PrepU Chapter 6

Which statement by the nurse is an example of deception?

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

Identify the activities a nurse would use in value processing. Select all that apply.

-Choosing -Prizing -Acting

A nurse manager receives negative survey results citing a decrease in the quality of client care. What areas does the nurse manager research as a causative factor in the decrease of quality care delivery? Select all that apply.

-Decreased satisfaction of nurses in the workplace -Inadequate staffing patterns

A nurse demonstrates the professional value known as altruism when caring for clients in a long-term care facility. What nursing action demonstrates this behavior?

A nurse researches the culture of a Muslim client when planning care.

Which example best describes feminist ethics?

An approach critiquing existing patterns of oppression and domination in society

A nurse volunteers to serve on the hospital ethics committee. Which indicates that the nurse knows the purpose of an ethics committee?

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

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

Autonomy

A nurse is caring for a woman 28 years of age who has delivered a baby by Cesarean section. She describes her pain as a 9. The nurse medicates her for pain. This is an example of which ethical framework?

Beneficence

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

Care-based ethics

A female client is brought to the emergency room with matted hair, bruising, and malnutrition. The nurse suspects physical abuse and neglect. The nurse states, "This happens to many women." Which type of ethical approach is the nurse exhibiting?

Feminist

A client rings the call bell to request pain medication. Upon performing the pain assessment, the nurse informs the client that she will return with the pain medication. The nurse's promise to return with the pain medication is an example of which principle of bioethics?

Fidelity

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

International Council of Nurses

A parent of a 17-year-old high school student is allowing the child to make the decision on the college that will be attended. When the child requests direction from the parent in making this decision, the parent responds by stating, "You will need to make this decision on your own." What type of value transmission is the parent displaying?

Laissez-faire

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

Paternalism

Which nursing situation is an example of an ethical dilemma?

Performing cardiac compressions when a signed Do Not Resuscitate order (DNR) is not available

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 her judgments based on her expertise. Which type of health care decision making does this represent?

Shared decision making

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

Values

An employee health nurse is assisting a stressed, working mother with value clarification. Which of the following best defines value clarification?

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

A nurse is caring for a client who is a practicing Jehovah's Witness. The physician orders two units of packed cells based on his low hemoglobin and hematocrit levels. The nurse states to the surgeon that it is unethical to go against the client's beliefs even though his blood counts are very low. What is the best description of the nurse's intentions?

acting in the client's best interest

To practice ethically, the nurse should

avoid allowing her judgment to guide practice.

A nursing student is studying the principle of autonomy. Which example most accurately depicts this principle?

describing surgery to a client before the consent is signed

A hospital owned by a Catholic order of nuns will not allow tubal ligations to be performed. This is considered to be:

institutional policy.

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

personal values

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

the promotion of the dignity and respect of clients as people

An adolescence is in the process of value formation. What does the nurse determine that will be the greatest influence in the child's formation of values in this developmental stage?

Peers

A nurse believes that abortion is an acceptable option if a pregnancy results from a situation of rape. What is the best description of this belief?

Personal morality

Nurses who value client advocacy follow what guideline?

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

An oncology client in an outpatient chemotherapy clinic asks several questions regarding his care and treatment. The nurse explains the clinic's routine, typical side effects of the chemotherapy, and ways to decrease the number of side effects experienced. Which characteristic is the nurse demonstrating?

Veracity