Nurs exam 1 ethics

Filling out an occurrence report and notifying the healthcare provide

A nurse is administering evening medications and notices that a medication was omitted during the day shift. Which statement demonstrates the principle of accountability?

inform the client of the maintenance of confidentiality

During the introductory phase of interviewing a client for the purpose of obtaining information for the nursing history, the nurse should:

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

Which statement regarding the Code of Ethics for Nurses is most accurate?

"Neither intelligence nor personality normally decline because of aging."

Which statement shows that the nurse does not practice ageism?

Care-Based Ethics

Which theory of ethics prioritizes the nurse's relationship with clients and the nurse's character in the practice of ethical nursing?

ethical distress.

A nurse working on a critical care unit was informed by a client with multiple sclerosis that the client did not wish to be resuscitated in the event of cardiac arrest. Now the client is no longer able to express wishes, and the family has informed the physician that they want the client to be resuscitated. Aware of the client's wishes, the nurse is involved in a situation that may involve:

"Clipboards with client data should not leave the unit."

A nursing student is making notes that include client data on a clipboard. Which statement by the nursing instructor is most appropriate?

a failure to model one's own values

A parent teaches a child not to drink and drive; however, the parent does drink and drive. This action results in:

"It is when a lethal combination of drugs is made available to the client wishing to die

A terminally ill client asks the nurse what assisted suicide is. Which response is best for the nurse to provide?

have the right to copy their health records

According to the Health Insurance Portability and Accountability Act (HIPAA) passed in 1996, clients:

knowing the correct action but being unable to perform it due to constraints

Ethical distress is:

Emergency care for a choking victim in a restauran

In some cases, the act of providing nursing care in unexpected situations is covered by the Good Samaritan laws. Which nursing action would most likely be covered by these laws?

"I will get the hospital's information system's phone number for you.

Nurse A is having difficulty logging into the automated medication-dispensing system, and asks Nurse B to log in momentarily so that Nurse A is not delayed in administering client medications. What is Nurse B's appropriate response?

Finances of the client

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?

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

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?

Level 1 - selfishness

The nurse is counseling a woman who states: "I'm never going to find a husband; every time I start dating I end up getting hurt. I'm not even going to try anymore." This woman is in what stage of Carol Gilligan's theory of moral development?

Autonomy

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

"I cannot give you that information due to client confidentiality.

While a client admitted to the medical-surgical unit is in the radiology department, a visitor claiming to be the client's cousin arrives on the medical-surgical unit and asks the nurse to provide a brief outline of the client's illness. Which response by the nurse would be most appropriate, both legally and professionally?

Report the needlestick to the nurse manager

While administering a medication via a syringe, a client sharply moves and the nurse accidentally encounters a needlestick. What is the priority nursing action?

invasion of privacy

While riding in the elevator, a nurse discusses the HIV-positive status of a client with other colleagues. The nurse's action reflects:

autonomy

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?

Fidelity

A client rings the call bell to request pain medication. On performing the pain assessment, the nurse informs the client that the nurse will return with the pain medication. After a few moments, the nurse returns with the pain medication. The nurse's returning with the pain medication is an example of which principle of bioethics?

Personality is not changed by chronologic aging

A nurse caring for older adults in a long-term care facility is teaching a novice nurse characteristic behaviors of older adults. Which statement is not considered ageism?

Nonmaleficence, Veracity ,Fidelity

A nurse who is infected with human immunodeficiency virus (HIV) accidentally gets a cut while debriding a wound, exposing the client to possible HIV infection. Failure of the nurse to report this incident violates which ethical principles? Select all that apply.

Standards of conduct

When analyzing an ethical dilemma according to the ethical framework, what is most important for the nurse to take into consideration?

Invasion of privacy

When talking with family over dinner, the nurse shares about a client with infertility at the hospital, identifying the person by name. Which tort has the nurse committed?

Ethical Conduct

A nurse is acting inappropriately and has an odor of alcohol. This behavior breaches the principle of:

those directly involved in the client's care

A nurse is caring for a client diagnosed with myocardial infarction. A person identifying himself as the client's friend asks the nurse for the client's records, but the nurse declines. The nurse's unwillingness to divulge the requested information is based on the understanding that which people would be entitled to access to the client's records?

autonomy

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?

Paternalism

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

integrity

A nurse reports to the charge nurse that a client medication due at 9 am was omitted. Which principle is the nurse demonstrating?

Invasion of privacy

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

When the nurse informs a client's employer of the client's autoimmune deficiency disease, the nurse is committing the tort of:

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

Which best defines value clarification?

A client has asked a nurse if he can read the documentation that his physician wrote in his chart

Which clinical situation is addressed by the provisions of the Health Insurance Portability and Accountability Act (HIPAA)?

An approach critiquing existing patterns of oppression and domination in society

Which example best describes feminist ethics?

Allowing a child to decide not to have an intravenous line inserted

Which scenario is an example of the laissez-faire approach to value transmission?