A nurse is caring for a 17-year-old female patient whose left leg was amputated after being crushed in a motor vehicle accident. Which of the following interventions might the nurse perform to accommodate the patient's intellectual dimension?

Correct Answer: C

Rationale: The correct answer is C: teaching her how to care for the stump and explaining the rehabilitation program. This intervention focuses on addressing the patient's intellectual dimension by providing education and information crucial for her understanding and participation in her care. By teaching her how to care for the stump and explaining the rehabilitation program, the nurse empowers the patient to actively engage in her recovery process. This intervention promotes independence, self-efficacy, and knowledge, which are essential for the patient's physical and emotional well-being. Incorrect options: A: considering the patient's developmental stage when planning nursing - While considering the patient's developmental stage is important, it does not directly address the intellectual dimension in this context. B: encouraging friends and relatives to visit often and bring games to distract her - While social support and activities are beneficial, they do not specifically target the intellectual dimension or provide the necessary education and information for the patient's care. D: providing the opportunity for a counselor to come in and talk to her about her

Correct Answer: A

Rationale: The correct answer is A: confidentiality. The student is violating the ethical responsibility of maintaining patient confidentiality by displaying the patient's name in a public setting. This breaches the patient's right to privacy and confidentiality, which are fundamental principles in healthcare. By revealing the patient's name, the student is potentially exposing sensitive information to unauthorized individuals, compromising the patient's trust and confidentiality. Accountability (B) relates to taking responsibility for one's actions, trust (C) pertains to building a trusting relationship with the patient, and informed consent (D) involves ensuring the patient understands and consents to their care. However, in this scenario, the primary ethical breach is confidentiality.

Correct Answer: D

Rationale: The correct answer is D: Comprehension. Informed consent requires the patient to understand the information provided. This ensures the patient is fully aware of the risks, benefits, and alternatives of the procedure. A: Disclosure is important for providing all necessary information, but it is not an element of the consent form itself. B: Organ donation is unrelated to the consent form for heart bypass surgery. C: DNR orders refer to do not resuscitate, which is not directly related to the informed consent process.

Correct Answer: B

Rationale: The correct answer is B: cognitive. The nurse is evaluating the patient's knowledge and understanding of the side effects of a medication, which falls under the cognitive domain of learning. Cognitive domain involves mental skills like comprehension, analysis, and synthesis. The patient's ability to recall and explain the side effects demonstrates cognitive learning. Incorrect choices: A: affective - This domain relates to emotions, attitudes, and values, not knowledge recall. C: psychomotor - This domain involves physical skills and actions, not knowledge of side effects. D: emotional - This domain involves understanding and managing emotions, not knowledge recall of medication side effects.

Correct Answer: C

Rationale: The correct answer is C: Physiologic. When facing stress like a cancer diagnosis, the body responds with physiological changes such as increased heart rate and respirations due to activation of the sympathetic nervous system. This is known as the fight or flight response, triggered by the release of stress hormones like adrenaline. The somatic response (choice A) refers to physical actions, neurologic response (choice B) involves the nervous system functions, and psychological response (choice D) pertains to emotional and cognitive reactions, which may also occur but are not the primary explanation for the elevated heart rate and respirations in this scenario.