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- A nurse is counseling a husband and wife who have decidedthat the wife will get a job so that the husband can go topharmacy school, as he has wanted to do for some time. Theirthree teenagers, who were involved in the decision, are alsogetting jobs to buy their own clothes. The husband plans towork 12 to 16 hours weekly and states, “I was always an Astudent, but I may have to settle for Bs now because I don’twant to neglect my family, and I need to work a few hours sothat my wife won’t have to work overtime.” How would thenurse document the husband’s self-expectations?a. Realistic and positively motivating his developmentb. Unrealistic and negatively motivating his developmentc. Unrealistic but positively motivating his developmentd. Realistic but negatively motivating his developmentJanie wants to call an ethics consult to clarify treatment goalsfor a patient no longer able to speak for himself. She believeshis dying is being prolonged painfully. She is troubled whenthe patient’s doctor tells her that she’ll be fired if she raisesquestions about his care or calls the consult. This is a goodexample of:a. Ethical uncertaintyb. Ethical distressc. Ethical dilemmad. Ethical residueA nurse is counseling a 19-year-old male athlete who had hisright leg amputated below the knee following a motorcycleaccident. During the rehabilitation process, the patient refusesto eat or get up to ambulate on his own. He says to the nurse,“What’s the point. My life is over now and I’ll never be thefootball player I dreamed of becoming.” What is the nursecounselor’s best response to this patient?a. “You’re young and have your whole life ahead of you. Youshould focus on your rehabilitation and make something ofyour life.”b. “I understand how you must feel. I wanted to be a famoussinger, but I wasn’t born with the talent to be successfulat it.”c. “You should concentrate on other sports that you couldplay even with a prosthesis.”d. “I understand this is difficult for you. Would you like to talk about it now or would you prefer me to make a refer-ral to someone else?”
- Most states have conscience clauses or Health Care Conscientious Objector legislation that permits a healthcare professional to refuse to care for or give services to a patient to whom the worker has a personal moral or ethical objection. What are view to this legislation?If you would have the power, authority, responsibility and accountability to do one thing that you think might significantly address nursing shortage, what would that be?How does the medical establishment promote unequalaccess to health care?
- This is my last clinical rotation before graduation and it hasbeen a difficult year. My focus has been somewhat off fora while, and I haven’t been as prepared as I should havebeen for my clinical and classroom experiences. My clinicalinstructor has been on my case for the last few weeks. I’malso realizing that in no time at all I will be out of schooland on my own when it comes to patient care. So, all of asudden, I’m eager for as many clinical experiences as I canget. To make a long story short, I’m thrilled when offeredthe opportunity to catheterize Esther Bailey, a 72-year-oldfemale patient on my unit. I quickly review the procedure and go to the patient’s room, with the catheterization sup-plies in hand, feeling semi-confident. After introducing my clinical instructor and myself and explaining what I’m aboutto do, I open the sterile package, prepare the sterile field, and cleanse the meatus. In one quick moment, as thepatient asks a question and diverts my instructor’s gaze,I…A nursing student asks the charge nurse about legal liabilitywhen performing clinical practice. Which statement regardingliability is true?a. Students are not responsible for their acts of negligenceresulting in patient injury.b. Student nurses are held to the same standard of carethat would be used to evaluate the actions of a registerednurse. c. Hospitals are exempt from liability for student negli-gence if the student nurse is properly supervised by an instructor.d. Most nursing programs carry group professional liabilitymaking student personal professional liability insuranceunnecessary.Would health-care professionals require a differentlevel or different type of support from their employers thanprofessionals in other industries? Why or why not?
- Are telehealth and telemedicine services billable to the patients insurance coverage the same as face encounters in the office or hospital setting?How might prenatal and well-child care differ for twowomen—one without health insurance and the other with agood health insurance plan? Why do you think this happens?What can nurses do to ensure respectful, compassionate careof high quality for all?What are three important challeneges facing the healthcare system today
