RNSG 1125 Final Review 114 correct
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RNSG 1125 Final Review 114 correct
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Which statement by a new nurse about valid consent indicates a need for further
teaching? - ANSWER-The nurse must explain the procedure to the patient before
obtaning conset.
Which is an example of a medical malpractice tort liability? - ANSWER-The operating
room nurse does not complete the post-procedure count process, and the patient
develops an infection from a retained abdominal sponge.
Which is an example of a nurse protecting a patients right to consent to a procedure? -
ANSWER-When the nurse finds that the informed document is not yet complete, she
hold the patients pre-procedure narcotics until the physician can obtain consent.
Which statement is true regarding The Joint Commissions authority to healthcare
organizations? - ANSWER-The joint commission regulations may be seen as having the
effect of law because they accredit organizations to bill medicare and the standards are
frequently used in malpractice cases.
Which would be aviolation of the Consolidated Omnibus Budget Reconciliation Act and
Emergency Medical Treatment and Active Labor Act of 1986? - ANSWER-The hospital
emergency room physician suspects that a patient is not competent in making decisions
for his post-care treatment. The physician does not complete a competency evaluation
prior to transfer for non-emergent treatment and allows the patient with suspected
incompetence to sign the consent for transfer.
A homeless man presents to the emergency room with hypothermia. He tells the nurse
that he is positive for human immunodeficiency virus (HIV) and sought revenge by
deliberately having sex with his mate, who does not know of his HIV status. What
ethical principle is this patient violating? - ANSWER-Nonmaleficence
Nonmaleficence means to abstain from injuring others and to help others further their
own well-being by removing harm and eliminating threats. The patient is definitely
violating this principle through his actions.
A patient and her husband used in vitro fertilization to become pregnant. The unused
sperm were frozen so the couple could have more children later. They bore a little girl
who was diagnosed with leukemia when she was 5 years old. The child now needs a
bone marrow transplant (BMT). The best chance of a match for the BMT is a sibling.
The couple would like to use the sperm to have another child so that they can increase
the likelihood of a match. The nurse realizes that the unborn child poses an ethical
dilemma involving which principle? - ANSWER-Human dignity
, RNSG 1125 Final Review 114 correct
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Human dignity is the inherent worth and uniqueness of a person.
A woman with long QT syndrome becomes pregnant. Long QT syndrome causes an
abnormality of the heart and any rush of adrenaline may be fatal for the woman.
The pregnant patient states, "I want to have this baby." What ethical principle applies to
this situation? - ANSWER-Utilitarianism
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.
The nurse believes that a patient who states he is in pain is "faking it" and is hoping to
get "high." The nurse decides to give the patient a placebo instead of the pain
medication that was ordered. Which principle(s) of ethics is the nurse violating? (Select
all that apply.) - ANSWER-Autonomy
Beneficence
Veracity
Autonomy is the principle of respect for the individual person; the nurse does not
respect someone upon whom the nurse is inflicting harm. Beneficence is providing
benefit to others by promoting their welfare. In general terms, to be beneficent is to
promote goodness, kindness, and charity. By taking the patient's pain medication and
substituting saline, the nurse did harm, not good, for the patient. Veracity is truth-telling.
The nurse misled the patient to believe he/she was receiving a dose of pain medication.
Which ethical term matches this statement: "A problem for which in order to do
something right you have to do something wrong"? - ANSWER-Ethical dilemma
An ethical dilemma involves a problem for which in order to do something right you have
to do something wrong.
Which communication term can be applied to this statement: How messages are
received and interpreted would include personal states such as mood disturbance,
environmental stimuli related to the setting of the communication, and contextual
variables? - ANSWER-Metacommunication
Metacommunication is a term which means how messages are received and interpreted
would include personal states such as mood disturbance, environment stimuli related to
the setting of the communication, and contextual variable.
A patient does not make eye contact with the nurse and is folding his arms at his chest.
Which aspect of communication has the nurse assessed? - ANSWER-Nonverbal
communication
Eye contact and body movements are considered nonverbal communication.
The nurse is having a therapeutic conversation with a patient newly diagnosed with
hypertension. Which communication techniques will most likely prove effective for this
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