Michael grew up in a family where all the women were homemakers and nursed their sick
children back to health using natural remedies, while all the men went to work all day long.
Which of the following was most likely one of Michael's first-order beliefs? All
medicines are made of natural ingredients
A nurse working in a pain management clinic is having a conversation with an older adult patient
with bone cancer, who emigrated from Japan 60 years ago, and his 40-year-old son. The son asks
why his father, who is obviously in great pain from his condition, has not received more pain
medication. The father says he does not need the medicine and that bearing the pain without
complaining is important to him and was how his parents acted when they lived in Japan. What
kind of assessment is the best choice in this situation? Values Clarification
A nurse is working with a female patient who has a distended abdomen and has not been able to
urinate for 24 hours. After catheterizing the woman, a large amount of clear urine collects in the
urine bag. The patient asks for her 32-ounce cup to be filled with water for her to drink right
away. The cup is marked with the logo of a local weight loss group. The nurse asks the woman
who does not look overweight once her distended bladder is relieved, if she is drinking water to
try to lose weight. Sharing this information later with the health care provider, an order for
,electrolyte testing as part of blood work is put in. What is the best explanation for what has
occurred? Asking Relevant Questions
A nurse in a skilled nursing facility is meeting her patient for the first time, a woman who is 92
years old and a retired nurse herself. The older woman says she has a Do Not Resuscitate order
in her chart, and wishes to have "DNR" written on her chart by her door, in case she should pass
away. The intake nurse says, "You were a nurse, too. How can you not allow me to care for you
in every instance? You might change your mind later, if I were to bring you back." What kind of
dilemma best describes the intake nurse's position? Ethical
Which statements are ones nursing students should learn about the relationship between beliefs
and values?
- The patient's beliefs and values should not interfere with competent medical treatment
- It is important for nurses to have strong professional values to guide their practice that are
consistent with society's expectations of a trusted professional
- It is essential for nursing students to develop and continue adhering to critical professional
nursing values throughout their careers
- Understanding the importance and the relatedness of beliefs and values is a vital first step
, - A patient entering a medical facility gives up the right to comment on his or her own treatment
- It is important for nurses to have strong professional values to guide their practice that
are consistent with society's expectations of a trusted professional
- It is essential for nursing students to develop and continue adhering to critical professional
nursing values throughout their careers
- Understanding the importance and the relatedness of beliefs and values is a vital first step
A nurse who is speaking to nursing students explains the importance of respecting patients' own
personal values. She tells the students that personal values include the life principles that are
most important to people and shape the way they think. Besides shaping people's thoughts, what
else do values shape? Actions
A nurse is going over suggested dietary items for a patient who has just been diagnosed with
oxalate kidney stones. The patient is anxious to eliminate the painful condition from persisting,
but the diet appears to be restrictive of some of his favorite foods. The patient sees cherries and
cantaloupe on the low oxalate list the nurse provides, and notes that they are his favorite fresh
fruit, but they are expensive and out of season. The nurse suggests that he think of them as his
special daily treat, and compare the costs to those of his favorites he is giving up. What is the
most important aspect of what the nurse has been doing with the patient? Involving the
patient in establishing goals