Mastery Quiz 6

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 is administering evening medications and notices that a medication was omitted during the day shift. Which statement demonstrates the principle of accountability?

Filling out an occurrence report and notifying the healthcare provider

Which traits are examples of virtues that can exemplify character and conduct as a professional nurse?

Trustworthiness Humility Compassion

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

stays with a client during death as promised.

Identify the activities a nurse uses in the process of valuing.

Choosing Acting Prizing

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 nurse knows that the expression "Do not cause harm" refers to which ethical principle?

Nonmaleficence

A nurse is providing care to an older adult client who was just diagnosed with cancer. The client together with the immediate family discuss their preferences with the health care providers involved. The health care providers offer their clinical recommendations about possible treatments. Utlimately, the group arrives at a decision. The nurse interprets this decision-making process as reflecting which type?

Shared

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

Care-based ethics

What is likely to have the greatest influence on an adolescent's formation of values during 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 moral

Ethical distress is:

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

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

personal values

A client is scheduled to have an elective surgical procedure performed but cannot decide whether to go forward with the procedure or cancel it. The client asks the nurse to help make the decision because the client lacks knowledge about the procedure. Which action by the nurse is the best way for this nurse to advocate for the client?

Allow the client to verbalize feelings, and provide information to help the client assess options

Which are professional values that the nurse should incorporate into practice?

Altruism Autonomy Human dignity Social Justice

Which example best describes feminist ethics?

An approach critiquing existing patterns of oppression and domination in society

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 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

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

Which nursing actions best describe the use of the professional value of human dignity?

The nurse includes the client in developing the plan of care. A nurse provides privacy for an older adult client. A nurse plans individualized nursing care for clients. A nurse refuses to discuss a client with a curious friend

A nurse seeks to incorporate the principle of bioethics known as nonmaleficence when caring for clients in a long-term care facility. Which nursing actions best exemplify this principle?

The nurse performs regular client assessments for pressure injuries. The nurse follows "medication rights" when administering medicine to clients.

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

The promotion of the dignity and respect of clients as people

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 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.

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

values

The nurse has an ethical conflict regarding the client's use of marijuana to control symptoms of advanced cancer. Which argument(s) regarding this conflict reflect a utilitarian approach?

The client experiences significant reduction of cancer symptoms when using marijuana. The client is homebound and will not be driving. There is little opportunity for any other persons to divert or use the marijuana the client obtains.

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

The client has decided to stop chemotherapy treatments.

A nurse gives the 400 IU of a vitamin supplement that was in the client's medications instead of the 200 IU that was prescribed. The dosage was given when the unit was busy admitting three clients and another client was in crisis. Which action(s) by the nurse demonstrate the professional value of integrity?

The nurse documents the dose given. The nurse completes a variance or incident report.

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

advocacy

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

To practice ethically, the nurse should avoid

allowing the nurse's own judgment to guide practice.