According to annual assessments performed by the Federal Government, certain groups of
people in the United States have poor or no access to health care. You decide to write an
editorial to your local newspaper expressing your opinion about this situation. Which ethical
principle would you incorporate into your editorial? - ANSWER- Justice since this concept
addresses questions about the fair distribution of health care resources
Ethical dilemmas often arise over a conflict of opinions. Each of the following steps
constitutes a correct step to take toward resolution of an ethical dilemma. What order should
these steps be taken?
1. Clarify your own values about the issue.
2. Call a meeting in which those involved in the dilemma can discuss (negotiate) the possible
solutions to the dilemma.
3. State the problem clearly in a way that all involved can understand.
4. Gather all relevant information regarding the clinical, social, and spiritual aspects of the
dilemma. - ANSWER- 4132
A patient tells the nurse, "I have had this dull ache in my side now for 4 days; it really hurts
when I bend over." The nurse responds, "All right, go on." The nurse's response is an example
of: - ANSWER- Back-channeling
The nurse prepares to administer care to a patient by first positioning him more comfortably.
She inspects his surgical wound and reinforces the dressing with extra tape. She explains the
procedure that she will use for insertion of a urinary catheter. She prepares the patient and
inserts the catheter. Which of the following steps is a dependent nursing intervention? -
ANSWER- Insertion of the urinary catheter
A patient has a pressure ulcer resulting from urine incontinence and sustained pressure over
her coccyx. The nursing plan of care includes a goal of "Pressure ulcer heals in 3 weeks."
Which of the following is an evaluative measure for this goal? - ANSWER- Measure the
diameter of the ulcer
A nurse has been interviewing a newly assigned patient. The cues from the assessment
suggest that the patient has a problem breathing. The nurse does not validate the findings by
doing a physical examination. This is an example of which type of error? - ANSWER- Error in
data collection
A nurse on the unit previously gave pain medication to the patient for incisional pain, which
the patient rated as 7 out of 10 on the pain scale. The nurse now checks on the patient 30
minutes later and documents that the patient now rates the pain as a 1 out of 10 on the pain
scale. Which standard of practice did the nurse perform? - ANSWER- Evaluation
A patient on the surgical unit develops a surgical wound infection. The nurse irrigates the
surgical wound and changes the dressing every 8 hours. Which standard of practice is
performed? - ANSWER- Implementation
The nurse spends time with the patient and family reviewing the dressing change procedure
for the patient's wound. The patient's spouse demonstrates how to change the dressing. The
nurse is acting in which professional role? - ANSWER- Educator