Chapter 5, Legal and Ethical Aspects

1.You are conducting an interview with a client and he reveals to you that he abuses his wife. He asks you not to tell anyone.

1. Would you be required to keep this client’s confidentiality or to share the information with someone?
2. How would you respond to the client?
3. How would you feel about a client sharing this information with you and what would you do with the information?

While giving report on a mental health client to another nurse, the nurse asks you, “What is the patient’s admission status?”

4. What is the difference between voluntary admission, emergency admission, and involuntary commitment?

An ethical dilemma is a situation in which moral and ethical principles conflict with one another.

5. Provide an example of an ethical dilemma that you might be faced with as a nurse.

4.Your nursing instructor has been teaching the class about the Nurse Practice Act, Standards of Care, and the ANA Code of Ethics.

6. How will the Nurse Practice Act and the ANA Code of Ethics influence your nursing practice?
7. How do standards of care protect the mental health client?

5. Your nursing instructor has paired you with a peer group and asked you to analyze ethical principles of autonomy, beneficence, paternalism, veracity, fidelity, and justice in relation to the care of the mental health client.

8. Discuss each of these ethical principles.
9. How would your group incorporate each ethical principle into the care of the mental health client?

166. The nurse is contributing to a staff development conference about informed consent. Which of the following information should the nurse suggest including? Select all that apply. 1."The client may not withdraw consent once the informed consent form has been signed."

2."The student nurse assigned to the client may witness and sign an informed consent form if a staff nurse is not available."

3."The nurse is responsible for explaining the procedure to the client prior to asking for the informed consent form to be signed."

4."The client who is a minor and enlisted in the military is considered legally capable of signing their own informed consent form."

5."The nurse's signature on an informed consent form indicates that the client has voluntarily given consent for the treatment or procedure."

197. The nurse is caring for a couple who just experienced a stillbirth. The client's spouse says to the nurse, "I am tired and need to go home. I will probably take the baby's bassinet back to the store while I am gone since we just started to buy furniture for the nursery." Which of the following responses would be most appropriate for the nurse to make?

1."Your wife needs you here with her."

2."There will be plenty of time to return the bassinet."

3."I can help you talk with your wife about the nursery."

4."You need to get some rest instead of working."

198. The nurse is reinforcing teaching with a client who had a renal transplant 3 days ago and is receiving prescribed cyclosporine. Which of the following information should the nurse reinforce?

1."You should notify your primary health care provider if you experience a sore throat."

2."You should increase your intake of grapefruit juice while you are taking cyclosporine."

3."You may experience a decreased urine output while you are taking cyclosporine."

4."You will need to take this medication until your new kidney is functioning."

226. The charge nurse in a long-term care facility has completed client care assignments for unlicensed assistive personnel (UAP). Which of the following statements by the charge nurse would provide UAP with the best directions regarding the assignments?

1."Assist the client with dementia to ambulate to the bathroom after eating."

2."Offer between-meal snacks to the client with diabetes mellitus (type 2)."

3."Help the client with mitral valve prolapse (MVP) prepare for a scheduled dental appointment today."

4."Encourage the client with gastroenteritis to drink 1 cup of liquid every 2 hours."

235. The nurse and unlicensed assistive personnel (UAP) are caring for assigned clients. Which of the following activities would be appropriate for the nurse to assign to a UAP? Select all that apply.

1.weighing the client with heart failure

2.providing oral hygiene for the client with severe Alzheimer's disease (AD)

3.palpating the pedal pulses of the client who had a cardiac catheterization 2 hours ago

4.obtaining and documenting vital signs from the client who had an appendectomy 24 hours ago

5.obtaining a pulse oximetry reading from the client with chronic obstructive pulmonary disease (COPD)

why O2 saturation levels is low on a septic shock? please provide pathophysiology and references.

250. The nurse is changing the dressing over a client's infected wound. The client tells the nurse, "I would not need all of this care if someone on the staff here had taken care of me correctly." Which of the following responses would be most appropriate for the nurse to make?

1."It sounds like you are angry."

2."I will arrange to have the wound care specialist visit you."

3."Let me see how the infection is responding to this treatment."

4."Tell me what I can do to help you at this time."

235. The nurse and unlicensed assistive personnel (UAP) are caring for assigned clients. Which of the following activities would be appropriate for the nurse to assign to a UAP? Select all that apply.

1.weighing the client with heart failure

2.providing oral hygiene for the client with severe Alzheimer's disease (AD)

3.palpating the pedal pulses of the client who had a cardiac catheterization 2 hours ago

4.obtaining and documenting vital signs from the client who had an appendectomy 24 hours ago

5.obtaining a pulse oximetry reading from the client with chronic obstructive pulmonary disease (COPD)

How can we reduce bias in collecting data in the research? Support the answer with references

Health care expenditures continue to rise in the USA.

(a) Describe three of the factors that you think drive up health care costs (

b) Explain what you think an individual can do to have an impact on personal and overall health care costs?

Question 5
Based on Mr. Gary history and current diagnostic findings, which
of the following type of renal failure is he most likely experiencing?

a) Pre-renal
b) Post-renal
c) Intra-renal
d) Decrease renal reserve

Please provide a complete pathophysiologic explanation with reference
Why a patient with septic shock has pale cool cyanotic peripheries ?

Do you think The Affordable Care Act has improved the quality of patient care provided?

What additional impacts could the selected policy have on healthcare?

Question 10
Which of the following is most likely contributing
to the confusion and disorientation in the patient?

a) hyponatremia
b) hyperkalemia
c) azotemia
d) hypotension

Case Scenario: A young woman presents at the clinic six weeks after a gastric bypass surgery. She had more than 100 lbs. to lose and so far, has lost 40 lbs. She expected to gain some strength and begin exercising, but she is very weak. She states that at times she is too weak to even comb her hair. She eats small meals several times a day, but has watery diarrhea and is nauseated much of the time. She is losing her hair and is very discouraged.

2. Question: How are fats absorbed from the small intestine? How might this surgery affect this process? You will need to defend your answer using specific facts, data, and other information drawn from the textbook and at least one other supplemental source.

1)In which of the following rooms should a 23 year old client who has been diagnosed with tuberculosis be assigned by the charge nurse? Until a negative pressure room is available, assign the client to

1. A room with a 20 year old client who has tuberculosis

2. Any room as long as the patient is on TB medications

3. A private room with no roommate

4. The room with clients who have no infection

2)A nurse is discharging a client with TB who has been on medications for 1 week. Which statement by the client indicates that additional teaching is needed?

1. “I need to be sure to include foods that have a lot of calories”

2. “My meds can be stopped in 9 weeks when sputum tests are negative”

3. “As the people I work with need to be tested for TB”

4. “I will wear a surgical mask on my taxi ride home”

3)A priority nursing diagnosis for the newly admitted client who is diagnosed with pneumonia is: inadequate ventilation R/T exhaustion. Which of the following nursing interventions is appropriate for the client?

1. Administer IV antibiotic q 4 hours as ordered

2. Place client in appropriate postural drainage positions

3. Encourage deep breathing 2-3 times each half hour

4. Insure that the ordered O2% is delivered via nasal cannula

4)A nurse on a medical unit is assigning clients to members of the staff. There are 2 RN’s and one LPN on duty. Which client can be safely assigned to an LPN?

1. 60 year old male whose chest tube was inserted 2 hours ago

2. 54 year old female arriving from the ER with pneumonia

3. 34 year old female 36 hours post-op following a colostomy

4. 21 year old female admitted with a diagnosis of R/O appendicitis

5)A patient who has a severe case of community acquired pneumonia had a physicians order for “activity as tolerated”. The best nursing response for the patient should be to

1. Assist the patient to sit in a chair three times a day

2. Ask the patient what activities he would like to do

3. Check pulse before allowing him to stand to urinate

4. Keep patient on strict bedrest for the first 24 hours

Describe how you will seek support from more experienced and qualified staff in the service.

Please respond to the following discussion prompts.
1. Locate an article on the nutritional beliefs of a culture or religion. Provide a summary of the article and include a link to the article. What interventions should be implemented to ensure cultural competence? Use evidence from one scholarly source other than your textbook or ATI book to support your answer. Use APA Style to cite your source.