Remediation: Question 22 See full question The son of an elderly client who has cognitive impairments approaches the nurse and says, “I’m so upset. The health care provider (HCP) says I have 4 days to decide on where my dad is going to live.” The nurse responds to the son’s concerns, gives him a list of types of living arrangements, and discusses the needs, abilities, and limitations of the client. The nurse should intervene further if the son makes which comment? You Selected: "I want the social worker to make this decision so Dad will not blame me." Correct response: "I want the social worker to make this decision so Dad will not blame me." Explanation: Expecting the social worker to make the decision indicates that the son is avoiding participating in decisions about his father. The other responses convey that the son understands the importance of a careful decision, the availability of resources, and the ability to make new plans if needed. Remediation: Question 23 See full question The nurse enters the nondiabetic client’s room shortly after a group of health care providers has made rounds. The client asks, “Why did the doctor tell the others that I am not compliant with my diabetes regimen?” The nurse is aware that which ethical principle has been violated? You Selected: fidelity Correct response: confidentiality Explanation: All nurses should be aware of the confidential nature of information obtained in daily practice. Discussion of clients with other members of the health care team is often necessary; these discussions should occur in a private area where it is unlikely that the discussion can be overheard. Respect for persons involves treating others in such a way that enables them to make choices. Trust is an essential element in the nurse–client relationship. Fidelity is promise keeping—the duty to be faithful to one’s commitments. Question 24 See full question Which factor is a priority when evaluating discharge plans for an older adult after a lower left lobectomy for lung cancer? You Selected: support available for assisting the client at home Correct response: support available for assisting the client at home Explanation: Because clients are discharged as soon as possible from the hospital, it is essential to evaluate the support for assistance and self-care at home. If the client has support at home, the distance from the hospital may be irrelevant. The client or support team will monitor vital signs as needed, but blood pressure monitoring is not specifically indicated. It is more important at this point for the client to understand how to manage his care at home, rather than knowing the causes of lung cancer. Remediation: Question 25 See full question Family members of a dying patient have asked for the hospital chaplain’s help in having a member of the clergy come to the patient’s bedside to perform anointing of the sick. The nurse who is providing care for the patient should recognize that the family is likely: You Selected: Roman Catholic.
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- Spring '17
- mrs. Vargovich
- Nursing, Health care provider, Correct Response