Author Question: A secondary school teacher with advanced multiple sclerosis teaches from her wheelchair but insists ... (Read 123 times)

HudsonKB16 · **on:** Jul 22, 2018

A secondary school teacher with advanced multiple sclerosis teaches from her wheelchair but insists on being treated the same as other colleagues. Which of the following is the teacher demonstrating?

a. Preserving dignity
b. Choosing from alternatives
c. Considering all consequences
d. Acting with a pattern of consistency

Question 2

A nurse is caring for a patient who recently had an abdominal hysterectomy and states that she is experiencing severe pain. The patient's blood pressure is 110/60, and her heart rate is 60 .

Additionally, the patient does not appear to be in any distress. Which response by the nurse is most therapeutic?
a. Your vitals do not show that you are having pain; can you describe your pain?
b. You do not look like you are in pain.
c. OK, I will go get you some narcotic pain relievers immediately.
d. What would you like to try to alleviate your pain?

jomama · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

A
The teacher's choice is preserving dignity, which is a value included in the CNA Code of Ethics. She cherishes her choice of being treated like everyone else despite her medical condition and publicly affirms the choice by teaching from her wheelchair and insisting that she be treated the same as her colleagues.
At this point, the teacher is not choosing from alternatives. She could have chosen to quit teach-ing, but she did not. She has already made her choice.
The teacher is not demonstrating that she is considering all consequences. She has already made her choice.
At this point, the teacher is not demonstrating that she is acting with a pattern of consistency. She is not repeating a behaviour.

Answer to Question 2

D
The nurse must believe that a patient is in pain whenever the patient reports that he or she is in pain, even if the patient does not appear to be in pain. Whenever the patient reports pain, the nurse needs to collaborate with the patient to determine the best method of pain relief, whether it be medication, meditation, or repositioning. The nurse must be careful to not judge the patient based on vital signs or nonverbal communication and must not assume that the patient is seeking narcotics. The patient is a partner in pain management, so going to get narcotics to treat the pain without consulting with the patient first is not appropriate.