ch6 values, ethics, advocacy

Which traits are examples of virtues that can exemplify character and conduct as a professional nurse? Select all that apply. 1. Trustworthiness 2. Humility 3. Compassion

1-3

A charge nurse has implemented staff education on nursing values. The nurse would determine that further education is required when which statement(s) are overheard? Select all that apply. 1. "If that was my mother, I sure wouldn't agree to a no-code." 2. "I can't believe the client is giving that precious baby up for adoption." 3. "The gonorrhea test was positive. That's what the client gets for sleeping around." 4. "If you are going to have extramarital sex, please protect yourself by using a condom."

1-3 Being judgmental, as in the options about adoption, gonorrhea, and code-status, does not reflect the values desired in a nurse.however; to provide health information such as recommending condom use and smoking cessation.

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. 1. Autonomy and beneficence guide any action. 2. The caring relationship is essential to the approach. 3. Attention is needed to focus on each person's individual situation. 4. Clients are people and are to be respected.

2-4

Nursing Process

Assessment Diagnosis Planning Implementation Evaluation

Which action would cause a charge nurse to have concerns about a nurse's moral agency? a.The nurse was unable to pass a required dosage calculation examination. b. The nurse was seen at a grocery store after calling in sick.

B

Nurses who value client advocacy follow what guideline? a.They give priority to the good of the individual client rather than to the good of society in general. b.They choose the claims of the client's well-being over the claims of the client's autonomy.

a

Which action most clearly demonstrates a nurse's commitment to social justice? a.Lobbying for an expansion of healthcare resources and benefits to those in poverty b.Ensuring that a hospital client's diet is culturally acceptable

a

What is the term for the beliefs held by the individual about what matters? a.Values b. morals

a A moral is a standard for right and wrong.

A client is brought to the emergency department by an adult child, who states, "I am unable to care for my parent anymore. Although I would like to, financially and physically I can't do it anymore." What ethical problem is the adult child experiencing? a.Distress b.Dilemma

a Ethical distress is when someone wants to do the right thing but is not able. Dilemma is a situation in which a difficult choice has to be made between two or more alternatives, especially equally undesirable ones.

a nurse works in a nursing care facility that has a policy of regularly using restraints on clients that the nurse believes is unethical. However, the nurse feels obligated to follow the policy because of a fear of being fired. This is an example of which type of ethical situation? a.Moral distress b.Ethical dilemma

a. Moral distress is when an individual, in this case the nurse, knows the right thing to do but feels unable to do it. An ethical dilemma is when one is faced with choosing between competing ethical options and not being certain of which is the best.

deontologic

an action is right or wrong based on a rule, independent of its consequences

Nonmaleficence

avoid causing harm

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. Ultimately, the group arrives at a decision. The nurse interprets this decision-making process as reflecting which type? a.Patient sovereignty b. shared

b

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. Ultimately, the group arrives at a decision. The nurse interprets this decision-making process as reflecting which type? a.Patient sovereignty b.Shared

b

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? a.Planning b.Evaluating

b

The nurse is managing the care for a postoperative client. How does the nurse demonstrate advocacy? a. Turning and positioning the client every 4 hours b. Limiting visitors due to the client reporting pain

b Advocating for clients is a nursing responsibility and is performed with the best interest and welfare of the client in providing safe, competent, and comforting care. Limiting visitors is an example of 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: a.altruism. b.advocacy.

b Altruism is the principle and moral practice of concern for happiness of other human beings, resulting in a quality of life both material and spiritual.

Which ethical principle refers to the obligation to do good? a.Nonmaleficence b. Beneficence

b Nonmaleficence is the duty not to inflict, as well as to prevent and remove, harm;

A nurse arrives on the medical unit wearing large, dangling earrings. This is an example of which type of conduct? a.Unethical b.Unprofessional

b Unethical conduct is conduct that is not morally correct, such as dishonesty.

A nurse has completed 4 hours of an 8-hour shift on a medical-surgical unit when the nursing supervisor calls. The nursing supervisor directs the nurse to give a report to the other two nurses on the medical-surgical unit and immediately report to the telemetry unit to assist with staff needs on that unit. The nurse informs the supervisor that the nurse has been busy with client assignments and feels this will overwhelm the nurses on the medical-surgical unit. The supervisor informs the nurse that the need is greater on the telemetry unit. This is an example of which type of ethical problem? a.Advocacy in a market-driven environment b.Allocation of scarce nursing resources

b. Advocacy in a market-driven environment and conflicts concerning new technology are not related to the presented situation.

veracity

be honest with patient

Beneficence

benefit the patient and balance against risk and harm

Altruism

concern for welfare ex. demonstrate understanding of cultures, beliefs, and perspective of others

justice

give each his or her due and act fairly be fair to all patients you care for ex. political view and race

fidelity

keep promises

integitry

nurse is honest and provide care base on ethical framework

human dignity

respect for the inherent worth and uniqueness of individuals and populations ex. protecting patient privacy

Autonomy

right to self-determination when nurses respect patient right to make decisions about their healthcare respect the rights of patients or to make health care decisions every patient is a unique individual

ultilarian

the rightness or wrongness of an action depends on concequence of the action

social justice

to assure equal treatment under the law and equal acess to quality health care

Accountability

to be accountable for care you give

moral distress

you know the right thing to do but either personal or institutional factors make it difficult to follow the correct course action