ch. 6 values, ethics, and 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? a. Fidelity b. Nonmaleficence c. Autonomy d. Justice

a. Fidelity

The nurse beginning practice would like to access the standards for ethical practice. Which organization should the nurse research for these standards? a. International Council of Nurses b. Canadian Hospital Association c. Department of Health Professions d. World Health Organization

a. International Council of Nurses

Which example most accurately depicts the ethical principle of autonomy? a. Describing a surgery to a client before the consent is signed b. Changing a dressing on a wound as needed c. Administering a morning dose of insulin before breakfast d. Transporting a client to a scheduled physical therapy appointment

a. Describing a surgery to a client before the consent is signed

A nurse's friend states, "I admire you so much. I would love to be a nurse, but I don't think I have the courage." Which response will the nurse make? a. "You don't have to be courageous to be a nurse." b. "You can work on being more courageous as you learn to be a nurse." c. "I'm not courageous at all." d. "It is more important to be smart than it is to be courageous."

b. "You can work on being more courageous as you learn to be a nurse."

A 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 asks the nurse to help make the decision because the client lacks knowledge about the procedure. Which action by the nurse is the best way for this nurse to advocate for the client? a. Call the surgeon, and have the surgeon explain the procedure again. b. Allow the client to verbalize feelings, and provide information to help the client assess options. c. Refer the client to the social worker for help assembling a team to help the client make the decision. d. Refuse to help the client, and state that the client alone must make the decision.

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

A nurse pulls the curtains closed before changing the dressing of the surgical wound on the abdomen of a postsurgical client. What value is served? a. Accountability b. Dignity c. Freedom d. Altruism

b. Dignity

A nurse knows that the expression "Do not cause harm" refers to which ethical principle? a. Justice b. Nonmaleficence c. Fidelity d. Beneficence

b. Nonmaleficence

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? a. Beneficence b. Confidentiality c. Autonomy d. Justice

c. Autonomy

Which nursing situation is an example of an ethical dilemma? a. Administering pain medication as ordered b. Transferring a client to a step-down unit c. Deciding whether to perform cardiac compressions against a client's wishes d. Discussing care of a comatose client with the family

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

A nurse is administering evening medications and notices that a medication was omitted during the day shift. Which statement demonstrates the principle of accountability? a. Administering the medication with the other evening medications b. Telling the client that the medication will be given the following morning c. Filling out an occurrence report and notifying the healthcare provider d. Documenting in the chart a narrative note about the occurrence

c. Filling out an occurrence report and notifying the healthcare provider

A nurse reports to the charge nurse that a client medication due at 9 am was omitted. Which principle is the nurse demonstrating? a. Altruism b. Social justice c. Integrity d. Autonomy

c. Integrity

Which is a characteristic of the care-based approach to bioethics? a. The need to emphasize the relevance of clinical experience b. The rightness or wrongness of an action independent of its consequences c. The promotion of the dignity and respect of clients as people d. The need for an orientation toward service

c. The promotion of the dignity and respect of clients as people

Ethical distress is: a. being aware of the principles of right and wrong. b. supporting the rights of a client during hospitalization. c. knowing the correct action but being unable to perform it due to constraints. d. having trouble deciding which of two conflicting ethical principles to follow.

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

What is likely to have the greatest influence on an adolescent's formation of values during this developmental stage? a. School administration b. Work c. Awareness of other cultures d. Peers

d. Peers