Nokea
A nurse whose religious beliefs prohibit abortion has been asked to participate in a termination of the pregnancy of a 16-year-old victim of date rape. According to the revised American Nurses Association’s (ANA’s) Code of Ethics for Nurses, which of the following actions should the nurse take next?
- A. Suspend her religious beliefs and provide comfort and support for the client.
- B. Quit her job and find another source of employment.
- C. Notify her supervisor about her beliefs and request a change in assignment.
- D. Refuse to participate in the abortion.
Correct Answer: C
Rationale: The ANA Code of Ethics allows nurses to refuse procedures that conflict with their personal values, but they must ensure client care is arranged.
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A community health nurse most effectively preserves the health of a person with tuberculosis (TB) and the community by:
- A. Administering and reading the purified protein derivative (PPD) of all close contacts
- B. Providing direct observed therapy (DOT) for the individual with TB
- C. Isolating the person because it is likely drug resistant
- D. Telling the person to wear a mask when leaving the home
Correct Answer: B
Rationale: Direct observed therapy (DOT) ensures the patient takes the full course of medication, preventing the spread of TB.
The school nurse is working on a campaign in the school to prevent adolescent pregnancies. Which of the following interventions should the nurse implement?
- A. Talk to teenagers about sex, including abstinence, contraception, and sexually transmitted diseases.
- B. Tell the teenagers they should abstain from sex until they are old enough to cope with the potential consequences such as an unwanted pregnancy.
- C. Encourage parents of all teenage girls to make sure their daughters start oral contraceptives early.
- D. Offer all teenagers free condoms when they come in for physical exams.
Correct Answer: A
Rationale: Education on safe sex, contraception, and sexually transmitted diseases is essential in preventing adolescent pregnancies.
A nurse is working with a community to raise awareness about lead poisoning. Why is the nurse performing this action?
- A. It is a moral responsibility.
- B. It is the role of the nurse.
- C. It is an ethical responsibility.
- D. It is the right thing to do.
Correct Answer: C
Rationale: Raising awareness about public health risks, such as lead poisoning, is an ethical responsibility of nurses.
What would be the best way for a parent to explain to a toddler that he needs to receive the influenza vaccine at today’s appointment?
- A. “You need the shot to keep you healthy. You will feel a little pinch when you get the shot.”
- B. “You need the shot to prevent the flu. They will use a small needle to administer the shot. It will not take long.”
- C. “You need a shot, but don’t worry, you won’t feel a thing.”
- D. “No, you will not get any needles today.”
Correct Answer: A
Rationale: Honest and simple explanations about what the toddler will experience help them prepare for the shot.
A nurse is assessing a community to determine the appropriateness of conducting a Type 2 diabetes screening. Which of the following questions would the nurse need to answer?
- A. What are the health benefits of screening for Type 2 diabetes?
- B. Is Type 2 diabetes a community problem?
- C. Can Type 2 diabetes be detected by screening?
- D. What is the cost-benefit ratio of implementing this screening?
Correct Answer: C
Rationale: The nurse needs to determine if Type 2 diabetes can be detected effectively through screening as part of the decision-making process.