A nurse has completed four hours of his eight-hour shift on a medical-surgical unit when he receives a phone call from the nursing supervisor. The nursing supervisor informs him that he needs to give a report to the othe
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A nurse has completed four hours of his eight-hour shift on a medical-surgical unit when he receives a phone call from the nursing supervisor. The nursing supervisor informs him that he needs 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 he has been busy with his client assignment 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? - ANSWER Allocation of scarce nursing resources
A parent teaches his or her children not to drink and drive; however, the parent does drink and drive. This action causes - ANSWER Failure to reflect own values
A client age 46 years has been diagnosed with cancer. He has met with the oncologist and is now weighing his options to undergo chemotherapy or radiation as his treatment. This client is utilizing which ethical principle in making his decision? - ANSWER Autonomy
Which example best describes feminist ethics? - ANSWER An approach critiquing existing patterns of oppression and domination in society
A nurse volunteers to serve on the hospital ethics committee. Which indicates that the nurse knows the purpose of an ethics committee? - ANSWER Assist in decision making based on the client's best interests
A nurse knows the ethical term "Do not cause harm" is an example of - ANSWER Nonmaleficence
A nursing student is studying the principle of autonomy. Which example most accurately depicts this principle? - ANSWER describing surgery to a client before the consent is signed
An illegal immigrant with no health insurance sustained life-threatening injuries following an automobile accident. Which action demonstrates the ethical principle of justice? - ANSWER airlifting the client to a local trauma center for emergency surgery
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? - ANSWER Autonomy
A nurse gives the 400 IU of a vitamin supplement that was in the client's medications instead of the 200 IU that was prescribed. The dosage was given when the unit was busy admitting three clients and another client was in crisis. Which action(s) by the nurse demonstrate the professional value of integrity? Select all that apply. - ANSWER The nurse completes a variance or incident report.
The nurse documents the dose given.
A client rings the call bell to request pain medication. Upon performing the pain assessment, the nurse informs the client that she will return with the pain medication. The nurse's promise to return with the pain medication is an example of which principle of bioethics? - ANSWER Fidelity
A nurse is providing care for three clients on a medical unit, two of whom are significantly more acute than the third. 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 of the following is the nurse attempting to enact? - ANSWER Justice
A nurse believes that abortion is an acceptable option if a pregnancy results from a situation of rape. What is the best description of this belief? - ANSWER Personal morality
What would be an example of the nurse practicing fidelity? The nurse: - ANSWER stays with the client during his death as promised.
Which of the following is a characteristic of the care-based approach to bioethics? - ANSWER the promotion of the dignity and respect of clients as people
Which traits are examples of virtues that can exemplify character and conduct as a professional nurse? Select all that apply. - ANSWER Trustworthiness
Humility
Compassion
A nurse shows client advocacy by: - ANSWER offering a hospice consultation to a client who is terminally ill.
A nurse is administering evening medications and notices that a medication was omitted during the day shift. Which statement demonstrates the principle of accountability? - ANSWER filling out an occurrence report and notifying the health care provider
When providing nursing care to clients, the nurse is required to adhere to ethical values and legal rules to guide practice behavior. Which values would be included? Select all that apply. - ANSWER Veracity
Fidelity
Privacy
Confidentiality
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? - ANSWER "You can work on being more courageous as you learn to be a nurse."
In the delivery of care, the nurse acts in accordance with nursing standards and the code of ethics and reports a medication error that she has made. The nurse is most clearly demonstrating which professional value? - ANSWER Integrity
A nurse is of the Catholic faith and votes pro-life. He is considered to have: - ANSWER personal values.
Which nursing situation is an example of an ethical dilemma? - ANSWER Performing cardiac compressions when a signed Do Not Resuscitate order (DNR) is not available
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