A nurse is implementing the ethical reasoning process for a client who is terminally ill. In which order should the nurse perform the following steps? (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)

Identify the problem.

Evaluate the plan.

Review the potential plan of action.

Put the plan into action.

Answer and Explanation

Correct Answer : A,B,C,D

A. Identify the problem:
Recognizing and clearly stating the ethical dilemma is the first step.

C. Review the potential plan of action:
Once the problem is identified, the nurse should explore possible solutions and their ethical implications.

D. Put the plan into action:
Implement the most ethically appropriate plan based on the review.

B. Evaluate the plan:
Assess the effectiveness and ethical soundness of the plan after implementation.

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Correct Answer is B

Explanation

A. The client's IV pump is placed at the head of the bed:
This is an appropriate placement to prevent tripping hazards and keep the pump accessible.

B. The client's call light is pinned to the bed sheet:
Pinning the call light can make it inaccessible if the sheet moves, increasing the risk that the client cannot summon help quickly-especially important for post-op clients at risk of falls.

C. The client's water pitcher is located on the bedside table:
This is an appropriate and accessible placement.

D. The client's walker is next to the bathroom door:
The walker should be within reach of the client’s bed or chair to promote safe mobility; however, if the client is resting in bed, this is not as urgent as the call light issue.

A. Schedule III B. Schedule I C. Schedule IV D. Schedule II

Correct Answer is D

Explanation

A. Schedule III:
Schedule III drugs have moderate to low potential for physical and psychological dependence (e.g., anabolic steroids, ketamine), not as high as morphine.

B. Schedule I:
Schedule I drugs have no accepted medical use and a high potential for abuse (e.g., heroin, LSD), which is not true for morphine.

C. Schedule IV:
Schedule IV drugs have a lower potential for abuse and dependence (e.g., diazepam, zolpidem), not as high as morphine.

D. Schedule II:
Morphine is a Schedule II controlled substance due to its high potential for abuse and risk of severe physical or psychological dependence, but it has accepted medical uses.

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A nurse is implementing the ethical reasoning process for a client who is terminally ill. In which order should the nurse perform the following steps? (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)

Nursing Test Bank

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