Chapter 6: Values, Ethics, and Advocacy quiz

A nurse knows that the expression "Do not cause harm" refers to which ethical principle?

nonmaleficence

Which statement by the nurse is an example of deception?

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

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

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

Which nursing situation is an example of an ethical dilemma?

Deciding whether to perform cardiac compressions against a client's wishes

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 occurrence report and notifying the healthcare provider

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.

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

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

a failure to model one's own values

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:

advocacy

To practice ethically, the nurse should avoid:

allowing the nurse's own personal 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?

autonomy

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

ethical distress

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?

fidelity

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

integrity

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?

integrity

Ethical distress is:

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

A nurse shows client advocacy by:

offering a hospice consultation to a client who is terminally ill.

A nurse is of the Catholic faith and votes pro-life. This nurse is considered to have:

personal values

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?

shared decision making

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

stays with a client during death as promised