Deck 5: Values, ethics, and Advocacy

Question 1

Mrs.Occhino,68,is ordered to follow a high-protein renal diet.She tells the nurse that she will eat only food brought into the hospital by her family.Which approach by the nurse would be most helpful at this time?

A)Explain that this decision goes against doctor's orders
B)Offer to arrange for food substitutes that she likes
C)Review the rationale for the diet prescribed for her
D)Ask what led her to make this particular decision

Answer 1

Ask what led her to make this particular decision

Question 2

Aggressive cancer therapy is planned for Mr.Renaulds,80.His nurse is stressed,wondering if the therapy will actually do more harm than good because of the toxic chemicals used.This nurse is struggling with which of the following principles?

A)Autonomy
B)Justice
C)Beneficence
D)Nonmaleficence

Answer 2

Nonmaleficence

Question 3

What is the purpose of the mnemonic device LEARN?

A)Providing a framework to establish ethics rounds
B)Organizing acute care practice environments
C)Acting as a framework for solving moral distress issues
D)Enhancing collaboration in ethical decision making

Answer 3

Enhancing collaboration in ethical decision making

Question 4

Which of the following is a characteristic of ethics rounds in a health care setting?

A)Ethics rounds use only real client cases for discussion.
B)Nurses are not members of ethics committees,but can have input.
C)Ethics rounds incorporate traditional teaching approaches into discussions.
D)There is a strong focus on client clinical diagnosis and treatment.

Question 5

What is the agreed-upon basis of nursing ethics?

A)A commitment to others
B)Reflective practice
C)Professional competencies
D)Justice theory

Question 6

Which of the following is a known dimension of moral distress?

A)A breach of policy
B)Poor communication
C)A violation of values
D)An expected client death

Question 7

When faced with a difficult decision,why is it important for the nurse to distinguish between ethics and law?

A)Legal and moral actions have the same meaning.
B)An action must be both legal and moral.
C)An action can be legal but not moral.
D)A legal action offers the most benefit for the client.

Question 8

Which of the following situations describes a breach of nursing ethics?

A)A nurse takes her palliative client to a birthday party in the patient lounge.
B)During lunch in the hospital cafeteria,two nurses discuss a recent code situation on their unit.
C)Some health care agency nurses sign a petition demanding more pay for their work responsibilities.
D)An orthopedic nurse ambulates his post-operative client who is reluctant to get up.

Question 9

Which of the following statements is true regarding nursing values?

A)The CNA Code of Ethics ensures ethical practice.
B)Nursing values can influence the quality of care delivered.
C)Only selected caregiving situations have moral components.
D)Nursing values and beliefs mean the same thing.

Question 10

Mr.Terrill,71,has been admitted to hospital with a myocardial infarction and refuses to have any discussion about advanced directives.The nurse should be aware of which moral principle affecting his decision?

A)Veracity
B)Autonomy
C)Social justice
D)Nonmaleficence

Question 11

Why may client advocacy be difficult for nurses?

A)The patient navigator is the person responsible for client advocacy.
B)Being an advocate may create conflict with other team members.
C)Advocacy conflicts with the utilitarian values of nursing.
D)Nurses do not have the appropriate education to be client advocates.

Question 12

Craig,a second year undergraduate nursing student,realizes that he had omitted a step while performing an abdominal assessment on his client.Which action would indicate that he is engaging in reflective practice?

A)Requesting that his clinical instructor re-assign him to another client
B)Completing and submitting a hospital critical incident form
C)Documenting his perspective of the situation in his daily clinical journal
D)Asking one of his peers to repeat the assessment on his behalf

Question 13

Christopher,4,is terminally ill,and his parents have decided to remove him from life support.Which of the following demonstrates that the assigned nurse,Angela,practices the value of autonomy?

A)Angela suggests that they reconsider their decision.
B)She privately disagrees,but shows respect for the family.
C)Social services receives a referral from Angela.
D)Angela asks to be re-assigned to a different client

Question 14

Which of the following is true about the personal and professional values of nurses?

A)Personal values are the same as professional values.
B)Utilitarianism is an important nursing value.
C)Values clarification is a nursing intervention.
D)Personal values are always held at a conscious level.

Question 15

Mrs.Umlah,33,has recently returned from major surgery.The nurse enters her room with the intention of turning her in bed but decides against it because it would cause her great pain.What is the principle being utilized by the nurse?

A)Justice
B)Beneficence
C)Nonmaleficence
D)Advocacy

Question 16

Mr.Hakim,56,has inoperable cancer and has decided not to have chemotherapy.Although his nurse believes that everything possible should be done to preserve life,she supports his decision.Which moral principle is being employed by the nurse?

A)Respect for autonomy
B)Nonmaleficence
C)Beneficence
D)Justice

Question 17

Which of the following is true about a nursing code of ethics?

A)A code of ethics provides answers for nursing care decisions.
B)It describes the ethical commitment and values of the profession.
C)It describes the competencies required for safe practice.
D)A code of ethics is the legislation that protects the public.

Question 18

Sheena,a nurse-manager,is on a committee considering funding for a community kitchen.There is much controversy regarding a rural vs.downtown location.What moral theory would be useful to guide Sheena in her choice of location?

A)Caring
B)Deontology
C)Fidelity
D)Teleology

Question 19

Which of the following situations best illustrates values transmission?

A)A child imitates his mother's respectful actions toward older persons.
B)Police candidates attend a training lecture regarding law enforcement values.
C)New members of a non-profit organization are provided with a code of "right" actions.
D)A political leader delineates values to be taught to all school children.

Question 20

Latisha is a staff nurse who observes certain religious holidays.Her manager tries to make sure that these accommodations can be met if possible.The manager is practicing which of the following values?

A)Integrity
B)Social justice
C)Autonomy
D)Altruism

Question 21

A prenatal client,Ms.Kempter,32,admits to regularly drinking alcohol but states that she wants to have a healthy baby.In addressing this risk factor,the nurse needs to recognize that Ms.Kempter is struggling with which of the following?

A)Values transmission
B)Values clarification
C)Morals
D)Ethics

Question 22

Tyler,4,has just been admitted to the pediatric unit and is crying and scared.The nurse needs to initiate an IV and Tyler's mother asks if the procedure will be painful for him.How can the nurse practice veracity with her response?

A)Admit that many children find it painful to have an IV initiated
B)Reassure the parent that every care will be taken not to hurt her child
C)Tell her that the procedure is quick and that it should not be too bad
D)Reassure her that the procedure is very common so not to worry

Question 23

A nurse mistakenly gave a morning breakfast tray to a client who was NPO.Realizing his mistake,the nurse reported the error to the physician and client and documented the situation according to policy.This nurse demonstrated which of the following?

A)Altruism
B)Social justice
C)Integrity
D)Human dignity

Question 24

Mrs.Morgan,29,is demanding more pain medication,even though the maximum amount ordered by the physician has been administrated to her.Which of the following actions by the nurse demonstrates respect for Mrs.Morgan's autonomy?

A)Calling the physician to request further orders for pain management
B)Reassuring Mrs.Morgan that she will get her next dose as soon as it is due
C)Documenting on the chart that Mrs.Morgan has a low pain tolerance
D)Suspecting that Mrs.Morgan is exhibiting is drug seeking behaviour

Question 25

Mrs.Lingar,81,has chosen to discontinue hemodialysis but her family is not supportive of her decision.Which of the following rationales supported by the nurse demonstrates an understanding of the theory of principles-based reasoning?

A)Mrs.Lingar is of sound mind and is capable of making her own decisions regarding her health care.
B)The family needs assistance and support to better cope with her decision.
C)Mrs.Lingar's health is so deteriorated that the treatment is prolonging,rather than saving,her life.
D)The client understands her decision and the advanced stage of her disease.If she quits treatment,she will die.

Question 26

Chimiko,19,a home health care client receiving social assistance,tells the visiting nurse that she is taking nutritional supplements but,because of their cost,is diluting them so that she uses only one can,not the prescribed three cans,per day.How can the nurse advocate for this client?

A)Help the client look for available community resources
B)Tell the client that she needs to take the prescribed amount
C)Report the client's situation to her physician
D)Weigh the client on a weekly basis to monitor weight gain or loss

Question 27

A local hospital's administration plans to incorporate a struggling private clinic into its existing infrastructure,although relocating the clinic may cause transportation difficulties for some clients.The nurse should recognize that which of the following is useful in guiding such a decision?

A)Teleological theory
B)Deontological theory
C)Utilitarianism
D)Caring

Question 28

Which process implemented for continuing competence includes the stages of awareness,analysis,and new perspective?

A)Conflict resolution
B)Scope of practice
C)Communication techniques
D)Reflective practice