1CTC. Mr.
Mendel is an 83-year-old married man. He has a history of severe
osteoarthritis leading to bilateral hip replacements and one knee
replacement. He has mild hypertension controlled by oral medication. His
last orthopaedic surgery was done to replace a hip component that
failed due to repeated dislocations. At that time, he developed a severe
urinary tract infection resulting in weight loss, fatigue, and
weakness. After stabilizing, he was sent to the skilled nursing unit of
the hospital for 2 weeks until ready to go back home. Occupational
therapists consulted with him and his wife during his hospitalization.
He lives in a three-story house with the bedrooms on the top floor, kitchen and living room on the middle/main floor, and family room on the bottom floor. He has not driven since the last operation, but would like to. He has smoked cigars for years and sits on the front porch to smoke. Physical therapists have come to the house three times a week for several months. A home health nurse has also been consulted periodically to assist with nutrition and elimination difficulties.
In what ways has Mr. Mendel used (a) health promotion and illness prevention (primary prevention), (b) diagnosis and treatment (secondary prevention), and (c) rehabilitation and health restoration (tertiary prevention) health care services?
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1TYK. When an ethical issue arises, one of the most important nursing responsibilities in managing client care situations is which of the following?
1. Be able to defend the morality of one’s own actions.
2. Remain neutral and detached when making ethical decisions.
3. Ensure that a team is responsible for deciding ethical questions.
4. Follow the client and family’s wishes exactly.
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2CTC. A 79-year-old man with severe peripheral vascular disease has been told that a nonhealing lesion on his foot must be treated with either vascular bypass surgery or amputation of the foot. Although the surgeon believes the foot can be saved with bypass, the man elects to have the amputation. His main reason is that the site will heal more quickly and allow him to resume normal activities sooner. He asks for the nurse’s opinion.
What additional information might the nurse need to gather from the client or the surgeon?
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2TYK. Which of the following situations is most clearly a violation of the underlying principles associated with professional nursing ethics?
1. A hospital’s policy permits use of internal fatal monitoring during labor. However, there is literature to both support and refute the value of this practice.
2. When asked about the purpose of a medication, a nurse colleague responds, “Oh, I never look them up. I just give what is prescribed.”
3. The nurses on the unit agree to sponsor a fund-raising event to support a labor strike proposed by fellow nurses at another facility.
4. A client reports that he didn’t quite tell the doctor the truth when asked if he was following his therapeutic diet at home.
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3CTC. A 79-year-old man with severe peripheral vascular disease has been told that a nonhealing lesion on his foot must be treated with either vascular bypass surgery or amputation of the foot. Although the surgeon believes the foot can be saved with bypass, the man elects to have the amputation. His main reason is that the site will heal more quickly and allow him to resume normal activities sooner. He asks for the nurse’s opinion.
What is the nurse’s ethical/moral responsibility in this instance?
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3TYK. Following a motor vehicle crash, the parents of a child with no apparent brain function refuse to permit withdrawal of life support from the child. Although the nurse believes the child should be allowed to die and organ donation considered, the nurse supports their decision. Which moral principle provides the basis for the nurse’s actions?
1. Respect for autonomy
2. Nonmaleficence
3. Beneficence
4. Justice
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4CTC. A 79-year-old man with severe peripheral vascular disease has been told that a nonhealing lesion on his foot must be treated with either vascular bypass surgery or amputation of the foot. Although the surgeon believes the foot can be saved with bypass, the man elects to have the amputation. His main reason is that the site will heal more quickly and allow him to resume normal activities sooner. He asks for the nurse’s opinion.
What conflicting loyalties and obligations does the nurse face?
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4TYK. Which of the following statements would be most helpful when a nurse is assisting clients in clarifying their values?
1. “That was not a good decision. Why did you think it would work?”
2. “The most important thing is to follow the plan of care. Did you follow all your doctor’s orders?”
3. “Some people might have made a different decision. What led you to make your decision?”
4. “If you had asked me, I would have given you my opinion about what to do. Now, how do you feel about your choice?”
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5CTC. A 79-year-old man with severe peripheral vascular disease has been told that a nonhealing lesion on his foot must be treated with either vascular bypass surgery or amputation of the foot. Although the surgeon believes the foot can be saved with bypass, the man elects to have the amputation. His main reason is that the site will heal more quickly and allow him to resume normal activities sooner. He asks for the nurse’s opinion.
Of what value is the Code of Ethics for Nurses to the nurse in solving this dilemma?
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5TYK. After recovering from her hip replacement, an older adult client wants to go home. The family wants the client to go to a nursing home. If the nurse were acting as a client advocate, the nurse would perform which of the following actions?
1. Inform the family that the client has a right to decide on her own.
2. Ask the primary care provider to discharge the client to home.
3. Suggest the client hire a lawyer to protect her rights.
4. Help the client and family communicate their views to each other.
Get Solution
6TYK. Values, moral frameworks, and codes of ethics influence the professional nurse’s moral decisions in which of the following ways?
1. The nurse will provide direct client care that is consistent with the nurse’s personal values.
2. The nurse will seek to ensure that the client’s values and the nurse’s are the same.
3. The choice of moral framework determines what the client outcome will be.
4. The nurse is bound to act according to the nurses’ code of ethics even if the nurse’s values are different.
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He lives in a three-story house with the bedrooms on the top floor, kitchen and living room on the middle/main floor, and family room on the bottom floor. He has not driven since the last operation, but would like to. He has smoked cigars for years and sits on the front porch to smoke. Physical therapists have come to the house three times a week for several months. A home health nurse has also been consulted periodically to assist with nutrition and elimination difficulties.
In what ways has Mr. Mendel used (a) health promotion and illness prevention (primary prevention), (b) diagnosis and treatment (secondary prevention), and (c) rehabilitation and health restoration (tertiary prevention) health care services?
Get Solution
1TYK. When an ethical issue arises, one of the most important nursing responsibilities in managing client care situations is which of the following?
1. Be able to defend the morality of one’s own actions.
2. Remain neutral and detached when making ethical decisions.
3. Ensure that a team is responsible for deciding ethical questions.
4. Follow the client and family’s wishes exactly.
Get Solution
2CTC. A 79-year-old man with severe peripheral vascular disease has been told that a nonhealing lesion on his foot must be treated with either vascular bypass surgery or amputation of the foot. Although the surgeon believes the foot can be saved with bypass, the man elects to have the amputation. His main reason is that the site will heal more quickly and allow him to resume normal activities sooner. He asks for the nurse’s opinion.
What additional information might the nurse need to gather from the client or the surgeon?
Get Solution
2TYK. Which of the following situations is most clearly a violation of the underlying principles associated with professional nursing ethics?
1. A hospital’s policy permits use of internal fatal monitoring during labor. However, there is literature to both support and refute the value of this practice.
2. When asked about the purpose of a medication, a nurse colleague responds, “Oh, I never look them up. I just give what is prescribed.”
3. The nurses on the unit agree to sponsor a fund-raising event to support a labor strike proposed by fellow nurses at another facility.
4. A client reports that he didn’t quite tell the doctor the truth when asked if he was following his therapeutic diet at home.
Get Solution
3CTC. A 79-year-old man with severe peripheral vascular disease has been told that a nonhealing lesion on his foot must be treated with either vascular bypass surgery or amputation of the foot. Although the surgeon believes the foot can be saved with bypass, the man elects to have the amputation. His main reason is that the site will heal more quickly and allow him to resume normal activities sooner. He asks for the nurse’s opinion.
What is the nurse’s ethical/moral responsibility in this instance?
Get Solution
3TYK. Following a motor vehicle crash, the parents of a child with no apparent brain function refuse to permit withdrawal of life support from the child. Although the nurse believes the child should be allowed to die and organ donation considered, the nurse supports their decision. Which moral principle provides the basis for the nurse’s actions?
1. Respect for autonomy
2. Nonmaleficence
3. Beneficence
4. Justice
Get Solution
4CTC. A 79-year-old man with severe peripheral vascular disease has been told that a nonhealing lesion on his foot must be treated with either vascular bypass surgery or amputation of the foot. Although the surgeon believes the foot can be saved with bypass, the man elects to have the amputation. His main reason is that the site will heal more quickly and allow him to resume normal activities sooner. He asks for the nurse’s opinion.
What conflicting loyalties and obligations does the nurse face?
Get Solution
4TYK. Which of the following statements would be most helpful when a nurse is assisting clients in clarifying their values?
1. “That was not a good decision. Why did you think it would work?”
2. “The most important thing is to follow the plan of care. Did you follow all your doctor’s orders?”
3. “Some people might have made a different decision. What led you to make your decision?”
4. “If you had asked me, I would have given you my opinion about what to do. Now, how do you feel about your choice?”
Get Solution
5CTC. A 79-year-old man with severe peripheral vascular disease has been told that a nonhealing lesion on his foot must be treated with either vascular bypass surgery or amputation of the foot. Although the surgeon believes the foot can be saved with bypass, the man elects to have the amputation. His main reason is that the site will heal more quickly and allow him to resume normal activities sooner. He asks for the nurse’s opinion.
Of what value is the Code of Ethics for Nurses to the nurse in solving this dilemma?
Get Solution
5TYK. After recovering from her hip replacement, an older adult client wants to go home. The family wants the client to go to a nursing home. If the nurse were acting as a client advocate, the nurse would perform which of the following actions?
1. Inform the family that the client has a right to decide on her own.
2. Ask the primary care provider to discharge the client to home.
3. Suggest the client hire a lawyer to protect her rights.
4. Help the client and family communicate their views to each other.
Get Solution
6TYK. Values, moral frameworks, and codes of ethics influence the professional nurse’s moral decisions in which of the following ways?
1. The nurse will provide direct client care that is consistent with the nurse’s personal values.
2. The nurse will seek to ensure that the client’s values and the nurse’s are the same.
3. The choice of moral framework determines what the client outcome will be.
4. The nurse is bound to act according to the nurses’ code of ethics even if the nurse’s values are different.
Get Solution
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