principles

resect the rights of pt or their surrogates to make a healthcare decisoion

autonomy

A nurse is caring for a client who is a practicing Jehovah's Witness. The health care provider prescribes two units of packed red blood cells based on the client's low hemoglobin and hematocrit levels. The nurse states to the health care provider that it is unethical to go against the client's beliefs even though the client's blood counts are very low. What is the bestdescription of the nurse's intentions? Siding with the client over the health care provider Acting in the client's best interest Being legally responsible Observing institutional policies

Acting in the client's best interest

is the right to self-determination. Professional practice reflects autonomy when the nurse respects patients' rights to make decisions about their health care.

Autonomy

When examining values, a nurse notes that one country allows physician-assisted suicide and another outlaws it, making it punishable by imprisonment. Which factors best explain the differences in values between these two countries? Economic Ethical Spiritual Cultural

Cultural

Which best defines value clarification?

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

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

Fidelity

Which nursing action demonstrates the principle of fidelity? Administering a vaccination Witnessing a client signature on an informed consent Treating an uninsured client in the emergency department Filing an incident report after making a medication error

Filing an incident report after making a medication error

The nurse is managing the care for a postoperative client. How does the nurse demonstrate advocacy? Turning and positioning the client every 4 hours Limiting visitors due to the client reporting pain Changing the channel on the television while providing care Administering pain medication when the pain level reaches 9 on a pain scale of 0 to 10

Limiting visitors due to the client reporting pain

Which of the following actions most clearly demonstrates a nurse's commitment to social justice? Documenting nursing care in a timely, honest, and thorough manner Ensuring that a hospital patient's diet is culturally acceptable Lobbying for an expansion of Medicare eligibility and benefits Answering a patient's questions about her care clearly and accurately

Lobbying for an expansion of Medicare eligibility and benefits

A nurse practices the ethical principle of autonomy when providing nursing care for clients. Which nursing actions best describe the use of this value? Select all that apply. A nurse stays past shift end to continue caring for a client in critical condition. A nurse researches a new procedure that would benefit a client. A nurse keeps a promise to call a client's healthcare provider regarding pain relief. A nurse reads The Patient Care Partnership to a visually impaired client. A nurse asks the surgeon to further explain details of a surgery to a client before obtaining informed consent. A novice nurse seeks the help of a more experienced nurse to insert a catheter in a client.

A nurse reads The Patient Care Partnership to a visually impaired client. A nurse asks the surgeon to further explain details of a surgery to a client before obtaining informed consent.

A client aged 83 years who has suffered a cerebrovascular accident and is unable to swallow refuses the insertion of a feeding tube. The nurse communicates the client's wish to the family and health care team. This is an example of what ethical principle?

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? Fidelity Justice Autonomy Nonmaleficence

Autonomy

At the end of the day, can I lay my head on my pillow and feel peaceful and fall asleep because I lived the day according to my values and ethics.

Integrity

Am I acutely aware when people are not being treated fairly, when they lack access to quality care? Does my awareness lead to advocacy? Do I share professional nursing's commitment to securing access to affordable quality care for all?

Social Justice

Supporting fairness and nondiscrimination in the delivery of care Promoting universal access to health care Encouraging legislation and policy consistent with the advancement of nursing care and health care

Social Justice

is upholding moral, legal, and humanistic principles. This value is reflected in professional practice when the nurse works to assure equal treatment under the law and equal access to quality health care.

Social Justice

Nurses who value client advocacy follow what guideline? They make decisions for clients who are uninformed concerning their rights and opportunities. They give priority to the good of the individual client rather than to the good of society in general. They value their loyalty to an employing institution or to a colleague over their commitment to their clients. They choose the claims of the client's well-being over the claims of the client's autonomy

They give priority to the good of the individual client rather than to the good of society in general.

Which statement by the nurse is an example of deception? "I am going to teach you how to give yourself insulin." "This injection of procaine will feel like a little pinch." "It is important to get out of bed to prevent pneumonia." "I will administer your pain medication as soon as it is due."

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

A nurse working on a critical care unit was informed by a client with multiple sclerosis that the client did not wish to be resuscitated in the event of cardiac arrest. Now the client is no longer able to express 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: deception. confidentiality. paternalism. ethical distress.

ethical distress.

Be faithful to the promise you made to the public to be competent and to be willing to use your competence to benefit the patients entrusted to your care. Never abandon a patient entrusted to your care without first providing for the patient's needs.

fidelity

The foundation for decisions about resource allocation throughout a society or group is based on the ethical principle of:

justice

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: activity. religion. treatment. nature.

religion.

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

stays with a client during death as promised.

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? autonomy utilitarianism nonmaleficence veracity

utilitarianism

A nurse is preparing a client for discharge from the cardiac unit and observes cigarettes in the client's belongings. The nurse asks the client to consider the client's health and that of the client's spouse. This is an example of: values clarification. social justice. ethical dilemma. moral distress.

values clarification.

Socialization into the nursing profession may have the most significant effect on: documentation. values. roles. planning.

values.

Which best defines value clarification? An organization of values in which each is ranked along a continuum of importance, often leading to a personal code of conduct A systematic inquiry into principles of right and wrong conduct, of virtue and vice, and of good and evil, as they relate to conduct A belief about the worth of something, about what matters, that acts as a standard to guide one's behavior A process by which people come to understand their own values and value systems

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

An illegal immigrant with no health insurance sustained life-threatening injuries in an automobile accident. Which action in this case demonstrates the ethical principle of justice? Avoiding treating the client so as to not do any additional harm Filing the paperwork for the client to receive retroactive health insurance Telling the client honest information about the client's medical condition and prognosis Airlifting the client to a local trauma center for emergency surgery

Airlifting the client to a local trauma center for emergency surgery

A nurse has completed 4 hours of an 8-hour shift on a medical-surgical unit when the nursing supervisor calls. The nursing supervisor directs the nurse to give a report to the other two nurses on the medical-surgical unit and immediately report to the telemetry unit to assist with staff needs on that unit. The nurse informs the supervisor that the nurse has been busy with client assignments and feels this will overwhelm the nurses on the medical-surgical unit. The supervisor informs the nurse that the need is greater on the telemetry unit. This is an example of which type of ethical problem? Conflicts concerning new technology Deception Allocation of scarce nursing resources Advocacy in a market-driven environment

Allocation of scarce nursing resources

Am I willing to move out of my comfort zone to advocate for my patients? Would my instructor and classmates say that "my primary commitment is to my patient(s)?"

Altruism

Demonstrating understanding of the cultures, beliefs, and perspectives of others Advocating for patients, particularly the most vulnerable Taking risks on behalf of patients and colleagues Mentoring other professionals

Altruism

is a concern for the welfare and well-being of others. In professional practice, altruism is reflected by the nurse's concern for the welfare of patients, other nurses, and other health care providers.

Altruism

Do I routinely find the time to provide the information and support patients need to make truly autonomous decisions to advance their well-being and interests?

Autonomy

Honoring the right of patients and families to make decisions about health care Planning care in partnership with patients Providing information so that patients can make informed choices

Autonomy

Which ethical principle refers to the obligation to do good? Beneficence Veracity Nonmaleficence Fidelity

Beneficence

Which ethical principle refers to the obligation to do good? Nonmaleficence Veracity Fidelity Beneficence

Beneficence

A client who experienced a cesarean birth rates pain as a 9 on a 10-point scale. The nurse medicates the client for pain. This is an example of the nurse practicing which ethical principle? Nonmaleficence Fidelity Justice Beneficence

Beneficence

acting in accordance with an appropriate code of ethics and accepted standards of practice. Integrity is reflected in professional practice when the nurse is honest and provides care based on an ethical framework that is accepted within the profession.

Integrity

Which statement best conveys the concept of ethical agency? A nurse's understanding and execution of ethical practice is primarily a result of increased years of experience. Ethical practice requires a skill set that must be conscientiously learned and nurtured. Ethical practice is best learned and fostered by surrounding oneself with people who exhibit ethical character. Individuals who enter the nursing profession often innately possess ethical characteristics

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

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? Nursing education principles Legal responsibilities Ethical principles Advanced practice licensure guidelines

Ethical principles

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? Diagnosing Implementing Evaluating Planning

Evaluating

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? Planning Evaluating Implementing Diagnosing

Evaluating

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? Paternalism Values clarification Feminist Moralizing

Feminist

Do I demonstrate the same respect and compassion for every human I meet—even when this is challenging? Am I willing to "go the extra mile" for each and every patient?

Human Dignity

Providing culturally respectful and sensitive care Protecting the patient's privacy Preserving the confidentiality of patients and health care providers Designing care in partnership with the patient and with sensitivity to individual patient needs

Human Dignity

is respect for the inherent worth and uniqueness of individuals and populations. In professional practice, human dignity is reflected when the nurse values and respects all patients and colleagues.

Human Dignity

Providing honest information to patients and the public Documenting care accurately and honestly Seeking to remedy errors made by self or others Demonstrating accountability for own actions

Integrity

Question 13 of 20 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 Canadian Hospital Association Department of Health Professions World Health Organization

International Council of Nurses

Which nursing situations are examples of the care-based approach to ethics? Select all that apply. Involving the parent in the bed bath of a child Taking a week's vacation from work Documenting data in the electronic medical record Providing a back rub to a client on bed rest Holding the hand of a dying client

Involving the parent in the bed bath of a child Providing a back rub to a client on bed rest Holding the hand of a dying client

A parent of a 17-year-old high school student is allowing the child to decide which college the child will attend. 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? Moralizing Laissez-faire Modeling Responsible choice

Laissez-faire

Which action most clearly demonstrates a nurse's commitment to social justice? Ensuring that a hospital client's diet is culturally acceptable Lobbying for an expansion of healthcare resources and benefits to those in poverty Answering a client's questions about care clearly and accurately Documenting client care in a timely, honest, and thorough manner

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

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 Documenting client care in a timely, honest, and thorough manner Ensuring that a hospital client's diet is culturally acceptable Answering a client's questions about care clearly and accurately

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

A nurse works in a nursing care facility that has a policy of regularly using restraints on clients that the nurse believes is unethical. However, the nurse feels obligated to follow the policy because of a fear of being fired. This is an example of which type of ethical situation? Ethical dilemma Moralizing Conscientious objection Moral distress

Moral distress

A nurse is caring for a hospitalized client. Which nursing actions demonstrate a caring and compassionate attitude? Select all that apply. Leaving the room promptly once care is completed Notifying the client before leaving for lunch Offering snacks and beverages to visiting family Explaining all nursing procedures clearly Listening to the client tell stories about past experiences

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

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

Paternalism

Which is the best definition of ethics? The adherence to formal personal values The formal, systematic study of moral beliefs The adherence to informal personal values The informal, systematic study of moral beliefs

The formal, systematic study of moral beliefs

Which nursing action(s) best demonstrate the ethical principle of autonomy? Select all that apply. The nurse documents that a client refused a new medication. The nurse calls the prescriber when a medication dosage seems too high for the intended client. The nurse reviews best practice standards for procedures commonly performed on the unit. The nurse completes yearly continuing education requirements. The nurse checks to ensure an informed consent document is signed prior to transferring the client for a surgical procedure.

The nurse documents that a client refused a new medication.' The nurse checks to ensure an informed consent document is signed prior to transferring the client for a surgical procedure.

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 suggested that a client be moved to palliative care status. The nurse made two medication errors in the last year. The nurse is frequently late to work. The nurse often speaks harshly to cleaning staff and transport workers. The nurse requested that a specific client not be assigned his or her to care.

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

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. They choose the claims of the client's well-being over the claims of the client's autonomy. They value their loyalty to an employing institution or to a colleague over their commitment to their clients. They make decisions for clients who are uninformed concerning their rights and opportunities.

They give priority to the good of the individual client rather than to the good of society in general.

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

Unprofessional

Which word is best described as protection and support of another's rights?

advocacy

Provide the information and support patients and families need to make the decision that is right for them, including collaborating with other members of the health care team to advocate for the patient.

autonomy

Commit yourself to actively promoting the patient's benefit (health and well-being or good dying). Be sensitive to the fact that individuals (patients, family members, and professional caregivers) may identify benefits and harms differently. A benefit to one may be a burden to another. ex: provide pain meds

benefiance

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

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? Social justice Human dignity Altruism Integrity

integrity

Always seek to distribute the benefits, risks, and costs of nursing care justly. This may involve recognizing subtle instances of bias and discrimination.

justice

A nurse knows that the expression "Do not cause harm" refers to which ethical principle?

nonmaleficence

Seek not to inflict harm; seek to prevent harm or risk of harm whenever possible.

nonmaleficience

An oncology client in an outpatient chemotherapy clinic asks several questions regarding 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? autonomy veracity fidelity justice

veracity