Nokea
The nurse is preparing a client for a colonoscopy at the hospital. Who does the nurse understand is responsible for obtaining the informed consent from this client?
- A. The nurse
- B. The primary provider
- C. The nurse manager
- D. The health care provider's office nurse
Correct Answer: B
Rationale: The primary provider obtains the informed consent and must inform the client of the description of the procedure, potential benefits, material risk involved, acceptable alternatives available, expected outcome, and consequences if the procedure is not done.
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The nurse is administering a medication to a client for the treatment of constipation. The client expresses preferring not to take the medication today. The nurse respects the client's right and says if the client needs it later, just let the nurse know. What professional value is the nurse displaying?
- A. Beneficence
- B. Nonmaleficence
- C. Autonomy
- D. Fidelity
Correct Answer: C
Rationale: Autonomy refers to a client's right to self-determination or the freedom to make choices without opposition. Nonmaleficence is the duty to do no harm to the client. If a nurse fails to check a prescription for an unusually high dose of insulin and administers it, the nurse has violated the principle of nonmaleficence. Beneficence is the duty to do good for the clients assigned to the nurse's care. The nurse has a duty to remove wrist restraints whenever possible (removing a harm) and to help the client regain independence (promoting and doing good). Fidelity is the duty to maintain commitments of professional obligations and responsibilities.
The nurse has a client who is confused and disrupting the unit by screaming obscenities and making a lot of noise. The client has been medicated as prescribed but is not responding to the sedation. The other clients on the unit are reporting agitation. The nurse makes the decision to move the client to a location further down the hall where there are fewer clients. What theory of ethics is the nurse demonstrating?
- A. Utilitarianism
- B. Deontology
- C. The idea of rights
- D. Obligation of duty
Correct Answer: A
Rationale: Utilitarianism is an outcome-oriented approach for decision making. There are two important principles: 'the greatest good for the greatest number' and 'the end justifies the means.' Deontology argues that consequences are not the only important consideration in ethical dilemmas. The idea of rights and the obligation of duty are not theories.
The LPN is working in a perioperative setting, and formalin is being used in an unvented room that could result in a health hazard to the other staff as well as clients. The nurse is aware that the Occupational Safety and Health Administration (OSHA) is an agency that will fine the hospital for this type of infraction. What type of law does the LPN understand empowers OSHA to regulate for the health, welfare, and safety of federal and state citizens?
- A. Common law
- B. Civil law
- C. Criminal law
- D. Administrative law
Correct Answer: D
Rationale: Statutory law empowers regulatory agencies to create and carry out the laws. These federal and regulatory agencies practice administrative law, the rules and regulations that concern the health, welfare, and safety of federal and state citizens. For example, OSHA is the federal agency that develops the rules and regulations governing workplace safety. Common law is based on earlier court decisions, judgments, and decrees. Civil law applies to disputes that arise between individual citizens. Criminal law concerns offenses that violate the public's welfare.
Which of the following is a measure taken to protect healthcare workers from being charged with battery?
- A. The client's signed release is obtained for presentations.
- B. The nurse uses initials instead of names in written reports.
- C. Clients sign a written consent before undergoing any kind of procedure.
- D. The nurse draws bedside curtains while giving personal care.
Correct Answer: C
Rationale: To protect healthcare workers from being charged with battery, clients sign a general permission for care and treatment at the time of hospitalization. They also sign a written consent before undergoing special tests, procedures, or surgery. Obtaining a signed release for recognizable photographs for publications, using initials or code numbers instead of names in written reports or research papers, and drawing bedside curtains when giving personal care are essential for protecting a client's privacy.
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.