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Foundation ch.6 prep
Question | Answer |
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To practice ethically, the nurse should avoid: | allowing the nurse's own judgment to guide practice. |
Which scenario is an example of the laissez-faire approach to value transmission? | Allowing a child to decide not to have an intravenous line inserted |
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? | Shared decision making |
The foundation for decisions about resource allocation throughout a society or group is based on the ethical principle of: | justice. |
Which ethical principle is related to the idea of self-determination? | Autonomy |
Which word is best described as protection and support of another’s rights? | Advocacy |
A nurse reports to the charge nurse that a client medication due at 9 am was omitted. Which principle is the nurse demonstrating? | Integrity |
A nurse knows that the expression "Do not cause harm" refers to which ethical principle? | Nonmaleficence |
A nurse is administering evening medications and notices that a medication was omitted during the day shift. Which statement demonstrates the principle of accountability? | Filling out an occurrence report and notifying the healthcare provider |
The nurse is managing the care for a postoperative client. How does the nurse demonstrate advocacy? | Limiting visitors due to the client reporting pain |
Ethical distress is: | knowing the correct action but being unable to perform it due to constraints. |
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 |
Which theory of ethics prioritizes the nurse's relationship with clients and the nurse's character in the practice of ethical nursing? | Care-based ethics |
To practice ethically, the nurse should avoid: | allowing the nurse's own judgment to guide practice. |
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 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 is most likely to experience ethical distress in which client situation? | Continuing intravenous fluids for a client who wants to die |
A nurse’s friend states, “I admire you so much. I would love to be a nurse, but I don’t think I have the courage.” Which response will the nurse make? | “You can work on being more courageous as you learn to be a nurse.” |
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 practice is evaluated as a portion of the nurse’s annual review. Which practice(s) would cause the evaluator to reduce the nurse’s score on this section of the review? Select all that apply. | The nurse is frequently late to work. The nurse often speaks harshly to cleaning staff and transport workers. |
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 | Moral resilience |
Nursing practice consistent with the Code of Ethics for Nurses includes which actions? Select all that apply. | Delivering culturally safe care Acknowledging that the client is the focus and center of care and remains a part of the treatment team Protecting the client’s right to confidentiality and privacy |
What would be an example of the nurse practicing fidelity? The nurse: | stays with a client during death as promised. |
Which nursing action demonstrates the principle of fidelity? | Filing an incident report after making a medication error |
Which nursing action(s) best demonstrate the ethical principle of autonomy? | The nurse checks to ensure an informed consent document is signed prior to transferring the client for a surgical procedure. The nurse documents that a client refused a new medication. |
Which is the best definition of ethics? | The formal, systematic study of moral beliefs |
an adult child, who states, "I am unable to care for my parent anymore. Although I would like to, financially and physically I can't do it anymore." What ethical problem is the adult child experiencing? | Distress |
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. | 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 learns to adopt behavior modeled by a charge nurse. What ethical principle or behavior is the nurse most likely to learn through this process? | Ethical conduct |
The nurse is making a concerted effort to ensure that the less acute client still receives a reasonable amount of time, attention, and care during the course of the shift. Which ethical principle is the nurse attempting to practice? | Justice |
A client requests that the nurse allow the client 15 minutes two times a day for prayer during hospitalization. What value does this represent? | Foundation value |
A nurse practices the ethical principle of autonomy when providing nursing care for clients. Which nursing actions best describe the use of this value? Select all that apply. | A nurse reads The Patient Care Partnership to a visually impaired client. A nurse asks the surgeon to further explain details of a surgery to a client before obtaining informed consent. |