Ethics and values ch.22 review questions

Which statement probably apply in ethical principle to justify access to healthcare? (Select all that apply)

- access to healthcare reflects the commitment of Society to principles of beneficence and justice - if low income compromises access to care, respect for autonomy is compromised. - poor access to affordable health care causes harm that is ethically troubling because nonmaleficence is a basic principle of health care ethics.

Which statement reflect the difficulty that can occur for agreement on a common definition of the word quality when it comes to the quality-of-life? (select all that apply)

-Community values influence definitions of quality, and they are subject to change over time. -Individual experiences influence perceptions of quality in different ways, making consensus difficult. -statistical analyst is difficult to apply when the outcome cannot be qualified.

What is the best order of these steps to achieve resolution?

1. Recognize that the problem requires ethics 2. Gather all relevant information regarding the clinical, social, and spiritual aspects of the problem 3. Take time to clarify values and identify the ethical elements, such as principles and key relationships involved 4. Articulate a statement of the problem or dilemma that you are trying to resolve 5. List all the possible actions that could be taken to resolve the problem 6. Develop and implement a plan to address the problem.

Define each term

Advocacy: A patient at the end of life wants to go home to die, but the family wants every care possible. The nurse contacts the primary care provider about the patients request. Responsibly: Tell your patient that you will return in 30 mins to give him his next pain medication. Accountability: Your administrator a once a day cardiac medication at the wrong time, but no body sees it. However, you contact the provider and your head nurse and follow agency procedure. Confidentiality: you see an open medical record on the s computer and close it so that no one else can read the record without proper access.

When designing a plan for pain management for a patient falling surgery, the nurse assesses the patient priority is to be as free of pain as possible. The nurse and patient work together to identify a plan to manage the pain the nurse continually reviews The plan with the patient to ensure that the patient's priority is met. If the nurses actions are driven by respect for autonomy, what aspect of this scenario best demonstrates that?

Asking the patient to establish the goal for pain control

The effects of care suggest that ethical dilemmas can be solved by attention to relationships and how does this differ from another approach to ethical problems (select all that apply)

Ethics of care pays attention to the context in which caring occurs. Ethics of care Requires understanding the relationship between involved parties. Ethics of care considers the decision makers relationship with other involved parties.

The application of deontology does not always resolve an ethical problem. Which of the following statements best explains one of the limitations of the deontology?

In a diverse community I can be difficult to find an agreement on which principles of rules are most important

What is the best response for the nurse to give if a patient asked to send a photo of an x-ray to him via a messaging tool and social media site?

No, because health information of any kind should not be shared on social media

The nurse is caring for a patient who needs a liver transplant to survive. This patient has been out of work for several months, does not have health insurance, and cannot afford the procedure. Which of the following statements speaks to the ethical elements of this case?

The healthcare team showed select a plan that considers the principle of justice as it pertains to the distribution of healthcare resources

Resolution of an ethical problem involves discussion with the patient, the patient's family, and participants from appropriate healthcare disciplines. Which statement best describes the rule of the nurse in the resolution of ethical problems?

To articulate the nurses unique point of you, including knowledge based on clinical and psychosocial observations