EAQ Ethics/Advocacy

A nurse manager receives a complaint from a client that a particular staff member had been rude when providing care. The nurse, rather than punishing the staff member, listens to his or her side of the story and then talks to the client to clarify the misunderstanding. Which leadership theory is reflected in this scenario?

situational-contingency theory

The ___ officer applies disaster triage tags after evaluating the client's condition.

triage

A nurse notes that the pain relief measures provided to that client have been ineffective. The nurse formulates a different plan of care. This is an example of which ethic?

fidelity

Which carative factor of Watson's transpersonal caring theory is reflected when the nurse practices loving kindness in practice?

forming a human-altruistic value system

The ____ assumes overall leadership for implementing the emergency plan.

hospital incident commander

Blood glucose level of less than 72 mg/dL indicates ____.

hypoglycemia

Before a treatment requiring informed consent can be performed, what information must the client be given? (4)

1. Alternative treatment options 2. Risks and benefits of the treatment 3. Risks involved in refusing the treatment 4. Nature of the problem requiring the treatment

What are the elements of discovery of a lawsuit? (3)

1. Experts 2. Medical records 3. The depositions of witnesses

True or false: The hearing for suspension or revocation of a licensure occurs in a formal courtroom setting.

False A panel of professionals usually conducts the hearing for suspension or revocation of a license.

___ can be an effective method of generating a large volume of creative and innovative ideas.

Brainstorming

____ is a decision-making strategy that involves systematically collection and summarizing opinions and judgements on a particular issue from followers.

Delphi technique

___ theory refers to a perceived probability of fulfilling a particular need based on experience.

Expectancy

____ propose that the natural human urge to be influenced by relationships is a positive value.

Feminist ethicists

____ power arises from one's possession of selected information that is needed by others.

Information

A nurse leader is educating student nurses in helping clients to perform their difficult self-care activities. Which key idea from a Source of Power is this statement referring to?

Information Power

A nurse leader is educating student nurses in helping clients to perform their difficult self-care activities. Which key idea from a Source of Power is this statement referring to?

Information power

When the lungs, in an attempt to compensate for lower pH, blow off CO2 is referred to:

Kussmaul Respirations

A nurse administers intravenous (IV) therapy to the wrong client. What possible legal complications might the nurse face in such situation?

Malpractice

___ programs are established to expand knowledge of cultural diversity among staff.

Mentorship

__ strategy allows group members the opportunity to provide input into the decision-making process.

Nominal group technique

The nurse manager uses operant conditioning when managing the staff by providing positive reinforcement to motivate them to repeat constructive behavior. Which leadership theory is reflected in this practice?

Organization behavior (OB) modification

A staff member is planning to start a new job but is worried about the impact it might have on future growth opportunities. The nurse leader is helping the member understand all the implications. What ethical principle is the nurse manager as a leader following?

Paternalism rationale: assisting person to make decisions when they do not have sufficient data

___ power is possessed by virtue of one's position within an organization or a group.

Position

Which team member acts as a liaison between the health care facility and the media?

Public information officer

A primary nurse completes a nursing assessment of all assigned clients and develops a care plan for each client. Which element of decision-making does the nurse execute in this situation?

Responsibility

Which component of decision-making refers to the duties and activities an individual is employed to perform?

Responsibility

____ theory encourages an adaptive leadership style to focus on the issue being faced.

Situational-contingency

A nurse notes that a famous client has received an incorrect dose of medication due to the malfunction of the IV device, but does not inform the primary healthcare provider. Instead the nurse tells a colleague that the medication could not be given due to the client's inappropriate behavior. The nurse then updates media personnel about the client's health status. What legal charges may be brought up against the nurse? (3)

Slander, Malpractice, Invasion of Privacy

In order to prolong a hospitalization stay, the nurse documents in a client's electronic health record (EHR) that there are no signs of recover. However, in reality, the client appears to be cured of the illness. What legal implication does the nurse's action have?

The nurse be charged with libel.

When caring for a client with major depression, what do nurses usually have the most difficulty dealing with?

The pervasive quality of the depression

____ theory explains a set of leadership traits that influence others toward a common goal.

Trait

True or false: CPR is not performed on adult clients who have already consented to a DNR order either verbally or in writing.

True

True or false: a minor can give consent for any venereal disease.

True

___ theory involves application of hygiene factors and motivational factors to avoid and promote job enrichment.

Two-factor

An adult client with mobility problems wishes to become an organ donor. Which act allows the client to donate his or her organs?

Uniform Anatomical Gift Act

What sage of Kohlberg's theory of moral development defines "right" by the decision of the conscience?

Universal ethical principle orientation

In an organization, the leader is providing specific feedback regarding positive performance to his or her subordinate. Which leadership theory behavior is being displayed by the leader?

expectancy theory

A nurse applying restraints to a conscious client to feed him is an example of ___.

false imprisonment

_____ involves tolerating differences of opinions.

Value clarification

The professional obligation of a nurse to assume responsibility for actions is referred to as what?

accountability

A nurse developed and implemented a discharge teaching plan based on the specific needs of a hospitalized client. Which element of decision-making does the primary nurse exhibit in this situation?

autonomy

A nurse ensures that the client understands the risks and benefits of an experimental treatment before signing the appropriate consent form. This is an example of which ethic?

autonomy

A nurse who promotes freedom of choice for clients in decision-making best supports which principle?

autonomy

Which performance appraisal method is used by nurse managers to measure the performance of the nurse both qualitatively and quantitatively?

behaviorally anchored rating scales

Which carative factor includes providing a connection with the client?

instilling faith-hope

A visitor from a room adjacent to a client asks the nurse what disease the client has. The nurse responds, "I cannot discuss any client's illness with you." What legal issue supports the nurse's response?

invasion of privacy

A written document that directs treatment according to the client's wishes, in case of a terminal illness or condition, best describes a ____.

living will

A nurse fails to act in a reasonable, prudent manner. Which legal principle is most likely to be applied?

malpractice

The _______ decides the number, acuity, and resource needs of a client.

medical command physician

The universal ethical principle orientation stage is associated with a person who wants to _______

modify a law if it does not seem just.

A nurse carefully evaluates the advantages and disadvantages of the client's plan of care to ensure that the risks do not outweigh the benefits is an example of which ethic?

nonmaleficence

The nurse receives information about a client through another nurse. The nurse then finds that information has some missing facts. What critical thinking attitude would the nurse use to clarify the information after talking to the client directly?

perseverance

In a nurse malpractice lawsuit, the client is the ___ while the nurse is the ____.

plaintiff defendant

An act that lacks intent but involves volitional action best describes a ____.

quasi-intentional tort

A ___ power is involved when a student nurse is granted association with a powerful person.

referent

Which right of delegation refers to the giving of clear, concise descriptions of a task to the delegatee?

right communication

While reviewing a client's prescriptions, the nurse finds that one of the prescribed drugs is redundant and notifies the primary healthcare provider. Which attitude of critical thinking does the nurse exhibit?

risk taking

The purpose of ____ strategy is to explore issues, identify problems, and generate information.

focus group

Cultural ___ is defined as the tendency of an individual or group to impose their values, beliefs, and practices on another culture for various reasons.

imposition

An unemancipated minor is allowed to consent to an abortion if one of three conditions is fulfilled:

1.) Consent has been given by the court 2.) Self-consent has been granted by a court order 3.) Consent has been obtained from at least one parent

Which nurse has the following authorizations: change plans whenever necessary; function as part of the interprofessional team by communicating, planning, and implementing care directly to the client; and assess the cohort risks?

Clinical nurse leader (CNL)

__ power arises from fear of someone's real or perceived fear of another person.

Coercive

The nurse in the emergency department identifies that the admission consent form signed by a critically ill client is not legible. What statement best reflects the status of this consent?

Consent is legal. Rationale: competent adult, witnessed signature

True or false: a minor can give consent for an abortion

False Rationale: a minor can consent for pregnancy-related issues except abortions

What does the professional nurse consider to be the center of decision-making when providing client care?

ethics of care

Cultural ____ describes the affective behaviors in individuals such as the capacity to feel, convey, and react to ideas, habits, and customs or traditions unique to a group of people.

sensitivity

How can a nurse best evaluate the effectiveness of communication with a client?

client feedback

A primary healthcare provider notes that all conventional treatment procedures have proved to be ineffective in managing a client's disorder. The primary healthcare provider decides to try an experimental treatment. The nurse ensures that the client has understood the implications of the new treatment plan and then signs the client's consent form as a witness. Which basic healthcare ethic does the nurse follow in this situation?

autonomy

A nurse assisting in a research study calculates the risk-benefit ratio and concludes that there were no harmful effects associated with a survey of diabetic clients. This researcher was applying which principle?

beneficence

A nurse withholds a prescribed opioid medication from a client with intractable pain because the nurse fears the client will become addicted. In this situation the nurse is adhering to which ethical principle?

beneficence

The _____ is the unlicensed assistive personnel whose scope of practice is limited to providing basic care and comfort to the client.

client attendant

Cultural ____ is the process in which the health care provider continuously strives to achieve the ability to effectively work within the cultural context of a client, individual, family, or community.

competence

A nurse helps a client to clarify health problems and choose appropriate courses of action. Which competency is community-based practice is the nurse exercising?

counselor

Which characteristics should the nurse use during the nursing process as a guide for delegation?

critical analysis

Cultural ___ describes a vast range of cultural differences among individuals or groups.

diversity

A legal document that designates a person or persons chosen by a client to healthcare decisions on his/her behalf when the client is unable to do so best describes a _____.

durable power of attorney

The nurse acts as a(n) ____ by establishing relationship with community service organizations.

educator

The nurse acts as a(n) ___ when he or she is involved in case finding, heath teaching, and tracking incident rates for an illness.

epidemiologist

A nurse is caring for a client who refuses to be touched by people of certain skin color. The nurse continues providing care since other colleagues refuse to attend to the client. This demonstrates which ethic?

fidelity

A nurse monitors a client after providing nonpharmacological measures to relieve anxiety due to hospitalization is an example of which ethic?

fidelity

Accepting a client's decision to refuse convulsive therapy as a treatment for chronic depression demonstrates that nurse knows the importance of engaging in what?

self-awareness

____ involves following laws without question, where as ___ involves civil disobedience.

social contract orientation universal ethical principle orientation