Deck 5: Values, Ethics, and Advocacy

Question 1

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)The client
B)The parent
C)The physician
D)The nurse

Answer 1

The client

Question 2

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)"This client is of sound mind and is capable of making his own decisions regarding health care.It really is his decision to make."
B)"I need to try and help the family understand the client's decision so they can work through this situation together."
C)"This client's health is so deteriorated that the treatment is not saving his life.It is prolonging the ultimate outcome,which is his death."
D)"The client understands his decision and the advanced stage of his disease.If he quits treatment,he will die."

Answer 2

"This client is of sound mind and is capable of making his own decisions regarding health care.It really is his decision to make."

Question 3

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?

A)Expect high academic standards from their students
B)Are concerned with job placement of their graduates
C)Are most concerned with the successful licensure of each student
D)Work hard to make sure students are successful

Answer 3

Are most concerned with the successful licensure of each student

Question 4

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)Autonomy
B)Justice
C)Beneficence
D)Nonmaleficence

Question 5

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)Telling the client that he will have to "tough it out"
B)Calling the physician for further orders
C)Telling co-workers that this client has no pain tolerance
D)Believing the client is drug seeking

Question 6

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?

A)Choosing
B)Prizing
C)Acting
D)Clarifying

Question 7

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?

A)Help the client look for available community resources that may be of assistance.
B)Tell the client that she needs to take the prescribed amount.
C)Report the situation to the physician.
D)Weigh the client on a weekly basis to monitor weight gain or loss.

Question 8

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?
Standard Text: Select all that apply.

A)Reporting a medication error that he was responsible for making
B)Notifying the unit manager that a nurse is showing signs of being under the influence of alcohol
C)Being sure the computer screen is not visible to visitors when charting
D)Asking the client to explain in her own words the purpose of the research project she asked to act in as a participant
E)Calling the health care provider to clarify a confusing prescription for a client's pain

Question 9

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?

A)Honor the family's wishes and have them sign a consent form.
B)Talk to the physician so he or she can move forward with the family's wishes.
C)Honor the client's refusal and help the family come to terms with the situation.
D)Take the case to the hospital's ethics committee.

Question 10

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)Human dignity
B)Altruism
C)Social justice
D)Integrity

Question 11

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)Justice
B)Fidelity
C)Responsibility
D)Accountability

Question 12

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)Honor the client's wishes.
B)Not disclose any information to anyone.
C)Respect the client's privacy and confidentiality.
D)Communicate only necessary information.

Question 13

The nurse needs to insert an intravenous access device into a toddler who is crying and scared.The parent asks if the procedure is painful.When practicing veracity,what should the nurse respond to the parent?

A)"I won't lie to you.It may be easier for you if you step out until we get the line in."
B)"We'll take every care not to hurt your child."
C)"It shouldn't be too bad and I'll be quick."
D)"We do this all the time,so don't worry."

Question 14

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)Showing respect for the family
B)Respecting the parents' decision
C)Referring the parents to social services
D)Asking to be assigned to a different client

Question 15

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)Human dignity
B)Social justice
C)Autonomy
D)Altruism

Question 16

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?

A)It is a formal statement.
B)It contains the same standards as legal standards.
C)It is shared by group members.
D)It reflects legal judgments.
E)It serves as a standard for professional actions.

Question 17

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)Altruism
B)Integrity
C)Social justice
D)Human dignity

Question 18

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)Values transmission
B)Values clarification
C)Morals
D)Ethics

Question 19

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?

A)Passive euthanasia is an easy decision to arrive at.
B)Legal issues are not the same as moral or ethical ones.
C)Active euthanasia is supported in the Code for Nurses.
D)Assisted suicide is illegal in all states.

Question 20

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?

A)Teleological theory
B)Deontological theory
C)Utilitarianism
D)Caring theory

Question 21

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?
Standard Text: Select all that apply.

A)Discuss codes of ethics with the students.
B)Recommend that the students avoid ethical issues.
C)Encourage the students to discuss experiences.
D)Invite other professors to participate in a discussion.
E)Have the students interview each other about experiences.

Question 22

The nurse is addressing an ethical issue.In which order should the nurse implement the steps of this decision-making process?
Standard Text: Click and drag the options below to move them up or down.

A)Interviewing the client regarding details of the problem
B)Discussing the various results of the identified possible actions to resolve the problem
C)Determining what,if any,ethical issues exist
D)Determining whether affected parties are in ethical conflict
E)Assessing all involved parties concerning their ethical beliefs regarding the problem