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RNSG 1125 final study Giddens Questions With Complete Solutions
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RNSG 1125 final study Giddens Questions With Complete Solutions
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RNSG 1125 final study Giddens Questions With CompleteSolutions
A 28-year-old married woman received word that she is
pregnant. Sadly, the patient is not able to carry the pregnancy
because she suffers from long QT syndrome, which causes an
abnormality of the heart, meaning any rush of adrenaline could
prove fatal. The pregnant patient states, I want to have this baby.
The nurse realizes that this is a conflict that involves the ethical
principle of
a.
utilitarianism.
b.
deontology.
c.
autonomy.
d.
veracity. Correct Answer A
Utilitarianism is an approach that is rooted in the assumption
that an action or practice is right if it leads to the greatest
possible balance of good consequences or to the least possible
balance of bad consequences. An attempt is made to determine
which actions will lead to the greatest ratio of benefit to harm
for all persons involved in the dilemma. Veracity is telling the
truth in personal communication as a moral and ethical
requirement. Deontology is an approach that is rooted in the
assumption that an action or practice is right if it leads to the
greatest possible balance of good consequences or to the least
possible balance of bad consequences. Autonomy is the
principle of respect for the individual person. All persons have
,unconditional intrinsic value. People are self-determining agents
who are entitled to decide their own destiny.
A GN appears to be second-guessing herself and is constantly
calling on the other nurses to double-check their plan of care or
rehearse what they will say to the doctor before she call on the
patients behalf. This seems to be annoying some of the nurses
coworkers. The nurse managers best response to this situation is
to
a.
explain to coworkers that this is a characteristic of critical
thinking and is important for the GN to improve reasoning
skills.
b.
agree with the staff and have someone follow and work more
closely with a preceptor.
c.
have a talk with the nurse and suggest asking fewer questions.
d.
tell the staff that all new nurses go through this phase, and
ignore their behavior. Correct Answer Reflection-on-action is
critical for development of knowledge and improvement in
reasoning. It is where learning from practice is incorporated into
experience. Inquisitiveness is a characteristic of critical thinking
and reflects a desire to learn even when the knowledge may not
appear readily useful. The manager should promote this.
Suggesting the nurse work more closely with a preceptor implies
that the manager thinks the nurse needs to learn more and
increase confidence. In reality, this nurse is demonstrating a
characteristic of critical thinking. Suggesting that the nurse ask
fewer questions would hamper the development of the nurse as a
,critical thinker. All new nurses do go through a phase of asking
more questions at one time, but dismissing the nurses behavior
with this explanation is simplistic and will discourage critical
thinking.
A home care nurse receives a physician order for a medication
that the patient does not want to take because the patient has a
history of side effects from this medication. The nurse carefully
listens to the patient, considers it in light of the patients
condition, questions its appropriateness, and examines
alternative treatments. This nurse would most likely
a.
call the physician, explain rationale, and suggest a different
medication.
b.
consult an experienced nurse on whether there are other similar
treatments.
c.
hold the drug until the physician returns to the unit and can be
questioned.
d.
question other staff as to the physicians acceptance of nursing
input. Correct Answer A.
Determining how best to proceed on behalf of a patients best
health care outcomes may require clinical judgment. At the
committed level of critical thinking, the nurse chooses an action
after all possibilities have been examined. A home care nurse
who is using good clinical judgment techniques should have
confidence in their decision and may not have another nurse
available as this is an autonomous setting. Holding the drug
, might jeopardize the patients health, so this is not the best
solution. The nurse working at this level of critical thinking
makes choices based on careful examination of situations and
alternatives; whether or not the physician is open to nursing
input is not relevant.
A law is defined as a
a.
fundamental concept for health care professionals.
b.
rule developed by the employees organization.
c.
rule enacted by a government agency that defines what must be
done in a given circumstance.
d.
mandate from the Joint Commission or other accrediting agency.
Correct Answer C.
A male patient suffered a brain injury from a motor vehicle
accident and has no brain activity. The spouse has come up to
see the patient every day for the past 2 months. She asks the
nurse, Do you think when he moves his hands he is responding
to my voice? The nurse feels bad because she believes the
movements are involuntary, and the prognosis is grim for this
patient. She states, He can hear you, and it appears he did
respond to your voice. The nurse is violating which principle of
ethics?
a.
Autonomy
b.
Veracity
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