Study Guide for Fundamentals of Nursing The Art and Science of Nursing Care

32 UNIT I FOUNDATIONS OF NURSING PRACTICE

Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins. Study Guide for Fundamentals of Nursing:

b.The anxious father of a 17-year-old gay

patient asks you to perform an HIV test on

his son without his son’s knowledge.

c.A woman who presents with contusions

and marks consistent with domestic abuse

tells you that her husband pushed her

down the steps. She asks you not to tell

anyone. When her husband arrives, he

hovers over her in an obsessive and overly

protective manner.

2.Describe what you would do in the following

situations:

a.A doctor asks you to falsify a report that he

prescribed medicine contraindicated for a

patient’s condition.

b.A nurse coworker refuses to bathe an HIV-

positive patient.

c.Due to administrative cutbacks, there are

not enough nurses scheduled to cover the

critical care unit in which you work.

Share your responses with a classmate and

explore the difference in your responses. What

competencies and character traits promote

ethical behavior?

REFLECTIVE PRACTICE USING CRITICAL

THINKING SKILLS

Use the following expanded scenario from

Chapter 6 in your textbook to answer the

questions below.

Scenario:William Raines, a homeless 68-year-

old man diagnosed with schizophrenia,

developmental delays, and uncontrolled

hypertension, was admitted for control of

moderately severe elevation of his blood

pressure. A review of his medical record reveals

that Mr. Raines, who has no medical insurance,

was getting samples of medications for blood

pressure treatment from the pharmaceutical

representatives at the clinic. A recent policy

change stopped this practice approximately

4 weeks ago. Mr. Raines is about to be discharged

with several prescriptions for medications, but

he refuses to take the prescriptions, saying,

“Why take that useless paper? I haven’t got

any money to buy those pills with, anyway.”

1.How might the nurse react to Mr. Raines

response to filling his prescriptions?

2.What would be a successful outcome for this

patient?

3.What intellectual, technical, interpersonal,

and/or ethical/legal competencies are most

likely to bring about the desired outcome?

4.What resources might be helpful for

Mr. Raines?

LWBK696-C06_p27-32.qxd 9/2/10 9:19 AM Page 32 Aptara Inc