Ethics EAQ Prep
The nurse speaking in support of the best interest of a vulnerable client reflects which nursing duty?
Advocacy
Which statement made by the client would the nurse consider as an influence of the client's intellectual background on his or her health beliefs?
"Don't include eggs in my diet because eggs contribute to excess body heat."
Which statement made by the client would the nurse consider to be an external variable influencing the client's beliefs?
"Please do not include chicken in my diet plan because my religion forbids me to consume meat."
Arrange the actions in the order the nurse should take to resolve an ethical dilemma.
1.Collect relevant case-related information. 2.Clarify values. 3.Verbalize the problem. 4.Determine possible courses of action. 5.Negotiate a plan. 6.Evaluate the plan over time.
Which describes the purpose of the Nurse Practice Acts?
Describe and define the legal boundaries of nursing practice within each state
Which would the nurse do to comply with the ethic of nonmaleficence in the health care setting?
Focus on doing no harm.
The nurse is caring for a child whose parents refuse a life-saving surgery for the child, stating that surgeries are against their belief system. Which step would the nurse take first to resolve this ethical dilemma?
Obtain information from the child, the parents, health care workers, and other sources.
Which explanation regarding the term "just culture" is accurate?
Promoting open discussion whenever error occurs without fear of recrimination
An elderly client states, "Disease occurs when supernatural elements enter the body." Which variable influences the client's health beliefs in this scenario?
Spiritual factors
Which does beneficence in health ethics refer to?
Taking positive actions to help others
Which information is accurate regarding the role of value clarification in the resolution of ethical dilemmas?
Tolerating differences of opinion
Which statement made by the client is a socioeconomic influence on the client's health beliefs?
"I cannot afford expensive medications because I have to take care of my family."
A young woman tells the nurse, "My partner prevents me from taking my medications." Which should the nurse do to deal with the situation?
Conduct an interview with the client alone, when the partner is not around.
Which statements by the student nurse indicate effective learning regarding consensus building in the resolution of bioethical dilemmas? Select all that apply. One, some, or all responses may be correct.
"It is an act of discovery." "It promotes respect and agreement." "It inspires respect for unusual points of view."
Which statements made by the client would the nurse consider as an influence of spirituality on health beliefs? Select all that apply. One, some, or all responses may be correct.
"My faith prohibits the use of a donor's sperm." "Don't administer nasal drops now because it will break my fast." "I do not believe in surrogacy because this is not permitted in our community."
Which statement made by the student nurse needs correction regarding the primary characteristics establishing nursing as a profession?
"Nurses are simply required to perform specific tasks."
Which statements by the student nurse indicate an understanding of caring for clients of various cultures? Select all that apply. One, some, or all responses may be correct.
"The focus is on understanding the traditions, beliefs, and values of the client's culture." "I will be aware of my own cultural background and beliefs when attending to clients who belong to different cultures."
Which information would the nurse provide a nursing student regarding the utilitarian system of ethics? Select all that apply. One, some, or all responses may be correct.
"The value of something is decided by its usefulness." "The main emphasis is on the outcome or consequence of the action." "The greatest good for the greatest number of people determines the right action."
Which is appropriate for the nurse to include in the education of the ethical principal of nonmaleficence to a group of nursing students?
Act in ways to prevent harm to clients.
Which problems would the nurse plan to address when dealing with ethical issues related to end-of-life care? Select all that apply. One, some, or all responses may be correct.
Clients may be unable to communicate effectively. All interventions for helping the clients seem futile. Predictions regarding health outcomes are not always accurate.
Which are common negligent acts of nurses found in the hospital setting? Select all that apply. One, some, or all responses may be correct.
Failure to notify the health care provider of problems Failure to follow the six rights of medication administration Failure to ensure the safety of a client with disequilibrium problems
Which statements accurately explain the deontology system of ethics? Select all that apply. One, some, or all responses may be correct.
It examines a situation for the presence of essential right or wrong. It emphasizes the commitment to respect the "rightness" of autonomy. It determines that actions are right or wrong based on their "right-making characteristics."
Which scenarios mentioned by the student nurse relate to the health care ethic of fidelity? Select all that apply. One, some, or all responses may be correct.
Monitoring a client after providing nonpharmacological measures to relieve anxiety due to hospitalization Noting that the pain relief measures provided to that client have been ineffective, the nurse formulates a different plan of care Caring for a client who refuses to be touched by people of certain skin color, the nurse continues to provide care because other colleagues refuse to attend to the client.
A client says, "Do not cut the thread on my wrist before sending me for surgery because the thread is a blessing from God." Which internal variable influences the client's health belief in this scenario?
Spiritual factors
Which point regarding ethics and values requires further education?
The American Nurses Association (ANA) code of ethics ensures that the code remains constant.