RNSG 1125 Ethics 2

A couple has just learned that their son will be born with Down syndrome. The nurse shows a lack of understanding when making which statement?

"I will alert your entire family about this so you don't have to."

Which statement by the nurse is an example of deception?

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

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

The health care provider has prescribed an indwelling catheter for a client. When the nurse explains the procedure, the client refuses to allow placement of the catheter. Which action should the nurse take?

Ask the client why he or she does not want a catheter.

Which term is defined as a formal systematic study of moral beliefs?

Ethics

Priority setting is based on the information obtained during reassessment and is used to rank nursing diagnoses. Each factor contributes to priority setting except which?

Finances of the client

A nurse talks with family members about an AIDS client from the clinic where the nurse works. Which tort has the nurse committed?

Invasion of privacy

Which of the following is a true statement about a living will?

It states the client's wishes regarding healthcare if terminally ill.

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

Nonmaleficence

A client rings a call bell to request pain medication. Upon performing the pain assessment, the nurse informs the client that the nurse 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

Following a long history of multiple visits to community clinics and emergency departments, a client has been diagnosed with hypochondriasis. During this current visit to the emergency department, the client has just been informed that diagnostic testing and assessment reveal no severe illness. Despite this, the client persists in verbalizing physical complaints. How should the nurse respond to this?

Set limits with the client about the complaints.

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 example may illustrate a breach of confidentiality and security of client information?

The nurse provides information over the phone to the client's family member who lives in a neighboring state.

The nurse is making an initial home visit for a client requiring wound care. What statement is true regarding safety during a home visit by a nurse?

The nurse should never walk into a patient's home uninvited.

The nurse is caring for a client who just learned of his terminal diagnosis. After the physician leaves, the nurse remains to answer further questions so that the client can make an informed decision about further treatment. By providing all available information, the nurse is promoting which ethical principle?

The principle of autonomy

A nurse is caring for a client who was raped at gunpoint. The client does not want any photos taken of the injuries. The client also does not want the police to be informed about the incident even though state laws require reporting life-threatening injuries. Which intervention should the nurse perform to document and report the findings of the case?

Use direct quotes and specific language.

A psychiatric nursing class is discussing current trends in mental health care. A student voices the opinion that there should be equitable access to mental health care and resources for those who live in rural areas, for those without health insurance, and for those with very little income. The student nurse's opinion most closely reflects which ethical principle?

justice

A client informs the nurse that he is leaving the healthcare facility because he is not satisfied with the treatment. The nurse knows that the client's treatment is incomplete and few investigations are scheduled. Which is the most appropriate action by the nurse to prevent false imprisonment?

ask the client to sign release without medical approval

For a hospitalized client, the health care provider (HCP) orders morphine, 4 mg IM, every 4 hours as needed for pain. However, the client refuses to take injections. Which nursing action is most appropriate?

calling the HCP to request an oral pain medication