Chapter 6: Values, Ethics, and Advocacy

Ethical distress is: knowing the correct action but being unable to perform it due to constraints. having trouble deciding which of two conflicting ethical principles to follow. supporting the rights of a client during hospitalization. being aware of the principles of right and wrong. SUBMIT ANSWER

knowing the correct action but being unable to perform it due to constraints.

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

stays with a client during death as promised.

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

values

A nurse working in a critical care unit has experienced personal tragedy, extreme shortage of staff in the work environment, and health issues. The nurse has overcome much of these hardships and is now mentoring other nurses in similar situations. What behavior is this nurse demonstrating? Conscientious objection Moral distress Moral resilience Ethical dilemma

Moral resilience

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

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

Which word is best described as protection and support of another's rights? Advocacy Paternalism Autonomy Ethics

Advocacy

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 Allocation of scarce nursing resources Deception Advocacy in a market-driven environment

Allocation of scarce nursing resources

Which scenario is an example of the laissez-faire approach to value transmission? Teaching children right from wrong and telling them the reason behind a bad action Telling a child an injection will feel like a pinch before the nurse gives the injection Modeling healthy behaviors for teenagers, such as not smoking electronic cigarettes Allowing a child to decide not to have an intravenous line inserted

Allowing a child to decide not to have an intravenous line inserted

Which are professional values that the nurse should incorporate into practice? Select all that apply. Altruism Social Justice Moralizing Human dignity Autonomy

Altruism Social Justice Human dignity Autonomy

A nurse who is caring for a new mother realizes that the woman is not prepared to go home with her newborn after a hospital stay of only 24 hours. However, hospital policy dictates that the mother be discharged. This nurse may be faced with which moral problem? Ethical distress Ethical uncertainty Ethical dissatisfaction Ethical dilemma

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

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

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? Moralizing Values clarification Feminist Paternalism

Feminist

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

Filing an incident report after making a medication error

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 Modeling Responsible choice Moralizing

Laissez-faire

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

Paternalism

What is likely to have the greatest influence on an adolescent's formation of values during this developmental stage? Awareness of other cultures Peers School administration Work

Peers

A nurse is asked to serve on an ethics committee. Which roles 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 Deciding whether mechanical ventilation is appropriate for a client Making the final decision about end-of-life care Presenting explanations about technical terminology Advocating for the client's wishes

Serving as a liaison between the family and the committee members Presenting explanations about technical terminology Advocating for the client's wishes

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

Values

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? nonmaleficence justice beneficence fidelity

fidelity

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: social justice. values clarification. ethical dilemma. moral distress.

values clarification.

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? "I'm not courageous at all." "You can work on being more courageous as you learn to be a nurse." "It is more important to be smart than it is to be courageous." "You don't have to be courageous to be a nurse."

"You can work on being more courageous as you learn to be a nurse."

A nurse is caring for a client with a complete spinal cord injury that has caused paraplegia. The client is very distraught and asks the nurse, "Are they sure, even with therapy, I will never walk again?" Which statement made by the nurse demonstrates veracity? "I see you are upset; I can ask your physician to stop by and explain your injury in more detail." "It is too soon to tell. There is always a possibility you will regain movement in your legs." "Sometimes with physical therapy, a person may notice some improvement with movement." "You have a complete injury, which results in a total loss of movement and sensation below the level of injury."

"You have a complete injury, which results in a total loss of movement and sensation below the level of injury."

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

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

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

Describing a surgery to a client before the consent is signed

A nurse is most likely to experience ethical distress in which client situation? Turning and positioning a client every hour Continuing intravenous fluids for a client who wants to die Ambulating a client who is postoperative from a hip replacement Administering pain medication as ordered

Continuing intravenous fluids for a client who wants to die

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? Spiritual Economic Cultural Ethical

Cultural

The focus of the unit where a nurse works is changing. The nurse has deeply held moral and religious objections to procedures that will be commonly performed on clients on this new unit. Which action(s) should the nurse take? Select all that apply. Do not compromise the nurse's own personal moral standards. Plan to care only for clients who will not have these procedures. Discuss the situation with the unit nurse manager. Resign before the new unit focus is implemented. Be careful not to share objections with anyone.

Discuss the situation with the unit nurse manager. Do not compromise the nurse's own personal moral standards.

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

Ethical principles

The nurse is caring for clients in a hospital setting. Which situations encountered by the nurse have a significant ethical component? Select all that apply. Helping a client make end-of-life decisions Deciding when to stop cardiopulmonary resuscitation (CPR) on a client in cardiac arrest Deciding how to reassign staff in light of budget cuts Addressing a suspected breach in confidentiality Deciding which continuing education offerings to take

Helping a client make end-of-life decisions Deciding when to stop cardiopulmonary resuscitation (CPR) on a client in cardiac arrest Deciding how to reassign staff in light of budget cuts Addressing a suspected breach in confidentiality

A nurse reports to the charge nurse that a client medication due at 9 am was omitted. Which principle is the nurse demonstrating? Autonomy Social justice Integrity Altruism

Integrity

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? Human dignity Altruism Integrity Social justice

Integrity

The nurse beginning practice would like to access the standards for ethical practice. Which organization should the nurse research for these standards? Canadian Hospital Association World Health Organization International Council of Nurses Department of Health Professions

International Council of Nurses

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 ethical principle is the nurse attempting to practice? Fidelity Justice Beneficence Nonmaleficence

Justice

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

Limiting visitors due to the client reporting pain

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? Conscientious objection Moralizing Ethical dilemma Moral distress

Moral distress

The International Council of Nurses (ICN) Code of Ethics for Nurses (2012) has which elements? Select all that apply. Practice People Family Profession Coworkers

Practice People Family Profession

A nurse is reviewing The International Council of Nurses (ICN) Code of Ethics for Nurses. Based on this code, the nurse would identify which responsibilities as being fundamental? Select all that apply. Alleviating suffering Preventing illness Restoring health Promoting health Providing holistic care

Promoting health Preventing illness Restoring health Alleviating suffering

When analyzing an ethical dilemma according to the ethical framework, what is most important for the nurse to take into consideration? Conflict between competing priorities Decision-making Standards of conduct The relationship between law and values

Standards of conduct

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. 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.

Which is a characteristic of the care-based approach to bioethics? The rightness or wrongness of an action independent of its consequences The promotion of the dignity and respect of clients as people The need to emphasize the relevance of clinical experience The need for an orientation toward service

The promotion of the dignity and respect of clients as people

Nurses who value client advocacy follow what guideline? They value their loyalty to an employing institution or to a colleague over their commitment to their clients. 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 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.

What is the term for the beliefs held by the individual about what matters? Ethics Bioethics Morals Values

Values

To practice ethically, the nurse should avoid: allowing the nurse's own personal judgment to guide practice. reviewing past cases before making decisions about practice. allowing an ethics committee to guide the nurse's practice. asking the client's family about their views on caring.

allowing the nurse's own personal judgment to guide practice.

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: ethical distress. confidentiality. deception. paternalism.

ethical distress.

A nurse is of the Catholic faith and votes pro-life. This nurse is considered to have: ethics. moral agency. legal obligations. personal values.

personal values.

Nursing practice consistent with the Code of Ethics for Nurses includes which actions? Select all that apply. Assuming responsibility for care with limited collaboration with other healthcare professionals Empathizing with clients and establishing friendships when appropriate Acknowledging that the client is the focus and center of care and remains a part of the treatment team Delivering culturally safe care Protecting the client's right to confidentiality and privacy

Acknowledging that the client is the focus and center of care and remains a part of the treatment team Delivering culturally safe care Protecting the client's right to confidentiality and privacy

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 Telling the client honest information about the client's medical condition and prognosis Filing the paperwork for the client to receive retroactive health insurance Airlifting the client to a local trauma center for emergency surgery

Airlifting the client to a local trauma center for emergency surgery

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

Unprofessional

Which theory of ethics prioritizes the nurse's relationship with clients and the nurse's character in the practice of ethical nursing? Utilitarianism Deontology Care-based ethics Principle-based ethics

Care-based ethics

A parent teaches a child not to drink and drive; however, the parent does drink and drive. This action results in: a failure to model one's own values. conflict with society. insecurity and a lack of safety. a disruption in consistency.

a failure to model one's own values.

A nurse who has worked on a unit for 8 years is conflicted about asking to meet with the charge nurse about staffing ratios. Which question(s) reflect the professional value of altruism in this decision? Select all that apply. "Am I able to provide safe and efficient care to my clients?" "Are my clients receiving equal treatment?" "Can I discuss this matter without violating my client's privacy?" "Will less experienced nurses on the unit learn from my actions?" "Am I willing to take this risk to help protect my fellow nurses?"

"Am I able to provide safe and efficient care to my clients?" "Will less experienced nurses on the unit learn from my actions?" "Am I willing to take this risk to help protect my fellow nurses?"

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? "See if any of the classes we have to take at the hospital each year will count." "It is hard to get enough hours since we work full time and have families." "There is lots of free continuing education online." "Life-long learning is part of the code for nurses."

"Life-long learning is part of the code for nurses."

An older female client has just informed her family that she does not want to have surgery if the biopsy on a lung mass shows malignancy. Which statement(s), made by family members, violate the concept of feminist ethics? Select all that apply. "Let's find out what your options are before making any decisions." "You need to do what the doctor thinks is best for you." "If it was me who was sick, you would want me to have the surgery." "Of course you would have the surgery." "Daddy will want you to have the surgery."

"Of course you would have the surgery." "Daddy will want you to have the surgery." "You need to do what the doctor thinks is best for you." "If it was me who was sick, you would want me to have the surgery."

Which statement regarding the Code of Ethics for Nurses is most accurate? "The code enables nurses to provide good care to clients." "The code provides nurses with specific guidelines for practice." "The code critiques existing patterns of oppression and domination in society." "The code is an expression of nursing's own understanding of its commitment to society."

"The code is an expression of nursing's own understanding of its commitment to society."

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. "The gonorrhea test was positive. That's what the client gets for sleeping around." "I can't believe the client is giving that precious baby up for adoption." "If you are going to have extramarital sex, please protect yourself by using a condom." "If that was my mother, I sure wouldn't agree to a no-code." "Smoking has been shown to be a risk for many illnesses, including heart disease and cancer."

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

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

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

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 keeps a promise to call a client's healthcare provider regarding pain relief. A nurse researches a new procedure that would benefit a client. A novice nurse seeks the help of a more experienced nurse to insert a catheter in a client. A nurse asks the surgeon to further explain details of a surgery to a client before obtaining informed consent. A nurse stays past shift end to continue caring for a client in critical condition.

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 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. A teenage girl is punished for staying out too late with her friends. 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 teenage girl tries alcohol at a party with her friends. A boy is taught how to behave in public by his schoolteacher. Before meals, a boy says a prayer that he learned from his parents.

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

Which example best describes feminist ethics? The formal study of ethical issues that arise in the practice of nursing An approach critiquing existing patterns of oppression and domination in society 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

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. Present options about the type of care. Convince the family to choose a specific course of action. Decide the care for a client who is unable to voice an opinion.

Assist in decision making based on the client's best interests.

A client diagnosed with cancer has met with the oncologist and is now weighing whether to undergo chemotherapy or radiation for treatment. This client is demonstrating which ethical principle in making this decision? Beneficence Confidentiality Justice Autonomy

Autonomy

A nurse is providing care to a client with end-stage cancer. After weighing the alternatives, the client decides not to participate in a clinical trial offered and is requesting no further treatment. The nurse advocates for the client's decision based on the understanding that the client has the right to self-determination, interpreting the client's decision as reflecting which ethical principle? autonomy justice

Autonomy

Which ethical principle is related to the idea of self-determination? Nonmaleficence Confidentiality Beneficence Autonomy

Autonomy

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

Beneficence

The unit where a nurse works is undergoing structural changes along with changes in client load and managerial style. The nurse feels disorganized and stressed and is having difficulty sleeping. The nurse wonders if these feelings are related to the changes at work. What next step should the nurse choose in the 4A plan to address this issue? Analyzing the risks and benefits of acting to reduce the distress Committing to self-care Determining the severity of the distress Acting to make a change

Committing to self-care

When providing nursing care to clients, the nurse is required to adhere to ethical values and legal rules to guide practice behavior. Which values would be included? Select all that apply. Safety Confidentiality Fidelity Privacy Veracity

Confidentiality Fidelity Privacy Veracity

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. Make the decision. Identify options and explore short- and long-term consequences. Determine the effectiveness of the decision and implications for the future.

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.

The nurse is involved in making a decision in an ethical dilemma. Drag and drop the steps of making this decision in correct order. Use all options. Describe the situation and the contextual factors involved. Compare the outcome of actions with what was expected. Identify personal and professional moral positions of those involved. Determine that the situation is, indeed, an ethical dilemma. Identify how this situation can help with future decision-making.

Describe the situation and the contextual factors involved.Determine that the situation is, indeed, an ethical dilemma.Identify personal and professional moral positions of those involved.Compare the outcome of actions with what was expected.Identify how this situation can help with future decision-making.

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 can't do it anymore." What ethical problem is the adult child experiencing? Dissatisfaction Dilemma Uncertainty Distress

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? Implementing Planning Diagnosing Evaluating

Evaluating

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? Autonomy Nonmaleficence Justice Fidelity

Fidelity

A nurse is administering evening medications and notices that a medication was omitted during the day shift. Which statement demonstrates the principle of accountability? Filling out an occurrence report and notifying the healthcare provider Documenting in the chart a narrative note about the occurrence Administering the medication with the other evening medications Telling the client that the medication will be given the following morning

Filling out an occurrence report and notifying the healthcare provider

A client requests that the nurse allow the client 15 minutes two times a day for prayer during hospitalization. What value does this represent? Future value Free value Focused value Foundation value

Foundation value

Which traits are examples of virtues that can exemplify character and conduct as a professional nurse? Select all that apply. Humility Conflict Compassion Deception Trustworthiness

Humility Compassion Trustworthiness

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. Depend on the charge nurse to handle the issue from this point. Report the issue to the hospital medical director. Inform the family that the ethical issue has been reported.

Monitor for resolution of the problem.

A nurse is having lunch in the break room and overhears the other nurses talking about a difficult client in an inappropriate way. The nurses attempt to engage her in the conversation. Which response by the nurse would best represent behavior that supports the value of human dignity in nursing practice? Laughing and joining in the conversation, though the nurse does not believe the client is that bad Sharing what the client did to the nurse last week, though the nurse treats the client with dignity Getting up and walking out of the break room because the nurse's break is over Saying that this discussion is inappropriate and disrespectful to the client and that the nurse does not want to be a part of it

Saying that this discussion is inappropriate and disrespectful to the client and that the nurse does not want to be a part of it

A nurse is caring for an older adult who has cancer and is experiencing complications requiring a revision of the plan of care. The nurse sits down with the client and the family and discusses their preferences while sharing the nurse's own judgments based on the nurse's expertise. Which type of healthcare decision making does this represent? Shared decision making Ethical decision making Paternalistic model Client sovereignty model

Shared decision making

Several nurses on the same hospital unit communicate on the same social networking site. A nurse posts the following statement to the social networking page, "The lady in room 34 with heart failure was a train wreck!" In which manner has the nurse failed to apply the principles of confidentiality? The nurse did not fail to apply the principles of confidentiality because the client's name was not used. Sharing information about a client beyond the area of client care is unacceptable and breaches the client's confidentiality rights. The nurse did not fail to apply the principles of confidentiality because the hospital's name was not mentioned. Sharing information about the client's diagnosis is unacceptable because it is viewed by the general public and not just other nurses.

Sharing information about a client beyond the area of client care is unacceptable and breaches the client's confidentiality rights.

Which actions by the nurse demonstrate the ethical principle of fidelity? Select all that apply. Taking an extra client assignment so that the client will be cared for Taking scheduled breaks on time Performing an intervention for a client at the time that was promised Calling in sick due to a lack of sleep Maintaining current nursing registration and meeting continuing education requirements

Taking an extra client assignment so that the client will be cared for Performing an intervention for a client at the time that was promised Maintaining current nursing registration and meeting continuing education requirements

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? It is fine to complain out loud. Describe your home situation to me. Tell me more about your cultural beliefs. The pain medication should have worked by now.

Tell me more about your cultural beliefs.

The nurse has an ethical conflict regarding the client's use of marijuana to control symptoms of advanced cancer. Which argument(s) regarding this conflict reflect a utilitarian approach? Select all that apply. The client is homebound and will not be driving. The client experiences significant reduction of cancer symptoms when using marijuana. Marijuana is not legal in the client's state of residence. There is little opportunity for any other persons to divert or use the marijuana the client obtains. Specific dosages of marijuana have not been determined.

The client experiences significant reduction of cancer symptoms when using marijuana. The client is homebound and will not be driving. There is little opportunity for any other persons to divert or use the marijuana the client

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

The formal, systematic study of moral beliefs

A nurse seeks to incorporate the principle of bioethics known as nonmaleficence when caring for clients in a long-term care facility. Which nursing actions best exemplify this principle? Select all that apply. The nurse provides information to clients to help them make decisions about treatment options. The nurse acts fairly when allocating time and resources to clients. The nurse performs regular client assessments for pressure injuries. The nurse follows "medication rights" when administering medicine to clients. The nurse arranges for hospice for a client who is terminally ill. The nurse keeps promises to provide diligent care to clients.

The nurse performs regular client assessments for pressure injuries. The nurse follows "medication rights" when administering medicine to clients.

When providing nursing care to clients, the nurse is required to adhere to ethical values and legal rules to guide practice behavior. Which values would be included? Select all that apply. Veracity Privacy Confidentiality Safety Fidelity

Veracity Privacy Confidentiality Fidelity

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. altruism. confidentiality. justice.

advocacy

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

justice

A nurse shows client advocacy by: refusing to allow a spouse to stay by the bedside. insisting that a medication be taken. offering a hospice consultation to a client who is terminally ill. sending a client home with verbal discharge instructions.

offering a hospice consultation to a client who is terminally ill.