Chap 6: Prep-U

A nurse is caring for a hospitalized client. Which nursing actions demonstrate a caring and compassionate attitude? Select all that apply

Offering snacks and beverages to visiting family Notifying the client before leaving for lunch Listening to the client tell stories about past experiences Explaining all nursing procedures clearly

Virtues are

cultivated dispositions of character and conduct that motivate and enable us to be good human beings.

Which statement regarding the Code of Ethics for Nurses is most accurate?

"The code is an expression of nursing's own understanding of its commitment to society."

A nurse is caring for a client with a complete spinal cord injury that has caused paraplegia. The client is very distraught and asks the nurse, "Are they sure, even with therapy, I will never walk again?" Which statement made by the nurse demonstrates veracity?

"You have a complete injury, which results in a total loss of movement and sensation below the level of injury."

A client requests that the nurse allow the client 15 minutes two times a day for prayer during hospitalization. What value does this represent?

Foundation Value

Which best defines value clarification?

A process by which people come to understand their own values and value systems

Which example best describes feminist ethics

An approach critiquing existing patterns of oppression and domination in society

Which ethical principle refers to the obligation to do good?

Beneficence

A nurse is involved in ethical decision-making. Place the steps in the order that the nurse would follow to achieve an ethical decision.

Describe the situation and factors associated with the ethical problem. Clarify that the issue is ethical in nature. Identify options and explore short- and long-term consequences. Make the decision. Determine the effectiveness of the decision and implications for the future.

A nurse who is caring for a new mother realizes that the woman is not prepared to go home with her newborn after a hospital stay of only 24 hours. However, hospital policy dictates that the mother be discharged. This nurse may be faced with which moral problem?

Ethical distress

Which statement best conveys the concept of ethical agency?

Ethical practice requires a skill set that must be conscientiously learned and nurtured.

Using the nursing process to make ethical decisions involves following several steps. Which step is the nurse implementing when reflecting on the decision-making process and the role it will play in making future decisions?

Evaluation

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

Which nursing action demonstrates the principle of fidelity?

Filing an incident report after making a medication error

Which are professional values that the nurse should incorporate into practice? Select all that apply.

Human dignity Altruism Autonomy Social Justice

The nurse beginning practice would like to access the standards for ethical practice. Which organization should the nurse research for these standards?

International Council of Nurses

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 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

A nurse is reviewing The International Council of Nurses (ICN) Code of Ethics for Nurses. Based on this code, the nurse would identify which responsibilities as being fundamental? Select all that apply

Promoting health Preventing illness Restoring health Alleviating suffering

Nursing practice consistent with the Code of Ethics for Nurses includes which actions? Select all that apply

Protecting the client's right to confidentiality and privacy Delivering culturally safe care Acknowledging that the client is the focus and center of care and remains a part of the treatment team

A nurse uses the utilitarian action guiding theory when deciding how to handle the following ethical conflict: A 13-year-old client with anorexia refuses to eat food despite slowly starving to death. The parents insist that the nurse use a feeding tube to feed the client. Which statement is an example of this theory in practice?

The nurse forces food via an eating tube because the end result is good in that it will save the client's life.

Ethical practice is evaluated as a portion of the nurse's annual review. Which practice(s) would cause the evaluator to reduce the nurse's score on this section of the review? Select all that apply.

The nurse is frequently late to work. The nurse often speaks harshly to cleaning staff and transport workers.

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

The promotion of the dignity and respect of clients as people

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.