1. A nurse is preparing an in-service for an annual skills fair at a community medical facility about fire safety. Place the

steps 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.)

D. Rescue the clients.

A. Pull the fire alarm.

B. Confine the fire.

C. 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 the

medication?

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 health

care 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 the

agreements, 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 mislead

clients.

3. A charge nurse notes that a staff nurse delegates an unfair share of tasks to the assistive personnel (AP) and the

nurses on next shift report the staff nurse frequently leaves tasks uncompleted. Which of the following statements

should 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 the

equity 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.

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