An order written by the physician is reviewed by the nursing staﬀ, and no one is familiar with the treatment instructions. A nurse who is recently hired knows that this treatment is covered by the states nurse practice act.

What is the nurses’ best course of action?

Call the physician to ask for clarification.

Check the states nurse practice act.

Refer to the facility’s policy and procedures to determine the course of action.

Contact the nursing supervisor for approval to carry out treatment.

Answer and Explanation

The Correct Answer is C

When faced with an unfamiliar treatment instruction, it is important for the nurse to consult the facility’s policies and procedures to determine the appropriate course of action. These policies and procedures provide guidance on how to carry out treatments safely and eﬀectively and can help ensure that the patient receives the best possible care.

While it may also be appropriate for the nurse to call the physician for clarification (a), check the state’s nurse practice act (b), or contact the nursing supervisor for approval (d), consulting the facility’s policies and procedures should be the first step in determining the appropriate course of action.

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Correct Answer is D

Explanation

This response is empathetic and allows the client to express her feelings openly. It demonstrates active listening and validates the client's emotions.

Option A ("I know exactly how you feel") can come across as dismissive or assuming, and it may not accurately reﬂect the client's unique experience.

Option B ("Most people experience depressed feelings after a divorce") may also come across as dismissive and minimizes the client's feelings.

Option C ("Look on the bright side, you will be glad you divorced him in a couple of years") is not empathetic and does not acknowledge the client's current emotional state.

A. An ethical dilemma B. Value clarification C. A moral conﬂict D. A breach of confidentiality

Correct Answer is A

Explanation

The nurse is experiencing an ethical dilemma because there are conﬂicting values and ethical principles that need to be considered in this situation. On one hand, the nurse has a duty to maintain the confidentiality of the information shared by each client. On the other hand, the nurse also has a duty to promote the well-being of each client, which may require sharing information between them.

Additionally, there may be issues of autonomy, justice, and beneficence that need to be considered when deciding on the best course of action. It is important for the nurse to carefully consider all of these factors and make a decision that is in the best interest of both clients while upholding ethical principles.

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An order written by the physician is reviewed by the nursing staﬀ, and no one is familiar with the treatment instructions. A nurse who is recently hired knows that this treatment is covered by the states nurse practice act. What is the nurses’ best course of action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A female client tells the nurse that she feels very depressed about her recent divorce. Which of the following is the nurses best therapeutic response?

Correct Answer is D

Explanation

Correct Answer is A

Explanation

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An order written by the physician is reviewed by the nursing staﬀ, and no one is familiar with the treatment instructions. A nurse who is recently hired knows that this treatment is covered by the states nurse practice act.

What is the nurses’ best course of action?