Chapter 6 PrepU - Values, Ethics and Advocacy

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?

Integrity

Which ethical principle refers to the obligation to do good?

Beneficence

The nurse has identified an ethical dilemma that has the potential to interfere with a client receiving optimal care. The nurse discussed this issue with the charge nurse on the unit. What action should the nurse choose next?

Monitor for resolution of the problem.

Which is the best definition of ethics?

The formal, systematic study of moral beliefs

What is the term for the beliefs held by the individual about what matters?

Values

Which ethical principle is related to the idea of self-determination?

autonomy

A nurse is providing care for a client with cancer. The client's spouse requests that the client not be told that the client is terminal. The nurse complies with this request. The nurse's action is a breach of which ethical principle?

fidelity

What would be an example of the nurse practicing fidelity? The nurse: regulates visitors. stays with a client during death as promised. withholds information as requested. provides continuity of care.

stays with a client during death as promised. fidely is keeping promises/being truthful

Which best defines value clarification?

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

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

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

Justice

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

A nurse uses the utilitarian action guiding theory when deciding how to handle the following ethical conflict: A 13-year-old client with anorexia refuses to eat food despite slowly starving to death. The parents insist that the nurse use a feeding tube to feed the client. Which statement is an example of this theory in practice? -The nurse forces food via an eating tube because the end result is good in that it will save the client's life. -The nurse refuses to force-feed the client because the nurse believes that force-feeding a client who refuses food is wrong even if it saves the client's life. -The nurse believes that force-feeding a client could be right or wrong depending on the process used to accomplish the action. -The nurse believes that force-feeding a client violates the principles of autonomy and nonmaleficence.

The nurse forces food via an eating tube because the end result is good in that it will save the client's life.

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

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?

Cultural

Which statement best conveys the concept of ethical agency? -Ethical practice requires a skill set that must be conscientiously learned and nurtured. -Individuals who enter the nursing profession often innately possess ethical characteristics. -Ethical practice is best learned and fostered by surrounding oneself with people who exhibit ethical character. -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.

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. Evaluate the decision. Implement the decision.

Gather data and assess the situation. Identify the ethical problem. Identify and weigh the alternatives. Implement the decision. Evaluate the decision.

Which action would cause a charge nurse to have concerns about a nurse's moral agency? -The nurse often must stay after shift change to complete documentation. -A family member complained that the nurse was slow answering call lights. -The nurse was unable to pass a required dosage calculation examination. -The nurse was seen at a grocery store after calling in sick.

The nurse was seen at a grocery store after calling in sick.

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

A charge nurse has implemented staff education on nursing values. The nurse would determine that further education is required when which statement(s) are overheard? Select all that apply. "I can't believe the client is giving that precious baby up for adoption." "The gonorrhea test was positive. That's what the client gets for sleeping around." "If that was my mother, I sure wouldn't agree to a no-code." "If you are going to have extramarital sex, please protect yourself by using a condom." "Smoking has been shown to be a risk for many illnesses, including heart disease and cancer."

"I can't believe the client is giving that precious baby up for adoption." "The gonorrhea test was positive. That's what the client gets for sleeping around." "If that was my mother, I sure wouldn't agree to a no-code."

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. -Clarify that the issue is ethical in nature. -Describe the situation and factors associated with the ethical problem. -Identify options and explore short- and long-term consequences. -Determine the effectiveness of the decision and implications for the future. -Make the decision.

-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 action most clearly demonstrates a nurse's commitment to social justice? -Lobbying for an expansion of healthcare resources and benefits to those in poverty -Ensuring that a hospital client's diet is culturally acceptable -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

What are standards for decision-making that endure for a significant time in one's life?

values

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. -Before meals, a boy says a prayer that he learned from his parents. -A boy is taken for ice cream to celebrate his good report card. -A teenage boy explores religions of friends in hopes of developing his own faith. -A boy is taught how to behave in public by his schoolteacher. -A teenage girl is punished for staying out too late with her friends. -A teenage girl tries alcohol at a party with her friends.

A teenage boy explores religions of friends in hopes of developing his own faith. A teenage girl tries alcohol at a party with her friend

Which example best describes feminist ethics? -A combination of elements of utilitarian and deontologic theories that offer specific action guidelines for practice -Attention directed to the specific situation of individual clients viewed within the context of their life narratives -The formal study of ethical issues that arise in the practice of nursing -An approach critiquing existing patterns of oppression and domination in society

An approach critiquing existing patterns of oppression and domination in society

Which example most accurately depicts the ethical principle of autonomy? -Describing a surgery to a client before the consent is signed -Changing a dressing on a wound as needed -Administering a morning dose of insulin before breakfast -Transporting a client to a scheduled physical therapy appointment

Describing a surgery to a client before the consent is signed