Nokea
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 correct answer is B: Confidentiality. The RN should consider confidentiality when replying to his friends about the senator's condition. By maintaining confidentiality, the RN upholds the trust and privacy of the senator's medical information. Sharing such information breaches the ethical duty to protect patient privacy.
A: Fidelity pertains to being faithful and loyal to one's commitments, not directly related to this situation.
C: Veracity refers to truthfulness and honesty, but in this case, maintaining confidentiality takes precedence over disclosing the truth to friends.
D: Accountability involves taking responsibility for one's actions, which is not the primary ethical principle at play in this scenario.
You may also like to solve these questions
Which of the following is a common characteristic of a Magnet-designated hospital?
- A. High nurse turnover rates
- B. Strong emphasis on interdisciplinary teamwork
- C. Limited opportunities for professional development
- D. Focus on advanced technology for patient care
Correct Answer: B
Rationale: The correct answer is B: Strong emphasis on interdisciplinary teamwork. Magnet-designated hospitals are recognized for their commitment to nursing excellence and quality patient care. Interdisciplinary teamwork is crucial for enhancing patient outcomes and promoting a holistic approach to healthcare. Collaboration among healthcare professionals ensures comprehensive patient care. Other choices are incorrect because high nurse turnover rates, limited professional development opportunities, and a focus on advanced technology do not necessarily define a Magnet-designated hospital.
A 26-year-old patient with diabetes rides a bicycle to and from work every day. Which site should the nurse teach the patient to administer the morning insulin?
- A. Thigh
- B. Buttock
- C. Abdomen
- D. Upper arm
Correct Answer: C
Rationale: The correct site to administer morning insulin for a patient who rides a bicycle daily is the abdomen. The abdomen has consistent and faster absorption rates due to increased blood flow and muscle activity during exercise, ensuring better insulin absorption and efficacy. Insulin absorption is slower in the thigh and buttock due to less muscle movement and blood flow. The upper arm may not be as convenient for self-administration and may result in inconsistent absorption.
A few weeks after an 82-year-old with a new diagnosis of type 2 diabetes has been placed on metformin (Glucophage) therapy and taught about appropriate diet and exercise, the home health nurse makes a visit. Which finding by the nurse is most important to discuss with the healthcare provider?
- A. Hemoglobin A1C level is 7.9%.
- B. Last eye exam was 18 months ago.
- C. Glomerular filtration rate is decreased.
- D. Patient has questions about the prescribed diet.
Correct Answer: C
Rationale: The correct answer is C: Glomerular filtration rate is decreased. This finding is most important to discuss because metformin can potentially worsen kidney function, especially in older adults. A decreased GFR could indicate renal impairment, making it necessary to reevaluate the medication regimen.
A: Hemoglobin A1C level is 7.9% - While this indicates poor diabetic control, it is not as urgent as addressing potential renal issues with metformin.
B: Last eye exam was 18 months ago - While regular eye exams are important for diabetic patients, it is not as critical as addressing renal function.
D: Patient has questions about the prescribed diet - While patient education is crucial, it is not as urgent as addressing potential renal complications.
In summary, the priority is to address the decreased GFR to ensure the patient's safety and well-being.
What is the primary focus of Lean methodology in healthcare?
- A. Reduce healthcare costs
- B. Enhance patient satisfaction
- C. Increase patient throughput
- D. Standardize care processes
Correct Answer: D
Rationale: The correct answer is D: Standardize care processes. Lean methodology in healthcare aims to streamline and standardize processes to eliminate waste and improve efficiency. By standardizing care processes, healthcare organizations can ensure consistent quality of care, reduce errors, and enhance patient safety. This focus on standardization is essential for achieving continuous improvement and delivering better outcomes.
Explanation of other choices:
A: Reduce healthcare costs - While reducing costs is a potential benefit of Lean methodology, it is not the primary focus. Cost reduction is a byproduct of improving processes and eliminating waste.
B: Enhance patient satisfaction - While patient satisfaction is important in healthcare, it is not the primary focus of Lean methodology. Improving patient satisfaction may be a result of implementing Lean principles, but it is not the main goal.
C: Increase patient throughput - While increasing patient throughput is a common goal in healthcare, it is not the primary focus of Lean methodology. Lean focuses on improving processes to deliver better quality care, rather than simply increasing the
A manager has been given a deadline to complete an assignment by the end of the day. It will take every minute left of the afternoon to complete. Which interventions illustrate assertiveness to minimize interruptions in order to meet the deadline? (Select all that apply.)
- A. Allowing voicemail to answer all incoming calls or turning off email notification
- B. Delegating a discharge planning issue for a patient to one of the staff nurses
- C. Placing a 'Do Not Disturb for the Afternoon' sign on the office door
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D because all the interventions mentioned demonstrate assertiveness in minimizing interruptions to meet the deadline.
A: Allowing voicemail or turning off email notifications shows assertiveness in managing communication.
B: Delegating tasks to staff nurses frees up the manager's time to focus on the assignment.
C: Placing a 'Do Not Disturb' sign sets clear boundaries to avoid interruptions.
In summary, each intervention in choice D actively addresses potential interruptions, allowing the manager to concentrate on completing the assignment within the deadline.