Prep U Chapter 6

A nurse obtains an order for a bed alarm for a confused client. This is an example of which ethical principle?

Paternalism

Ethical distress is:

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

Which nursing situation is an example of an ethical dilemma?

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

Which statement by the nurse is an example of deception?

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

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

Which example best describes feminist ethics?

An approach critiquing existing patterns of oppression and domination in society

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.

Identify the activities a nurse uses in the process of valuing. Select all that apply.

Choosing Acting Prizing

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

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

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

Lobbying for an expansion of healthcare resources and benefits to those in poverty

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

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

The promotion of the dignity and respect of clients as people

To practice ethically, the nurse should avoid:

allowing the nurse's own personal judgment to guide practice.

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 shows client advocacy by:

offering a hospice consultation to a client who is terminally ill.

What is likely to have the greatest influence on an adolescent's formation of values during this developmental stage?

peers

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

values.

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 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. A) sharing client information only to the caregivers directly assigned to client care B) logging off the electronic health record after documenting assessment information C) obtaining the client's permission before allowing a student nurse to assist with care D) keeping the door closed while conducting physical assessment E) asking the client to sign a medical release form before providing information to the health insurance company

A) Confidentiality B) Privacy C) Privacy D) Confidentiality E) Confidentiality

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 ethical principle refers to the obligation to do good?

Beneficence

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

A nurse reports to the charge nurse that a client medication due at 9 am was omitted. Which principle is the nurse 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 the nurse has made. The nurse is most clearly demonstrating which professional value?

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

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

personal values.

The nurse strives to uphold human dignity when providing care to clients. Which behaviors by the nurse would best exemplify this value? Select all that apply.

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