The director of nursing is reviewing situations that require ...

[jho37]

The director of nursing is reviewing situations that require attention. Which situation is an ethical dilemma that might need to be studied by the hospital Ethics Committee?
 
  1. A 20-year-old male patient with an opportunistic disease is HIV positive and does not want to share this information with his sexual partners.
  2. The nursepatient ratio is 5:1 on a medical-surgical care area.
  3. A nurse inexperienced with electrocardiogram interpretation was assigned to the telemetry unit to provide care.
  4. Nursing staff provide medication to patients after doses are dropped on the floor.

Question 2

The nurse is assessing a patient with pain in the lower back. Which questions or results indicate the nurse is using divergent thinking during the assessment process?
 
  Select all that apply.
 
  1. Tell me about your dietary practices.
  2. Can you tell me on a scale of 1 to 10, with 10 being the worst, how you would rate your pain now?
  3. The nurse notes a cluster of blisters on the patient's scapula.
  4. When was the last time you had a physical?
  5. Does your eyesight affect your ability to see the insulin you are taking?

[batool]

Answer to Question 1

Correct Answer: 1

A dilemma is a choice between two unpleasant, ethically troubling alternatives. Nurses who provide medical-surgical nursing care face dilemmas almost daily. Many commonly experienced dilemmas involve confidentiality, patient rights, and issues of dying and death. Nurses respect the right to confidentiality of patient information found in the patient's record or secured during interviews. An individual's right to privacy and confidentiality creates a dilemma when it conflicts with the nurse's right to information that may affect personal safety. The law in most states mandates that HIV test results can be given to another person only with the patient's written consent. Many healthcare providers believe that this law violates their own right to personal safety.

Answer to Question 2

Correct Answer: 2, 3, 5

Divergent thinking is the ability to weigh the importance of information. When collecting data from a patient, the nurse can sort out the data that are relevant for care from the data that are not relevant. Normal data are helpful but may not change the care the nurse provides.

[jho37]

Thank you

[batool]

Happy to help you