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hearing, which often affect patient education
needs and self-care abilities.
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patient that she will die without the procedure
may be seen as a threat. Both acts would
affect the voluntary nature of the patients
consent and would be illegal if the patient were
to consent under those circumstances.
8. 1, 2, 3, 4. Rationale: The standard of care
that a nurses actions are compared to arise
from several sources, among them are the
State Nurse Practice Act, community
standards, the standard of a reasonably
prudent professional under similar
circumstances, and the standard of the nurses
own competence.
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6. 1. Rationale: The ethics of care suggest that
health care workers solve ethical dilemmas by
paying attention to relationships and
fundamental act of caring.
7. 3. Rationale: Nonmaleficence is a complex
principle, but one that will help nurses explain
why some actions can be hurtful or harmful
and yet beneficial at the same time.
8. 3. Rationale: The patients point of view is
the most important point of view in an ethical
dilemma, and nurses are in a unique position
to understand and speak for that point of view.
Chapter 5: Ethics
Answer Key - Answers to Review
Questions - With Rationales
1. 4. Rationale: Because ethical issues often
involve emotional and complicated situations,
it can be tempting to begin discussion right
away. Taking time to gather all relevant
information will help to ensure that the
discussion is effective and complete.
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Chapter 9: Informatics and Documentation
Answer Key - Answers to Review
Questions - With Rationales
Copyright 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.
1-10
6. 1. Rationale: Total patient care is the care
delivery model in which the RN is responsible
for all aspects of the patient care during a shift.
1. 3. Rationale: Accountability is nurses being The nurse does not necessarily care for the
answerable for their own actions. In this
same patients over successive days. The
example, the nurse recognizes that an error functional nursing model assigns specific tasks
was made and appropriate follow-up was
to each of the nurses. Primary nursing is
performed.
where an RN assumes responsibility for a
caseload of patients over time. The RN
2. 2. Rationale: Treating the patients pain is provides care to the same patients for their
the priority and should be acted upon first. The length of stay in the hospital. Team nursing is
patient needs to walk, but this should not be the model in which the RN directs team
attempted until the patients pain is under
members to provide direct patient care.
control. Pain interferes with the patients ability
to concentrate and focus on instructions given 7. 3. Rationale: The right direction provides a
during a teaching session. Adequate pain
clear, concise description of the task. The
control will make it easier for the patient to
nurse provides the right direction because
undertake additional tasks. The IV solution will specific instructions on how to complete the
last for another 1 hours, which provides you walk are given. The nurse specifies the
adequate time to assess the patients pain and distance to walk the patient. The nurse also
prepare and administer an analgesic.
gives specific instructions on taking the pulse
before and after the walk and reporting the
3. 4. Rationale: It is appropriate to delegate
pulse rates.
the bed bath to the nursing assistive
personnel. Patient teaching is the
8. 1. Rationale: The right task is a task for a
responsibility of the RN. Changing the IV
specific patient that requires little supervision,
dressing is not within the scope of practice of is relatively noninvasive, has results that are
the nursing assistant. The RN should perform predictable, and has minimal potential risk.
nasotracheal suctioning the patient to assess Taking vital signs on a 2-day postoperative
patients response and outcome of the
patient meets these criteria. The other options
procedure.
are tasks that are within the scope of practice
for an RN, not a nursing assistant.
4. 3. Rationale: The directions provided are
appropriate delegation. The delegated task is 9. 2. Rationale: In Maslows hierarchy of
communicated clearly. You also make the
patient needs, interventions are focused on
nursing assistant feel part of the team because treating the patients physiological needs first.
you offer to help turn the patient and complete Therefore treatment of pain is the priority need
your assessment.
for this patient. Although the problem of
nausea is physiological, treatment of the pain
5. 3. Rationale: Patient and family teaching is may possibly relieve the nausea. After
a nonemergency or nonlife-threatening actual treatment to meet physiological needs, higherneed. High-priority needs are those that are a level needs such as education are then met.
threat to a patients survival or safety. Lowpriority needs are those problems that are not 10. 4. Rationale: Change-of-shift report helps
directly related to the patients illness.
you to prioritize activities based on what you
have learned about the patients current
condition. When you recognize that your
Copyright 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.
Copyright 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.
1-13
Answer Key - Answers to Review
Questions - With Rationales
1. 3. Rationale: Touch is relational and can
form a meaningful connection between nurse
and patient.
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4. 1. Rationale: Many cultures believe that
newborns and young children are vulnerable
and use a variety of ways to prevent the evil
eye. Filipinos believe rubbing oil will prevent
the evil eye.
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Copyright 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.