A nurse is assessing a client who reports increased pain following physical therapy. Which of the following questions should the nurse ask when assessing the quality of the client's pain?

Correct Answer: D

Rationale: The correct answer is D: Is your pain sharp or dull? This question helps differentiate between different types of pain, which can provide valuable information about the underlying cause and guide appropriate interventions. Sharp pain is often associated with nerve or tissue damage, while dull pain may indicate inflammation or muscle strain. Asking about the quality of pain is crucial in pain assessment. A: Is your pain constant or intermittent? - This question focuses on the duration of pain rather than the quality. B: What would you rate your pain on a scale of 0 to 10? - This question assesses pain intensity, not quality. C: Does the pain radiate? - This question assesses pain distribution, not quality.

Correct Answer: C

Rationale: Continuous reinforcement is the correct answer because values are primarily learned through repeated exposure and reinforcement of certain behaviors or beliefs. This process helps to internalize and solidify values over time. Reading books (A) may provide knowledge but does not necessarily lead to value formation. Formal degrees (B) offer education but do not guarantee value acquisition. Meeting diverse individuals (D) can broaden perspectives but may not directly teach values through reinforcement. Continuous reinforcement, on the other hand, ensures consistent learning and reinforcement of values.

Correct Answer: B

Rationale: The correct answer is B: Beneficence and nonmaleficence. Beneficence refers to doing good and nonmaleficence refers to avoiding harm. Technology can create ethical conflicts because advancements may aim to benefit individuals (beneficence) but could also potentially cause harm (nonmaleficence). Other choices are incorrect: A) Justice is about fairness in distribution, not in conflict with beneficence; C) Veracity is truth-telling, not in direct conflict with beneficence; D) Confidentiality involves privacy, which is not directly in conflict with beneficence.

Correct Answer: B

Rationale: The correct answer is B: Assessment. The first step in resolving an ethical dilemma is to thoroughly assess the situation. This involves gathering all relevant information, understanding the perspectives of the patient and family, and identifying key ethical principles at stake. Assessment allows the RN to have a clear understanding of the dilemma and its implications before proceeding with any planning, implementation, or evaluation. Planning (A), Implementation (D), and Evaluation (C) are all important steps in the problem-solving process, but without a comprehensive assessment, the RN may not have a solid foundation to address the ethical dilemma effectively.

Correct Answer: B

Rationale: The correct answer is B: Remind the staff members that they are in a public location and sharing this information is a breach of the Health Insurance Portability and Accountability Act (HIPAA). Rationale: 1. HIPAA protects patients' confidentiality and prohibits the disclosure of personal health information without consent. 2. By reminding the staff members of this breach, the RN upholds ethical standards and protects the client's privacy. 3. Joining the conversation (choice A) would further violate the client's confidentiality. 4. Correcting a statement (choice C) may draw more attention to the conversation, potentially worsening the breach. 5. Ignoring the conversation (choice D) would be neglectful of the RN's duty to protect patient information.