NR-222 Edapt Ethics

Nurse Johnson offers to help a coworker who is overwhelmed with a new admission. This action ensures that the client is cared for as quickly as possible.

beneficence

The American Nurses Association Code of Ethics is a contract between nurses and healthcare ____ , and that contract is relevant in any situation. The code is _____ in any setting.

society, non-negotiable

Steven Wilcox, a registered nurse, is caring for a client who has been diagnosed with terminal cancer. Both the client and their family are from a culture that considers talking openly about death and dying to be unacceptable. The family has requested the client not be told about the diagnosis as they believe this will bring about death sooner and doing so is disrespectful. Steven believes that lying is a violation of the client's autonomy and a betrayal of trust. ​ What ethical principle is Steven attempting to uphold in this situation? ​

veracity

The client's older brother asks the nurse to send a picture of the client's broken arm x-ray stating that the image is so "cool" and they want to share it with friends on Instagram. What is the best response by the nurse?

"No, protected health information of any kind should not be shared on social media."

Which organization is responsible for nursing's code of ethics?

American Nurses Association

What is the primary focus of Provisions 1 through 3 of the code of ethics? Select all that apply. Commitments of the nurse Direct client care Global healthcare Promotion of safe, quality care Expanded nursing duties

Commitments of the nurse Direct client care

The family requests to review the client's medical records stating, "We are the parents and we have a right to know what is happening." What is the best action for Nina to take?

Ask the client if the family has permission to view the medical records.

Mr. Smith refuses to take a narcotic for pain, stating the medication makes him too sleepy. The nurse ensures that the client has all the information necessary to make this decision and accepts the client's choice.

Autonomy

A nurse offers pain medication to a client who is experiencing acute appendicitis. The nurse understands that this aspect of care delivery is an example of which ethical principle?​

Beneficence​

Nurse Chen promises the client to return in 30 minutes to assist with bathing and dressing. At the appointed time, the nurse returns to help the client.

Fidelity

A nurse is experiencing an ethical dilemma with a client. Which information indicates the nurse has a correct understanding of the primary cause of ethical dilemmas?​

Presence of conflicting values

Which part of Provision 1 addresses lateral violence, nurse bullying, and incivility?

Relationships With Colleagues and Others

The situation has escalated and the family is now demanding to speak with Nina's supervisor. Which solution to this dilemma might Nina suggest?

Request a care conference with the healthcare provider, client, and family.

The client tells the nurse they are afraid to speak up regarding a desire to stop chemotherapy treatment and end future care for fear of upsetting family members. Which principle in the nursing code of ethics ensures that the nurse will support the client's decision?

advocacy

The nurse is caring for a client supported on a ventilator who has been unresponsive since arrival via ambulance a week ago. The client has not been identified and no family members have been found. The nurse is concerned about the plan of care regarding maintenance or withdrawal of life support measures. Place the steps the nurse will use to help resolve this ethical dilemma in the correct order.

The nurse identifies an ethical dilemma.​ The nurse reviews the medical record, including entries by all healthcare professionals, to gather information relevant to this client's situation.​ The nurse examines the issue to clarify opinions, values, and facts. The nurse states the problem.​ The nurse identifies possible solutions or actions to resolve the dilemma.​ Healthcare providers use negotiation to redefine the client's plan of care.​ The nurse evaluates the plan and revises it with input from other healthcare providers, as necessary.​

Which ethical principle is Nina demonstrating by encouraging the family to respect the client's wishes?

advocacy

Amelia decides to escalate her concerns to the manager. In doing so, she is demonstrating which professional core values? Select all that apply. ​ Accountability​ Lifelong learning​ Advocacy​ Confidentiality​ Responsibility​

advocacy, responsibility

After hearing the nurse manager and Amelia's concerns, the healthcare provider prescribes a low dose narcotic pain medication for the client. Although confronting the healthcare provider and the charge nurse was difficult, Amelia knows that ______ for quality client care is the ______ thing to do in​ _____ situation.​

advocating, right, every

The nurse arrives for the shift to discover that two nurses are out sick and have not been replaced. The nurse contacts the supervisor for additional help caring for clients.

accountibility

Katie Costa, a registered nurse, is caring for a client who is dying. During admission, the client states they have an advanced directive requesting not to be resuscitated in the event of cardiac arrest. Katie receives a do not resuscitate (DNR) prescription from the healthcare provider and, soon after, the client goes into cardiac arrest. The family insists that the healthcare team do everything possible to save the client. The provider agrees with the family and tells Katie to begin CPR. ​ If Katie speaks up, Katie is demonstrating

advocacy

The client does not want to receive a blood transfusion that has been prescribed, so the nurse contacts the healthcare provider.

advocacy

Click to select all the ethical dilemmas that Nina is facing. Nina Brossard (preferred pronouns she, her) is a new graduate nurse assigned to care for a 21-year-old client diagnosed with leukemia. The client was diagnosed at age 10 and has undergone treatment and many invasive procedures over the past 10 years. Today, the client is refusing treatment, stating that they are tired of fighting cancer. The family is not in agreement with this decision and ask Nina to administer the intravenous treatment despite the client's statements.

client is refusing treatment, family not in agreement, ask Nina to administer the intravenous treatment

When attempting to resolve ethical issues, nurses should use the

code of ethics

A healthcare provider who is not caring for the client calls and requests information about the client's neighbor. The nurse refuses to provide information. ​

confidentiality

Amelia approaches the nurse manager to discuss the situation. Together, they discuss Amelia's concern with ​the healthcare provider. In this situation, Amelia first talked with the _____, then the ______, and finally the _____. She followed the proper chain of _______ . ​

health care provider, charge nurse, nurse manager, command

Nurse Miller provides excellent care to two clients, one of whom is very wealthy with health insurance and the other who is experiencing homelessness.

justice

Legal issues reference _______ that are typically _____. Ethics is ______ than the law and refers to _______ and character.​

laws, concrete, broader, laws

This situation represents

moral distress

If Amelia does not respond to this situation, which ethical principle could she be violating?​

non maleficence

A nurse reports suspicious co-worker behavior to the nurse manager. What ethical principle is the nurse demonstrating?​

non-maleficence

A nurse receives a medication prescription that seems incorrect based on the client's diagnosis and contacts the provider for clarification. The nurse understands that this action is an example of which ethical principle?​

nonmaleficence

Ms. Martin is at risk of falling after surgery. The nurse puts fall prevention protocols into place to avoid injury to the client.

nonmaleficence

Amelia Reyes (preferred pronouns she, her), a nurse in the emergency department (ED), is assigned to care for a young adult male client who was admitted following a motorcycle accident. The client has suffered a broken arm and leg and is waiting for surgery. During admission, the client verbalized a history of substance-use disorder. Despite reporting pain 10/10, the healthcare provider has not prescribed narcotic pain medication due to the client's history. When Amelia approached the provider, the provider stated, "I'm sure the pain is not that bad, he is just wanting fentanyl (a narcotic)." When Amelia consulted with the charge nurse, they stated, "He has beenhere before asking for narcotic pain medication."​

not prescribed narcotic pain medication due to the client's history, "I'm sure the pain is not that bad", "He has been here before asking for narcotic pain medication."​

Nina's colleagues politely express that the client is too young to make this type of decision. However, Nina knows that every client should be treated with respect despite personal attributes (age), health status, and situation. Nina worries that her colleagues are violating part of Provison 1—

respect for human dignity

The nurse agrees to provide the client with pain medication in 15 minutes. The nurse returns to the client's room at the designated time with the medication. ​

responsibility

The nurse has become aware of missing narcotics in the client care area. Which ethical principle obligates the nurse to report the missing medications?

responsibility

After applying concepts from the Code of Ethics for Nurses to resolve this ethical dilemma, Nina understands that nursing care is shaped by client _____,_____ , values, and ____ to pay.

prefences, needs, choices