A nurse conducts a smoking-cessation program for patients of a neighborhood clinic. This is an example of which of the following aims of nursing?

Correct Answer: B

Rationale: The correct answer is B: preventing illness. The smoking-cessation program aims to prevent the development of smoking-related health issues, aligning with the preventive aspect of nursing. By helping patients quit smoking, the nurse is actively working to reduce the risk of various illnesses associated with smoking. Choices A, C, and D do not directly address the proactive nature of preventing illness. Promoting health (A) focuses on overall well-being, restoring health (C) involves actions to return to a previous state of health, and facilitating coping with disability or death (D) pertains to managing existing conditions or end-of-life care, which are not the primary objectives of the smoking-cessation program in this scenario.

Correct Answer: A

Rationale: The correct answer is A: Physical. Down syndrome is a genetic condition that affects physical development and health. Physical dimension refers to the body's physiological aspects, including genetics, anatomy, and functioning. This directly impacts the baby's health-illness status. Summary: B: Emotional - Down syndrome may lead to emotional challenges, but the primary impact is on physical health. C: Environmental - Environmental factors can influence health, but Down syndrome is primarily a genetic condition. D: Sociocultural - Sociocultural factors can affect health, but Down syndrome is mainly a physical condition.

Correct Answer: C

Rationale: The correct answer is C: protection from potential harm. Following a fractured pelvis from a fall, the priority need is ensuring the patient's safety at home to prevent further harm. The home assessment will focus on identifying and addressing potential hazards that could lead to additional falls or injuries. This includes assessing the home environment for safety modifications, such as installing grab bars in the bathroom or removing tripping hazards. Ensuring protection from potential harm is essential for the patient's recovery and overall well-being. Choices A, B, and D are incorrect because they do not address the immediate safety concerns associated with the patient's fractured pelvis. While sleep and rest, support from family members, and feeling a sense of accomplishment are important aspects of care, they are not the priority in this scenario where the main focus should be on preventing further injury and ensuring the patient's safety at home.

Correct Answer: C

Rationale: The correct answer is C because it highlights the ethical dilemma that arises from conflicting principles of patient autonomy and beneficence. By respecting the patient's wish to refuse food and fluids, the nurse would be supporting autonomy, but by following the physician's order to insert a feeding tube, the nurse would be prioritizing beneficence. This creates a moral distress for the nurse, as they are torn between two valid but conflicting courses of action. A: Following physician's orders is important, but in this case, it conflicts with the patient's autonomy. B: This choice is too extreme and does not address the ethical dilemma at hand. D: While inserting a feeding tube may affect the nurse-patient relationship, the primary issue is the ethical conflict between respecting the patient's wishes and following medical orders.

Correct Answer: B

Rationale: Correct Answer: B - to copy the health record Rationale: HIPAA grants patients the right to request copies of their medical records. This ensures transparency and empowers patients to better understand their health information. Patients can use these copies for personal records, second opinions, or sharing with other healthcare providers. Summary: - A: Incorrect, patients have the right to see their health record, not necessarily copy it. - C: Incorrect, patients generally cannot make direct additions to their health record. - D: Incorrect, patients cannot cross out sections of their health record as it may alter the accuracy of the information.