Nokea
A nurse in a womens health clinic values abstinence as the best method of birth control. However, she offers compassionate care to unmarried pregnant adolescents. What is the nurse demonstrating?
- A. modeling of value transmission
- B. conflict in values acceptance
- C. nonjudgmental value neutral care
- D. values conflict that may lead to stress
Correct Answer: C
Rationale: The nurse is providing care without judgment, demonstrating value-neutral care despite her personal beliefs.
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Which of the following are ANA standards of clinical nursing practice? Select all that apply.
- A. The nurses practice and actions are guided by hospital policy and regulations.
- B. The nurse maintains patient confidentiality within legal and regulatory parameters.
- C. The nurse is the patient advocate and discourages patients to advocate for themselves.
- D. The nurse delivers care in a nonjudgmental manner that is sensitive to patient diversity
- E. The nurse delivers care in a manner that preserves or protects patient dependency, dignity, and rights.
- F. The nurse seeks available resources to help formulate ethical decisions and use them in practice.
Correct Answer: B,D,F
Rationale: ANA standards include maintaining confidentiality, delivering nonjudgmental care, and using resources for ethical decisions.
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, 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.
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.
A student nurse is working in the library on her plan of care for a clinical assignment. The patients name is written at the top of her plan. What ethical responsibility is the student violating?
- A. confidentiality
- B. accountability
- C. trust
- D. informed consent
Correct Answer: A
Rationale: Writing the patient's name publicly violates confidentiality.