Funds Ch22 Sherpath

Nurses may be in a position of providing emotional support during difficult decisions related to genetic testing. Which is an ethical dilemma associated with genetic testing? Abortion of an abnormally developing fetus Surgical treatment for cancer diagnosis Having children with a known genetic disorder Elective abortion for maternal complications

Abortion of an abnormally developing fetus

A nurse is caring for a patient and makes a medication error. After notifying the physician, she informs the patient of her mistake and need for additional monitoring and observation. She offers the patient an apology. This action demonstrates which ethical concept? Autonomy Accountability Responsibility Beneficence

Accountability

The student nurse is caring for a patient in the hospital setting. The student has been signed off on passing medications. In the process of giving Lasix to a patient, a medication error is made due to failure to verify the Six Rights of Medication Administration. Which responsibilities does the nurse educator share? Select all that apply. Accountability for patient care provided Professional development of the student Advising and supervising the student Ensuring the student has developed strong personal values Ensuring the student understands professional standards

Accountability for patient care provided Advising and supervising the student

Which actions are responsibilities of the nurse educator? Select all that apply. Instilling values and professional standards of nursing Developing student professionalism Advising and supervising students Sharing accountability for patient care Collaborating with students to identify learning needs

Advising and supervising students Sharing accountability for patient care Collaborating with students to identify learning needs Instilling values and professional standards of nursing

When patients are unable to express themselves, what is the nurse ethically required to do for the patient? Address Be responsible for Be accountable for Advocate for

Advocate for

Which statement about genetic testing is true? Decisions based on the outcome of genetic testing are easily made. All decisions based on genetic testing outcomes have an ethical component. Few decisions based on genetic testing require the services of a professional counselor. The ability to perform genetic testing is significantly decreased.

All decisions based on genetic testing outcomes have an ethical component.

When patients are unable to express themselves, what is the nurse ethically required to do for the patient? Promote patient autonomy Be responsible for the patient Be accountable to the patient Advocate on behalf of the patient

Answer: Advocate on behalf of the patient Rationale: Promote patient autonomy A nurse promotes patient autonomy when including patients in care planning decisions. Be responsible for the patient Responsibility is the concept of being dependable and reliable. A nurse who is responsible adheres to professional standards of care, complies with institutional policies, meets requirements of continuing education, and follows the orders of providers. Be accountable to the patient Accountability is the willingness to accept responsibility for one's actions. Advocate on behalf of the patient A nurse is ethically required to advocate for the rights of all patients, including those who are unable to express themselves and those with whom the nurse disagrees philosophically.

Which are essential ethical behaviors that must be exhibited by nurses? Select all that apply. Confidentiality Fidelity Veracity Deontology Utilitarianism

Answer: Confidentiality Fidelity Veracity Rationale: Confidentiality Confidentiality limits sharing private patient information and is the cornerstone of a nurse-patient relationship in which trusting, unguarded communication takes place. Fidelity Fidelity refers to keeping promises or agreements made with others. Veracity Veracity simply means truthfulness. Deontology Deontology is an ethical theory. Utilitarianism Utilitarianism is an ethical theory.

Decision-making in healthcare is influenced by theories that view ______ behavior from a variety of philosophical perspectives. Ethical Moral Spiritual Nursing

Answer: Ethical Rationale: Ethical Decision-making in healthcare is influenced by theories that view ethical behavior from a variety of philosophical perspectives. Moral The study of ethics considers the standards of moral conduct in society. Spiritual Healthcare decisions may be associated with spiritual beliefs and attitudes. Nursing It is the responsibility of every nurse to be familiar with the rights of patients and with the ethical and legal requirements of professional nursing.

Which ethical concept is associated with a nurse who is dependable and reliable? Autonomy Beneficence Advocacy Responsibility

Answer: Responsibility Rationale: Autonomy Autonomy, or self-determination, is the freedom to make decisions supported by knowledge and self-confidence. Beneficence Beneficence involves doing good for others. Advocacy Advocacy is the support or promotion of the interests of others or of a cause greater than self. Responsibility Responsibility is the concept of being dependable and reliable.

Who adopted the first official Nursing Code of Ethics in 1950? The American Medical Association The American Nurses Association The American Academy of Nurse Practitioners The American Hospital Association

Answer: The American Nurses Association Rationale: The American Medical Association The American Medical Association supports physician training and the medical profession. The American Nurses Association The first official Nursing Code of Ethics was adopted in 1950 by the American Nurses Association. The American Academy of Nurse Practitioners The American Academy of Nurse Practitioners supports the nursing community, more specifically, nurse practitioners. The American Hospital Association The Nursing Code of Ethics was adopted by the American Nurses Association.

Which ethical theory asserts that "the end justifies the means"? Deontology Utilitarianism Beneficence Autonomy

Answer: Utilitarianism Rationale: Deontology Deontology is an ethical theory that stresses the rightness or wrongness of individual behaviors, duties, and obligations without concern for the consequences of specific actions. Utilitarianism The utilitarian concept of greatest happiness maintains that the right action is one that brings the greatest happiness to the most people. "The end justifies the means" is a phrase that expresses the essence of pure utilitarianism. Beneficence Beneficence is an ethical concept which involves doing good for others. Autonomy Autonomy is the freedom to make decisions supported by knowledge and self-confidence.

Which ethical theory focuses more on the best outcome for society? Deontology Utilitarianism Beneficence Autonomy

Answer: Utilitarianism Rationale: Deontology Deontology is an ethical theory that stresses the rightness or wrongness of individual behaviors, duties, and obligations without concern for the consequences of specific actions. Utilitarianism Utilitarianism views actions as neither right nor wrong without knowing how they benefit the greater good or society. Beneficence Beneficence is an ethical concept which involves doing good for others. Autonomy Autonomy is the freedom to make decisions supported by knowledge and self-confidence.

The nurse is caring for a patient with cancer and who wants to request comfort measures from the physician. The family wants to do "everything possible". What does the nurse promote when including patients in care-planning decisions? Accountability Autonomy Beneficence Responsibility

Autonomy

Match the term with the appropriate example of ethical nursing practice. Autonomy Accountability Advocacy Beneficence Stand up for the rights of the patient Doing good for others Self-determination Admit mistakes and accepts consequences

Autonomy Self-determination Accountability Admit mistakes and accepts consequences Advocacy Stand up for the rights of the patient Beneficence Doing good for others

Match the term with the appropriate example of the nurse demonstrating compliance with the ethical concept. Confidentiality Fidelity Nonmaleficence Justice Veracity Limit sharing private patient information Provide compassionate care Treat all people fairly Be honest and truthful Keep promises or agreements made with others

Confidentiality Limit sharing private patient information Fidelity Keep promises or agreements made with others Nonmaleficence Provide compassionate care Justice Treat all people fairly Veracity Be honest and truthful

Providing nursing care that meets the needs of the patient while maintaining the right to privacy, confidentiality, autonomy, and dignity is consistent with the tenets of what ethical theory? Deontology Utilitarianism Kantianism Beneficence

Deontology

A nurse is caring for a patient at the end of life. The patient verbalizes that he wishes he could move to a state where euthanasia is acceptable. The nurse empathizes with the patient but directs him to discuss options with his physician. What often arises for medical staff when personal values conflict? Decision making Philosophical conflict Ethical dilemmas Patient values

Ethical dilemmas

Who is responsible for maintaining familiarity with the rights of patients and the legal role of the professional nurse? Director of Nursing Human Resources Every nurse Nursing Administration

Every nurse

A nurse is caring for a patient and conducts rounds. The patient states that his spouse will be back in the room in 45 minutes and would like to speak with the nurse. The nurse promises to return at the agreed upon time to meet with family. When the nurse returns as promised, she is demonstrating which ethical concept? Fidelity Justice Veracity Confidentiality

Fidelity

A nurse is attempting to prepare a patient for a procedure that the patient does not wish to proceed with. Which response demonstrates advocacy? Reporting the patient to his family. Informing the physician that the patient does not wish to proceed. Have the patient sign consent, but inform the next nurse that the patient is unsure. Tell the patient that failure to perform the procedure will result in denial of payment by insurance.

Informing the physician that the patient does not wish to proceed.

Which philosopher is associated with the ethical theory of deontology? Plato Kant Aristotle Freud

Kant

A nurse provides compassionate care for a patient who is undergoing painful medical interventions. These interventions are designed to cure a disease but cause a great deal of pain in the process. Which ethical concept is challenged most? Confidentiality Fidelity Nonmaleficence Justice

Nonmaleficence

Personal ethics are influenced by which factors? Select all that apply. Values Socioeconomic status Practices Societal norms Education

Practices Societal norms Values

What is the role of an ethics committee within an institution? Select all that apply. Respond to ethical challenges related to patient care. Provide settlement in litigation cases. Discipline staff involved in disputes. Prevent unnecessary legal intervention in patient care matters. Ensure equitable and legal patient care.

Prevent unnecessary legal intervention in patient care matters. Ensure equitable and legal patient care. Respond to ethical challenges related to patient care.

What is the purpose of a code of ethics? Delineates individual expectations. Identifies general behavioral requirements. Identifies patient rights and responsibilities. Promotes behavior that is of a higher standard than required by law.

Promotes behavior that is of a higher standard than required by law.

Who may be included as members of the Ethics Committee? Select all that apply. Media members Providers Attorneys Ethicists Family members

Providers Attorneys Ethicists

The hospital Ethics Committee is requested to hear the case of an inpatient in the ICU. The patient is deemed to be a futile case and the doctors recommend comfort care. The patient's next of kin wants all heroic measures done. What is the role of the Ethics Committee in this case? Provide legal compensation Provide educational resources to family Establish policies that govern decision making Review cases in which clarity is needed

Review cases in which clarity is needed