Exam 5: Values, Ethics, and Advocacy

A client has chosen to discontinue hemodialysis.His family is not supportive of his decision.Which statement should the nurse make that demonstrates the theory of principles-based reasoning?

A nurse is working with a local agency to provide care to the inadequately insured by helping to staff an after-hours clinic.Which professional value is the nurse demonstrating?

A decision has been made for an older client to receive aggressive cancer therapy despite knowing that the therapy will actually be more harmful than the disease and subject the client to harmful chemicals.With which ethical principle is this nurse caring for this client struggling?

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 action demonstrates the nurse's respect for the client's autonomy?

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.With what should the nurse realize this client is struggling?

A nurse mistakenly gave a client who was NPO a morning breakfast tray.After realizing the mistake,the nurse notified the physician as well as the client;explained the consequences of this mistake,which included a delay in the client's scheduled procedure;and documented the situation in the client's medical record.What did this nurse demonstrate?

A student nurse accidentally left the call light outside the reach of an older client.Another nurse discovered the situation and was able to rectify the matter before something happened.The student apologizes and states the need to double check for call light placement before leaving a client's room.What behavior did the student demonstrate?

A student is attending a school with a high first-time pass rate on the NCLEX .Which student statement articulates a belief that the nursing student has about faculty in the program?

The nurse manager determines that a staff nurse demonstrates understanding of the professional responsibility to advocate for a client's health,safety,and rights.What did the manager observe to come to this conclusion about the staff nurse? (Select all that apply)

A hospice nurse has been working closely with a client who,on several occasions,has asked about guidance and support in ending her life.What information should the nurse use when making an ethical and moral decision about this client's request?

The administration of a hospital,along with nursing services,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 clinic.Which moral framework did the hospital leadership use to make this decision?

The school of nursing professor is preparing a classroom activity to assist the students in acquiring professional values.Which actions should the professor select for this assignment? (Select all that apply)

A nurse manager has a staff nurse who observes certain religious holidays.The manager tries to make sure that these observances can be met if possible.Which value is the manager practicing?

A client with a sexually transmitted illness (STI)asks the nurse to not tell anyone about the diagnosis.According to the Health Insurance Portability and Accountability Act (HIPAA)of 1996,what must the nurse do?

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

A client with terminal cancer is refusing 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." What should the nurse do?

The nurse learns that a home care client is diluting prescribed nutritional supplements because of the cost.What should the nurse do to advocate for this client?

Parents of a terminally ill child have decided to remove their child from life support,a decision that has met with little positive support.Which nursing action demonstrates autonomy regarding the parents' decision?

A client who has been blinded as result of an injury informs the rehabilitation staff of planning to return to her counseling practice and working full-time.The nurse should realize that this client is demonstrating which aspect of values clarification?

The nurse is reviewing the ANA (American Nurses Association)Code of Ethics for Nurses.What should the nurse identify as a characteristic of this code?