1. Independent thinking
Questioning the reason for a new staffing policy
2. Intellectual curiosity
Reading the instruction manual of a new glucose monitoring machine
3. Intellectual humility
Asking for help with a procedure because you have not done it before
4. Intellectual empathy
Asking a patients feelings about his cancer diagnosis
5. Intellectual courage
Questioning your feelings when a patients family requests withholding nutrition for a terminally ill
client
6. Intellectual perseverance
Obtaining the latest research about a new diagnostic procedure even though the articles are
difficult to find - ANS -
\A 36-year-old mother of three small children has had nausea, vomiting, and extreme fatigue for
the past 2 days. She calls her mother and tells her she is ill and asks if her mother can care for
the children. Which stage of illness behavior is she experiencing? Choose all that apply.
1)
Sick-role behavior
2)
Dependence on others
3)
Seeking professional care
4)
Experiencing symptoms - ANS - 1
\A 4-year-old child is brought to the emergency department by his mother. He has a large bruise
in his left chest and multiple contusions on his face. His mother tells you her boyfriend
intentionally pushed the child down the stairs in anger. The child appears to be in a great deal of
pain. Which of the following four items should the nurse do first?
1)
Notify the nursing supervisor of the suspected physical abuse.
2)
Complete a physical assessment of the child.
3)
Obtain an order for pain medication.
4)
,Notify Child Protective Services of the suspected abuse. - ANS - 2
\A 45-year-old patient is ventilator dependent after a high cervical neck injury. He is alert and
oriented and, after giving it much thought, has decided that he wants to be removed from the
ventilator. The nurse believes the patient intends suicide but supports his final decision. When
the ventilator is removed, the nurse remains with the patient to support him. The nurses action
demonstrates respect for what moral principle?
1)
Nonmaleficence
2)
Autonomy
3)
Beneficence
4)
Fidelity - ANS - 2
\A 45-year-old patient is ventilator dependent after a high cervical neck injury. He is conscious
and competent and has decided that he wants to be removed from the ventilator. His family and
the multidisciplinary team agree. The nurse believes the patient intends suicide and would
prefer he choose differently but says nothing. The nurse remains at the bedside holding the
patients hand. In this instance the nurse is displaying which of the following?
1)
Value set
2)
Value system
3)
Value neutrality
4)
Value awareness - ANS - 3
,\A 55-year-old patient returned to the medical-surgical unit after undergoing a right
hemicolectomy (abdominal surgery) for colon cancer. Which of the following is an appropriate,
correctly written nursing order for this patient?
1)
7/12/13 Encourage use of the incentive spirometer every hour while the client is awakeD.
Goodman, RN
2)
By 7/12/13, uses incentive spirometer 10 times every hour while awake to 1000 mL
3)
Incentive spirometer hourly while awake
4)
Offer incentive spirometer to the clientJ. Smith, RN - ANS - 1
\A 60-year-old patient with a treatable form of breast cancer has decided not to pursue radiation
or chemotherapy. The nurse believes that the patient should be treated. She coerces her into
receiving treatment by continuing to remind the patient about her responsibilities for raising her
children. What type of behavior has the nurse displayed?
1)
Nonmaleficence
2)
Autonomy
3)
Paternalism
4)
Beneficence - ANS - 3
\A 62-year-old patient is admitted to the hospital with hypertension. Which question by the nurse
is most important when performing the initial assessment interview?
1)
What medications do you take at home?
2)
Do you have any environmental, food, or drug allergies?
3)
Do you have an advance directive?
4)
What is the greatest concern you are dealing with today? - ANS - 4
, \A 76-year-old patient is admitted with an acute myocardial infarction (heart attack). The doctor
tells the patient that an angioplasty is necessary. The patient agrees and signs the informed
consent. This patient is experiencing which stage of illness behavior?
1)
Sick-role behavior
2)
Seeking professional care
3)
Experiencing symptoms
4)
Dependence on others - ANS - 4
\A 77-year-old woman with an inoperable brain tumor has been hospitalized for the past 5 days.
Her daughter comes to visit her. The patient has asked that her daughter not be told her
diagnosis. After visiting with her mother, the daughter asks to speak to the nurse. She says, My
mother claims she has pneumonia, but I know she is not telling me the truth. The daughter asks
the nurse to tell her what is truly wrong with her mother. The nurse should tell her that:
1)
Her mother has an inoperable brain tumor, but does not wish anyone to know.
2)
She needs to speak to the physician in charge of her mothers care.
3)
Her mother has requested that her case not be discussed with anyone, not even family.
4)
Her mother is very sick with a serious case of pneumonia that could lead to death. - ANS - 3
\A belief about the worth of something that serves as a principle or a standard that influences
decision making is called which of the following?
1)
Morals
2)
Attitudes
3)
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