funds ch 6 prepu

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."

A nurse is providing care for a client with cancer. The client's spouse requests that the client not be told that the client is terminal. The nurse complies with this request. The nurse's action is a breach of which ethical principle?

fidelity

The foundation for decisions about resource allocation throughout a society or group is based on the ethical principle of:

justice

An older adult was just diagnosed with stage 4 pancreatic cancer. The client states, "I am so overwhelmed and I feel like everyone has already decided that I need to be put in hospice care." The nurse upholds the principle of autonomy by __________ and __________

offering to answer questions the client may have about care and treatment options AND providing the client with the information needed to obtain a second opinion

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

personal 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

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

Values

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

Advocacy

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.

Which ethical principle refers to the obligation to do good?

Beneficence

Which nursing action demonstrates the principle of fidelity?

Filing an incident report after making a medication error

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

Paternalism

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

A nurse is acting inappropriately and has an odor of alcohol. This behavior breaches the principle of:

ethical conduct.

A nurse working on a critical care unit was informed by a client with multiple sclerosis that the client did not wish to be resuscitated in the event of cardiac arrest. Now the client is no longer able to express wishes, and the family has informed the physician that they want the client to be resuscitated. Aware of the client's wishes, the nurse is involved in a situation that may involve:

ethical distress.

A school nurse interviewing parents of a child who is doing poorly in school determines that the parents practice a laissez-faire method of discipline. What are examples of this form of value transmission? Select all that apply.

- A teenage boy explores religions of friends in hopes of developing his own faith. - A teenage girl tries alcohol at a party with her friends.

Nursing practice consistent with the Code of Ethics for Nurses includes which actions? Select all that apply.

- Delivering culturally safe care - Acknowledging that the client is the focus and center of care and remains a part of the treatment team - Protecting the client's right to confidentiality and privacy

Which actions by the nurse demonstrate the ethical principle of fidelity? Select all that apply.

- Maintaining current nursing registration and meeting continuing education requirements - Performing an intervention for a client at the time that was promised - Taking an extra client assignment so that the client will be cared for

A nurse is caring for a hospitalized client. Which nursing actions demonstrate a caring and compassionate attitude? Select all that apply.

- Notifying the client before leaving for lunch - Offering snacks and beverages to visiting family - Explaining all nursing procedures clearly - Listening to the client tell stories about past experiences

Which best defines value clarification?

A process by which people come to understand their own values and value systems

When examining values, a nurse notes that one country allows physician-assisted suicide and another outlaws it, making it punishable by imprisonment. Which factors best explain the differences in values between these two countries?

Cultural

Which nursing situation is an example of an ethical dilemma?

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

A nurse pulls the curtains closed before changing the dressing of the surgical wound on the abdomen of a postsurgical client. What value is served?

Dignity

A client continues to complain of pain despite receiving medication. The family states, "In our culture it is acceptable to complain out loud." What would be the best response by the nurse?

Tell me more about your cultural beliefs.

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

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

A nurse is providing care to a client and is preparing the client for breakfast. The nurse assists the client out of bed to the chair and then helps the client open the items on the breakfast tray. The client begins to eat breakfast. The nurse tells the client, "I'll be back in about 10 minutes to check on you. In the meantime, here is your call light in case you need me." About 10 minutes later, the nurse returns to check on the client. The nurse is demonstrating which ethical principle?

Fidelity

The nurse has identified an ethical dilemma that has the potential to interfere with a client receiving optimal care. The nurse discussed this issue with the charge nurse on the unit. What action should the nurse choose next?

Monitor for resolution of the problem.

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

Peers

Several nurses on the same hospital unit communicate on the same social networking site. A nurse posts the following statement to the social networking page, "The lady in room 34 with heart failure was a train wreck!" In which manner has the nurse failed to apply the principles of confidentiality?

Sharing information about a client beyond the area of client care is unacceptable and breaches the client's confidentiality rights.

To practice ethically, the nurse should avoid:

allowing the nurse's own personal judgment to guide practice.

Which statement by the nurse is an example of deception?

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

Which example best describes feminist ethics?

An approach critiquing existing patterns of oppression and domination in society

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

Care-based ethics

The unit where a nurse works is undergoing structural changes along with changes in client load and managerial style. The nurse feels disorganized and stressed and is having difficulty sleeping. The nurse wonders if these feelings are related to the changes at work. What next step should the nurse choose in the 4A plan to address this issue?

Committing to self-care

Which statement best conveys the concept of ethical agency?

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

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

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 nurse is having lunch in the break room and overhears the other nurses talking about a difficult client in an inappropriate way. The nurses attempt to engage her in the conversation. Which response by the nurse would best represent behavior that supports the value of human dignity in nursing practice?

Saying that this discussion is inappropriate and disrespectful to the client and that the nurse does not want to be a part of it

Which is the best definition of ethics?

The formal, systematic study of moral beliefs

Which action would cause a charge nurse to have concerns about a nurse's moral agency?

The nurse was seen at a grocery store after calling in sick.

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

The promotion of the dignity and respect of clients as people

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

Unprofessional

What are standards for decision-making that endure for a significant time in one's life?

Values

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

A client is brought to the emergency department by an adult child, who states, "I am unable to care for my parent anymore. Although I would like to, financially and physically I cannot do it anymore." What ethical problem is the adult child experiencing?

moral distress

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

stays with a client during death as promised.

Socialization into the nursing profession may have the most significant effect on:

values

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

A famous actor with bipolar disorder has been admitted in the mental health unit for treatment. A well known news outlet has offered the nurse several thousand dollars to provide information or a picture of the client. The nurse knows that it is their professional duty and legal responsibility to uphold PRIVACY

- keeping the door closed while conducting physical assessment - obtaining the client's permission before allowing a student nurse to assist with care

A famous actor with bipolar disorder has been admitted in the mental health unit for treatment. A well known news outlet has offered the nurse several thousand dollars to provide information or a picture of the client. The nurse knows that it is their professional duty and legal responsibility to uphold CONFIDENTIALITY

- sharing client information only to the caregivers directly assigned to client care - logging off the electronic health record after documenting assessment information - asking the client to sign a medical release form before providing information to the health insurance company

The nurse beginning practice would like to access the standards for ethical practice. Which organization should the nurse research for these standards?

International Council of Nurses