Chapter 6 Prep U
The nurse arranges for hospice for a client who is terminally ill. Is representing what ethical principle?
Arranging for hospice care for a client who is terminally ill demonstrates the ethical principle of beneficence Beneficence is doing good for a patient.
Which nursing situation is an example of an ethical dilemma? a. Deciding whether to perform cardiac compressions against a client's wishes b. Administering pain medication as ordered c. Discussing care of a comatose client with the family d. Transferring a client to a step-down unit
a
Which theory of ethics prioritizes the nurse's relationship with clients and the nurse's character in the practice of ethical nursing? a. Care-based ethics b. Utilitarianism c. Deontology d. Principle-based ethics
a
Which word is best described as protection and support of another's rights? a. Advocacy b. Autonomy c. Paternalism d. Ethics
a
What is likely to have the greatest influence on an adolescent's formation of values during this developmental stage? a. Peers b. Awareness of other cultures c. Work d. School administration
a.
Which action would cause a charge nurse to have concerns about a nurse's moral agency? a. The nurse was seen at a grocery store after calling in sick. b. The nurse was unable to pass a required dosage calculation examination. c. The nurse often must stay after shift change to complete documentation. d. A family member complained that the nurse was slow answering call lights.
a.
Which statement by the nurse is an example of deception? a. "This injection of procaine will feel like a little pinch." b. "I will administer your pain medication as soon as it is due." c. "It is important to get out of bed to prevent pneumonia." d. "I am going to teach you how to give yourself insulin."
a. Could not feel like a pinch to a client and be considered a "lie/deception"
The nursing student is describing moral values to another student. Which statement is correct? a. "Moral values determine one's beliefs about others." b. "Moral values give individuals some sense of what is right and wrong." c. "Moral values place an emphasis on emotional attitudes." d. "Moral values are assigned by one's religion."
b
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: a. deception. b. ethical distress. c. confidentiality. d. paternalism.
b - Ethical distress occurs when the nurse knows the right thing to do but either personal or institutional factors make it difficult to follow the correct course of action. - Patient said DNR so must follow what patient said.
Ethical distress is: a. supporting the rights of a client during hospitalization. b. being aware of the principles of right and wrong. c. knowing the correct action but being unable to perform it due to constraints. d. having trouble deciding which of two conflicting ethical principles to follow.
c
Which traits are examples of virtues that can exemplify character and conduct as a professional nurse? Select all that apply. - Humility - Conflict - Deception - Trustworthiness - Compassion
humility, trustworthiness, compassion
An older adult was just diagnosed with stage 4 pancreatic cancer. The client states, "I am so overwhelmed and I feel like everyone has already decided that I need to be put in hospice care." The nurse upholds the principle of autonomy by:
- offering to answer questions the client may have about care and treatment options - providing the client with the information needed to obtain a second opinion
The nurse provides information to clients to help them make decisions about treatment options. Is representing what ethical principle?
Autonomy. Autonomy is clients making decisions about their own direction of care and health.
The nurse keeps promises to provide diligent care to clients. Is representing what ethical principle?
Fidelity. - keeping your word or promise. like saying you will be back in 10 minutes and making sure you or staff member is back in 10 minutes.
The nurse acts fairly when allocating time and resources to clients. Is representing what ethical principle?
Justice
What is the term for the beliefs held by the individual about what matters? a. Values b. Bioethics c. Ethics d. Morals
a
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? a. dissatisfaction b. ethical dilemma c. ethical uncertainty d. moral distress
d
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? a. Paternalistic b. Client sovereignty c. Clinical d. Shared
d
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? a. Conscientious objection b. Moralizing c. Ethical dilemma d. Moral distress
d
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? a. "You don't have to be courageous to be a nurse." b. "It is more important to be smart than it is to be courageous." c. "I'm not courageous at all." d. "You can work on being more courageous as you learn to be a nurse."
d
To practice ethically, the nurse should avoid: a. allowing the nurse's own personal judgment to guide practice. b. allowing an ethics committee to guide the nurse's practice. c. reviewing past cases before making decisions about practice. d. asking the client's family about their views on caring.
allowing the nurse's own personal judgment to guide practice R: In ethical professional practice, nurses should avoid allowing personal judgments to bias their treatment of clients. It is appropriate for nurses to allow an ethics committee, past cases, and the views of clients and their families to guide nursing practice.
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? a. Autonomy b. Nonmaleficence c. Fidelity d. Justice
c. R: Fidelity is keeping your word or promise. in this case, the nurse came back 10min later like they said.
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 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 nurse seeks to incorporate the principle of bioethics known as nonmaleficence when caring for clients in a long-term care facility. Which nursing action(s) exemplify this principle? Select all that apply: a. The nurse keeps promises to provide diligent care to clients. b. The nurse acts fairly when allocating time and resources to clients. c. The nurse arranges for hospice for a client who is terminally ill. d. The nurse provides information to clients to help them make decisions about treatment options. e The nurse performs regular client assessments for pressure injuries. f. The nurse follows "medication rights" when administering medicine to clients.
e, f - Nonmaleficene is avoidance of causing harm on patient
