Lucy observes a staff nurse going in to administer Mrs. Miller her medications. Mrs. Miller does not want to take the medications. The nurse tells Mrs. Miller that she has to take the medications and then makes her take them. What is this an example of? (Case #1)
Being a patient advocate
Not being sympathetic to Mrs. Miller
Being unethical in caring
Adequate practice because the nurse was busy
The Correct Answer is C
A. Being a patient advocate would involve respecting Mrs. Miller’s autonomy and ensuring that her rights are considered, including the right to refuse treatment. The nurse’s actions do not demonstrate advocacy for Mrs. Miller's personal wishes.
B. Not being sympathetic is part of the scenario, but the main issue is the lack of respect for the patient's autonomy rather than a lack of sympathy.
C. Being unethical in caring is the most accurate answer. The nurse's actions violate Mrs. Miller’s right to make decisions about her care. Autonomy is a fundamental ethical principle in healthcare, and the nurse should have engaged in discussion with the patient, offering education and exploring reasons for her refusal, rather than making her take the medication.
D. Adequate practice because the nurse was busy is not an appropriate justification. Ethical care requires respect for the patient’s rights and choices, regardless of the nurse's workload.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Providing presence by sitting down, making eye contact, and offering a comforting presence is a key aspect of caring practice. It helps Mrs. Miller feel heard and supported, showing empathy.
B. Avoiding touch may not be necessary unless the patient expresses discomfort with physical contact. Offering a caring presence, including appropriate touch, can help build rapport and show compassion.
C. Telling Mrs. Miller that everything is alright may dismiss her feelings, even if the nurse means well. Acknowledge the patient's emotions and offer emotional support instead of minimizing her experience.
D. Telling Mrs. Miller that the nurse is busy and will return later may seem dismissive of her current emotional state, rather than offering immediate emotional support.
Correct Answer is C
Explanation
A. Caring and curing are basically synonymous is incorrect. Leininger’s theory distinguishes between caring (focused on the emotional and cultural aspects) and curing (focused on medical interventions).
B. Caring acts are independent of patient values is also incorrect. According to Leininger, caring is culturally based and must be aligned with the patient’s values, beliefs, and preferences.
C. Care is tailored to meet the needs of the individual patient is correct. Leininger’s Transcultural Nursing Theory emphasizes that caring should be specific to the individual, considering their cultural background and personal experiences.
D. Care uses a standardized approach for all patients is incorrect because Leininger’s theory advocates for culturally specific care, not a one-size-fits-all approach.
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