Deck 43: Ethics Values

Question 1

The staff development trainer considers using a feminist theory to explain the resolution of an ethical dilemma.What will the trainer use when implementing this theory?

A) Rules
B) Principles
C) Relationships
D) Risk-benefit analysis

Answer 1

Relationships

Question 2

The nurse prepares information for a newly admitted client.What should the nurse review to ensure that the client's rights are protected?

A) HIPAA laws
B) Policy manual
C) Advance directives
D) Patient Care Partnership

Answer 2

Patient Care Partnership

Question 3

A client asks the nurse to explain laboratory results; however,the nurse needs to assist another client first.A short while later,the nurse returns to discuss the laboratory results.Which more principle did the nurse demonstrate?

A) Nonmaleficence
B) Autonomy
C) Beneficence
D) Fidelity

Answer 3

Fidelity

Question 4

The ethics committee is consulted because an older client asked for a do not resuscitate order; however,the family does not agree.Which model will the ethics committee most likely use in this patient's case?

A) Social justice
B) Patient benefit
C) Autonomy
D) DNAR determination

Question 5

The family of an alert,oriented,and competent client does not agree with the client's decision to have a do not resuscitate order and asks the healthcare team to ignore the decision.The healthcare team follows the client's wishes and the family takes the matter to court.The court sides with the family and the order has to be removed.What occurred in this situation?

A) An integrity-producing (good)compromise
B) An ethically sound compromise
C) Settlement of an issue by force
D) An effort to keep peace on the unit

Question 6

Which is the third step in the MORAL decision-making model?

A) Reassess the dilemma.
B) Resolve the dilemma.
C) Review the problem.
D) Recall the history of the problem.

Question 7

The mother of a school-age child is distressed because the child does not seem to "value" anything.What should the nurse recommend to this mother?

A) Consider moralizing.
B) Implement punishment.
C) Model the desired behavior.
D) Use a laissez-faire approach.

Question 8

The nurse considers using a deontological theory for an ethical issue.What should the nurse have in anticipation of using this theory?

A) Rules
B) Beliefs
C) Values
D) Expenses

Question 9

The family of an alert,oriented,and competent client does not agree with the client's decision to have a do not resuscitate order and asks the healthcare team to ignore the decision.The nurse asks the hospital chaplain to come and help the family and the team understand each other's opposing views.Which step of the MORAL model does this illustrate?

A) M-Massage the dilemma
B) O-Outline the options
C) R-Resolve the dilemma
D) L-Look back and evaluate

Question 10

After the ventilator is discontinued from a client with a cervical injury,the nurse stays with the client to provide support.Which moral principle is the nurse demonstrating?

A) Nonmaleficence
B) Autonomy
C) Beneficence
D) Fidelity

Question 11

Which term describes the ability of nurses to base their practice on professional standards of ethical conduct and to participate in ethical decision making?

A) Ethical agency
B) Attitudes
C) Belief
D) Value neutrality

Question 12

Which consequentialist theory takes the position that the value of an action is determined by its usefulness?

A) Ethics of care
B) Utilitarianism
C) Deontology
D) Categorical imperative

Question 13

The nurse plans to use utilitarianism to address an ethical problem.What analysis will the nurse need to complete when using this framework?

A) Cost
B) SWOT
C) Root cause
D) Risk-benefit

Question 14

The adult daughter of an older client with an inoperable brain tumor asks the nurse to tell her what is wrong with the client even though the client has specifically said that no one is to know the diagnosis.What should the nurse say to the adult daughter?

A) The client has an inoperable brain tumor,but does not wish anyone to know.
B) The daughter needs to speak to the physician in charge of the client's care.
C) The client has requested that the case not be discussed with anyone,not even family.
D) The client is very sick with a serious case of pneumonia that could lead to death.

Question 15

A patient with a treatable form of breast cancer has decided not to pursue radiation or chemotherapy; however,the nurse coerces the patient into accepting the treatment by reminding her about her responsibilities with her children.What type of behavior has the nurse displayed?

A) Nonmaleficence
B) Autonomy
C) Paternalism
D) Beneficence

Question 16

A conscious and competent client who is ventilator dependent wants to be removed from the ventilator even though the nurse believes the client is committing suicide.What is the nurse demonstrating when standing at the bedside holding the client's hand?

A) Value set
B) Value system
C) Value neutrality
D) Value awareness

Question 17

Which term is defined as a belief about the worth of something that serves as a principle or a standard that influences decision making?

A) Morals
B) Attitudes
C) Beliefs
D) Values

Question 18

Which term refers to the ethical questions that arise out of nursing practice?

A) Nursing ethics
B) Bioethics
C) Ethical dilemma
D) Moral distress

Question 19

Which is true about a nursing code of ethics?

A) Legally binding
B) Not legally binding
C) Legally binding in some circumstances
D) Not admissible in court

Question 20

The nurse attends an ethics committee to discuss an issue with a client.What should the nurse keep in mind when advocating for the client?

A) Expect confrontation.
B) Prepare for a power struggle.
C) State personal feelings clearly.
D) Support the client's autonomy.

Question 21

What is the nurse's obligation in ethical decision making? Select all that apply.

A) Be a patient advocate.
B) Involve institutional ethics committees.
C) Improve one's own ethical decision making.
D) Respect patient confidentiality.
E) Avoid whistleblowers.

Question 22

The nurse is preparing an educational session that focuses on the difference between professional and personal values.What should the nurse use as an example of a professional value? Select all that apply.

A) Service
B) Loyalty
C) Altruism
D) Beneficence
E) Human dignity

Question 23

Which is an example of whistleblowing? Select all that apply.

A) Reporting fraudulent billing practices
B) Reporting patient's health status against the patient's wishes
C) Reporting unsafe work practices
D) Reporting a coworker for working under the influence of drugs
E) Reporting a hospital to The Joint Commission for substandard care

Question 24

The nurse is experiencing moral distress over an ethical issue with a client.What should the nurse do to help reduce this distress? Select all that apply.

A) Consider terminating employment.
B) Seek spiritual guidance and support.
C) Make a commitment to care for self.
D) Analyze personal values that are threatened.
E) View the situation from the other perspective.

Question 25

The nurse manager notes an increase in ethical issues related to societal factors.What has the manager identified as causing these issues? Select all that apply.

A) Cost containment
B) Moral developmental stage
C) Technological advances
D) Multicultural population
E) Increased consumer awareness