Prep U Chapter 6 Values, Ethics and Beliefs
peers
During adolescence, the process of value formation is profoundly influenced by:
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?
Ethical practice
requires a skill set that must be conscientiously learned and nurtured
utilitarianism
the doctrine that actions are right if they are useful or for the benefit of a majority.
Altruism
the principle or practice of concern for the welfare of others -- selflessness
Deception
"This injection of Novocain will feel like a little pinch" is an example of ?
laissez faire
"to let people do as they please." Applied to parenting, the term refers to a permissive style in which parents avoid providing guidance and discipline, make no demands for maturity, and impose few controls on their child's behavior.
Distress
A client is brought to the emergency department by her son, who states, "I am unable to care for my mother anymore." The nurses identifies this son's ethical problem as being which of the following?
limiting visitors due to client complaining of pain
The nurse is managing the care for a post operative client. How does the nurse demonstrate advocacy?
Valuing
The nurse is managing the care of a terminally ill client whose spouse insists that all measures be continued. The nurse speaks to the spouse about obtaining a hospice consult. This is an example of "ethical":
values
What are standards for decision making that endure for a significant time in one's life?
Beneficence
action that is done for the benefit of others, obligation to do good
fidelity demonstration
filing an incident report after making a medication error is a demonstration of ?
examine social issues
he purpose of a values inquiry discussion with a group of nursing students is to:
Nonmaleficence
non-harming or inflicting the least harm possible to reach a beneficial outcome.
Ethics
The formal, systematic study of moral beliefs.
autonomy
A client age 46 years has been diagnosed with cancer. He has met with the oncologist and is now weighing his options to undergo chemotherapy or radiation as his treatment. This client is utilizing which ethical principle in making his decision?
Feminist
A female client is brought to the emergency room with matted hair, bruising, and malnutrition. The nurse suspects physical abuse and neglect. The nurse states, "this happens to many women." Which type of ethical approach is the nurse exhibiting?
demonstration of nonmaleficence
A home care nurse visits a client who is confined to bed and is cared for by her daughter. The daughter is known to suffer from chemical dependence. The home is cluttered and unclean. During the assessment the nurse notes that the client is wet with urine and has dried feces on her buttocks, and demonstrates signs of dehydration. After caring for the client, the nurse contacts the physician and reports the incident to Adult Protective Services. This is an example of which ethical framework?
Moral values
A hospice nurse is caring for a client with terminal cancer. The family would like the client to continue aggressive therapy to treat the cancer, but the client has voiced to the nurse that, after much thought, he does not want to pursue any further treatment. The nurse speaks to the family about the client's wishes, condition, and terminal state. This action is most likely derived from which nursing obligation?
A nurse researches the culture of a Muslim patient when planning patient care.
A nurse demonstrates the professional value known as altruism when caring for patients in a long-term care facility. What is an example of a nursing action based on this value?
acting in the client's best interest
A nurse is caring for a client who is a practicing Jehovah's Witness. The physician orders two units of packed cells based on his low hemoglobin and hematocrit levels. The nurse states to the surgeon that it is unethical to go against the client's beliefs even though his blood counts are very low. What is the best description of the nurse's intentions?
example of beneficence
A nurse is caring for a woman 28 years of age who has delivered a baby by Cesarean section. She describes her pain as a 9. The nurse medicates her for pain. This is an example of which ethical framework?
standards of conduct.
A nurse is contributing to the analysis of an ethical dilemma. Ethics is best defined as the branch of philosophy that addresses:
personal values.
A nurse is of the Catholic faith and votes pro-life. He is considered to have:
Assault, False imprisonment, Libel
A nurse is preparing a presentation about ethical and legal issues for nurses. As part of the presentation, the nurse is planning to review the different types of laws. Which example would the nurse include as an intentional tort? Select all that apply. Misdemeanor Assault False imprisonment Libel Negligence
Justice
A nurse is providing care for three clients on a medical unit, two of whom are significantly more acute than the third. The nurse is making a concerted effort to ensure that the less acute client still receives a reasonable amount of time, attention, and care during the course of the shift. Which of the following is the nurse attempting to enact?
D,E
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? a. The nurse provides information to clients to help them make decisions about treatment options. b. The nurse keeps promises to provide diligent care to clients. c. The nurse acts fairly when allocating time and resources to clients. d. The nurse follows "medication rights" when administering medicine to clients. e. The nurse performs regular client assessments for pressure ulcers.
hospice
A nurse shows client advocacy by offering _____ consultation to a client who is terminally ill.
Fidelity (staying faithful to someone)
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 (to remain loyal to the patient)
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?
The nurse forces food via an eating tube because the end result is good in that it will save the patient's life
A nurse uses the utilitarian action guiding theory when deciding how to handle the following ethical conflict: A 13-year old female patient with anorexia refuses to eat food despite the fact that she is slowly starving to death. The parents insist the nurse use a feeding tube to feed her. Which statement is an example of this theory in practice?
Ethical distress
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, but hospital policy dictates that the mother be discharged. This nurse may be faced with which moral problem?
Autonomy
A nurse who provides the information and support that clients and their families need to make the decision that is right for them is practicing what principle of bioethics?
ethical distress
A nurse working on a critical care unit was informed by a client with multiple sclerosis that she did not wish to be resuscitated in the event of cardiac arrest. The client is no longer able to express her wishes, and the family has informed the physician that they want the client to be resuscitated. Aware of the client's wishes, the nurse is involved in a situation that may involve what?
ethical conduct
A nursing student learns to model behavior exemplified by the instructor. This is an example of?
demonstration of integrity
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?
disposition towards situations
A nursing student's attitude is defined as:
utilitarianism principle
A public health nurse is involved in planning a community outreach program for a large assisted living community. Due to the aging population within the community, the program will offer hypertension screening and management. This decision is based on which principle?
A teenage boy explores religions of friends in hopes of developing his own faith. A teenage girl tries alcohol at a party with her friends.
A school nurse interviewing parents of a child who is doing poorly in school determines that the parents practice a laissez-faire method of discipline. What are examples of this form of value transmission? Select all that apply.
Demonstration of autonomy
A woman age 83 years who has suffered a cerebrovascular accident and is unable to swallow refuses the insertion of a feeding tube. This is an example of what ethical principle?
airlifting the client to a local trauma center for emergency surgery
An illegal immigrant with no health insurance sustained life-threatening injuries following an automobile accident. Which action demonstrates the ethical principle of justice?
feminist ethics
An approach critiquing existing patterns of oppression and domination in society.
Veracity
An oncology client in an outpatient chemotherapy clinic asks several questions regarding his care and treatment. The nurse explains the clinic's routine, typical side effects of the chemotherapy, and ways to decrease the number of side effects experienced. Which characteristic is the nurse demonstrating?
d. Veracity Explanation: Veracity means telling the truth, which is essential to the integrity of the patient-provider relationship. 90
An oncology patient in an outpatient chemotherapy clinic asks several questions regarding his care and treatment. The nurse explains the clinic's routine, typical side effects of the chemotherapy, and ways to decrease the number of side effects experienced. What characteristic is the nurse demonstrating? a) Fidelity b) Autonomy c) Justice d) Veracity
A, C
Nurses have cited specific reasons for a decrease in the quality of patient care. Select all that apply. a. Inadequate staffing b. Twelve hour shifts c. Decreased satisfaction d. Working weekends
They give priority to the good of the individual client rather than to the good of society in general.
Nurses who value client advocacy follow what guideline?
Sensory pleasure
One value associated with the functional health pattern of activity and exercise is
an Ethical dilemma
Performing cardiac compressions when a signed Do Not Resuscitate order (DNR) is not available is considered a(n) ?
"Moral values give individuals some sense of what is right and wrong."
The nursing student demonstrates *the need for further instruction* with which statement concerning moral values?
Evaluating
Using the nursing process to make ethical decisions involves following several steps. Which step is the nurse implementing when she reflects on the decision-making process and the role it will play in making future decisions?
Culturally
When examining values, a nurse notes that one country uses physician-assisted suicide and another country considers physician-assisted suicide as illegal and punishable with imprisonment. How are these two views on physician-assisted suicide affected?
A,B,D,E
When providing nursing care to clients, nurses are required to adhere to ethical values and legal rules to guide behavior. Which values would be included? Select all that apply. a. Veracity b. Privacy c. Safety d. Fidelity e. Confidentiality
lobbying for an expansion of health care resources and benefits
Which action most clearly demonstrates a nurse's commitment to social justice?
filing an incident report after making a medication error
Which nursing action demonstrates the principle of fidelity?
System skills
While delivering patient care, the home healthcare nurse has the ability to see the whole picture and how various parts are related to the client's diagnosis and problems in the home environment. What skills does the nurse possess that allow her to see the connection of various parts of the situation?
values clarification
a process by which people come to understand their own values and value systems
