Public Health Nursing: Ch. 7

Which statement made by the nurse is an example of the ethical principle of distributive justice?

"All of the patients in the clinic will have access to the same treatments."

Which statement explains the outcome of advocacy?

"Disease and death are decreased when advocacy is effectively practiced."

Which statement reflects the ethical behavior of nonmaleficence?

"I adhere to the standard of care when I care for patients."

Which statement describes the concept of market justice value?

"I am conscientious in the way I conduct my professional practice."

Which statement correlates with the ethical tenet that is the underlying core function of assessment of a community population?

"I am going to review the evidence-based practice guidelines for vaccinations."

Which statement made by the nurse explains the ethical principle of deontology?

"I am rewriting the policy and procedure to ensure the patients in the clinic are properly identified."

Which statement differentiates libertarian theory from other theories of distributive justice? Select all that apply. One, some, or all responses may be correct.

"I support the rights of the people to choose their health care system." "Several individuals should be recognized for their contributions to the community." "I do not feel that the government should control the majority of health care funding."

Which statement by the nurse reflects the commonality between the Code of Ethics for Nurses with Interpretive Statements and the public code of ethics?

"It is important that the health care team review the traditional ethical approaches."

Which statement demonstrates the use of the virtue ethics decision process?

"My goal is to strive for a mutual agreement in which both the patient and the health care team find value."

Which statement explains or describes the approach to problem solving in bioethics?

"Several ethical principles will be used to guide our decision through this process of problem solving."

Which statement demonstrates moral distress?

"Sometimes I struggle with the decisions the patients and families make about treatment."

Which statement reflects an understanding of social justice values associated with a framework of advocacy?

"The community will share the responsibility for providing the basic benefits."

Which statement explains the perspective of effective policy development?

"The public health servants should be focused on significant assistance to the community."

Which statement correlates with a value system represented by a patient with chronic illness?

"The spiritual practices of the patients should be respected."

Which statement describes the rationale for obtaining all the relevant facts of an ethical issue?

"This will provide me the ability to decide on the approach to take."

Which is a distinguishable commonality between the Code of Ethics for Nurses with Interpretive Statements and the Public Code of Ethics?

Adherence to ethical nursing practice

When a health team member jeopardizes the patient's best interest, which approach would the nurse implement with this patient?

Advocacy

Which group does the public health nurse identify that supported the writing of the Public Health Code of Ethics?

American Public Health Association

Which step would the nurse take when determining the personal motives of a patient who has a history of being noncompliant with treatment recommendations?

Apply deontological ethics decision processes to determine why the patient does not comply.

Which component of ethics has been incorporated into nursing curricula to help prepare student nurses for the advances in science and technology?

Bioethics

Which statement explains how the ethics of care affects the core values of public health nursing?

Caring is an essential part of public health nursing

Which value and belief regarding community and public health is reflected in the Public Code of Ethics? Select all that apply. One, some, or all may be correct.

Collaboration is the key element of public health. Each person should have opportunities to contribute to public discourse. Identifying and promoting requirements for health is a primary public health concern.

Which example of communication provided by the nurse would be a demonstration of a Quality and Safety Education for Nursing (QSEN) competency related to patient-centered care?

Communicating patient preferences to other health care team members

Which term describes allocation of health care resources that will serve the most people possible during a flu epidemic in an underserved community?

Consequentialism

Which nursing action requires a tertiary level of ethical prevention?

Criticizing a patient for his or her health care decision

Which situation affecting the ethical decision-making process can create conflict? Select all that apply. One, some, or all may be correct.

Cultural standards conflict with professional standards. Community customs can cause mild offense but no major problems. Persons are at a remote risk of psychological or physiological harm. The values of a smaller culture jeopardize the values of the larger cultures.

Which factor can affect the ethical decision-making process?

Culture

In which activity would the community health nurse plan on participating to reinforce goals regarding social justice?

Develop a community gardening program that allows the residents to engage with each other for physical and emotional support.

Which theory of distributive justice reflects the support of the welfare rights of all people?

Egalitarian

Which action would the nurse implement when finding it difficult to engage in care for a client with different cultural values?

Employ the ethical decision-making framework to work through dilemmas to make ethical choices regarding care.

Which action describes the intention of the professional code of nursing?

Establish a foundation to meet moral obligations.

Which type of decision making is reflected when the community health care team is trying to determine which community population will receive the experimental treatment for a virus?

Ethical dilemma

In which principles are the core functions of public health nursing grounded?

Ethics

To provide the most valuable ethical resource, which action would the nurse implement during an outbreak of Shigella in a community?

Extending clinic hours to provide treatment for hydration and antibiotics to contain outbreak

Which action is helpful to deal with the feelings of conflict that occur in moral distress?

Identifying types of situations

The nurse is obtaining information on vaccinations for the children of an immigrant family when the father begins speaking to the wife in their native language. The wife expresses concerns about the religious beliefs and their ability to pay. Which component of this case can cause the development of some degree of moral distress?

Inability to resolve a patient's ethical issue

When applying the principle of deontology, which focus is the center of moral concern for the nurse when approaching care?

Individual

The public health nurse is providing education to community-based health care providers on the ethical need to shift from an individualized treatment focus of care to more preventive and early intervention practice. Which program would the nurse outline as an example for the providers to implement? Select all that apply. One, some, or all responses may be correct.

Influenza vaccination clinics Scoliosis assessments in schools Smoking cessation therapy clinics Cholesterol screening in low-income neighborhoods Blood pressure screening in older adult care facilities Diabetes education for patients with body mass index >25

Which moral challenge does the nurse experience when there is a lack of collaboration between health care members that affects the community?

Issues

When using principlism to address the distribution of health care resources among a densely populated poverty-stricken area, which of the four core ethical principles directly addresses the concern?

Justice

Which ethical principle can be applied to the health care team that has ensured essential health services are available in the community?

Justice

In which manner would the community health nurse advocate for a group of individuals in a remote area of the county with few health care resources?

Lobby local and regional government for increased health care services.

The nurse voices frustration to the manager regarding a family's decision to continue to treat a patient who is terminally ill. Which term reflects the nurse's expression?

Moral distress

To ensure that data obtained from a population are accurate, which would the nurse apply when developing programs?

Nurse who is unbiased to gather the data

Which action helps a nurse cope with the feelings of powerlessness when experiencing moral distress after caring for a patient? Select all that apply. One, some, or all responses may be correct.

Obtaining support from a social worker Discussing the concern with the nursing supervisor on duty Discussing ethical issues with members of a health care support team

Which statement explains a moral consideration of public health ethics?

Patients have the right to have their privacy protected and information kept confidential.

Which statement describes the rationale for obtaining relevant facts of an ethical problem before using an ethical decision-making framework?

Planning for acceptable ethical problem solving is dependent upon obtaining accurate information.

Which focus describes the emphasis of virtue ethics?

Practical reasoning

Which factor provides the foundation of all ethical frameworks for decision making?

Problem-solving process

Which function describes the American Public Health Association's (APHA'S) viewpoint for public health advocacy? Select all that apply. One, some, or all may be correct.

Promoting the public's access to health care Promoting population-based health services Encouraging preventive and early intervention practices

Which action addresses a bioethical issue?

Providing health care to underserved patients

Which statement explains the purpose of public health advocacy?

Reduce death or disability to those not confined to the clinical setting.

Which expansion of knowledge related to accessibility of health care resources can the nurse plan to obtain to meet objectives for Healthy People 2020? Select all that apply. One, some, or all responses may be correct.

Seek a higher-level degree such as a nurse practitioner. Increase fundamental knowledge of information technology. Pursue education through local cultural leaders to improve culturally competent care. Intern with a geneticist to develop a higher cognitive level of understanding of gene expression in disease. Work with government officials to increase understanding of how to improve the population's entry to preventive care services.

The public health nurse has been selected to head a group that will develop programs for a remote area of the county and must address needs based on distributive justice theories. Which program would meet the criteria? Select all that apply. One, some, or all responses may be correct.

Testing area wells for potable water Providing free clinics for all residents within a specific zip code Distributing free or reduced cost medications to those with chronic illnesses

Which description regarding an ethical framework is accurate?

The issues and dilemmas patient may be experiencing can be reformulated.

Which factor describes why public health nurses are in a key position to participate and advocate for the development of health-related policies?

Training and skills

Which ethical tenet is incorporated into the 12 principles of ethical public practice? Select all that apply. One, some, or all may be correct.

Trustworthiness Respecting autonomy Ensuring professional competency Respecting individual and community rights

Which theory is a consequentialist ethical theory?

Utilitarianism

A patient receiving hospice care states, "I am afraid I will not receive enough medication when my pain gets worse." Which ethical principle will the nurse choose to practice when responding to the be patient's concern? Select all that apply. One, some, or all may correct.

Values Advocacy Beneficence

Which ethical decision process has the end focus on the evaluation or modification of the individual or community character traits impeding communal living?

Virtue