310 Professional Nursing Chapter 6: Values, Ethics, and Advocacy

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

1. "I can't believe the client is giving that precious baby up for adoption." 2. "The gonorrhea test was positive. That's what the client gets for sleeping around." 3. "If that was my mother, I sure wouldn't agree to a no-code."

Which statement by the nurse is an example of deception?

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

The nursing student is describing moral values to another student. Which statement is correct?

"moral values give individuals some sense of what is right and wrong"

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

1. Inadequate staffing patterns 2. Decreased satisfaction of nurses in the workplace

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 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 client's decision based on the understanding that the client has the right to self-determination, interpreting the client's decision as reflecting which ethical principle?

Autonomy

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?

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

Which nursing situation is an example of an ethical dilemma?

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

Which example most accurately depicts the ethical principle of autonomy?

Describing a surgery to a client before the consent is signed

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

Filling out an occurrence report and notifying the healthcare provider

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

Nonmaleficence

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

The promotion of the dignity and respect of clients as people

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?

autonomy

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

The nurse is reviewing charges to clients for surgical procedures and observes different charges dependent upon insurance status. The nurse immediately reports this bias in charges to the supervisor for action. What principle of bioethics is the nurse demonstrating?

justice

A nurse is acting inappropriately and has an odor of alcohol. This behavior breaches the principle of:

ethical conduct

ethical distress:

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

Which nursing action demonstrates the principle of fidelity?

filing an incident report after making a medication error

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?

moral resilience

What is likely to have the greatest influence on an adolescent's formation of values during 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 moral

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

personal values

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.

A famous actor with bipolar disorder has been admitted in the mental health unit for treatment. A well known news outlet has offered the nurse several thousand dollars to provide information or a picture of the client. The nurse knows that it is their professional duty and legal responsibility to uphold privacy and confidentiality. For each of the behaviors exhibited by the nurse, click to specify whether the behavior upholds the principle of privacy or confidentiality.

1. sharing client information only to the caregivers directly assigned to client care - CONFIDENTIALITY 2. keeping the door closed while conducting physical assessment - PRIVACY 3. obtaining the client's permission before allowing a student nurse to assist with care - PRIVACY 4. logging off the electronic health record after documenting assessment information - CONFIDENTIALITY 5. asking the client to sign a medical release form before providing information to the health insurance company - PRIVACY

Which ethical principle refers to the obligation to do good?

Beneficence

The nurse has identified an ethical dilemma that has the potential to interfere with a client receiving optimal care. The nurse discussed this issue with the charge nurse on the unit. What action should the nurse choose next?

Monitor for resolution of the problem.

A parent teaches a child not to drink and drive; however, the parent does drink and drive. This action results in:

a failure to model one's own values

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:

advocacy

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

advocacy

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?

fidelity

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

personal values.

What are standards for decision-making that endure for a significant time in one's life?

values

A nurse reports to the charge nurse that a client medication due at 9 am was omitted. Which principle is the nurse demonstrating?

Integrity

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 health care providers involved. The health care 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 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

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?

shared decision making

An older adult was just diagnosed with stage 4 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." Complete the following sentence by choosing from the lists of options. The nurse upholds the principle of autonomy by...

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