Nurs 222 Chapter 6 CoursePoint

Which is the best definition of ethics? a) The formal, systematic study of moral beliefs. b) The informal, systematic study of moral beliefs. c) The adherence to formal personal values. d) The adherence to informal personal values.

a) The formal, systematic study of moral beliefs.

Which traits are examples of virtues that can exemplify character and conduct as a professional nurse? Select all that apply. a) Trustworthiness b) Humility c) Deception d) Conflict e) Compassion

a) Trustworthiness b) Humility e) Compassion

A nurse is providing care for a client with cancer. The client's spouse requests that the client not be told that the client is terminal. The nurse complies with this request. The nurse's action is a breach of which ethical principle? a) Autonomy b) Fidelity c) Beneficence d) Nonmaleficence

b) Fidelity

Which word is best described as protection and support of another's rights? a) Advocacy b) Paternalism c) Autonomy d) Ethics

a) Advocacy

Which theory of ethics prioritizes the nurse's relationship with clients and the nurse's character in the practice of ethical nursing? a) Care-based ethics b) Deontology c) Utilitarianism d) Principle-based ethics

a) Care-based ethics

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. a) "I can't believe the client is giving that precious baby up for adoption." b) "The gonorrhea test was positive. That's what the client gets for sleeping around." c) "If you are going to have extramarital sex, please protect yourself by using a condom." d) "Smoking has been shown to be a risk for many illnesses, including heart disease and cancer." e) "If that was my mother, I sure wouldn't agree to a no-code."

a) "I can't believe the client is giving that precious baby up for adoption." b) "The gonorrhea test was positive. That's what the client gets for sleeping around." e) "If that was my mother, I sure wouldn't agree to a no-code."

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) Confidentiality b) Advocacy c) Altruism d) Justice

b) Advocacy

Which is a characteristic of the care-based approach to bioethics? a) The need to emphasize the relevance of clinical experience. b) The rightness or wrongness of an action independent of its consequences. c) The promotion of the dignity and respect of clients as people. d) The need for an orientation toward service.

c) The promotion of the dignity and respect of clients as people.

Which example best describes feminist ethics? a) A combination of elements of utilitarian and deontologic theories that offer specific action guidelines for practice. b) Attention directed to the specific situation of individual clients viewed within the context of their life narratives. c) The formal study of ethical issues that arise in the practice of nursing. d) An approach critiquing existing patterns of oppression and domination in society.

d) An approach critiquing existing patterns of oppression and domination in society.

When examining values, a nurse notes that one country allows physician-assisted suicide and another outlaws it, making it punishable by imprisonment. Which factors best explain the differences in values between these two countries? a) Economic b) Spiritual c) Ethical d) Cultural

d) Cultural

Which ethical principle is related to the idea of self-determination? a) Autonomy b) Beneficence c) Confidentiality d) Nonmaleficence

a) Autonomy

Which example most accurately depicts the ethical principle of autonomy? a) Describing a surgery to a client before the consent is signed. b) Changing a dressing on a wound as needed. c) Administering a morning dose of insulin before breakfast. d) Transporting a client to a scheduled physical therapy appointment.

a) Describing a surgery to a client before the consent is signed.

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) Evaluating b) Diagnosing c) Planning d) Implementing

a) Evaluating

Which ethical principle refers to the obligation to do good? a) Fidelity b) Beneficence c) Veracity d) Nonmaleficence

b) Beneficence

Which nursing situation is an example of an ethical dilemma? a) Administering pain medication as ordered. b) Transferring a client to a step-down unit. c) Deciding whether to perform cardiac compression against a client's wishes. d) Discussing care of a comatose client with the family.

c) Deciding whether to perform cardiac compression against a client's wishes.

A nurse reports to the charge nurse that a client medication due at 9 am was omitted. Which principle is the nurse demonstrating? a) Altruism b) Social justice c) Integrity d) Autonomy

c) Integrity

Which nursing action demonstrates the principle of fidelity? a) Administering a vaccination. b) Treating an uninsured client in the emergency department. c) Witnessing a client signature on an informed consent. d) Filing an incident report after making a medication error.

d) Filing an incident report after making a medication error.

Which statement by the nurse is an example of deception? a) "I will administer your pain medication as soon as it is due." b) "It is important to get out of bed to prevent pneumonia." c) "This injection of procaine will feel like a little pinch." d) "I am going to teach you how to give yourself insulin."

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

The nurse beginning practice would like to access the standards for ethical practice. Which organization should the nurse research for these standards? a) International Council of Nurses b) Canadian Hospital Association c) Department of Health Professions d) World Health Organization

a) International Council of Nurses

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 c) Conflicts concerning new technology d) Deception

b) Allocation of scarce nursing resources

Socialization into the nursing profession may have the most significant effect on: a) Roles b) Values c) Documentation d) Planning

b) Values

It is time for a nurse to renew licensure. The nurse says, "I need some really easy and quick continuing education hours. I don't understand why we have to do these every year." What is the nurse's coworker's best response? a) "There is lots of free continuing education online." b) "See if any of the classes we have to take at the hospital each year will count." c) "Life-long learning is part of the code for nurses." d) "It is hard to get enough hours since we work full time and have families."

c) "Life-long learning is part of the code for nurses."

A school nurse interviewing parents of a child who is doing poorly in school determines that the parents practice a laissez-faire method of discipline. What are examples of this form of value transmission? Select all that apply. a) Before meals, a boy says a prayer that he learned from his parents. b) A boy is taken for ice cream to celebrate his good report card. c) A teenage boy explores religions of friends in hopes of developing his own faith. d) A boy is taught how to behave in public by his schoolteacher. e) A teenage girl is punished for staying out too late with her friends. f) A teenage girl tries alcohol at a party with her friends.

c) A teenage boy explores religions of friends in hopes of developing his own faith. f) A teenage girl tries alcohol at a party with her friends.

To practice ethically, the nurse should avoid: a) Allowing an ethics committee to guide the nurse's practice. b) Reviewing past cases before making decisions about practice. c) Allowing the nurse's own judgment to guide practice. d) Asking the client's family about their views on caring.

c) Allowing the nurse's own judgment to guide practice.

A client diagnosed with cancer has met with the oncologist and is now weighing whether to undergo chemotherapy or radiation for treatment. This client is demonstrating which ethical principle in making this decision? a) Beneficence b) Confidentiality c) Autonomy d) Justice

c) Autonomy

Which statement best conveys the concept of ethical agency? c) Ethical practice requires a skill set that must be conscientiously learned and nurtured. a) Individuals who enter the nursing profession often innately possess ethical characteristics. b) Ethical practice is best learned and fostered by surrounding oneself with people who exhibit ethical character. c) Ethical practice requires a skill set that must be conscientiously learned and nurtured. d) A nurse's understanding and execution of ethical practice is primarily a result of increased years of experience.

c) Ethical practice requires a skill set that must be conscientiously learned and nurtured.

Ethical distress is: a) Being aware of the principles of right and wrong. b) Supporting the rights of a client during hospitalization. c) Knowing the correct action but being unable to perform it due to constraints. d) Having trouble deciding which of two conflicting ethical principles to follow.

c) Knowing the correct action but being unable to perform it due to constraints.

A nurse is providing care to a client and is preparing the client for breakfast. The nurse assists the client out of bed to the chair and then helps the client open the items on the breakfast tray. The client begins to eat breakfast. The nurse tells the client, "I'll be back in about 10 minutes to check on you. In the meantime, here is your call light in case you need me." About 10 minutes later, the nurse returns to check on the client. The nurse is demonstrating which ethical principle? a) Nonmaleficence b) Autonomy c) Justice d) Fidelity

d) Fidelity

A nurse obtains an order for a bed alarm for a confused client. This is an example of which ethical principle? a) Deception b) Confidentiality c) Conflict d) Paternalism

d) Paternalism

What is likely to have the greatest influence on an adolescent's formation of values during this developmental stage? a) School administration b) Work c) Awareness of other cultures d) Peers

d) Peers

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. Utlimately, the group arrives at a decision. The nurse interprets this decision-making process as reflecting which type? a) Clinical b) Paternalistic c) Patient sovereignty d) Shared

d) Shared

What are standards for decision-making that endure for a significant time in one's life? a) Beliefs b) Ethics c) Roles d) Values

d) Values

What is the term for the beliefs held by the individual about what matters? a) Ethics b) Values c) Morals d) Bioethics

b) Values

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) Dilemma b) Distress c) Uncertainty d) Dissatisfaction

b) Distress

A nurse believes that abortion is an acceptable option if a pregnancy results from a situation of rape. What is the best description of this belief? a) Personal moral b) Professional value c) Ethical principle d) Legal obligation

a) Personal moral

In the delivery of care, the nurse acts in accordance with nursing standards and the code of ethics and reports a medication error that the nurse has made. The nurse is most clearly demonstrating which professional value? a) Integrity b) Altruism c) Social justice d) Human dignity

a) Integrity

The nurse is managing the care for a postoperative client. How does the nurse demonstrate advocacy? a) Limiting visitors due to the client reporting pain. b) Administering pain medication when the pain level reaches 9 on a pain scale of 0 to 10. c) Changing the channel on the television while providing care. d) Turning and positioning the client every 4 hours.

a) Limiting visitors due to the client reporting pain.

A nurse volunteers to serve on the hospital ethics committee. Which action should the nurse expect to take as a member of the ethics committee? a) Assist in decision making based on the client's best interests. b) Decide the care for a client who is unable to voice an opinion. c) Convince the family to choose a specific course of action. d) Present options about the type of care.

a) Assist in decision making based on the client's best interests.

A nurse is providing care to a client with end-stage cancer. After weighing the alternatives, the client decides not to participate in a clinical trial offered and is requesting no further treatment. The nurse advocates for the client's decision based on the understanding that the client has the right to self-determination, interpreting the client's decision as reflecting which ethical principle? a) Autonomy b) Beneficence c) Justice d) Fidelity

a) Autonomy

A nurse working in a critical care unit has experienced personal tragedy, extreme shortage of staff in the work environment, and health issues. The nurse has overcome much of these hardships and is now mentoring other nurses in similar situations. What behavior is this nurse demonstrating? a) Moral resilience b) Moral distress c) Conscientious objection d) Ethical dilemma

a) Moral resilience

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. a) The nurse performs regular client assessments for pressure injuries. b) The nurse arranges for hospice for a client who is terminally ill. c) The nurse provides information to clients to help them make decisions about treatment options. d) The nurse follows "medication rights" when administering medicine to clients. e) The nurse keeps promises to provide diligent care to clients. f) The nurse acts fairly when allocating time and resources to clients.

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

Which scenario is an example of the laissez-faire approach to value transmission? a) Teaching children right from wrong and telling them the reason behind a bad action. b) Allowing a child to decide not to have an intravenous line inserted. c) Modeling healthy behaviors for teenagers, such as not smoking electronic cigarettes. d) Telling a child an injection will feel like a pinch before the nurse gives the injection.

b) Allowing a child to decide not to have an intravenous line inserted.

The focus of the unit where a nurse works is changing. The nurse has deeply held moral and religious objections to procedures that will be commonly performed on clients on this new unit. Which action(s) should the nurse take? Select all that apply. a) Resign before the new unit focus is implemented. b) Discuss the situation with the unit nurse manager. c) Be careful not to share objections with anyone. d) Plan to care only for clients who will not have these procedures. e) Do not compromise the nurse's own personal moral standards.

b) Discuss the situation with the unit nurse manager. e) Do not compromise the nurse's own personal moral standards.

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? a) Paternalism b) Feminist c) Values clarification d) Moralizing

b) Feminist

A charge nurse is always careful to listen carefully to clients and to be respectful of their privacy and care needs. The nurse says, "I want the staff on this unit to see me interacting with clients in the manner I would like for them to interact with clients." The nurse is using which technique to guide value development of the staff? a) Moralizing b) Modeling c) Laissez-faire d) Responsible choice

b) Modeling

The nurse has identified an ethical dilemma that has the potential to interfere with a client receiving optimal care. The nurse discussed this issue with the charge nurse on the unit. What action should the nurse choose next? a) Report the issue to the hospital medical director. b) Monitor for resolution of the problem. c) Depend on the charge nurse to handle the issue from this point. d) Inform the family that the ethical issue has been reported.

b) Monitor for resolution of the problem.

A nurse is of the Catholic faith and votes pro-life. This nurse is considered to have: a) moral agency b) personal values c) ethics d) legal obligations

b) personal values

What would be an example of the nurse practicing fidelity? The nurse: a) regulates visitors b) stays with a client during death as promised c) withholds information as requested d) provides continuity of care

b) stays with a client during death as promised

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? a) Ethical decision making b) Paternalistic model c) Client sovereignty model d) Shared decision making

d) Shared decision making

Nurses who value client advocacy follow what guideline? a) They choose the claims of the client's well-being over the claims of the client's autonomy. b) They make decisions for clients who are uninformed concerning their rights and opportunities. c) They value their loyalty to an employing institution or to a colleague over their commitment to their clients. d) They give priority to the good of the individual client rather than to the good of society in general.

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