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A middle-aged man is having increasing difficulty breathing. He never exercises, eats fast food regularly, and smokes two packs of cigarettes a day. He tells the nurse practitioner that he wants to change the way he lives. What is one means of helping him change behaviors?
- A. ethical change strategy
- B. values neutrality choices
- C. values transmission
- D. values clarification
Correct Answer: D
Rationale: Values clarification helps individuals identify and prioritize their values, guiding behavior changes like adopting healthier habits.
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A nurse provides patient care within a philosophy of ethical decision making and professional expectations. What is the nurse using as a framework for practice?
- A. Code of Ethics
- B. Standards of Care
- C. Definition of Nursing
- D. Values Clarification
Correct Answer: A
Rationale: The Code of Ethics provides a framework for ethical decision-making in nursing practice.
A patient nearing the end of life requests that he be given no food or fluids. The physician orders the insertion of a nasogastric tube to feed the patient. What situation does this create for the nurse providing care?
- A. nurse must follow the physicians orders
- B. an inability to provide care for the patient
- C. an ethical dilemma about inconsistent courses of action
- D. a barrier to establishing an effective nursepatient relationship
Correct Answer: C
Rationale: The conflict between the patient's wishes and the physician's orders creates an ethical dilemma.
A patient tells the nurse that he does not want to have a painful procedure. By respecting and supporting the patients right to make decisions, what is the nurse demonstrating?
- A. confidentiality
- B. advocacy
- C. altruism
- D. justice
Correct Answer: B
Rationale: Supporting the patient's decision-making demonstrates advocacy for their autonomy.
Which of the following illustrates the activity of acting in values clarification?
- A. respecting the human dignity of all patients
- B. seeking public affirmation for actions
- C. disregarding several alternatives when choosing
- D. considering consequences of actions
Correct Answer: A
Rationale: Acting in values clarification involves consistently applying chosen values, such as respecting patient dignity in practice.
A patient, unsure of the need for surgery, asks the nurse, What should I do? What answer by the nurse is based on advocacy?
- A. If I were you, I sure would not have this surgical procedure.
- B. Gosh, I dont know what I would do if I were you.
- C. Tell me more about what makes you think you dont want surgery.
- D. Let me talk to your doctor and I will get back to you as soon as I can.
Correct Answer: C
Rationale: Encouraging the patient to explore their concerns promotes autonomy and is an act of advocacy.