PrepU Chapter 6: Values, Ethics, and Advocacy

Which nursing action(s) best demonstrate the ethical principle of autonomy? Select all that apply. -The nurse calls the prescriber when a medication dosage seems too high for the intended client. - The nurse checks to ensure an informed consent document is signed prior to transferring the client for a surgical procedure. - The nurse documents that a client refused a new medication. - The nurse completes yearly continuing education requirements. - The nurse reviews best practice standards for procedures commonly performed on the unit.

- The nurse checks to ensure an informed consent document is signed prior to transferring the client for a surgical procedure. - The nurse documents that a client refused a new medication.

A nurse demonstrates the professional value known as altruism when caring for clients in a long-term care facility. What nursing action demonstrates this behavior? - A nurse promotes universal access to health care for underserved populations. - A nurse helps an older adult client fill out an informed consent form. - A nurse researches the culture of a Muslim client when planning care. -A nurse consults a client when planning care to determine priorities.

A nurse researches the culture of a Muslim client when planning care.

Which best defines value clarification? - A systematic inquiry into principles of right and wrong conduct, of virtue and vice, and of good and evil, as they relate to conduct - A belief about the worth of something, about what matters, that acts as a standard to guide one's behavior - An organization of values in which each is ranked along a continuum of importance, often leading to a personal code of conduct - A process by which people come to understand their own values and value systems

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

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?

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

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? Select all that apply. - The nurse arranges for hospice for a client who is terminally ill. - The nurse provides information to clients to help them make decisions about treatment options. - The nurse keeps promises to provide diligent care to clients. - The nurse performs regular client assessments for pressure injuries. - The nurse follows "medication rights" when administering medicine to clients. - The nurse acts fairly when allocating time and resources to clients.

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

Nurses who value client advocacy follow what guideline?

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

A nurse is applying a care-based approach to an ethical dilemma. When integrating this approach, which concept should the nurse keep in mind? select all that apply. a. autonomy and beneficence guide any action. b. attention is needed to focus on each person's individual situation c. clients are people are to be respected. d. the caring relationship is essential to the approach

b. attention is needed to focus on each person's individual situation c. clients are people are to be respected. d. the caring relationship is essential to the approach

the nursing student demonstrates the need for further instruction with which statement concerning moral values? a. moral values place an emphasis on emotional attitudes b. moral values give individuals some sense of what is right and wrong.

b. moral values give individuals some sense of what is right and wrong.

A hospice nurse is caring for a client with terminal cancer. The family would like the client to continue aggressive therapy to treat the cancer, but the client has voiced to the nurse that no further pursuit of treatment is desired. The nurse speaks to the family about the client's wishes, condition, and terminal state. This action is most likely derived from which nursing obligation? - advanced practice licensure guidelines - legal responsibilities - ethical priniciples - nursing education principles

ethical principles

The International Council of Nurses (ICN) Code of Ethics for Nurses has which elements? (select all) a. practice b. coworkers c. people d. family e. profession

practice people coworkers profession

When providing nursing care to clients, the nurse is required to adhere to ethical values and legal rules to guide practice behavior. Which values would be included? Select all that apply. Privacy Veracity Confidentiality Safety fidelity

privacy veracity confidentiality fidelity

Socialization into the nursing profession may have the most significant effect on: - documentation - roles - values - planning

values

A nurse is involved in ethical decision-making. Place the steps in the order that the nurse would follow to achieve an ethical decision.

- Describe the situation and factors associated with the ethical problem. - Clarify that the issue is ethical in nature. - Identify options and explore short- and long-term consequences. - Make the decision. - Determine the effectiveness of the decision and implications for the future.

A nurse manager receives negative survey results citing a decrease in the quality of client care. Which areas should the nurse manager research as causative factors in the decrease of quality care delivery? Select all that apply. A. Decreased satisfaction of nurses in the workplace B. Increase in acuity of clients on the unit C. Inadequate staffing patterns D. Nurses working 12-hour shifts E. Nurses working weekends

A. Decreased satisfaction of nurses in the workplace C. Inadequate staffing patterns

A nurse is reviewing The International Council of Nurses (ICN) Code of Ethics for Nurses. Based on this code, the nurse would identify which responsibilities as being fundamental? Select all that apply. A. Preventing illness B. Restoring health C. Promoting health d. Alleviating suffering

A. Preventing illness B. Restoring health C. Promoting health d. Alleviating suffering

A nurse demonstrates the professional value known as altruism when caring for clients in a long-term care facility. What nursing action demonstrates this behavior?

a nurse researches the culture of a Muslim client when planning care.

Identify the activities a nurse uses in the process of valuing. Select all that apply. a. choosing b. prizing c. rewarding d. modeling e. acting

a. choosing b. prizing e. acting

A client requests that the nurse allow the client 15 minutes two times a day for prayer during hospitalization. What value does this represent? a. free value b. future value c. foundation value d. focused value

c. foundation value

which actions by the nurse demonstrate the ethical principle of fidelity

- 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 learns to adopt behavior modeled by a charge nurse. What ethical principle or behavior is the nurse most likely to learn through this process? a. standards of practice b. ethical conduct

ethical conduct