Ch 2 Book and Lecture Questions

10. A nurse is providing care to a patient whose family has previously brought suit against another hospital and two physicians. Under which ethical principle should the nurse practice? 1. Justice 2. Veracity 3. Autonomy 4. Nonmaleficence

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2. The ANA Code of Ethics With Interpretive Statements guides nurses in ethical behaviors. Provision 3 of the ANA Code of Ethics says: "The nurse promotes, advocates for, and strives to protect the health, safety, and rights of the patient." Which of the following best describes an example of this provision? 1. Respecting the patient ' s privacy and confidentiality when caring for him 2. Serving on a committee that will improve the environment of patient care 3. Maintaining professional boundaries when working with a patient 4. Caring for oneself before trying to care for another person

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6. A nurse is working on an ethics committee to determine the best course of action for a patient who is dying. The nurse considers the positive and negative outcomes of the decision to assist with choices. Which best describes the distinction of using a list when making an ethical decision? 1. The nurse can back up her reasons for why she has decided to provide a certain type of care. 2. The nurse can compare the benefits of one choice over another. 3. The nurse can communicate the best choice of action to the interdisciplinary team. 4. The nurse can provide care based on developed policies and standards.

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Which of the following questions or statements is part of the assessment phase of solving an ethical dilemma? A. Determine the goals of treatment. B. Try this drug for a month; if there's no improvement, we'll try something different. C. Am I directly involved in this dilemma? D. Now that you've heard the prognosis, how do you feel about the situation?

C

9. A nurse's significant other undergoes exploratory surgery at the hospital where the nurse is an employee. Which practice is most appropriate? 1. The nurse is an employee; therefore, access to the chart is permissible. 2. Access to the chart requires a signed release form. 3. The relationship with the client provides the nurse special access to the chart. 4. The nurse can ask the surgeon to discuss the outcome of the surgery.

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3. Health Insurance Portability and Accountability Act (HIPAA) regulations guard confidentiality. In several situations, confidentiality can be breached and information can be reported to other entities. Which of the following meet these criteria? Select all that apply. 1. The patient is from a correctional institution. 2. The situation involves child abuse. 3. An injury occurred from a firearm. 4. The patient is a physician. 5. The breach of information was unintentional.

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1. Several studies have shown that although care planning and advance directives are available to clients, only a minority actually complete them. Which of the following has been shown to be related to completing an advance directive? Select all that apply. 1. African American race 2. Younger age 3. History of chronic illness 4. Lower socioeconomic status 5. Higher education

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Ethics refers to ____, whereas morals usually refers to ____. A. a standardized code to guide behaviors; an individual's personal code for acceptable behavior B. an individual's personal code for acceptable behavior; a standardized code to guide behaviors C. rules for the duties that individuals owe each other; rules for behaviors considering the consequences of an action

A

4. A patient asks a nurse if he has to agree to the health provider's treatment plan. The nurse asks the patient about his concerns. Which ethical principle is the nurse applying in this situation? Select all that apply. 1. Beneficence 2. Autonomy 3. Veracity 4. Justice

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5. Which best describes the difference between patient privacy and patient confidentiality? 1. Confidentiality occurs between persons who are close, whereas privacy can affect anyone. 2. Privacy is the right to be free from intrusion into personal matters, whereas confidentiality is protection from sharing a person's information. 3. Confidentiality involves the use of technology for protection, whereas privacy uses physical components of protection. 4. Privacy involves protection from being watched, whereas confidentiality involves protection from verbal exchanges.

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7. A nurse is caring for a patient who feels that life should not be prolonged when hope is gone. She has decided that she does not want extraordinary measures taken when her life is at its end. She has discussed her feelings with her family and health-care provider. The nurse realizes that this is an example of: 1. Affirming a value 2. Choosing a value 3. Prizing a value 4. Reflecting a value

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8. Which of the following demonstrates a nurse as advocating for a patient? The nurse: 1. calls a nursing supervisor in conflicting situations. 2. reviews and understands the law as it applies to the client's clinical condition. 3. documents all clinical changes in the medical record in a timely manner. 4. assesses the client's point of view and prepares to articulate this point of view.

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