Chapter 3 Issues in Nursing Practice

Answers CHAPTER 3 ISSUES IN NURSING PRACTICE AUDIO CASE STUDY Jim and the Health Care System 1. The use of information technology in nursing practice. 2. Ambulation, teaching leg exercises to prevent blood clots, and using sterile technique to prevent surgical site infections. 3. To avoid violating the Health Insurance and Portability and Accountability Act (HIPAA). VOCABULARY 1. (3) 2. (1) 3. (4) 4. (2) 5. (8) 6. (5) 7. (6) 8. (7) 9. (10) 10. (9) NURSING PRACTICE AND ETHICAL AND LEGAL PRINCIPLES 1. high, poor 2. state, protect, quality 3. Veracity 4. beneficence, fidelity, justice 5. knowledgeable, role, humor, respect VALUES CLARIFICATION There are no correct answers to this section because this is an exercise requiring personal responses. CRITICAL THINKING There are no correct answers to this section because this is an ethical exercise that has many choices to be considered for the best outcome for the patient. REVIEW QUESTIONS—CONTENT REVIEW The correct answers are in boldface. 1. (3) is correct. (1, 2, 4) are incorrect. 2. (1) is correct. (2, 3, 4) are incorrect. 3. (4) is correct. (1, 2, 3) are incorrect. 4. (2) is the first step. (1, 3, 4) are incorrect. 5. (1) is correct. (2, 3, 4) are incorrect. 6. (3) is correct. (1, 2, 4) are incorrect. 7. (4) is correct. (1, 2, 3) are incorrect. 8. (1) is correct. (2, 3, 4) are incorrect. REVIEW QUESTIONS—TEST PREPARATION The correct answers are in boldface. 9. (4) is correct. The patient is chronically ill but able to meet most goals and so has moderate wellness. (1) is incorrect. The patient is not near death. (2) is incorrect. The patient cannot meet all goals, so high-level wellness is not being achieved. (3) is incorrect. The patient is not in poor health because most goals are met through adaptation. 10. (2) is correct. The nurse–patient relationship is based on trust that the nurse will maintain all patients’ rights. (1) is a constitutional right, not an ethical issue. (3) is a legal issue. (4) is not an ethical principle. 11. (3) is correct. Paternalism occurs when a health care provider tries to prevent patients from making autonomous decisions or decides what is best for patients without regard for their preferences. (1) is incorrect. The nurse might be nonresponsive about the purpose of the medication due to lack of knowledge, but there are no indications that this is true. (2) is incorrect. Advocacy supports providing the medication information so that the patient is informed to make autonomous decisions. (4) is incorrect. Telling the patient not to worry is not therapeutic communication, as it does not address the patient’s concerns. 12. (1) is correct. Knowing the patient’s wishes helps the nurse advocate for and act in the best interest of the patient. (2, 3, 4) are incorrect. They are not the wishes of the patient. 13. (1, 2, 4, 5) are correct. These are all part of the five steps of delegation. See www.ncsbn.org/1625.htm. 1 2 Chapter 3 Answers (3) is incorrect. In delegation, it is the right person not the right patient that is considered. (6) is incorrect. The right route relates to medication administration. 14. (2, 3, 4, 6) is correct. The patient is a likely victim of human trafficking; after completing data collection (ideally but unlikely in private), suspicions should be reported to the health care team and then local law enforcement should be called. (1) is incorrect. Confrontation should not occur for the safety of all. (5) is incorrect. The patient should not be alerted to impending assistance, as this might alert the trafficker.