1.A nurse is preparing an in-service for an annual skills fair at a community medical facility
about fire safety. Place thesteps in the order in which they should be performed in the
case of a fire emergency. (Move the steps into the box on the right, placing them in the
selected order of performance. Use all the steps.)
A. Rescue the clients.
B. Pull the fire alarm.
C. Confine the fire.
D. Extinguish the fire.
2.A nurse is caring for a client who is dying of metastatic breast cancer. She has a
prescription for an opioid pain medication PRN. The nurse is concerned that
administering a dose of pain medication might hasten the client's death. Which of the
following ethical principles should the nurse use to support the decision not to
administer themedication?
A. Utilitarianism
Rationale:Utilitarianism refers to actions that are right when they contribute to the
greatest good.
B. Nonmaleficence
Rationale: Nonmaleficence is the duty to do no harm. The ethical mandate of
nonmaleficence is that healthcare workers refrain from intentionally
inflicting harm to clients.
C. Fidelity
Rationale: Fidelity is the duty to keep one's promises or word. It refers to the
obligation to be faithful to theagreements, commitments, and
responsibilities that one has made to oneself and others.
D. Veracity
Rationale:Veracity is the duty to tell the truth. It means that one does not
intentionally deceive or misleadclients.
3.A charge nurse notes that a staff nurse delegates an unfair share of tasks to the assistive
personnel (AP) and thenurses on next shift report the staff nurse frequently leaves tasks
uncompleted. Which of the following statementsshould the charge nurse make to
resolve this conflict?
A. "I need to talk to you about unit expectations regarding delegating and completing
tasks."
Rationale: This statement opens the conversation in a nonthreatening way. The
focus is on the issue of theequity of the assignment rather than on any
personal characteristic of the individual.
B. "Several staff members have commented that you don't do your fair share of the
work."
Rationale: This statement is accusatory.
C. "If you don't do your share of the work, I will have to inform the nurse manager."
Rationale: This statement is punitive.
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