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Snuffle Snuffle
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6 years ago
Nurse T promised an 81-year-old female client that he would liaise with the physiotherapy team and ensure that her rehabilitation would commence soon, since it was apparent that she was being overlooked.
 
  Due to a busy shift during which another patient declined rapidly, the nurse did not follow up. Which ethical principle has Nurse T most clearly violated? A) Beneficence
  B) Fidelity
  C) Veracity
  D) Justice

Question 2

Pernicious anemia results from inadequate absorption of
 
  a. vitamin B12.
  b. iron.
  c. vitamin K.
  d. protein.

Question 3

Nurse H is providing care in the hospital for a 71-year-old male patient who is in the late stages of cancer and who has painful bone metastases. The client is non-responsive but groans and grimaces intermittently.
 
  Nurse H is drawing up a breakthrough dose of morphine for the patient, but Nurse R cautions that, sure, that will address his pain, but it could depress his respiratory drive and actually kill him at this stage.. Which of the following ethical principles is Nurse R prioritizing? A) Nonmaleficence
  B) Justice
  C) Beneficence
  D) Fidelity

Question 4

An autopsy shows that Lewy bodies were present in a patient's brain. Which of the following characteristics did the living patient probably exhibit?
 
  A) Hemiparesis
  B) Tremor
  C) Diplopia
  D) Aphasia

Question 5

Despite the wishes of her family and the recommendations of the care team, a 70-year-old client with a diagnosis of congestive heart failure, but who is otherwise healthy, wants to have a no-code order in place.
 
  Which of the following statements by the care team most clearly prioritizes the patient's autonomy? A) If this is what is best for everyone then we need to go ahead with the order..
  B) Provided it can be demonstrated that she has a potentially poor prognosis, we should certainly consider doing this..
  C) It's best that social work get involved at this point to reconcile the family's and the patient's wishes..
  D) If that's what she wants, then ultimately we're obliged to respect her wishes..
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Replies
wrote...
6 years ago
Answer to #1

B
Feedback:
Central to the principle of fidelity is respecting words and duties to patients, such as following up when promised. The nurse's actions are less indicative of deficits in beneficence, veracity (since he did not overtly lie to the patient), or justice.

Answer to #2

A
Because the intrinsic factor is not available to combine with B12, transport of this necessary vitamin to the ileum is prevented.

Answer to #3

A
Feedback:
Nurse R's emphasis on preventing harm to the patient, even during an act that may be motivated by altruism, is characteristic of the principle of nonmaleficence.

Answer to #4

B
Feedback:
Lewy bodies are found in patients with Parkinson's disease. Choices A, C, and D are associated more with stroke.

Answer to #5

D
Feedback:
Answer D most clearly prioritizes the patient's individual freedom, preference, and rights in this case, and these considerations would override the family's or the care team's conflicting interests.
Snuffle Author
wrote...
6 years ago
All correct!
wrote...
6 years ago
Happy to help
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