ch 6
It is time for a nurse to renew licensure. The nurse says, "I need some really easy and quick continuing education hours. I don't understand why we have to do these every year." What is the nurse's coworker's best response?
"Life-long learning is part of the code for nurses."
Which statement by the nurse is an example of deception?
"This injection of procaine will feel like a little pinch."
A nurse's friend states, "I admire you so much. I would love to be a nurse, but I don't think I have the courage." Which response will the nurse make?
"You can work on being more courageous as you learn to be a nurse."
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.
A nurse is involved in ethical decision-making. Place the steps in the order that the nurse will follow to achieve an ethical decision. Use all options.
Describe the situation and factors associated with the ethical problem. Clarify that the issue is ethical in nature. Identify options and explore short- and long-term consequences. Make the decision. Determine the effectiveness of the decision and implications for the future
Which nursing action demonstrates the principle of fidelity?
Filing an incident report after making a medication error
The nurse has an ethical dilemma and is using the ethical decision-making steps to guide to a correct decision. Place in order the steps the nurse uses in this process.
Gather data and assess the situation. Identify the ethical problem. Identify and weigh the alternatives. Implement the decision. Evaluate the decision
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
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?
Laissez-faire
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 charge nurse is always careful to listen carefully to clients and to be respectful of their privacy and care needs. The nurse says, "I want the staff on this unit to see me interacting with clients in the manner I would like for them to interact with clients." The nurse is using which technique to guide value development of the staff?
Modeling
A nurse knows that the expression "Do not cause harm" refers to which ethical principle?
Nonmaleficence
A client continues to complain of pain despite receiving medication. The family states, "In our culture it is acceptable to complain out loud." What would be the best response by the nurse?
Tell me more about your cultural beliefs.
Nurses must maintain the privacy of clients. Which example is a breach in privacy and would pose an ethical problem?
Taking a picture of a client with the nurse's cell phone
Which action would cause a charge nurse to have concerns about a nurse's moral agency?
The nurse was seen at a grocery store after calling in sick.
Which is a characteristic of the care-based approach to bioethics?
The promotion of the dignity and respect of clients as people
A client tells the nurse that the client does not want to have a painful procedure. By respecting and supporting the client's right to make decisions, the nurse is demonstrating:
advocacy
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 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 health care provider 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.
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?
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?
feminist
A client rings the call bell to request pain medication. On performing the pain assessment, the nurse informs the client that the nurse will return with the pain medication. After a few moments, the nurse returns with the pain medication. The nurse's returning with the pain medication is an example of which principle of bioethics?
fidelity
A nurse reports to the charge nurse that a client medication due at 9 am was omitted. Which principle is the nurse demonstrating?
integrity
Ethical distress is:
knowing the correct action but being unable to perform it due to constraints.
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 cannot do it anymore." What ethical problem is the adult child experiencing?
moral distress
A nurse obtains an order for a bed alarm for a confused client. This is an example of which ethical principle?
paternalism
The nurse is attempting to clarify the values of an adolescent client. The nurse should identify what factor as having the greatest influence on an adolescent's value formation during this developmental stage?
peers
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
What is the term for the beliefs held by the individual about what matters?
values
