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1. When a client who is in pain refuses to be repositioned, what should the nurse consider first in making a decision about what to do?
- A. Why a decision is needed.
- B. Who actually gets to make the decision?
- C. What are the alternatives?
- D. When a decision is needed.
Correct answer: A
Rationale: In this scenario, the nurse should first consider why a decision is needed. Understanding the underlying reason for the decision helps in selecting the best action to meet the desired goal. Who actually makes the decision is important but not the primary consideration. Exploring alternatives comes after determining the reason for the decision, who makes it, and when it is needed.
2. When considering virtue ethics, which of the following is true?
- A. Virtue ethics attributes behaviors to moral rules.
- B. Virtue ethics attributes behaviors to knowledge of consequences.
- C. Virtue ethics focuses on moral character, rather than rules for behavior.
- D. Virtue ethics is a formal statement of rules for behavior.
Correct answer: C
Rationale: The correct answer is C: Virtue ethics focuses on moral character, rather than rules for behavior. Virtue ethics is a branch of ethical theory that emphasizes an individual's character and virtues rather than focusing on specific rules or consequences. Choice A is incorrect as virtue ethics does not attribute behaviors to moral rules; instead, it emphasizes developing virtuous character traits. Choice B is incorrect because virtue ethics does not attribute behaviors to knowledge of consequences; it looks at the moral character of the individual. Choice D is incorrect as virtue ethics is not a formal statement of rules for behavior but rather a perspective that emphasizes the importance of developing virtuous character traits.
3. What is the primary role of a nurse in palliative care?
- A. To provide emotional support to patients and families
- B. To coordinate patient care and provide pain management
- C. To administer medications and treatments
- D. To conduct research on end-of-life care
Correct answer: B
Rationale: The correct answer is B. In palliative care, a nurse's primary role is to coordinate patient care and provide pain management. While emotional support (Choice A) is a crucial aspect of palliative care, it is not the primary role of a nurse in this setting. Administering medications and treatments (Choice C) is part of the nurse's responsibilities but not the primary role. Conducting research (Choice D) is important for advancing palliative care but is not the primary role of a nurse providing direct patient care in this context.
4. An RN cared for a state senator during the day shift. Later that day he was having dinner with friends when the news mentioned the senator had been hospitalized. The RN�s friends asked if he knew what was wrong with the senator. Which ethical principle should the RN consider when replying?
- A. Fidelity
- B. Confidentiality
- C. Veracity
- D. Accountability
Correct answer: B
Rationale: The principle of confidentiality requires nurses to hold healthcare information and anything patients tell them in the strictest confidence.
5. An RN is reviewing professional behavior expectations with a group of new nurses. Which of the following statements should be included in the teaching?
- A. It is not OK to discuss your days at work on social media.
- B. When you are passionate about a topic, speak up in professional platforms.
- C. Your behavior outside of the practice setting can impact your license.
- D. Nurses may lose their licenses for unprofessional actions.
Correct answer: D
Rationale: The correct statement to include in the teaching is that nurses may lose their licenses for unprofessional actions. This is an important reminder to new nurses about the serious consequences of unprofessional behavior in the healthcare field. Choice A is incorrect because discussing work on social media can breach patient confidentiality. Choice B is incorrect as speaking up in blogs and forums may not always align with professional conduct standards. Choice C is incorrect as behavior outside the practice setting, if unprofessional, can indeed impact a nurse's license.
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