Fundamentals Nursing Prep U Chapter 6 Values, Ethics, and Advocacy

A nurse volunteers to serve on the hospital ethics committee. Which of the following indicates that the nurse knows what the purpose of an ethics committee is?

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

Identify the activities of value processing. Select all that apply.

• Choosing • Acting • Prizing

A nurse arrives on the medical unit wearing large dangling earrings. This is an example of which type of conduct?

Unprofessional

The nurse is engaged in dialogue with a client in an effort to identify the client's values. Value systems are often formally embedded and integrated into:

religion

What would be an example of the nurse practicing fidelity? The nurse:

stays with the client during his death as promised.

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

the promotion of the dignity and respect of clients as people

Socialization into the nursing profession may have the most significant effect on:

values

Which word is best described by the following: the protection and support of another's rights?

Advocacy

A nurse states to the client that she will keep her free of pain. However, her family wishes to try a treatment to prolong her life that may necessitate withholding pain medication. This factor will cause an ethical dilemma for the nurse in relation to which ethical principle?

Fidelity

A nurse pulls the curtains before changing the dressing of the surgical wound on the abdomen of a post-surgical client. What value is served?

Dignity

A client is brought to the emergency department by an adult child, who states, "I am unable to care for my parent anymore. Although I would like to, financially and physically I can't do it anymore." What ethical problem does the nurse identify with the adult child?

Distress

A nurse cultivates dispositions that enable practicing nursing in a manner in which he or she believes in. This nurse is displaying what essential element of ethical agency?

Ethical character

A nursing student learns to model behavior exemplified by the instructor. What behavior does the nursing student want to emulate?

Ethical conduct

A parent teaches his or her children not to drink and drive; however, the parent does drink and drive. This action causes

Failure to reflect own values

A nurse is providing care for a client with cancer. The client's wife indicates that she does not want her husband to be told he is terminal. This is a breach of which ethical principle?

Fidelity

A nursing student reports to the instructor that a medication due at 9 a.m. was omitted. Which of the following principles is the student demonstrating?

Integrity

In the delivery of care, the nurse acts in accordance with nursing standards and the code of ethics and reports a medication error that she has made. The nurse is most clearly demonstrating which professional value?

Integrity

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 parent of a high school student age 17 years is allowing the child to make the decision on the college that will be attended. When the child requests direction from the parent in making this decision, the parent responds by stating, "you will need to make this decision on your own." What type of value transmission is the parent displaying?

Laissez-faire

The nurse is managing the care for a post operative client. How does the nurse demonstrate advocacy?

Limiting visitors due to client complaining of pain

A nurse is having lunch in the break room and overhears the other nurses talking about a difficult client in an inappropriate way. The nurses attempt to engage them in the conversation. Which of the following responses by the nurse would best represent behavior that supports the value of human dignity in nursing practice?

Saying that she believes that this discussion is inappropriate and disrespectful to the client and that she does not want to be a part of it

One value associated with the functional health pattern of activity and exercise is

Sensory pleasure

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 her judgments based on her expertise. Which of the following types of health care decision making does this represent?

Shared decision making

A nurse is aware that the principle of autonomy is being applied in which situation?

The client has decided to stop chemotherapy treatments.

Nursing students in an ethics class have been asked to define "ethics." What would be the best definition of ethics?

The formal, systematic study of moral beliefs.

To practice ethically, the nurse should:

avoid allowing her judgment to guide practice.

A nursing faculty is presenting a lecture on ethics. The correct definition of ethical distress is:

knowing the correct action, but unable to perform due to constraints

Which action most clearly demonstrates a nurse's commitment to social justice?

lobbying for an expansion of health care resources and benefits

The nursing student demonstrates the need for further instruction with which statement concerning moral values?

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

Which of the following best describes feminist ethics?

An approach critiquing existing patterns of oppression and domination in society.

Which ethical principle is related to the idea of self-determination?

Autonomy

Which nursing actions describe the use of the professional value of altruism? Select all that apply.

• A nurse demonstrates an understanding of the culture of his or her client. • A nurse becomes a mentor to a student nurse working on the floor. • A nurse respects the right of a Native American/First Nations client to call in a shaman for a consultation.

The graduate nurse is beginning practice after taking NCLEX. What professional values should the nurse determine are of importance to always incorporate into practice? Select all that apply.

• Altruism • Autonomy • Human dignity • Social Justice

A nurse manager receives negative survey results citing a decrease in the quality of patient care. What areas does the nurse manager research as a causative factor in the decrease of quality care delivery? Select all that apply.

• Inadequate staffing patterns • Decreased satisfaction of nurses in the workplace

The nurse strives to uphold human dignity when providing care to clients. What behavior exemplified by the nurse would be included? Select all that apply.

• Protects the privacy of the client • Maintains confidentiality • Provides culturally competent care

A nurse instructor is educating students about the use of ethical agency in nursing practice. Which statements accurately represent the basic principles of ethics? Select all that apply.

• The ability to be ethical begins in childhood and develops gradually. • Ethics is a systematic inquiry into the principles of right and wrong conduct. • A commitment to developing one's ability to act ethically is known as one's ethical agency.

Which nursing actions best describe the use of the professional value of human dignity? Select all that apply.

• The nurse includes the client in developing the plan of care • A nurse provides privacy for an older adult client. • A nurse plans individualized nursing care for her clients. • A nurse refuses to discuss a client with a curious friend.

A nursing instructor is discussing The Code of Ethics with students. Which response indicates an understanding of the tenets of the Code of Ethics for Nurses? Select all that apply.

• The nurse maintains standards of personal conduct. • The nurse is active in developing a core of research based principles. • The nurse holds personal information as confidential.

A nurse seeks to incorporate the principle of bioethics known as nonmaleficence when caring for clients in a long-term care facility. Which nursing actions best exemplify this principle?

• The nurse performs regular client assessments for pressure ulcers. • The nurse follows "medication rights" when administering medicine to clients.

A nurse who is infected with human immunodeficiency virus (HIV) accidentally gets a cut while debriding a wound, exposing the client to possible HIV infection. Failure of the nurse to report this incident violates which ethical principles? (Select all that apply.)

• nonmaleficence • veracity • fidelity