Nokea
A client who has end-stage chronic obstructive pulmonary disease (COPD) asks the nurse, 'Am I going to be getting better? Is there a cure?' What is the best response by the nurse that demonstrates the professional value, veracity?
- A. Everything will be fine.'
- B. Did someone tell you that there is a cure for this?'
- C. You don't need to worry about that; just get better.'
- D. Although there is no cure for this disease, we will keep you as comfortable as possible.'
Correct Answer: D
Rationale: The professional value of veracity is the duty to tell the truth. The nurse must provide factual information so the client may exercise autonomy. 'Everything will be fine,' 'Did someone tell you that there is a cure for this?', and 'You don't need to worry about that; just get better' are nontherapeutic responses that do not answer the client's question.
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Which of the following is a true statement with regard to laws?
- A. They deal with right and wrong.
- B. They are written rules for conduct and actions.
- C. They consider beliefs about morals and values.
- D. They do not have a formal enforcement system.
Correct Answer: B
Rationale: Laws are written rules for conduct and actions. Ethical standards dictate the rightness or wrongness of human behavior. Ethics are moral principles and values. Laws do have a formal enforcement system.
Which of the following statements is applicable when a competent client wants to leave a hospital or long-term care facility before being discharged by the physician?
- A. Physical or chemical restraints are used to detain the client.
- B. The nurse applies restraints based on a current medical prescription.
- C. The nurse determines whether the client's safety or the safety of others is at risk.
- D. The client signs a form releasing the healthcare facility from its responsibility.
Correct Answer: D
Rationale: A nurse should not detain a competent client who wants to leave a hospital or long-term care facility before being discharged by the physician. If a client wants to leave the facility against medical advice, the client should sign a form that releases the healthcare facility from its responsibility. Mentally impaired, confused, or disoriented clients may be restrained if their safety or the safety of others is at risk; this does not apply to a competent client.
Which of the following is a true statement about a living will?
- A. It states the client's wishes regarding healthcare if terminally ill.
- B. It specifies information regarding nontreatment only.
- C. It is legal consent.
- D. It is a type of financial agreement.
Correct Answer: A
Rationale: A living will states the client's wishes regarding healthcare if terminally ill. It does not specify information regarding nontreatment only, it is not a legal consent, and it is not a type of financial agreement.
The nurse understands that laws and ethics are made in order to maintain order and harmony within society. What is the difference between laws and ethics?
- A. Laws are written rules for conduct and actions, and ethics are moral principles and values that guide our behavior.
- B. Laws are written to protect society from unsavory people, and ethics are rules for appropriate behavior.
- C. Laws are written to ensure appropriate behavior and ethics are to conduct actions.
- D. Ethics determine how a client is to be treated, and laws are forms of punishment.
Correct Answer: A
Rationale: Laws are written rules for conduct and actions and ensure the protection of rights, and ethics are moral principles and values that guide the behavior of honorable people. Ethical standards dictate the rightness or wrongness of human behavior. The other answers do not address this as clearly.
Which of the following is stated in a living will?
- A. Legal consent regarding healthcare
- B. Designation of another person as healthcare proxy
- C. Wishes regarding healthcare if terminally ill
- D. Medical prescriptions for end-of-life instructions
Correct Answer: C
Rationale: A living will is a document that states a client's wishes regarding healthcare if the client is terminally ill. It is not necessarily a legal consent. A client may designate another person to be the medical durable power of attorney or healthcare proxy. Do-not-resuscitate orders contain written medical prescriptions for end-of-life instructions.