Adult Health Med Surg Nursing Test Banks

Correct Answer: C

Rationale: Opioid medications are considered the first-line pharmacological treatment for dyspnea in palliative care patients with advanced cancer. Opioids help relieve dyspnea by reducing respiratory drive and the sensation of breathlessness, providing effective symptom management. In this case, addressing the patient's dyspnea with opioid medications would likely also help alleviate their anxiety related to breathlessness. Administering oxygen therapy (choice A) may not be effective at relieving dyspnea in this situation, as dyspnea in advanced cancer patients is often not primarily due to low oxygen levels. Teaching pursed-lip breathing techniques (choice B) and referring the patient to a respiratory therapist for breathing exercises (choice D) may be helpful complementary interventions, but opioid medications should be the priority for symptom management.

Correct Answer: A

Rationale: Utilizing communication and social media responsibly is an indicator that models personal and professional behavior and values. Responsible use of communication and social media demonstrates a commitment to maintaining a positive online presence, interacting respectfully with others, and upholding professional standards in digital communication. This behavior reflects integrity, accountability, and respect for oneself and others, which are essential qualities in both personal and professional settings. Additionally, demonstrating responsible behavior in the digital sphere can help build trust, enhance reputation, and foster valuable relationships with colleagues, clients, and the community.

Correct Answer: D

Rationale: Burnout is a state of emotional, physical, and mental exhaustion caused by excessive and prolonged stress. In this scenario, when staff nurses in the Pediatric Ward are working more than they can handle, they may experience burnout. Burnout can lead to a decrease in enthusiasm for work, feelings of depersonalization, and a reduced sense of personal accomplishment. These consequences can ultimately impact the quality of patient care provided by the nurses. Burnout not only affects the well-being of the healthcare workers but can also result in lower patient care quality, medical errors, and decreased overall job performance. Addressing and preventing burnout is crucial in maintaining a high standard of care and ensuring the well-being of healthcare professionals.

Correct Answer: A

Rationale: The bioethical issue described in option A revolves around the concept of advance directives. Advance directives are legal documents that outline a person's wishes regarding medical treatment in the event that they are unable to communicate those wishes themselves. In this scenario, the issue pertains to the withholding of food and treatment based on a written advance directive that was made before the patient suffered permanent brain damage. This raises important ethical considerations about respecting a patient's autonomy and adhering to their previously expressed wishes, even in difficult circumstances. The decision to withhold treatment in such a situation is a complex bioethical issue that needs to be handled carefully while balancing the principles of autonomy and beneficence.

Correct Answer: C

Rationale: Ms. Sanchez is violating the code of ethics for nurses. Nurses are expected to uphold professional behavior and maintain a positive public image. Endorsing a detergent product on TV Commercial wearing a mini skirt and a plunging neckline shirt may be seen as unprofessional and contrary to the image of a nursing professional. The code of ethics for nurses requires nurses to act with integrity, maintain professional boundaries, and avoid actions that could bring discredit to the profession. By engaging in this commercial, Ms. Sanchez is not upholding the ethical standards expected of nurses.