Ch. 6 PrepU

A nurse is of the Catholic faith and votes pro-life. This nurse is considered to have:

personal values.

Which word is best described as protection and support of another's rights?

Advocacy

Which scenario is an example of the laissez-faire approach to value transmission?

Allowing a child to decide not to have an intravenous line inserted

Which example best describes feminist ethics?

An approach critiquing existing patterns of oppression and domination in society

A charge nurse has implemented staff education on nursing values. The nurse would determine that further education is required when which statement(s) are overheard? Select all that apply.

"I can't believe the client is giving that precious baby up for adoption." "The gonorrhea test was positive. That's what the client gets for sleeping around." "If that was my mother, I sure wouldn't agree to a no-code."

Which statement by the nurse is an example of deception?

"This injection of procaine will feel like a little pinch."

A nurse volunteers to serve on the hospital ethics committee. Which action should the nurse expect to take as a member of the ethics committee?

Assist in decision making based on the client's best interests.

A client diagnosed with cancer has met with the oncologist and is now weighing whether to undergo chemotherapy or radiation for treatment. This client is demonstrating which ethical principle in making this decision?

Autonomy

Which ethical principle is related to the idea of self-determination?

Autonomy

Which ethical principle refers to the obligation to do good?

Beneficence

Which nursing situation is an example of an ethical dilemma?

Deciding whether to perform cardiac compressions against a client's wishes

Which example most accurately depicts the ethical principle of autonomy?

Describing a surgery to a client before the consent is signed

Using the nursing process to make ethical decisions involves following several steps. Which step is the nurse implementing when reflecting on the decision-making process and the role it will play in making future decisions?

Evaluating

A client rings the call bell to request pain medication. On performing the pain assessment, the nurse informs the client that the nurse will return with the pain medication. After a few moments, the nurse returns with the pain medication. The nurse's returning with the pain medication is an example of which principle of bioethics?

Fidelity

A nurse reports to the charge nurse that a client medication due at 9 am was omitted. Which principle is the nurse demonstrating?

Integrity

In the delivery of care, the nurse acts in accordance with nursing standards and the code of ethics and reports a medication error that the nurse has made. The nurse is most clearly demonstrating which professional value?

Integrity

What is likely to have the greatest influence on an adolescent's formation of values during this developmental stage?

Peers

Nurses who value client advocacy follow what guideline?

They give priority to the good of the individual client rather than to the good of society in general.

A nurse is caring for an older adult who has cancer and is experiencing complications requiring a revision of the plan of care. The nurse sits down with the client and the family and discusses their preferences while sharing the nurse's own judgments based on the nurse's expertise. Which type of healthcare decision making does this represent?

Shared decision making

When analyzing an ethical dilemma according to the ethical framework, what is most important for the nurse to take into consideration?

Standards of conduct

The principle of autonomy by a client is applied in which situation?

The client has decided to stop chemotherapy treatments.

Which is a characteristic of the care-based approach to bioethics?

The promotion of the dignity and respect of clients as people

A nurse arrives on the medical unit wearing large, dangling earrings. This is an example of which type of conduct?

Unprofessional

A client tells the nurse that the client does not want to have a painful procedure. By respecting and supporting the client's right to make decisions, the nurse is demonstrating:

advocacy

To practice ethically, the nurse should avoid:

allowing the nurse's own judgment to guide practice.

Ethical distress is:

knowing the correct action but being unable to perform it due to constraints.

A nurse working in a critical care unit has experienced personal tragedy, extreme shortage of staff in the work environment, and health issues. The nurse has overcome much of these hardships and is now mentoring other nurses in similar situations. What behavior is this nurse demonstrating?

Moral resilience

Which is the best definition of ethics?

The formal, systematic study of moral beliefs

The nurse is managing the care for a postoperative client. How does the nurse demonstrate advocacy?

Limiting visitors due to the client reporting pain

Which action most clearly demonstrates a nurse's commitment to social justice?

Lobbying for an expansion of healthcare resources and benefits to those in poverty

A parent teaches a child not to drink and drive; however, the parent does drink and drive. This action results in:

a failure to model one's own values.

A female client is brought to the emergency room with matted hair, bruising, and malnutrition. The nurse suspects physical abuse and neglect. The nurse states, "This happens to many women." Which type of ethical approach is the nurse exhibiting?

Feminist

A nurse is providing care to a client with end-stage cancer. After weighing the alternatives, the client decides not to participate in a clinical trial offered and is requesting no further treatment. The nurse advocates for the client's decision based on the understanding that the client has the right to self-determination, interpreting the client's decision as reflecting which ethical principle?

Autonomy

While providing care to a client, a nurse encounters an ethical problem. The nurse knows the right thing to do, but the facility's policies interfere with the nurse's ability to follow through in doing the right thing. Which condition is the nurse experiencing?

Moral distress

A nurse uses the utilitarian action guiding theory when deciding how to handle the following ethical conflict: A 13-year-old client with anorexia refuses to eat food despite slowly starving to death. The parents insist that the nurse use a feeding tube to feed the client. Which statement is an example of this theory in practice?

The nurse forces food via an eating tube because the end result is good in that it will save the client's life.

Which statement best conveys the concept of ethical agency?

Ethical practice requires a skill set that must be conscientiously learned and nurtured.

What is the term for the beliefs held by the individual about what matters?

Values