Master Level- Chapter 6: Values, Ethics, and Advocacy

Tell me more about your cultural beliefs

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?

personal values

A nurse is of the Catholic faith and votes pro-life. This nurse is considered to have:

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?

Nonmaleficence

A nurse knows that the expression "Do not cause harm" refers to which ethical principle?

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

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?

a failure to model one's own values.

A parent teaches a child not to drink and drive; however, the parent does drink and drive. This action results in:

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

Ethical distress is:

Provide education about treatments Facilitate involvement of people essential to the decision Explain laboratory and radiology findings

A client has been diagnosed with a debilitating neuromuscular disease that has left the client tired, confused, and in pain. Which action(s) will the nurse choose to advocate for this client in planning future care? Select all that apply.

Shared decision making

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?

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

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.

allowing the nurse's own judgment to guide practice

To practice ethically, the nurse should avoid:

peers

What is likely to have the greatest influence on an adolescent's formation of values during this developmental stage?

Values

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

stays with a client during death as promised

What would be an example of the nurse practicing fidelity? The nurse:

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

Which action would cause a charge nurse to have concerns about a nurse's moral agency?

Describing a surgery to a client before the consent is signed

Which example most accurately depicts the ethical principle of autonomy?

The promotion of the dignity and respect of clients as people

Which is a characteristic of the care-based approach to bioethics?

The nurse includes the client in developing the plan of care A nurse provides privacy for an older adult client A nurse plans individualized nursing care for clients A nurse refuses to discuss a client with a curious friend

Which nursing actions best describe the use of the professional value of human dignity? Select all that apply.

Care-based ethics

Which theory of ethics prioritizes the nurse's relationship with clients and the nurse's character in the practice of ethical nursing?

Humility Compassion Trustworthiness

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