prep u chap 6

Advocacy

Which word is best described as protection and support of another's rights?

advocacy.

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:

An older female client has just informed their family that they do not want to have surgery if the biopsy on a lung mass shows malignancy. Which statement(s), made by family members, violate the concept of feminist ethics? Select all that apply.

"Of course you would have the surgery." "Daddy will want you to have the surgery." "You need to do what the doctor thinks is best for you." "If it was me who was sick, you would want me to have the surgery."

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

Ethical distress is:

"I cannot believe the client is giving that precious infant up for adoption." "The gonorrhea test was positive. That is what the client gets for sleeping around." "If that was my parent, I sure would not agree to a no-code."

A charge nurse has implemented staff education on nursing values. The nurse determines that further education is required when which statement(s) are overheard? Select all that apply.

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?

moral distress

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 cannot do it anymore." What ethical problem is the adult child experiencing?

Allocation of scarce nursing resources

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?

Filling out an occurrence report and notifying the healthcare provider

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

Shared decision making

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?

Continuing intravenous fluids for a client who wants to die

A nurse is most likely to experience ethical distress in which client situation?

Justice

A nurse is providing care for three clients on a medical unit, two of whom are significantly more acute than the third. The nurse is making a concerted effort to ensure that the less acute client still receives a reasonable amount of time, attention, and care during the course of the shift. Which ethical principle is the nurse attempting to practice?

Fidelity

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?

Nonmaleficence

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

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

A nurse shows client advocacy by:

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

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?

moral resilience

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?

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?

They give priority to the good of the individual client rather than to the good of society in

Nurses who value client advocacy follow what guideline?

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

Which statement by the nurse is an example of deception?

International Council of Nurses

The nurse beginning practice would like to access the standards for ethical practice. Which organization should the nurse research for these standards?

Limiting visitors due to the client reporting pain

The nurse is managing the care for a postoperative client. How does the nurse demonstrate advocacy?

Report this finding to the appropriate supervisor.

The nurse is reviewing charges to clients for surgical procedures and observes different charges dependent upon insurance status. How can the nurse best demonstrate a commitment to the ethical principle of justice?

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?

Which traits are examples of virtues that can exemplify character and conduct as a professional nurse? Select all that apply.

Trustworthiness Humility Compassion

Values

What is the term for the beliefs held by the individual about what matters?

stays with a client during death as promised.

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

Lobbying for an expansion of healthcare resources and benefits to those in poverty

Which action most clearly demonstrates a nurse's commitment to social justice?

The nurse was seen at a grocery store after calling in sick.

Which action would cause a charge nurse to have concerns about a nurse's moral agency?

Autonomy

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

Beneficence

Which ethical principle refers to the obligation to do good?

An approach critiquing existing patterns of oppression and domination in society

Which example best describes feminist ethics?

Describing a surgery to a client before the consent is signed

Which example most accurately depicts the ethical principle of autonomy?

The promotion of the dignity and respect of clients as people

Which is a characteristic of the care-based approach to bioethics?

Filing an incident report after making a medication error

Which nursing action demonstrates the principle of fidelity?

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?