A nurse has been offered a position on an obstetric unit and has learned that the unit offers
therapeutic abortions, a procedure which contradicts the nurse’s personal beliefs. What is the
nurse’s ethical obligation to
...
A nurse has been offered a position on an obstetric unit and has learned that the unit offers
therapeutic abortions, a procedure which contradicts the nurse’s personal beliefs. What is the
nurse’s ethical obligation to these patients?
A)
The nurse should adhere to professional standards of practice and offer service to these
patients.
B)
The nurse should make the choice to decline this position and pursue a different nursing
role.
C) The nurse should decline to care for the patients considering abortion.
D) The nurse should express alternatives to women considering terminating their pregnancy.
Ans: B
Feedback:
To avoid facing ethical dilemmas, nurses can follow certain strategies. For example, when
applying for a job, a nurse should ask questions regarding the patient population. If a nurse is
uncomfortable with a particular situation, then not accepting the position would be the best
option. The nurse is only required by law (and practice standards) to provide care to the patients
the clinic accepts; the nurse may not discriminate between patients and the nurse expressing his
or her own opinion and providing another option is inappropriate.
2.
A terminally ill patient you are caring for is complaining of pain. The physician has ordered a
large dose of intravenous opioids by continuous infusion. You know that one of the adverse
effects of this medicine is respiratory depression. When you assess your patient’s respiratory
status, you find that the rate has decreased from 16 breaths per minute to 10 breaths per minute.
What action should you take?
A) Decrease the rate of IV infusion.
B) Stimulate the patient in order to increase respiratory rate.
C) Report the decreased respiratory rate to the physician.
D) Allow the patient to rest comfortably.
Ans: C
Feedback:
End-of life issues that often involve ethical dilemmas include pain control, “do not resuscitate”
orders, life-support measures, and administration of food and fluids. The risk of respiratory
depression is not the intent of the action of pain control. Respiratory depression should not be
used as an excuse to withhold pain medication for a terminally ill patient. The patient’s
respiratory status should be carefully monitored and any changes should be reported to the
physician.
3.
An adult patient has requested a “do not resuscitate” (DNR) order in light of his recent diagnosis
with late stage pancreatic cancer. The patient’s son and daughter-in-law are strongly opposed to
the patient’s request. What is the primary responsibility of the nurse in this situation?
A) Perform a “slow code” until a decision is made.
B) Honor the request of the patient.
C) Contact a social worker or mediator to intervene.
D) Temporarily withhold nursing care until the physician talks to the family.
Ans: B
Feedback:
The nurse must honor the patient’s wishes and continue to provide required nursing care.
Discussing the matter with the physician may lead to further communication with the family,
during which the family may reconsider their decision. It is not normally appropriate for the
nurse to seek the assistance of a social worker or mediator. A “slow code” is considered
unethical.
4.
An elderly patient is admitted to your unit with a diagnosis of community-acquired pneumonia.
During admission the patient states, “I have a living will.” What implication of this should the
nurse recognize?
A) This document is always honored, regardless of circumstances.
B) This document specifies the patient’s wishes before hospitalization.
C) This document that is binding for the duration of the patient’s life.
D) This document has been drawn up by the patient’s family to determine DNR status.
Ans: B
Feedback:
A living will is one type of advance directive. In most situations, living wills are limited to
situations in which the patient’s medical condition is deemed terminal. The other answers are
incorrect because living wills are not always honored, they are not binding for the duration of the
patient’s life, and they are not drawn up by the patient’s family.
5.
A nurse has been providing ethical care for many years and is aware of the need to maintain the
ethical principle of nonmaleficence. Which of the following actions would be considered a
contradiction of this principle?
A) Discussing a DNR order with a terminally ill patient
B) Assisting a semi-independent patient with ADLs
C) Refusing to administer pain medication as ordered
D) Providing more care for one patient than for another
Ans: C
Feedback:
The duty not to inflict as well as prevent and remove harm is termed nonmaleficence. Discussing
a DNR order with a terminally ill patient and assisting a patient with ADLs would not be
considered contradictions to the nurse’s duty of nonmaleficence. Some patients justifiably require
more care than others.
6.
You have just taken report for your shift and you are doing your initial assessment of your
patients. One of your patients asks you if an error has been made in her medication. You know
that an incident report was filed yesterday after a nurse inadvertently missed a scheduled dose of
the patient’s antibiotic. Which of the following principles would apply if you give an accurate
response?
A) Veracity
B) Confidentiality
C) Respect
D) Justice
Ans: A
Feedback:
The obligation to tell the truth and not deceive others is termed veracity. The other answers are
incorrect because t
[Show More]
.png)
.png)
.png)
![Preview of [SOLVED] EDCO 740 / EDCO740 Quiz 1 (LATES 2021/2022 Graded A)](https://scholarfriends.com/storage/EDCO_740_Quiz_1.png)
