Deck 30: Ethics and the Advanced Practice Nurse

Question 1

What action should the nurse take to practice nursing in the practice-based ethical system?

A)Assess whether or not the client can perform independently.
B) Prescribe medication according to the weight-based dosing formula.
C) Strengthen the client's confidence in recovery.
D) Provide the client with written education on glucose monitoring.

Answer 1

Strengthen the client's confidence in recovery.

Question 2

What action does the advanced practice nurse (APN) interpret as the client regaining power through the use of practice-based ethical systems?

A)Taking all medication as prescribed most of the time
B) Following a cardiac diet during the weekdays
C) Administering insulin according to a sliding scale
D) Discussing missed daily weights with the health-care provider

Answer 2

Administering insulin according to a sliding scale

Question 3

The nurse has made a medication error. Which action shows moral courage?

A)Refrain from reporting the medication error.
B) Report the medication error anonymously.
C) Assess the client and ensure that no harm comes to the client.
D) Discuss the medication error with the manager.

Answer 3

Discuss the medication error with the manager.

Question 4

The advanced practice nurse (APN), who follows a utilitarian ethical system, is orienting a new nurse. Which action should the new nurse expect?

A)Encouraging equal consequences for all
B) Promoting the greatest good for the greatest number
C) Following the rules, regardless of outcome
D) Expressing that certain beliefs are paramount

Question 5

Which action by the advanced practice nurse (APN) demonstrates deontology?

A)Administering medications outside of parameters
B) Helping as many clients as possible
C) Connecting with clients who hold the same beliefs
D) Picking up a client to help a coworker

Question 6

The advanced practice nurse (APN) is caring for a client on a busy cardiac unit with minimal staff. The client recently had open-heart surgery and requires increased monitoring and administration of multiple medications. Which factor does the nurse interpret as potential for moral distress?

A)Cost containment
B) Increased workload
C) Client satisfaction
D) Inadequate staffing

Question 7

The advanced practice nurse (APN) is admitting a client into a home-care agency. The client is in a wheelchair and is in need of a home health aide to assist with bathing and other personal needs. The client's insurance does not cover the home health aide. Which factor does the nurse recognize as potential for moral distress?

A)Inadequate staffing
B) Health policy constraints
C) Lack of community resources
D) Need for education

Question 8

The nurse administers an IV antibiotic to the client, who shows signs and symptoms of an allergic reaction. The nurse immediately initiates treatment. Which action by the nurse shows context of awareness?

A)Initiating treatment for the allergic reaction
B) Administering the antibiotic for infection
C) Recognizing the allergic reaction
D) Stopping the IV infusion

Question 9

Which action by the advanced practice nurse (APN) demonstrates autonomy?

A)Encouraging the client to direct the course of treatment
B) Respecting the client's decisions
C) Remaining faithful to the terms of an agreement
D) Judging the benefits and harm for the client

Question 10

Which action by the advanced practice nurse (APN) promotes freedom for the client?

A)Allowing the client to choose a method of exercise
B) Respecting the client as a unique individual
C) Keeping promises made to the client
D) Helping the client choose a therapy that provides the most benefit