Exam 44: Ethics

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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.

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A, E

A hospice nurse is working closely with a client who, on several occasions, has asked about guidance and support in ending life. The nurse recognizes which in regard to making ethical and moral decisions in this circumstance?

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A

The nurse is caring for a client who has chosen to discontinue hemodialysis. The client's family, however, is not supportive of the decision. The nurse who uses the theory of principles-based reasoning would make which statement regarding the current situation?

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C

The nurse on the mother-baby unit is confronted by a client who states, "I know my rights and you have to do what I tell you!" Which response by the nurse is most appropriate?

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Which situation indicates a conflict in morality?

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The nurse on a committee to determine the funding that each part of the hospital receives would be most concerned with which moral theory?

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

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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?

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The nurse is caring for a client in the intensive care unit (ICU)who was in a motor vehicle crash. The healthcare provider asks the nurse to extubate the client because there is no communication between the brain and body due to a cervical fracture. The family agrees with the decision of the healthcare provider, but the nurse is uncomfortable pulling the tube. Which is the reason the nurse is experiencing difficulty with this task?

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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?

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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?

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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.

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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?

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Which statement accurately describes the purpose of the American Nurse's Association's Code of Ethics for Nurses?

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A client with acquired immune deficiency syndrome (AIDS)is admitted to the acute care floor. According to a 2015 American Nurses Association (ANA)position statement, which stance addressing this bioethical issue is appropriate?

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A pregnant woman has been rushed to the operating room for an emergency cesarean section. The physician explained the procedure to the parents, and he asked the father to wait in the waiting room until the procedure is complete. The mother asked if the father could be in the room to see the baby delivered and to help make decisions about the baby's care, but the physician explained that because of the emergency situation, that wouldn't be allowed. In this situation, which client right was violated?

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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?

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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?

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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?

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A nursing instructor is discussing moral principles with a group of students. Which comment made by a student nurse indicates the need for further instruction?

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