Which of the following actions by the nurse best supports patient autonomy?
The nurse explains interventions prior to performing them.
Patient information is kept private.
The nurse brings back medication at the time stated previously.
All patients are given equal care.
The Correct Answer is A
Choice A rationale
Explaining interventions prior to performing them is a key aspect of patient autonomy. It allows patients to understand what is happening to them and gives them the opportunity to ask questions or refuse treatment if they wish.
Choice B rationale
While keeping patient information private is important and is part of the ethical principle of confidentiality, it does not directly support patient autonomy.
Choice C rationale
Bringing back medication at the stated time supports the principle of beneficence (doing good) and reliability but does not directly support patient autonomy.
Choice D rationale
Providing equal care to all patients is part of the ethical principle of justice, not autonomy.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
It is a common practice for nurses to assess a patient’s respirations without explicitly stating so. This is because patients may alter their breathing pattern if they know it’s being observed.
Choice B rationale
Auscultating heart sounds using the bell of the stethoscope is a standard practice in nursing. The bell of the stethoscope is used specifically to listen to low-frequency sounds such as heart murmurs.
Choice C rationale
Assessing both carotid pulse sites at the same time is dangerous and should be avoided. This action can lead to reduced blood flow to the brain, possibly causing the patient to faint or experience a decrease in cerebral blood flow.
Choice D rationale
Cleaning the stethoscope between patient assessments is a recommended practice to prevent the spread of infections.
Correct Answer is B
Explanation
The nurse completed the incident report at 1600.
Step 1 is to understand the 24-hour clock format. In this format, the hours of the day run 0-23, midnight to midnight.
Step 2 is to convert the time the nurse administered the medication (0900) to the 12-hour clock format. This is 9 a.m.
Step 3 is to add seven hours to this time (the time that passed before the nurse realized a medication error had occurred). 9 a.m. + 7 hours = 4 p.m.
Step 4 is to convert this time back to the 24-hour clock format. 4 p.m. is 1600 in the 24-hour clock format.
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