ATI RN
Health Promotion and Maintenance NCLEX Questions Quizlet Questions
Question 1 of 5
Which of the following scenarios best describes a nurse using metacommunication?
Correct Answer: D
Rationale: In the context of pharmacology, metacommunication is a crucial skill for nurses to possess. The correct answer, option D, best describes a nurse using metacommunication by understanding that an individual needs a break before proceeding. Metacommunication involves not only the verbal exchange of information but also the ability to read nonverbal cues and understand the underlying emotions and needs of the individual. In this scenario, the nurse demonstrates empathy and sensitivity to the individual's nonverbal signals, showing an awareness of the importance of breaks for effective communication and problem-solving. Option A, using both touch and silence when counseling an individual, involves nonverbal communication but does not specifically address the aspect of understanding the individual's needs for a break, which is central to metacommunication. Option B, practicing reflection when interacting with an individual, is a valuable communication skill but does not directly relate to the concept of recognizing and responding to the individual's need for a break. Option C, discussing with an individual how to solve a problem, focuses on problem-solving rather than the nurse's ability to tune into the individual's emotional state and adjust communication accordingly. In the educational context, understanding metacommunication in pharmacology is essential as it can impact patient outcomes. Nurses who are proficient in metacommunication can establish rapport with patients, improve adherence to medication regimens, and enhance patient education efforts. By recognizing and responding to patients' nonverbal cues and emotional needs, nurses can create a supportive and therapeutic environment that fosters effective communication and promotes positive health outcomes.
Question 2 of 5
An emergency department provides care for all individuals regardless of circumstances and ability to pay. This is an example of:
Correct Answer: A
Rationale: In the context of pharmacology and healthcare ethics, the correct answer is A) Ethic of justice. This scenario exemplifies the principle of justice by ensuring that all individuals, regardless of their circumstances or ability to pay, receive care in the emergency department. The ethic of justice emphasizes fairness, equity, and the allocation of resources based on need rather than on individual characteristics. Option B) Ethic of care focuses on relationships, empathy, and compassion in decision-making. While providing care to all individuals is compassionate, the primary principle demonstrated in this scenario is justice. Option C) Applied ethics involves the practical application of ethical principles to real-world situations. While the scenario does involve applied ethics, the specific ethical principle being exemplified here is justice. Option D) Metaethics deals with the theoretical foundations and philosophical analysis of ethical systems. This scenario does not directly relate to metaethics but rather to the practical application of ethical principles in healthcare delivery. In pharmacology education, understanding healthcare ethics is crucial as it guides decision-making, patient care, and professional conduct. By recognizing and applying principles such as justice, students can navigate complex ethical dilemmas in the field of pharmacology and ensure equitable access to healthcare for all individuals.
Question 3 of 5
An 18-year-old woman asks the nurse not to tell her mother about her STD diagnosis. Which action should the nurse take?
Correct Answer: B
Rationale: In this scenario, the correct action for the nurse to take is option B: Respect the principle of confidentiality and support the client's request. This choice aligns with ethical guidelines that prioritize patient confidentiality and autonomy. As a healthcare provider, it is crucial to uphold patient privacy unless there are specific legal exceptions, such as imminent harm to self or others. Option A is incorrect because violating the client's trust by disclosing sensitive information without consent goes against ethical standards and may harm the nurse-client relationship. Option C is incorrect as providing false information undermines the client's right to accurate healthcare communication. Option D is also incorrect as ignoring the request disregards the client's autonomy and right to privacy. Educationally, this scenario highlights the importance of understanding and respecting patient confidentiality in healthcare practice. Nurses must be aware of legal and ethical considerations regarding patient information and strive to maintain trust and open communication with clients while upholding confidentiality standards. This situation also underscores the significance of effective communication skills and ethical decision-making in nursing practice.
Question 4 of 5
A nurse includes the statement, “Treat others the way you would like to be treated.” when teaching a group of adolescents about bullying. Which type of ethical theory is being used in this example?
Correct Answer: B
Rationale: The correct answer is B) Normative theory. In this scenario, the nurse is applying normative ethical theory by promoting the idea of treating others as one would like to be treated, which aligns with the ethical principle of reciprocity or the Golden Rule. This theory guides individuals on how they should behave based on moral principles and values. Option A) Descriptive value theory focuses on describing what people value, rather than prescribing how they should behave, making it an incorrect choice for this question. Option C) Consequentialism theory emphasizes the outcomes or consequences of actions to determine their morality, which is not directly applicable in this situation. Option D) Duty-based theory, also known as deontological ethics, centers on the concept of duty and moral obligation rather than the principle of treating others based on personal preferences. In an educational context, understanding different ethical theories is crucial for healthcare professionals like nurses who often face ethical dilemmas in their practice. By grasping these theories, nurses can make informed decisions that uphold ethical standards, promote patient well-being, and foster a culture of respect and empathy in their interactions with patients and colleagues.
Question 5 of 5
A 24-year-old man with severe cognitive impairment, and no relatives participating in his care, needs to make a decision about removal of a brain tumor. Which ethical concept is the client unable to benefit from?
Correct Answer: A
Rationale: In this scenario, the correct answer is A) Autonomy. Autonomy refers to a person's right to make their own decisions about their healthcare, based on their own values and preferences. In this case, the client with severe cognitive impairment lacks the capacity to fully understand the implications of the decision regarding the removal of the brain tumor, thus impeding his ability to exercise autonomy. Option B) Justice relates to fairness and equal treatment in healthcare. While this is an important ethical concept, it is not the primary concern in this scenario. Option C) Beneficence refers to the obligation to act in the best interest of the patient and to promote their well-being. This concept is relevant in healthcare decision-making, but in this case, the client's inability to benefit from autonomy takes precedence. Option D) Advocacy involves speaking on behalf of the patient's best interests. While advocacy is crucial, in this context, the fundamental issue lies in the client's lack of autonomy due to cognitive impairment. Educationally, this question highlights the importance of understanding ethical principles in healthcare decision-making. It underscores the need to consider the capacity of individuals to make informed choices and the role of healthcare providers in upholding ethical standards when patients are unable to do so themselves.