Week 1 --- ati 3, 4, 7, & 32 Flashcards
a nurse is caring for a client who decides not to have surgery despite significant blockages of the coronary arteries. Which ethical prinicple?
Autonomy
A nurse offers pain medication to a client who is postop to a prior ambulation. the nurse understands this aspect of delivery care is an example of which ethical prinicple?
Beneficience
When the nurse explains that all clients waiting for a kidney transplant have to meet the same qualifications, the newly licensed nurses should understand this aspect of care delivery is an example of which ethical principle?
Justice
A nurse questions a medication prescription as too extreme in light of the client’s advanced age & unstable status. which ethical principle?
Nonmaleficence
which situation should the nurse identify as an ethical dilemma?
A family has conflicting feelings about the initiation of enteral tube feedings for their father who is terminally ill.
ethical theories
examine principles, ideas, systems, & philosophies that affect judgement
examples of ethical theories
utilitarianism, deontology, consensus in bioethics, & ethics of care
ethical principles
standards of what is right/wrong with regard to important social values or norms
bioethics
application of ethics to health and life
principles of ethics
advocacy
responsibility
accountability
confidentiality
ethical principles for client care
autonomy
beneficence
fidelity
justice
nonmaleficence
veracity
A nurse has noticed another nurse on the unit seemed drowsy & unable to focus. Today, the nurse was found asleep.. what action should the nurse take?
Report observations to the nurse manager on the unit
a nurse is caring for a client who is about to undergo an elective surgical procedure. The nurse should take which of the following actions regarding informed consent?
Make sure the surgeon obtained the client’s consent
Witness the clients signature on the consent form
Which of the following statements made by the client indicate an understanding of an advanced directive?
I plan to write that I don’t want them to keep me on a breathing machine
Clients says, “I am leaving the hospital this morning whether the doctor discharges me or not.” The nurse believes this is not in the client’s best interest and prepares to administer a PRN sedative med….. what tort ?
False Imprisonment
The nurse observes an assistive personnel reprimanding a client for not using a urinal properly. The AP tells the client that diapers will be used next time. What tort?
assault
criminal law
individual vs government
ex: nurse falsifying a record
examples of unintentional torts
negligence
malpractice
examples of Quasi-intentional torts
breach of confidentiality
defamation of character
examples of intentional torts
assault
battery
false imprisonment
5 elements of Negligence
- duty to provide care
- Breach of duty by failure to meet standard
- Foreseeability of harm
4.Breach of duty has potential to cause harm - Harm occurs
3 types of advanced directives
*living will
*durable power of attorney
*provider’s orders
By the second postoperative day, a client has not achieved satisfactory pin relief. Which step is next according to the nursing process?
Reassess the client to determine the reasons for inadequate relief
A charge nurse is observing a newly licensed nurse care for a client who reports pain. The nurse checked the client’s MAR & noted the last dose of pain med was 6hrs ago w/ prescription reading every 4hrs PRN for pain.The nurse administered medication & checked client who reported improvement 40 min later. What step of nursing process was missing?
Assessment
Which of the following data should the nurse identify as objective data?
*Respiratory rate is 22/min w/ even, unlabored respirations
*the client’s skin is pink, warm, and dry
*the assistive personnel reports that the client walked with a limp
primary subjective data example
what client tells the nurse
secondary subjective data
*what others tell the nurse
*what the client has told them
Primary Objective data
data nurse obtains through examination & observation
secondary objective data
data nurse collects from other sources
3 planning types in nursing process
1.comprehensive plan
2. ongoing plan
3.discharge plan
a client states “I have to check with my partner & see if they think I am ready to go home.” The nurse replies, “How do you feel about going home today?” Which clarifying technique is the nurse using to enhance communication?
Reflecting
Which of the following actions should the nurse take when demonstrating an empathic presence to a client?
*use an open posture
*establish & maintain eye contact
*sit facing the client
a nurse is caring for a client who is concerned about being discharged with a new colostomy because of being an avid swimmer. which of the following statements should the nurse make?
- “your daily routines will be different when you get home”
- “tell me about the support system you’ll have after you leave the hospital”
- “It sounds like you are not sure how having a colostomy will affect swimming”
which of the following strategies should the nurse use to establish a helping relationship with a client?
Encourage the client to communicate their thoughts and feelings
A nurse is caring for a school-aged child who. is sitting in a chair. To facilitate effective communication, which of the following actions should the nurse take?
sit at eye level with the child
Intrapersonal vs
Interpersonal communication
Intra– self talk within an individual
Inter–2 people
Referent
incentive or motivation for communication between 2 people
4 types of nonverbal communication
1.appearance, posture, gait
2. face expressions, eye contact, gestures
3. sounds
4.territoriality, personal space
4 clarifying techniques
1.restating
2. reflecting
3. paraphrasing
4. exploring
