Week 3 Flashcards
Which term refers to an accepted set of social standards or morals that guide behavior? A- ethical decision B- morality C- practical ethics D- obligations
Morality
Which of the following best defines ethical decision making? Ethical decision making:
A- helps an individual recognize when there is an ethical problem in a given situation
B- is a process that enables an individual to think critically to rank ethical obligations
C- is a method for ensuring that the action an individual that’s is well reasoned and can be justified
D- is a process in which an individual examines his or her own moral beliefs and actions
C- is a method for ensuring that the action an individual takes is well reasoned and can be justified
Which type of ethics deals with very specific judgments about right and wrong in everyday actions? A- metaethics B- normative ethics C- practical ethics D- applied ethics
B- normative ethics
__________ is a minimum standard of behavior to which all members of society are held.
Law
The code of ethics for nursing is an example of which type of ethics? A- societal ethics B- organizational ethics C- professional ethics D- personal ethics
C- professional ethics
Which type of ethics is involved with decision making regarding patient specific issues and decision making at the patients bedside? A- clinical ethics B- bioethics C- research ethics D-personal ethics
A- clinical ethics
Where do most nurses first learn about ethics and their ethical comfort zone
A- at home within their family
B- at church within their religion
C- at elementary school with their peers
D- at college with their nursing classmates
A- at home within their family
Nurses should act in ways that avoid harm to patients. Which term best describes this expectation of nurses? A- beneficence B- nonmaleficence C- justice D- fidelity
B- nonmaleficence
When a nurse keeps promises, does what is expected, performs his or her duties, and behaves in a trustworthy manner, which ethical principle is the nurse carrying out? A- beneficence B- nonmaleficence C- justice D- fidelity
D- fidelity
End of life patient situation often cause moral distress for nurses.
True or false
True
The nurse is caring for an older adult client who has refused a bath for several days and has now developed a rash on the buttocks. What is the priority nursing intervention?
Encourage the client to help with self-hygiene as able.
Offer a choice of types of soap and shampoo.
Schedule a bath in the morning or evening according to client’s preferred bathing time.
Explain that cleanliness helps to remove bacteria from skin, which can prevent infection.
Explain that cleanliness helps to remove bacteria from skin, which can prevent infection.
The nurse is helping a client perform oral hygiene. When asked whether the client flosses, the client states, “I don’t like to floss because it makes my gums bleed.” What is the appropriate nursing response? Select all that apply.
“You can use flossing in place of brushing teeth.”
“I understand; flossing makes my gums bleed too.”
“The chance of tooth and gum disease can be reduced by flossing.”
“Flossing removes plaque and food debris that a toothbrush may miss.”
“When flossing, be certain to choose waxed floss.”
“The chance of tooth and gum is ease can be reduced by flossing”
“Flossing removes plaque and food debris that a toothbrush may miss”
The nurse is caring for a client who is on warfarin therapy. Which teaching will the nurse provide?
Use an electric razor for shaving purposes.
Take aspirin for headaches that develop.
Buy a hard-bristled toothbrush to ensure proper oral hygiene.
Reassure the client that prolonged bleeding of wounds and gums is normal.
Use an electric razor for shaving purposes
A nurse is examining an adult client with inflammation of the gums. The nurse observes bleeding gums. What additional information should the nurse acquire to help determine next steps?
The client’s history of oral surgery
How often the client sees the dentist for oral care
How many cavities the client has had
How often the client brushes and flosses the teeth
How often the client brushes and flosses the teeth.
A nurse on an acute medical unit is responsible for providing assistance with hygiene for clients who are unable to do so independently. The nurse should be aware that the use of a safety razor for shaving is contraindicated for which client?
a man who has a decreased level of consciousness due to a stroke that he suffered several days earlier
a man who is receiving antibiotics through a central venous catheter that is situated in his right jugular vein
a man who is receiving an intravenous infusion of an anticoagulant for the treatment of a pulmonary embolism
a man who requires frequent opioid analgesics to control the pain associated with acute pancreatitis
A man who is receiving an intravenous infusion of an anticoagulant for the treatment of a pulmonary embolism.
A nurse needs to clean and bathe a client who has undergone surgery following a motor vehicle accident. What type of bath will negate the need to rinse the client?
shower
bag bath
bed bath
tub bath
Bag bath.
An elderly client has worn an artificial eye since advanced glaucoma necessitated enucleation (removal of the eye). What action should the nurse perform immediately before assisting the client with reinsertion of the artificial eye?
Apply a water-based lubricant to the perimeter of the client’s eye socket.
Gently rinse the client’s eye socket with clean water or normal saline.
Apply a thin, even layer of antibiotic ointment to the surface of the artificial eye.
Carefully wash the artificial eye and apply a layer of petroleum jelly to the surfaces that will contact the client’s skin.
Gently rinse the clients eye socket with clean water or normal saline.
A 79-year-old client reports brittle fingernails. What may be the cause of the client’s problem?
lack of skin near the nails
presence of dry skin near the nails
concentrated amount of keratin
lack of keratin on the nails
Lack of keratin on the nails.
The nurse has completed teaching regarding pediculosis. Which client statement requires further nursing teaching?
“I will use conditioner so that the lice eggs will slide off my hair.”
“A pediculicide shampoo is needed to treat this condition.”
“Lice can be spread by direct contact.”
“I will look for eggs on hairs ¼ to ½ in (0.5 to 1.5 cm) from the scalp and skin surfaces.”
“I will use conditioner so that the lice eggs will slide off of my hair.”
A nurse is caring for a client who is receiving care for a traumatic head injury that has rendered the client unconscious. When providing mouth care for this client, the nurse must be cognizant of the client’s risk for:
aspiration.
dental caries.
fluid volume overload.
coughing.
Aspiration
The nurse working at a long-term care facility supervises while the unlicensed assistive personnel (UAP) bathes an older adult client. The nurse determines the UAP requires intervention when the UAP:
bathes the client using gentle patting motions.
places a large quantity of soap on the washcloth.
inspects the feet while bathing the client.
tests the water temperature prior to helping the client into the tub.
Places a large quantity of soap on the washcloth.
A client who has been admitted in the health care facility has had surgery and is unconscious. The nurse needs to take care of the client’s hygiene and oral care daily. The client’s teeth and lips show dry crusts when there is a day’s gap in the oral hygiene. What can best describe the client’s oral condition?
gingivitis
sordes
caries
periodontal disease
Sordes
A 76-year-old client is admitted to the health agency with a stroke. The nurse, while bathing the client, starts wiping and cleaning the body from feet upward. The client is incapable of assisting the nurse in the bathing process. Which technique is the nurse using to bathe the client?
partial bath
tub bath
towel bath
bed bath
Towel bath
During a regular dental checkup the client expresses concern to the nurse regarding discoloration of the teeth. Consumption of what food would be the most likely reason for the discoloration of the client’s teeth?
coffee
alcohol
juice
sweets
Coffee