chapter 8 ethical concerns in nursing practice
provision 1
*Example of what provision* every person deserves to be treated equally, with dignity and respect. this provision addresses the ethical principles of autonomy and the right to self-determination
boundary violations
*What* Are situations in which the nurse moves beyond a professional relationship and becomes involved with clients and their families
ethics
*What* is a branch of philosophy
values conflict
*What* occurs when we must choose between two things, both are important
provision 7
*example of what provision* nurses work on all levels to help advance our profession- acting as mentors in the workplace, volunteering services in the community or even getting BSN degrees
provision 4
*example of what provision* you are responsible for assessing the needs of any situation and striving to meet those needs effectively. this includes delegating tasks and asking for help when its needed
provision 6
*example of what provision* you have the responsibility to speak up and be an advocate for quality health care
provision 8
*example of what provision* you play a leadership role in a promoting health, not just at work, but in your community even internationally
provision 9
*example of what provision* your actions represent yourself as well as the profession as a whole
autonomy, beneficence, nonmaleficence, justice, fidelity, veracity
*what* are the basic ethical concepts
value
*what* is important and enduring beliefs or ideals shared by the members of a culture about what is good or desirable and what is not that exert major influence on the behavior of an individual and serve as broad guidelines in all situations
justice
*what* is referred to as fairness, refers to the quality of being just or fair
utilitarianism
*what* is rooted in the assumption that an action or practice is right if it leads to the greatest possible balance of good consequences
fidelity
*what* is the obligation to be faithful to the agreements
c
A nurse fails to ensure that a patient has been educated on all treatment options for stage 2 breast cancer. the nurse failed to uphold what ethical principle? a- veracity b- beneficence c- autonomy d- nonmaleficence
c
Amy tells her patient that she will be right back with a full pitcher of water and the patients pain medication. amy forgets to return to the patients room. The patient calls the nursing station 30 minutes later stating he is in severe pain. amy failed to uphold what ethical principle? a- veracity b- confidentiality c- fidelity d- justice
d
a 72 year old patient with chronic lymphoma leukemia is comatose due to recent extensive chemotherapy. her husband tells the nurse case manager that his wife did have a living will but it was reversed at the other hospital in order for her to receive chemo treatment. he states she is terminal and therefore he does not want to see her continue to suffer. the primary care provider orders IV fluid therapy and a blood transfusion and schedules the patient for PEG tube placement and an MRI to rule out metastatic brain tumor. the primary care provider informs the husband that though his wife is terminal, the living will no longer exists. the husband informs the nurse manager that he has medical power of attorney, and he asks the nurse for advice. the nurse manager decides to provide advice to the husband. several of the ethical principles in the ANA code of ethics deal with autonomy. it is important to provide details that will allow others to make informed decisions. which dimension of critical thinking is the nurse manager applying to the situation? a- abilities b- elements of thought c- affective dimensions d- intellectual standards
b
a 95 year old client has been informed he has terminal brain cancer. the client states he wants to do everything possible to prolong his life because he owes it to his family. this is an example of: a- principalism b- deontology c- utilitarianism d- pluralism
true
a male patient, who was just admitted to the hopsital, has the belief that people will be reborn after death. his family maintains this religious belief in the hospital by burning incense and performing rituals specific to their religion. the rituals that occur depend on what time of day it is. another male patient, who has different religious beliefs, is admitted into the hospital. initially there are no conflicts, but on the first night the first patients son burns incense that causes the second patient to have a negative effect. the second patient then calls the nurse to complain. true or false: this would be an example of teleological thinking
d
a male patient, who was just admitted to the hopsital, has the belief that people will be reborn after death. his family maintains this religious belief in the hospital by burning incense and performing rituals specific to their religion. the rituals that occur depend on what time of day it is. another male patient, who has different religious beliefs, is admitted into the hospital. initially there are no conflicts, but on the first night the first patients son burns incense that causes the second patient to have a negative effect. the second patient then calls the nurse to complain. what is the nurses best course of action in this situation a- she should say "im not going to engage in your drama" and then walk out of the meeting b- she should explain to the patient and his son burning the incense that this is not appropriate and they can no longer persist in these actions c- she should change rooms so that these patients are no longer together d- she should explain that while she values the first patients religious beliefs, there are just some things that cant be done in a facility if others are being endangered or having their rights violated.
c
a nurse in the emergency room is faced with having to make an ethical decision regarding the patient being cared for. the nurse would be using critical thinking skills when forming a decision if the nurse a- made the decision soon after encountering the situation b- uses lower order thinking to solve the dilemma c- examined all of the consequences surrounding the decision d- based his decision on personal values and beliefs
d
a nurse refuses to give sensitive information about her patient to the patients family member over the telephone. this is an examples of what ethical principle? a- respect for human life and dignity b- fidelity c- use of informed judgement d- protection of confidential information
c
a nurses ethical decision making process has many pitfalls. an example of one of the pitfalls includes: a- thinking that because one situation is one way, all situations will be that way b- making someone accept a decision based on well-researched evidence c-arguing that because everybody does something, that something must be good d- addressing the reasons for making the decision with the people involved
a
a patient on the medical floor has been hospitalized with hepatic failure and alcohol withdrawal. the patient is mildly anxious and requests medication to reduce his anxiety. sofia performs an alcohol withdrawal scale on the patient. the score does not indicate that the patient require medication. the physician order states to follow the AWS sacale/ protocol for the administration of antianxiety medications. sofia explains to the patient that medication is not indicated. the patient continues to ask for medications and ring his call light every 5 minutes. sofia takes a tic tac out of her purse and goes into the room and tells the patient that it is the medications he has been requesting. the patient swallows the tic tac. the patient calms down and does not utilize the call light for over 90 minutes. another nurse witnesses this event taking place. does sofia use critical thinking to solve the problem? a- yes b- no
b
a patient on the medical floor has been hospitalized with hepatic failure and alcohol withdrawal. the patient is mildly anxious and requests medication to reduce his anxiety. sofia performs an alcohol withdrawal scale on the patient. the score does not indicate that the patient require medication. the physician order states to follow the AWS sacale/ protocol for the administration of antianxiety medications. sofia explains to the patient that medication is not indicated. the patient continues to ask for medications and ring his call light every 5 minutes. sofia takes a tic tac out of her purse and goes into the room and tells the patient that it is the medications he has been requesting. the patient swallows the tic tac. the patient calms down and does not utilize the call light for over 90 minutes. another nurse witnesses this event taking place. was the action sofia took ethical a- yes b- no
d
amy is struggling with chris's discharge; she admits to her uncle that she "just cant stop thinking about it" which phase of the nurse patient relationship do you think amy is struggling with a- initiation b- exploartion c- preparation d- termination
d
attitudes, dispositions, and passions are part of which domain of critical thinking a- elements of thought b- intellectual standards c- abilities d- affective dimensions
dilemmas
bioethics include *what* for health professionals
trust relationship
boundary violations are a concern because it represents a violation of the *what*
c
can a person learn professional values a- sometimes b- no c- yes d- occasionally
international council of nurses
code of ethics involves: *what* code for nurses
standards and values
code of ethics involves: implicit *what and what* for the profession
personal excellence
commitment to *what* and to the profession of nursing
d
during routine surgery, it is discovered that the patient has a terminal disease. after she awakens, she asks how everything went and if she is doing well. the nurse begins to reassure her, but then stops and instead carefully and compassionately breaks the bad news. this is an example of which part of critical thinking a- adequacy of knowledge b- potential problems c- helpful resources d- critique of judgement e- purpose of thinking
b
ethical decision making is influenced by what three perspectives a- contextualism, care, and fidelity b- care, contextualism, and principalism c- principalism, care, and veracity d- veracity, care, and autonomy
personal religious and philosophic viewpoints
ethical decision making may be based on *What and what*
stress, frequent shift changes, staffing shortages, injuries, and pain
factors that can lead to chemically dependency are *what*
a
how many provisions are included in the ANA code of ethics a- 9 b- 4 c- 3 d- 7
a
how many steps are there in the ethical decision making framework a- 7 b- 6 c- 5 d- 4
b
in ethical issues, the primary responsibility of the nurse in caring for the client is a- to unconditionally respect the wishes of the patient b- to always respect the person as a unified being c- to ensure the ethics committee assists in the decision making process d- that the family, as well as the patient, is engaged in the ethical decision making process
adult
learning right and wrong *what stage* strives to make sense of the contradictions and learns to develop own set of morals and values
autonomy
most rights are based on the concept of *what* of the individual
c
recognizing potential problems, anticipating results, and prizing the use of reason is called: a- open-mindedness b- truth-seeking c- analyticity d- systematicity
client self determination, futile treatment, withholding or withdrawing treatment, assisted death, right to refuse treatment
right to die issues include *what*
whistleblowing
serious situations when using the chain of command does not invoke response to voiced concerns one might use *what*
boundary violations
sexual misconduct and overidentifying with members of family are *examples of what*
c
taking the time to explain all treatment options to a confused patient is an example of which principle? a- fidelity b- nonmaleficence c- autonomy d- beneficence
d
the ANA code of ethics for nurses is based on many common ethical principles. an example of one of those common principles is: a- fidelity b- veracity c- beneficence d- respect for human dignity
d
the idea that "experts develop certain characteristics related to practice that enable them to quickly make correct clinical judgements that seem to simultaneously spring into action" is an example of a- dorothea orems self care theory model b- betty neumans system theory model c- madeleine leiningers nursing theory model d- patricia benners novice to expert model
d
the nurse knows that the clients are receiving substandard care due to reductions in staffing. she reads current literature, looking for serious gaps in the accepted standards of practice, and examines the effects of the new staffing practice on ethical principles. which step in the process for ethical decision making is the nurse using? a- choosing and acting b- identifying morally relevant facts c- identifying the problem d- evaluating the ethical problem
true
true or false critical thinking demands that nurses have solid, logical reasons for judgments and actions
true
true or false if a nurse is unable to critically reason and use clinical judgement, it may be difficult for them to make ethical decisions
false
true or false if a procedure is considered unethical, but you can save your patients life by performing it, you should proceed because your primary concern is the patient.
a
what is a personal value a- something a person perceives as important in life b- something a person perceives as a win win solution c- something a person perceives as expensive d- something a person perceives as an opportunity
d
what is the role that big Al now plays, as a recovering addict and counselor a- he helps them to be better parents b- he helps them to recognize their career goals c- he makes people realize their bad choices d- he acts as a mentor and guide
a,b,c,d
which actions represent steps in the ethical decision making process for nurses? a- identifying all facts b- identifying irrelevant facts and eliminating c- choosing and acting d- evaluating the ethical problem
a,b,c
which are involved in ethical decision making a- research b- evaluation c- planning
c
which ethical framework is based on the idea of analyzing situations using general norms derived from common mortality a- care b- utilitarian c- principalism d- contextualism
b
which is not part of the ethical decision making process in nursing? a- make a decision b- diagnose c- identify the problem d- gather factual data
a,b,c,e
which of the following are examples of values a person may hold a- educational attainment b- truth c- peace d- career goals e- money f- passions
d
which of the following is a communication technique that amy used with chris during her inpatient stay a- exercise and movement therapy b- nutritional healing c- body mind healing d- helping relationship
c
which of these is an example of using critical thinking when dealing with a possible genetics related diagnosis a- providing medication to soothe the patients pain b- asking the patients family to come in for screening c- finding and analyzing the family history of the patient d- taking a blood sample for screening
c
which of these principles refers to keeping commitments and promises to patients a- nonmaleficence b- autonomy c- fidelity d- veracity
b
which principle is observed by the nurse who chooses to help the next patient in line, instead of helping a friend who just arrived a- autonomy b- justice c- beneficence
ramifications
whistleblowing should be used as a last resort because of the possible *what*
infants
learning right and wrong *what stage* begin with no concept of right or wrong- basic trust is met
school-age children
learning right and wrong *what stage* learn that good behavior is rewarded and bad behavior is punished
adolescent
learning right and wrong *what stage* questions existing moral values and their relevance to society
ethical obligations
nurses have *What* to the client and to the employer
treatment and rehabilitation
nurses have an obligation to report those who demonstrate chemical impairment and to assist impaired colleagues in finding *what and what*
values clarification
nurses must examine their own value systems which is an example of *What*
d
the ANA code of ethics (2001) is a document that assists nurses in their provision of care through a- providing guidelines for how to perform nursing care b- providing opinions on how to deal with ethical dilemmas c- examples of substandard nursing care d- providing a set values and behaviors to use when ethical dilemmas arise
a
the ethical principle that is focused on doing only good is a- beneficence b- autonomy c- fidelity d- nonmaleficence
a
the nurse explains two possible treatments to a patient and lets the individual decide which one is right for them. what principle is the nurse practicing in this scenario? a- autonomy b- beneficence c- veracity d- justice
b
the nurse is providing discharge instructions to a patient who speaks little english. an interpreter is not available for the nurse to use, so the nurse provides the discharge instructions using a slow rate of speech and a written instruction sheet for the patient. the patient nods her head and smiles while the nurse provides the instructions and leaves a shortly after that. the nurse does not feel the patient understood the instructions. what factor has influenced this ethical dilemma? a- technology b- culture c- societal norms d- legal
provision 2
*example of what provision* there may be times when you feel conflict between obligations to the organization and to the patient. this provision makes clear that the patient always comes first
provision 3
*example of what provision* this provision focuses on a patients right to privacy and confidentiality
provision 5
*example of what provision* you have to take care of yourself well before you can care for others. this includes maintains your personal health and devoting
moral development
*what* are basic standards for what we consider right and wrong that are based on religious beliefs, social influences, group norms, culture, and life experiences
chemically
*what* impaired nurses is a concern to the profession and danger to clients
autonomy
*what* involves the right of self-determination or choice
values clarification
*what* is a process of becoming more conscious of what one values
self evaluation
*what* is a way to protect against poor nursing care
bioethics
*what* is an interdisciplinary field within health care that has evolved with modern medicine to address questions that arise as science and technology produce new ways of knowing
bioethics
*what* is discipline dealing with the ethical implications of biologic research and applications
beneficence
*what* is doing or producing good
deontology
*what* is rooted in the assumption that humans are rational and act out of principles that are consistent and objective, and compel them to do what is right
fidelity
*what* is the foundation of the concept of accountability that we hear about so often in nursing today
Nonmaleficence
*what* is the prevention of intentional harm
Utlitariansim
*what* is the strongest approach for bioethical decision making
standard of best interest
*what* is what the healthcare providers or family believes is best for that individual
end of life
*what* issues are some of the most common ethical and bioethical dilemmas routinely faced by nurses
ethics
*what* provide answers to questions of human conduct that arise in life and attempts to determine what is right or good
veracity
*what* refers to telling the truth or not intentionally deceiving clients
c
Amy is an RN working on a busy obstetrical unit. she attends a national perinatal conference where she attends many continuing education sessions. she shares her newfound knowledge with her coworkers when she returns. what ethical principles is Amy demonstrating? a- informed judgement b- participating in research activities c- maintenance of nursing competence d- accountability and responsibility
c
Anna is caring for two patients with type 2 diabetes. she provides both patients with their antidiabetic medications, but one patient also receives detailed education about the medication. the other patient receives no education from Anna. what ethical principle did Anna fail to uphold a- beneficence b- veracity c- justice d- fidelity
a,c
John asks his nurse Molly to explain to him the side effect of the chemotherapy protocol he is about to begin. John states, "I want to be sure I am making the right choice." Molly explains to John the expected side effects that often occur with the chemotherapy regimen prescribed for John. Molly asks John if he understands the explanation. John verbalized understanding and tells Molly he is prepared to begin his treatments on schedule. if you were coaching Molly on her performance in this situation, which of the following labels would you use to help her understand the underlying ethical principles demonstrated? a- veracity- obligation to tell the truth b- fidelity- keeping promises and commitments c- autonomy- promoting self-determination and freedom of choice d- paternalism- one assumes the ability to make choices for another
true
John asks his nurse Molly to explain to him the side effect of the chemotherapy protocol he is about to begin. John states, "I want to be sure I am making the right choice." Molly explains to John the expected side effects that often occur with the chemotherapy regimen prescribed for John. Molly asks John if he understands the explanation. John verbalized understanding and tells Molly he is prepared to begin his treatments on schedule. true or false: Molly acted ethically in this situation
a
Marissa isa 44 year old woman who has just recently undergone extensive surgery for uterine cancer, and she is experiencing several serious postoperative complications. she states "I dont know why all of these things are happening. I ask the doctors. so does my family. but we get no answers. we just want to know what is happening." the nurse is surprised to observe that only not only does the surgeon not answer marissa's questions, but that he also dismisses her fears without any explanation. the nurse understands that she must be faithful to her role as advocate for marissa and giver her as much information as possible this is an example of what ethical principal? a- fidelity b- utility c- justice d- veracity e- paternalism
b
Michelle is a nurse on a hospice unit. her patient has multiple new medication orders. Michelle compares the physician order with the order on the medication administration record. this action demonstrates what ethical principle? a- nonmaleficence b- accountability and responsibility c- use of informed judgement d- veracity
b
Mrs. elle is an 80 year old female patient who is diagnose with end stage cancer of the small intestine. she is currently receiving comfort measures only in hospice. she has gangrene of her right foot and has a history of diabetes controlled with oral agents. she is confused, and the physician has determined that she is unable to make her own informed decisions. the hospice nurse, not realizing that the weekly order for CBC and a renal profile had been discontinued, obtained the labs and sent them to the nearby laboratory for processing. the abnormal lab results revealed that the patient needed a blood transfusion. The patients wishes were to die peacefully and to not have to undergo and amputation of her right foot. but if the patient receives the blood transfusion, she may live long enough to need the amputation. the patients physician informs the medical power of attorney that the patient would most likely not be able to survive the amputation. the patients medical power of attorney has made the request to cease all labs so that the patient will receive comfort measures until she dies this is an example of what ethical principle? a- veracity b- autonomy c- justice d- confidentiality e- beneficence
b
Now assume a patient speaks only spanish and no one in the room can communicate with him properly. as the nurse prepares a blood transfusion, the patient raises his voice and seems to lose his mental stability. what should the nurse do? a- restrain and sedate the patient and continue the potentially life-saving transfusion b- find someone who is able to properly communicate with the patient before proceeding
true
a 44 year old male was in an accident and revived on the scene by the emts two times before he was flown to the closest hospital. while in the helicopter, he was revived two more times. when the patient got to the hospital, he was conscious and paralyzed from the neck down. he told Dr. Hudson he did not want to be resuscitated again. the patient heart rhythm was not sufficient to have a prolonged life, so Dr. Hudson suggested inserting a pacemaker. The patient refused, but Dr. Hudson overrode his decision and placed a pacemaker. the physicians actions were not very ethical. in this case he should have respected the patients rights and wishes true or false
b
a 44 year old male was in an accident and revived on the scene by the emts two times before he was flown to the closest hospital. while in the helicopter, he was revived two more times. when the patient got to the hospital, he was conscious and paralyzed from the neck down. he told Dr. Hudson he did not want to be resuscitated again. the patient heart rhythm was not sufficient to have a prolonged life, so Dr. Hudson suggested inserting a pacemaker. The patient refused, but Dr. Hudson overrode his decision and placed a pacemaker. which of the ethical principles should the physician have adhered to as he made his decision in this situation a- veracity b- autonomy c- justice
c
a 44 year old male was in an accident and revived on the scene by the emts two times before he was flown to the closest hospital. while in the helicopter, he was revived two more times. when the patient got to the hospital, he was conscious and paralyzed from the neck down. he told Dr. Hudson he did not want to be resuscitated again. the patient heart rhythm was not sufficient to have a prolonged life, so Dr. Hudson suggested inserting a pacemaker. The patient refused, but Dr. Hudson overrode his decision and placed a pacemaker. which type of ethical issue is at play in this scenario a- trust b- refusal to provide care c- end of life concern
identifying and clarifying the problem, gathering data, identifying options, making a decision, acting and assessing
a basic framework for ethical decision making include
b
a man is admitted to the ER with signs of internal bleeding. He is a Jehovahs witness and is refusing any type of blood transfusion according to his religious beliefs. The mans condition is worsening but he is still conscious, coherent, and perfectly responsive. what should the nurse do? a- ignore his wishes and continue with a blood transfusion b- do everything possible to help the patient while still honoring his request
b,c,e
a new treatment for cancer has recently been developed using a combination of completely safe products commonly found in a hospital setting. while there have been only positive effects, the treatment is still not universally accepted in professional practice. but a nurse has the ability to easily and seemingly safely help a family member using this treatment. which factors make this situation unethical? a- technology b- society/ culture c- funding d- religion e- professionalism
b
a nurse refuses to care for a pregnant woman who is terminating her pregnancy at 20 weeks due to trisomy 13, which is incompatible with life. another nurse on the floor states that she will care for the patient, and the nurses assignments are changed. what may have influences the nurses refusal to provide care a- the nurse disagrees with the diagnosis of the patient b- the nurse has religious beliefs conflict with the patients decision c- the nurse felt the termination of pregnancy was illegal d- the nurse is emotionally unavailable for the patient
c
a nurse voices concerns that her patient will not be safe in his home environment if discharges. short term rehabilitation is ordered for the patient. the patients insurance company denies coverage for the services and the patient is discharged home instead. what influenced the decision making process for the patient and nurse? a- technology- screening equipment failed to capture the acuity of the patient b- religion- the patients beliefs and practices made him unsafe c- society- not everyone has health care services available to them d- law- healthcare reform does not provide short term services to patients
a
a nurse witnesses a health care provider calling in a schedule II narcotic prescription for a friend. the healthcare provider asks the nurse not to say anything about what was witnessed. the nurse is unsure what to do. what will influence the nurses actions? a- the legislation regarding dispensing schedule II narcotics b- societal influences that have deemed treating friends as acceptable c- the nurses religious beliefs d- the technological capability to send prescriptions via email
c
a nurse working at a rural hospital posted comments on her facebook page concerning the care she provided to a community member after he experienced an alcohol-related motor vehicle accident. the contributing factor to this ethical dilemma was a- the community in which the patient lived b- the use of high tech alcohol detection devices c- technological advances in communicating with friends and family d- the patient lacked morals and values regarding drinking and driving
c
according to the ICN code for nurses, which statement is true a- a registered nurse's primary commitment is to coworkers b- a registered nurse should sacrifice personal goals for the advancement of nursing c- a registered nurse is individually responsible and accountable for maintaining professional competence
b
as a nurse, you are caring for a patient who has an extensive history of peripheral vascular disease, resulting in frequent surgeries for the purpose of revascularizing her lower extremities with the intent of avoiding amputations if possible. this is your patients third surgery this year, and she has been brought to your step-down unit for postoperative recovery. while implementing the surgeons orders, you not several conditions that require the surgeons immediate attention to prevent further complications. upon calling the surgeon, he indicates that he will address these issues as soon as possible. this is an example of what ethical principle? a- fidelity b- nonmaleficence c- paternalism d- autonomy e- justice
b
as you wait in the hallway, you overhear two staff members talking. one says, "my patient Mr. G swore me to secrecy on this, but can you believe..." remembering that you are an advocate for patients rights, what should you do? if you confront them, it may be perceived that you are a bully. what should you do in this situation? a- ignore them; eavesdropping is unethical b- approach your colleagues and politely remind them of their patients right to privacy c- join their discussion, this is an opportunity to learn more about nursing
a,b,e
as you wait in the hallway, you overhear two staff members talking. one says, "my patient Mr. G swore me to secrecy on this, but can you believe..." remembering that you are an advocate for patients rights, what should you do? if you confront them, it may be perceived that you are a bully. which provisions are applicable to this situation? a- provision 1 b- provision 3 c- provision 5 d- provision 7 e- provision 9
American Nurses association
code of ethics involves: *what* code of ethics
own values and seek to understand values of others
balancing science and morality nurses must examine life and determine *What*
elements of the code
grounded in professional standards seen in the codes for nurses like ANA code for nurses and the international council of nurses (ICN) are what
multiple individuals
health care decisions are decisions that are made with *what*
d
how many provisions make up the ANA code of ethics a- 6 b- 7 c- 8 d- 9
b
the nurse told her manager she would see a particular patient. at the end of a busy day, the nurse has not yet seen the patient when her shift ends, but the nurse goes on to see the patient anyway. what principle is being demonstrated in this scenario a- veracity b- fidelity c- utility d- non-maleficience
b
tom witnesses a coworker diverting narcotics from the medication dispensing unit. He confronts the nurse. she asks Tom not to say anything to anyone. she tells tom she will seek treatment. Tom is unsure what to do. what ethical principle will guide Tom in his decision making? a- fidelity b- veracity c- beneficence d- autonomy
false
true or false a man accused of murder has been admitted to the hospital to receive medical treatment for some minor stab wounds. his nurse treats him but doesnt bother taking the time to give him pain medication before attending his wounds. is this an example of the principle of justice
false
true or false after administering medication to a patient as requested by a doctor, your patient has a bad reaction and goes into cardiac arrest. even if the correct medication was administered in the correct amount, you have still failed to uphold the principle of nonmaleficence
true
true or false assurance of competence is the shared responsibility of the profession, individuals, and organizations. therefore, the provisions in the ANA code of ethics protect the public
a
what is the importance of the ANA Code of ethics? a- the code of ethics addresses specific issues in nursing, emphasizing the nurses obligation to the client b- the code of ethics clearly explains what nursing values are, and what you as a nurse should believe c- the code of ethics prevents patients from seeking legal action against nurses
c
which scenario best demonstrates the confidentiality principle? a- the nurse explains two possible treatments to a patient and lets the individual decide which one is right for them b- the nurse explains the disease process of a fatal illness when asked by the patient, instead of refusing to discuss it. c- the nurse keeps private information from the patients family based upon the patients request
b
which scenario is the best example of beneficence? a- the nurse helps the patient who is next in line, instead of helping a personal friend who has just arrived b- the nurse spends time with a patient who has just received bad news c- the nurse keeps private information from a patient's family based on the patients request