Exam 44: Ethics

A hospice nurse is working with a client who has ovarian cancer.The client is concerned that her two daughters are at an increased risk for cancer and asks for the nurse's help.Which actions by the nurse are appropriate? Select all that apply.

Every year,the nurse attends a nursing conference and takes several continuing education courses to help maintain licensure.Which section of the ICN Code of Ethics does this uphold?

The family of a terminally ill client requests that the client not be informed of the diagnosis.Which moral principle does the request violate?

The nurse is caring for a 22-year-old client with Down syndrome.Because the client has an intellectual disability,he is under the legal care of his parents.The client needs medical treatment for aspiration pneumonia,but the parents are declining care because they have heard that aspiration pneumonia is often fatal in clients with chronic health conditions.In addition to ethics and advocacy,what other nursing concept must the nurse factor into care decisions made in this case?

The nurse is admitting a client to the medical unit who was brought to the emergency department by a neighbor.The client states,"I ran out of my medication last week.I don't have any family or close friends to help me." Upon assessment,the nurse notes the following findings: oxygen saturation of 93% on room air,breath sounds reveal crackles bilateral bases,P 110 bpm,R 22 breaths per min,BP 110/60 mmHg.Which is the priority psychosocial nursing diagnosis for this client?

When faced with ethical dilemmas,which are some of the elements of risk management that can assist nurses in decision making? Select all that apply.

A client who was raped tells the nurse that she is planning to have an abortion because she cannot raise a child who was conceived this way;however,abortion is against her religion.Which action by the nurse is the most appropriate?

A pregnant client with a history of drug use refuses testing for human immunodeficiency virus (HIV),despite the recommendation of her nurse-midwife.Which actions by the nurse are appropriate in this situation? Select all that apply.

Which situation indicates a conflict in morality?

The nurse performing an admission assessment on a client must inform the client of client rights and responsibilities.Which client rights are considered standard by many healthcare agencies? Select all that apply.

A client tells his nurse,"I really don't like the nurse on first shift.I was treated badly." Which action should the nurse take as an advocate for this client?

A client comes to the clinic and is found to have a sexually transmitted infection (STI).The client states to the nurse,"Promise you won't tell anyone about my condition." According to the Health Insurance Portability and Accountability Act (HIPAA)of 1996,which action must the nurse take?

A nurse is providing hospice care for an older adult client.The nurse is approached by the client's adult child.The adult child believes that her other parent,who is in a nursing home,is being neglected.What suggestions can the nurse offer in this situation? Select all that apply.

An adolescent client diagnosed with leukemia decides to stop chemotherapy treatments.The parents of the client,however,want the healthcare team to continue all treatments as necessary.Which action by the nurse is appropriate when providing care to this client and family?

A client,learning that her baby has died in utero,is planning to carry the baby until natural delivery because abortion is against her religion.Which is the client demonstrating based on this data?

The nurse is caring for a client on a medical-surgical unit.The client tells the nurse that the healthcare provider has refused to treat the client further if the client continues to be noncompliant with the healthcare provider's recommendations.Which is the priority nursing action in this situation?

What are some reasons the nurse might withhold food and fluids from a client? Select all that apply.

The nurse is talking with a parent who decides to decline treatment for a 3-year-old client whose cancer has metastasized.There is a conflict between the parents and the rest of the family regarding the withdrawal of care from the child.Which should the nurse consider when determining the appropriate action for this client?

A nurse is caring for an older adult client with terminal cancer.The client's family wants to continue treatment,but the client would like to discontinue treatment and go home.The nurse agrees to be present while the client tells the family.Which principle is the nurse supporting?

The nurse is caring for an older adult client who will undergo surgery in the morning.While assessing the client,the nurse discovers that the client does not have an adequate understanding of the procedure.The nurse discusses the situation with the charge nurse to determine the best course.Which is the reason for the nurse to take action in this situation?