Values, Ethics, and Advocacy PrepU

What would be an example of the nurse practicing fidelity. the nurse:

stays with a client during death as promised

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."

The nurse is caring for clients in a hospital setting. Which situations encountered by the nurse have a significant ethical component?

- 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

A nurse manager receives negative survey results citing a decrease in the quality of client care. Which areas should the nurse manager research as causative factors in the decrease of quality care delivery?

- inadequate staffing patterns - decreased satisfaction of nurses in the workplace

A nurse is applying a care-based approach to an ethical dilemma. When integrating this approach, which concepts should the nurse keep in mind?

- the caring relationship is essential to the approach - clients are people and are to be respected - attention is needed to focus on each person's individual situation

Which traits are examples of virtues that can exemplify character and conduct as a professional nurse?

- trustworthiness - humility - compassion

Which nursing action(s) best demonstrates the ethical principle of autonomy? 1. The nurse reviews best practice standards for procedures commonly performed on the unit. 2. The nurse calls the prescriber when a medication dosage seems too high for the intended client. 3. The nurse checks to ensure an informed consent document is signed prior to transferring the client for a surgical procedure. 4. The nurse completes yearly continuing education requirements. 5. The nurse documents that a client refused a new medication.

3. The nurse checks to ensure an informed consent document is signed prior to transferring the client for a surgical procedure. 5. The nurse documents that a client refused a new medication.

A nurse is providing care to an older adult client who was just diagnosed with cancer. the client together with the immediate family discuss their preferences with the health care providers involved. Ultimately, the group arrives at a decision. The nurse interprets this decision-making process as reflecting which type?

shared

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 judgements based on the nurse's expertise. Which type of healthcare decision making does this represent?

shared decision-making

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

the promotion of the dignity and respect of clients as people

Nurses who value client advocacy follow what guideline?

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?

values

A nurse is most likely to experience ethical distress in which client situation? a. continuing intravenous fluids for a client who wants to die b. administering pain medication as ordered c. turning and positioning a client every hour d. ambulating a client who is postoperative from a hip replacement

a. continuing intravenous fluids for a client who wants to die

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

Which nursing situation is an example of an ethical dilemma? a. administering pain medication as ordered b. transferring a client to a step-down unit c. deciding whether to perform cardiac compressions against a client's wishes d. discussing care of a comatose client with a family

c. deciding whether to perform cardiac compressions against a client's wishes

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 health care provider 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

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?

evaluating

A client rings the call bell to request pain medication. On performing the pain assessment, the nurse informs the client that the nurse will return with the pain medication. After a few moments, the nurse returns with the pain medication. The nurse's returning with the pain medication is an example of which principle of bioethics?

fidelity

A nurse is administering evening medications and notices that a medication was omitted during the day shift. What demonstrates the principle of accountability?

filling out an occurrence report and notifying the healthcare provider

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

integrity

Ethical distress is:

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

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

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

peers

Which example MOST accurately depicts the ethical principle of autonomy? a. describing a surgery to a client before the consent is signed b. changing a dressing on a wound as needed c. administering a morning dose of insulin before breakfast d. transporting a client to a scheduled physical therapy appointment

a. describing a surgery to a client before the consent is signed

To practice ethically, the nurse should avoid:

allowing the nurse's own personal judgement to guide practice

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

Which ethical principle is related to the idea of self-determination?

autonomy

paternalism

clinicians decide what ought to be done to benefit the patient and inform the patient, and the patient's role is to comply

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?

feminist

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 cannot do it anymore." What ethical problem is the adult child experiencing?

moral distress

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

paternalism

A charge nurse has implemented staff education on nursing values. The nurse would determine that further education is required when which statement(s) is overheard? a. "I can't believe the client is giving that precious infant up for adoption." b. "The gonorrhea test was positive. That's what the client gets for sleeping around." c. "If that was my mother, I sure wouldn't agree to a no-code." d. "If you are going to have extramarital sex, please protect yourself by using a condom." e. "Smoking has been shown to be a risk for many illnesses, including heart disease and cancer."

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

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? a. "Of course you would have the surgery." b. "Daddy will want you to have the surgery." c. "You need to do what the doctor thinks is best for you." d. "Let's find out what your options are before making any decisions." e. "If it was me who was sick, you would want me to have the surgery."

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

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?

allocation of scarce nursing resources

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

Which scenario is an example of the laissez-faire approach to value transmission? a. teaching children right from wrong and telling them the reason behind a bad action b. allowing a child to decide not to have an intravenous line inserted c. modeling healthy behaviors for adolescents, such as not smoking electronic cigarettes d. telling a child an injection will feel like a pinch before the nurse gives the injection

b. allowing a child to decide not to have an intravenous line inserted

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

c. "This injection of procaine will fell like a little pinch."

What is the BEST definition of ethics?

the formal, systemic study of moral beliefs

A famous actor with bipolar disorder has been admitted to the mental health unit for treatment. A well-known news outlet has offered the nurse several thousand dollars to provide information or a picture of the client. The nurse knows that it is their professional duty and legal responsibility to uphold privacy and confidentiality. For each of the behaviors exhibited by the nurse, specify whether the behavior upholds the principle of privacy or confidentiality. - sharing client information only to the caregivers directly assigned to client care - keeping the door closed while conducting physical assessment - obtaining the client's permission before allowing a student nurse to assist with care - logging off the electronic health record after documenting assessment information - asking the client to sign a medical release form before providing information to the health insurance company

- Confidentiality: sharing client information only to the caregivers directly assigned to client care - Privacy: keeping the door closed while conducting physical assessment - Privacy: obtaining the client's permission before allowing a student nurse to assist with care - Confidentiality: logging off the electronic health record after documenting assessment information - Confidentiality: asking the client to sign a medical release form before providing information to the health insurance company

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.