PREP U QESTIONS - Chapter 6: Values, Ethics, and Advocacy
Which example best describes feminist ethics?
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.
A nurse obtain an order for a bed alarm for a confused client. This is an example of what principle?
Paternalism Making a decision for a client who is confused to prevent an injury is an example of paternalism
what is likely to have the greatest influence on an adolescent formation of values during this developmental stage?
Peers
Which word is best described as protection and support of another's rights?
Advocacy Advocacy is the protection and support of another's rights. Nurses who value client advocacy make sure their loyalty to an employing institution or colleague does not compromise their primary commitment to the client; give priority to the good of the individual client rather than to the good of society in general; and carefully evaluate the competing claims of the client's autonomy and client well-being
Which scenario is an example of the laissez-faire approach to value transmission? (let you do you)
Allowing a child to decide not to have an intravenous line inserted
which ethical principle is related to the idea of self-determination?
Autonomy Autonomy refers to self rule, or self determination: it respects the rights of clients or their surrogates to amen healthcare decisions.
Which theory of ethics prioritizes the nurses relationship with clients and the nurses character in the practice of ethical nursing?
Care-based ethics Central tot eh care-based approach to ethics is the nurses relationship with clients and the nurses "being" or character and identity.
A nursing student states he is able to put himself in his clients shoes. He states he understands the situation of the ill client. This is considered to be an act of:
Empathy The experience of empathy is an immediate projection of self to the situation of other strong emotional relations and motivation, and either appropriate caring behavior and/or related reflection
A nurse cultivates disposition that enables practicing nursing In a manner in which he or she believes in. The nurse is displaying what essential element of ethical agency?
Ethical Character Ethical character is the development or cultivation of virtues such as humility, courage, and integrity to name just a few. The development or cultivation of these virtues allows the nurse to practice in a manner in which the nurse believes in.
A nurse is acting inappropriately and has an odor of alcohol. This behavior breaches the principle of:
Ethical conduct Ethical conduct dictates that a nurse act in a professional, safe, competent manner.
A nurse working on a critical care unit was informed by a client with multiple sclerosis that they 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 clients wishes, the nurse is involved in a situation that may involve :
Ethical distress Ethical distress occurs when the nurse knows the right thing to do but either personal or institutional factors make it difficult to follow the correct course of action
Which nursing action demonstrates the principle of fidelity?
Filing an incident report after making a medication error. Fidelity means being faithful to work-related commitments and obligations.
A hospital owned by a catholic order of nuns will not allow tubal ligations to be preformed. This is considered to be:
Institutional Policy Institutional policies are guidelines developed by health care institutions to direct professional practice.
A nurse reports to the charge nurse that a client medication due at 9 am was omitted. Which principle is the nurse demonstrating?
Integrity The principle of integrity is based on the honesty of a nurse according to professional standards. In this instance, the nurse reported the occurrence of the missed medication to the charge nurse. The definition of altruism is concern for others; it can best be explained by a nurse concerned about how a client will care for self after discharge.
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?
Moral resilience Moral resilience is the developed capacity to respond well to morally distressing experiences and to emerge strong. This nurse has demonstrated that although life issues have been overwhelming, there is an emergence of strength and resilience. Moral distress occurs when you know the right thing to do but either personal or institutional factors make it difficult to follow the correct course of action. Conscientious objection is the refusal to participate in certain types of treatment and care based on the fact that these activities violate the nurse's personal and professional ethical beliefs and standards. There is not an ethical dilemma present between the nurse and the workplace.
One value associated with the functional health pattern of activity and exercise is
Sensory pleasure Values associated with activity and exercise include sensory pleasure, competition, image, and play.
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.
Which statement by the nurse is an example of deception?
"This injection of procaine will feel like a little pinch." Telling a client that an injection of procaine will feel like a little pinch is not being truthful, and is defined as a deception. Telling a client that pain medicine will be administered when it is time is being truthful. Telling a client to get out of bed also supports a nursing intervention. Teaching a client how to give an injection is important for the client to take care of himself or herself.
A charge nurse has implemented staff education on nursing values. The nurse would determine that further education is required when which statements are overheard?
"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." "I can't believe the client is giving that precious baby up for adoption."
The nurse performs regular client assessments for pressure injuries. The nurse keeps promises to provide diligent care to clients. A nurse seeks to incorporate the principle of bioethics known as nonmaleficence when caring for clients in a long-term care facility. Which nursing action(s) exemplify this principle? Select all that apply. (exemplify is examples) - The nurse arranges for hospice for a client who is terminally ill. - The nurse provides information to clients to help them make decisions about treatment options. - The nurse follows "medication rights" when administering medicine to clients. - The nurse acts fairly when allocating time and resources to clients. - The nurse performs regular client assessments for pressure injuries. - 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.
To practice ethically, the nurse should avoid:
Allowing the nurse's own personal judgement to guid practice. Personal convictions apply only to situations and decisions pertaining to the individual. In ethical professional practice, nurses should avoid allowing personal judgements to bias their treatment of clients. It is appropriate for nurses to allow ethics committee, past cases, and the views clients and their families to guide nursing practice.
A nurse is preparing a presentation about ethical and legal issues for nurses. As part of the presentation, the nurse is planning to review the different types of laws. Which example would the nurse include as an intentional tort? Select all that apply.
Assault False imprisonment Libel Intentional torts include assault, false imprisonment, and libel. Negligence is an unintentional tort. Misdemeanor is considered a crime.
A client aged 83 years who has suffered a cerebrovascular accident and is unable to swallow refuses the insertion of a feeding tube. The nurse communicates the client's wish to the family and health care team. This is an example of what ethical principle?
Autonomy
A nurse who provides the information and support that clients and their families need to make the decision that is right for them is practicing what principle of bioethics?
Autonomy
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?
Autonomy Autonomy entails the ability to make a choice free from external constraints. Beneficence is the duty to do good and the active promotion of benevolent acts. Confidentiality relates to the concept of privacy. Justice states that like cases should be treated alike.
A nurse is administering evening medications and notices that a medication was omitted during the day shift. Which statement demonstrates the principle of accountability?
Filing out an occurrence report and notifying the healthcare provider. Accountability means that when an error occurs, the nurse takes the proper actions to address int his assistance, the nurse should fill out an occurrence form for following-up and notifying the provider as the error may change outcomes in the clients condition.
A nurse is of the catholic faith and votes pro-life. This nurse is considered to have:
Personal values Personal values are ideas or beliefs a person considers important and feels strongly about.
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?
Tell me more about your cultural beliefs.
What is the term for the beliefs held by the individual about what matters?
Values Values are ideals and beliefs held by an individual or group about what matters' values act as a standard to guide one behavior.
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 on 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. there supervisor informs the nurse that the need is greater on the telemetry unit. This is an example of which ethical problem?
Allocation of scarce nursing resources
Which nursing situation is an example of an ethical dilemma?
Deciding whether to preform cardiac compressions against a clients wishes. Ethical dilemma occurs when it is difficult for a decision to made due to competing ethical principles. IF there is NO SIGNED do not resuscitate order, then legally cardiac compressions must be started. HOWEVER, if this is against the clients wishes, the nurse must weigh the ethical principles of beneficence and complying with the law against the ethical principle of autonomy.
1m 7s Report this Question 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?
Fidelity Fidelity involves keeping promises and being faithful to the promises made. In this case, the nurse tells the client that she will return in 10 minutes and then follows through with the promise. Nonmaleficence involves doing no harm and avoiding actions that deliberately harm a person. Autonomy refers to the right to make one's own decisions. Justice involves treating each person fairly and without judgment.
