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Chapter 7
Course: Advanced Nursing Care Of Patients With Complex Illness (NURS 470)
92 Documents
Students shared 92 documents in this course
University: Pace University
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1. The physician has just told a patient that he has stage 4 lung cancer and likely has only months
to live. After the physician leaves, the patient, who is visibly shaken, asks the nurse,
“Couldn't the doctor be wrong? Is it really that bad?” The nurse explains to him that,
although there is no way to know for certain how the disease will progress, the stage of his
lung cancer is the most serious. The nurse also indicates that the cancer has spread to other
organs in his body, meaning that the odds of recovery are not good. The patient then asks
that the nurse not tell his wife, who is in the waiting room, about the diagnosis just yet.
Later the patient's wife enters the room and, seeing that he is asleep, asks the nurse if there
is any update on the patient's condition. The nurse explains that the doctor talked to the
patient earlier and that the patient can provide details once he wakes up. Which ethical
principle or principles has the nurse exercised in this situation? Select all that apply.
A) Justice
B) Fidelity
C) Veracity
D) Nonmaleficence
2. Before administering a new medication to a patient, the nurse explains to her the adverse
effects she may experience as a result of the medication and asks whether the patient has
any questions about the medication. When the patient indicates that she understands the
risks involved, the nurse has her sign a document and proceeds with the treatment. The
nurse's action is an example of which of the following?
A) Obtaining informed consent
B) Ensuring confidentiality
C) Observing the principle of nonmaleficence
D) Acting with fairness
3. A patient is at severe risk of forming life-threatening clots in his thoracic region following
surgery. The physician has prescribed an anticoagulant medication. The patient has had a
negative experience with anticoagulants in the past and refuses the medication. Which two
ethical principles are in conflict with each other in this situation?
A) Fidelity vs. justice
B) Maleficence vs. beneficence
C) Veracity vs. autonomy
D) Beneficence vs. autonomy
4. A patient in the ICU recently experienced a myocardial infarction that resulted in an aneurysm
of the ventricular wall. The patient's cardiovascular surgeon has determined that the
aneurysm is irreparable. In this situation, an attempt to repair the rupture via laparoscopic
surgery would be considered which of the following?
A) Palliative
B) Curative
C) Medically futile
D) Beneficent