Chapter 6: values, ethics, and advocacy PrepU questions

Which statement by the nurse is an example of deception?

" this injection of procaine will feel like a little pinch"

A nurse shows client advocacy by:

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

A client rings the Carvel to request pain medication. On performing the pain assessment, the nurse informed the client that the nurse will return with the pain medication. After a few moments, the nurse returns with the pain medication. The nurses returning with the pain medication is an example of which principle of bioethics?

Fidelity

The client is scheduled to have an elective surgical procedure performed, but cannot decide whether to go forward with the procedure or cancel it. The client asked the nurse to help make the decision which action by the nurse is the best way for the nurse to advocate for the client?

Allow the client to verbalize feelings, and provide information to help the client assess options.

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

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?

Assistant decision making based on the clients best interest

A client diagnosed with cancer has met with the oncologist and is now waiting whether to undergo chemotherapy or radiation for treatment. This client is demonstrating which ethical principle in this decision?

Autonomy

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

Nonmaleficence

An older adult was just diagnosed with stage four pancreatic cancer. The client states, "I am so overwhelmed, and I feel like everyone has already decided that I need to be put in hospice care." The nurse uphold the principle of autonomy by _____ and ______

Offering to answer questions the client may have about care and treatment, and providing the client with information needed to obtain a second opinion

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

Paternalism

A nurse is providing care to an older adult client who was just diagnosed with cancer. The client together with the immediate family discuss their preferences with the healthcare providers involved. The healthcare providers offer their clinical recommendations about possible treatments. Ultimately the group arrives at a decision. The nurse interprets this decision making process as reflecting, which type?

Shared

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 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.

Which example best describes, feminist ethics?

An approach critiquing existing patterns of oppression and domination in society

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

autonomy

A charge nurse has implemented stuff education on nursing values. The nurse will determine that further education is required when which statements are overheard? Select all that apply.

"The gonorrhea test was positive. That's what the client gets for sleeping around.", "I can't believe the client is giving that precious infant up for adoption.", " if that was my mother, I wouldn't agree to a no-code"

A nurse is providing care to a client with end stage cancer. After weighing the alternatives, the client decides not to participate in a clinical trial offered and is requesting no further treatment. The nurse advocates for the clients decision based on the understanding that the client has the right to self determination, interpreting the patients decision as reflecting, which ethical principle?

Autonomy

Which nursing situation is an example of an ethical dilemma?

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

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 expressed wishes, and the family has informed the healthcare provider that they want the client to be resuscitated. Aware of the clients 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 assist 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's your call 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

They charge nurse is always careful to listen carefully to clients, and to be respectful of their privacy and care needs. The nurse says," I want the staff on this unit to see me interacting with clients in the manner I would like for them to interact with clients". The nurse is using which technique to guide value development of the staff

Modeling

The nurse is attempting to clarify the values of an adolescent client. The nurse should identify what factor as having the greatest influence on the adolescence value formation during this developmental stage?

Peers

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

Report this finding to the appropriate supervisor

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

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

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

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

The promotion of the dignity and respect of clients as people

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

Trustworthiness, compassion, humility

Which best defines value clarification?

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

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 in the code of ethics and reports a medication error that the nurse has made. The nurse is most clearly demonstrating which professional value?

integrity

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

values

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 value

A nurse is of the Catholic faith and both pro life. This nurse is considered to have?

Personal values

Nurses value, client advocacy follow a guideline?

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