Exam 5: Values, Ethics and Advocacy

A newly graduated nurse commences work in a ward and quickly learns that time pressure requires her to practice differently to what she learnt at the university. This is an example of:

A 2-year-old child is admitted to the ward with severe injuries from domestic violence. The nurse tells the mother that she should go home and leave the child to rest. The moral framework the nurse has used is:

A client has been admitted to the ward after having a motor vehicle accident whilst intoxicated. The nurse on duty hides her car keys to prevent her from leaving the ward. The client asks the student nurse where her keys are. In order to be an advocate for her client the student nurse should:

Which of the following fundamental responsibilities of nurses is not included in the preamble of the International Council of Nurses Code of Ethics?

When patients and families are facing difficult choices, nurses are the ones who are there to:

A pregnant client says her main concern is that her baby will be born healthy, even though she admits to drinking alcohol on a regular basis. This client is struggling with which of the following?

A client has chosen to discontinue hemodialysis. His family is not supportive of his decision. The nurse who uses the theory of principles-based reasoning would make which of the following statements?

A nurse is having difficulty with the decision for aggressive cancer therapy in an elderly client, wondering if the therapy will actually be more harmful than the disease and knowing that the client will be subjected to harmful chemicals. This nurse is struggling with which of the following principles?

Which of the following does not describe the characteristics of a code of ethics?

Parents of a terminally ill child have decided to remove their child from life support, a decision that has met with much negative reaction. The nurse practices the value of autonomy through which of the following?

A 20-year-old client with Down syndrome is able to live in an assisted environment and work part-time for a local bookstore. The parent of this client is adamant about not initiating a course of treatment whose side-effects are unknown with Down syndrome clients. According to the nursing code of ethics, the nurse's first loyalty is to which of the following?

Enduring beliefs about the worth of a person or object are called:

A client with terminal cancer is dying. For the past several days, the client has refused food and fluids, and pushes the caregiver's hands away when attempts are made to feed the client or offer any kind of fluid. The family is considering placing a gastrostomy tube because they feel the client is "starving to death". The nurse should:

Being an effective client advocate includes all of the following except:

The nurse respecting a patient's right to make decisions even when those choices seem to the nurse not to be in the patient's best interest is said to practice the principle of:

Some of the day-to-day direct care issues found to be troublesome for nurses caring for competent adults were identified as:

A client has been complaining of pain, even though the nurse has given the client the maximum amount of medication as ordered by the physician. Which of the following demonstrates the nurse's respect for the client's autonomy?

A hospice nurse has been working closely with a client who, on several occasions, has asked about guidance and support in ending her life. The nurse, in making an ethical and moral decision, should recognise that:

The local hospital is planning to incorporate a struggling private clinic into the infrastructure of the hospital. Although relocating the clinic may cause transportation difficulty for some clients, keeping the clinic running will allow current employees as well as clients the continued benefit of the service. This is a specific example of which theory?

The International Council of Nurses Code of Ethics states that nurses have four fundamental responsibilities. They are: