurse doesn't hear what the patient said about her job.What is the nurse's best response?

Correct Answer is A

Explanation

Correct Answer is B

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A nurse is caring for a terminally ill patient with questions regarding end-of-life care options.
The nurse provides an informational packet to the patient, and discusses the various care options available.
The nurse is demonstrating which professional value?