chapter 6

A hospital owned by a Catholic order of nuns will not allow tubal ligations to be performed. This is considered to be:

institutional policy.

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

the promotion of the dignity and respect of clients as people

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

values

A nurse educator understands that his teaching was effective regarding the Code of Ethics for Nurses when students make which statement?

"The code is an expression of nursing's own understanding of its commitment to society."

Which nursing situations are examples of the care-based approach to ethics? Select all that apply.

- Holding the hand of a dying client - Providing a back rub to a client on bed rest - Involving the parent in the bed bath of a child

A nurse has completed four hours of his eight-hour shift on a medical-surgical unit when he receives a phone call from the nursing supervisor. The nursing supervisor informs him that he needs to give a report to the other two nurses on the medical-surgical unit and immediately report to the telemetry unit to assist with staff needs on that unit. The nurse informs the supervisor that he has been busy with his client assignment and feels this will overwhelm the nurses on the medical-surgical unit. The supervisor informs the nurse that the need is greater on the telemetry unit. This is an example of which type of ethical problem?

Allocation of scarce nursing resources (This is a clear example of ethical issues surrounding the allocation of scarce nursing resources and involves distributing nursing care)

Which example best describes feminist ethics?

An approach critiquing existing patterns of oppression and domination in society

A nurse volunteers to serve on the hospital ethics committee. Which of the following indicates that the nurse knows what the purpose of an ethics committee is?

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

A client age 46 years has been diagnosed with cancer. He has met with the oncologist and is now weighing his options to undergo chemotherapy or radiation as his treatment. This client is utilizing which ethical principle in making his decision?

Autonomy

A woman age 83 years who has suffered a cerebrovascular accident and is unable to swallow refuses the insertion of a feeding tube. This is an example of what ethical principle?

Autonomy

Which word is best described by the following: the protection and support of another's rights?

advocacy

Which theory of ethics prioritizes the nurse's relationship with clients and the nurse's character in the practice of ethical nursing?

Care-based ethics

A nursing student reports to the instructor that a medication due at 9 am was omitted. Which principle is the student demonstrating?

Integrity

A home care nurse visits a client who is confined to bed and is cared for by a chemically dependence adult child. The home is cluttered and unclean and the nurse notes that the client is wet with urine, has dried feces on the buttocks, and signs of dehydration are present. After caring for the client, the nurse contacts the health care provider and reports the incident to Adult Protective Services. What ethical framework does the nurse determine is occurring?

Nonmaleficence

A nursing faculty member is discussing laissez-faire values with students. Which scenario is an example of those values?

Parents allowing a child to decide not to have an intravenous line inserted (A laissez-faire environment is one that allows others, especially children, to make decisions without guidance, resulting in a decision that may not be a sound one)

Which nursing situation is an example of an ethical dilemma?

Performing cardiac compressions when a signed Do Not Resuscitate order (DNR) is not available

A nurse uses the utilitarian action guiding theory when deciding how to handle the following ethical conflict: A 13-year old female client with anorexia refuses to eat food despite the fact that she is slowly starving to death. The parents insist the nurse use a feeding tube to feed her. 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 traits are examples of virtues that can exemplify character and conduct as a professional nurse? Select all that apply.

compassion humility trustworthiness

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 a client who is a practicing Jehovah's Witness. The physician orders two units of packed cells based on his low hemoglobin and hematocrit levels. The nurse states to the surgeon that it is unethical to go against the client's beliefs even though his blood counts are very low. What is the best description of the nurse's intentions?

acting in the client's best interest

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

autonomy

To practice ethically, the nurse should:

avoid allowing her judgment to guide practice.

A nurse is caring for a woman 28 years of age who has delivered a baby by Cesarean section. She describes her pain as a 9. The nurse medicates her for pain. This is an example of which ethical framework?

beneficence

Which ethical principle refers to the obligation to do good?

beneficence

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

client decided to stop treatments

A nursing student is studying the principle of autonomy. Which example most accurately depicts this principle?

describing surgery to a client before the consent is signed

A nursing student's attitude is defined as:

disposition toward situations.

The purpose of a values inquiry discussion with a group of nursing students is to:

examine social issues

A parent teaches his or her children not to drink and drive; however, the parent does drink and drive. This action causes

failure to reflect 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 client rings the call bell to request pain medication. Upon performing the pain assessment, the nurse informs the client that she will return with the pain medication. The nurse's promise to return with the pain medication is an example of which principle of bioethics?

fidelity

A nurse knows the ethical term "Do not cause harm" is an example of:

nonmaleficence

A nurse obtains an order for a bed alarm for a confused client. This is an example of which ethical principle?

paternalism

An adolescence is in the process of value formation. What does the nurse determine that will be the greatest influence in the child's formation of values in this developmental stage?

peers

A nurse believes that abortion is an acceptable option if a pregnancy results from a situation of rape. What is the best description of this belief?

personal morality

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

personal values

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 her judgments based on her expertise. Which type of health care decision making does this represent?

shared decision making

What would be an example of the nurse practicing fidelity? The nurse:

stays with the client during his death as promised.

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

integrity