PrepU -- Chapter 6: Values, Ethics, Advocacy
The International Council of Nurses (ICN) Code of Ethics for Nurses (2005) has which elements? Select all that apply.
-People -Practice -Profession -Coworkers
An illegal immigrant with no health insurance sustained life-threatening injuries following an automobile accident. Which action demonstrates the ethical principle of justice?
Airlifting the client to a local trauma center for emergency surgery
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?
Culturally
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
The nurse is managing the care for a postoperative client. How does the nurse demonstrate advocacy?
Limiting visitors due to client c/o pain
A home care nurse visits a client who is confined to bed and is cared for by a chemically dependence adult child. The home is cluttered and unclean and the nurse notes that the client is wet with urine, has dried feces on the buttocks, and signs of dehydration are present. After caring for the client, the nurse contacts the health care provider and reports the incident to Adult Protective Services. What ethical framework does the nurse determine is occurring?
Nonmaleficence
To practice ethically, the nurse should:
avoid allowing her judgment to guide practice.
Which action most clearly demonstrates a nurse's commitment to social justice?
lobbying for an expansion of health care resources and benefits
What would be an example of the nurse practicing fidelity? The nurse:
stays with the client during his death as promised.
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:
Ethical distress
Which statement best conveys the concept of ethical agency?
Ethical practice requires a skill set that must be conscientiously learned and nurtured.
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
An employee health nurse is assisting a stressed, working mother with value clarification. Which of the following best defines value clarification?
a process by which people come to understand their own values and value systems
A nurse educator understands that his teaching was effective regarding the Code of Ethics for Nurses when students make which statement?
"The code is an expression of nursing's own understanding of its commitment to society."
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 values
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?
Feminist
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 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?
Justice
A nurse is of the Catholic faith and votes pro-life. He is considered to have:
Personal 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 no further pursuit of treatment is desired. 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?
ethical values
A nurse is asked to serve on an ethics committee. Which roles of the nurse would the nurse be required to fill on the committee? Select all that apply.
serving as a liaison between the family and the committee members presenting explanations about technical terminology advocating for the client's wishes