Ch. 6: Values, Ethics & Advocacy (NUR 111-nursing fundamentals book)

A nurse needs to be aware of which professional values? Select all that apply.

social justice autonomy altruism human dignity

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

stays with the client during his death as promised

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 educator understands that his teaching was effective regarding the Code of Ethics for Nurses when students state which of the following?

"The code is an expression of nursing's own understanding of its commitment to society."

Which of the following statements by the nurse is an example of deception?

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

A nurse demonstrates the professional value known as altruism when caring for patients in a long-term care facility. What is an example of a nursing action based on this value?

A nurse researches the culture of a Muslim patient when planning nursing care

Which word is best described by the following: the protection and support of another's rights?

advocacy

The client is a 40-year-old man admitted s/p repair of a femoral fracture. He discloses that he has a history of an addiction to painkillers and asks that the nurse assist him in adhering to his recovery from this addiction by not administering any narcotics. As the nurse reviews postoperative orders for the client, the nurse notes that his physician has ordered Codeine 30 mg p.o. q6 hours for pain. How does the nurse best approach this situation?

ask the physician to remove this order from the client's chart

A nurse volunteers to serve on the hospital ethics committee. Which of the following indicates that the nurse knows what the purpose of an ethics committee is?

assist in decision making based on the client's best interests

A client age 46 years has been diagnosed with cancer. He has met with the oncologist and is now weighing his options to undergo chemotherapy or radiation as his treatment. This client is utilizing which ethical principle in making his decision?

autonomy

A nurse who provides the information and support that clients and their families need to make the decision that is right for them is practicing what principle of bioethics?

autonomy

Which ethical principle is related to the idea of self-determination?

autonomy

Which ethical principle refers to the obligation to do good?

beneficence

Which statement best conveys the concept of ethical agency?

ethical practice requires a skill set that must be conscientiously learned & nurtured

Using the nursing process to make ethical decisions involves following several steps. Which step is the nurse implementing when she reflects on the decision-making process and the role it will play in making future decisions?

evaluating

An emergency department nurse and health care team are caring for a semiconscious child age 2 years with numerous fractures and evidence of cigarette burns. They suspect child abuse. The nurse reports the family to the child abuse hotline. The nurse is following which ethical principle?

nonmaleficence

A nursing faculty is discussing laissez-faire values with students. Which of the following is an example of those values?

parents allowing a child to decide not to have an IV line inserted

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

paternalism

The client, age 2, is with his mother in clinic today. He continues to grab for the otoscope, then looks sheepishly toward his mother as she tells him "no". According to Kohlberg (1964), the client is in which stage of learning?

preconventional

The nursing faculty is explaining value transmission. The example of a child receiving an exemplary report from school and being given money from the parents can be described as what type of behavior?

rewarding

Nursing students in an ethics class have been asked to define "ethics." What would be the best definition of ethics?

the formal, systematic study of moral beliefs

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

the promotion of the dignity & 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.

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

values

An employee health nurse is assisting a stressed, working mother with value clarification. Which of the following best defines value clarification?

a process by which people come to understand their own value systems

Which of the following best describes feminist ethics?

an approach critiquing existing patterns of oppression & domination in society

A nurse fails to communicate a change in the client's condition to the physician. Which element related to proving malpractice has been met?

breach of duty

A parent of a high school student age 17 years is allowing the child to make the decision on the college he will attend. When the child requests direction from the parent in making this decision, the parent responds by informing him that he will need to make this decision on his own. This is an example of which type of value transmission?

laissez-faire

The nurse is managing the care for a post operative client. How does the nurse demonstrate advocacy?

limiting visitors due to client complaining of pain

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 her judgments based on her expertise. Which of the following types of health care decision making does this represent?

shared decision making

A nurse is preparing a client for discharge from the cardiac unit and observes cigarettes in the client's belongings. The nurse asks the client to consider her health and the health of her husband. This is an example of:

values claification

The client is a 2-month-old infant extremely ill from HSV sepsis. Her mother and father have decided to stop additional medical intervention and allow the infant to pass away naturally. The mother does not want her relatives to know that they plan to stop pursuing aggressive medical treatment because it is against their family's religious beliefs to withdraw medical support. What does the nurse tell the client's mother?

yes, it is her decision who to inform about the family's medical decision

A nurse on the oncology unit is caring for a client on hospice care. The client is weak and is resting. The client's daughter comes storming onto the unit and demands that the nurse do everything she can to treat her mother. This is an example of what type of values conflict?

family conflict

A client is brought to the emergency department by her son, who states, "I am unable to care for my mother anymore." The nurses identifies this son's ethical problem as being which of the following?

distress

An elderly client falls out of bed after a nurse inadvertently left the side rails down. The nurse feels guilty and is upset about the incident. This is an example of which of the following types of ethical situations?

distress

A nursing student reports to the instructor that a medication due at 9 a.m. was omitted. Which of the following principles is the student demonstrating?

integrity

A nurse completing admission paperwork asks the client about having an advanced directive. The client states, "I do not know, what is an advanced directive?" What is the nurse's best response?

"it is a written document that identifies a person's preferences regarding which medical interventions to use in the event of a terminal condition."

Standards for ethical practice for nurses are primarily laid out by what organization?

American Nurses Association

A nurse instructor is educating students about the use of ethical agency in nursing practice. Which statements accurately represent the basic principles of ethics? Select all that apply.

The ability to be ethical begins in childhood and develops gradually. Ethics is a systematic inquiry into the principles of right and wrong conduct, of virtue and vice, and of good and evil, as they relate to conduct. A commitment to developing one's ability to act ethically is known as one's ethical agency.

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

A nursing student is studying the principle of autonomy. Which example most accurately depicts this principle?

describing surgery to a client before the consent is signed

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

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 occurence report & notifying the health care provider

Which of the following nursing situations is an example of the care-based approach to ethics? Select all that apply.

holding the hand of a dying client providing a back rub to a client on bed rest involving the parent in the bed bath of a child

Which action most clearly demonstrates a nurse's commitment to social justice?

lobbying for an expansion of Medicare eligibility & benefits

Which are examples of virtues that can exemplify character and conduct as a professional nurse? Select all that apply.

trustworthiness humility compassion

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

values

In the delivery of care, the nurse acts in accordance with nursing standards and the code of ethics and reports a medication error that she has made. The nurse is most clearly demonstrating which professional value?

integrity