Test Generator Questions, Chapter 3, Values, Ethics, and Legal Issues

Format: Multiple Choice

Chapter: 3

Client Needs: Safe and Effective Care Environment: Management of Care

Cognitive Level: Remember

Integrated Process: Nursing Process

Learning Objective: 2

Page and Header: Values, p. 31.

1. What are standards for decision-making that endure for a significant time in one's life?

A) Beliefs

B) Ethics

C) Roles

D) Values

2. Socialization into the nursing profession may have the most significant effect on:

A) roles.

B) values.

C) documentation.

D) planning.

3. A nursing student's attitude is defined as:

A) belief in one's self.

B) desire to do good.

C) disposition toward situations.

D) choosing between alternatives.

4. A hospice nurse is caring for a client with terminal cancer. The family would like the client to continue aggressive therapy to treat the cancer, but the client has voiced to the nurse that, after much thought, the client does not want to pursue any further treatment. The nurse speaks to the family about the client's wishes, condition, and terminal state. This action is most likely derived from which nursing obligation?

A) Legal responsibilities

B) Nursing education principles

C) Advanced practice licensure guidelines

D) Moral values

5. A dying client tells the nurse, “I don’t want to see my family because I don't want to cause them more sadness.” Which action by the nurse is most appropriate?

A) Arrange a meeting between the family and the client.

B) Help the client clarify personal values.

C) Educate the client on death and dying concepts.

D) Allow the client time for quiet reflection.

6. The differences between the pro-life and abortion rights movement are an example of:

A) values inquiry.

B) social activism.

C) ethical inconsistency.

D) values clarification.

7. The purpose of a values inquiry discussion with a group of nursing students is to:

A) examine past decisions.

B) examine social issues.

C) alter the group's views.

D) improve the group's image.

8. The nurse is engaged in dialogue with a client in an effort to identify the client's values. Value systems are often formally embedded and integrated into:

A) religion.

B) nature.

C) treatment.

D) activity.

9. During adolescence, the process of value formation is profoundly influenced by:

A) school administration.

B) work.

C) awareness of other cultures.

D) peers.

10. A nurse is contributing to the analysis of an ethical dilemma. Ethics is best defined as the branch of philosophy that addresses:

A) the relationship between law and values.

B) standards of conduct.

C) conflict between competing priorities.

D) decision-making.

11. A nurse believes that abortion is an acceptable option if a pregnancy results from a situation of rape. What is the best description of this belief?

A) Personal morality

B) Professional values

C) Ethics

D) Legal obligations

12. A nurse is of the Catholic faith and votes pro-life. The nurse is considered to have:

A) personal morality.

B) personal values.

C) ethics.

D) legal obligations.

13. A hospital owned by a Catholic order of nuns will not allow tubal ligations to be performed. This is considered to be:

A) personal morality.

B) personal values.

C) institutional policy.

D) legal obligation.

14. To practice ethically, the nurse should:

A) allow a committee to guide her practice.

B) review past cases before guiding practice.

C) avoid allowing her judgment to guide practice.

D) ask the family their views on caring.

15. A nurse is caring for a client who is a practicing Jehovah's Witness. The physician orders two units of packed cells based on low hemoglobin and hematocrit levels. The nurse states to the surgeon that it is unethical to go against the client's beliefs even though the blood counts are very low. What is the best description of the nurse's intentions?

A) Acting in the client's best interest

B) Siding with the client over the surgeon

C) Observing institutional policies

D) Being legally responsible

16. What is the function of the American Nurses Association's Code of Ethics for Nurses?

A) Serves to establish personal ethics for nurses

B) Delineates nurses' conduct and responsibilities

C) Serves as a guideline for all healthcare practice

D) Plays an important role in legal proceedings

17. A nurse is caring for a woman 28 years of age who has delivered a baby by Cesarean section. She describes her pain as a 9. The nurse medicates her for pain. This is an example of which ethical framework?

A) Justice

B) Fidelity

C) Beneficence

D) Nonmaleficence

18. A home care nurse visits a client who is confined to bed and is cared for by her daughter. The daughter is known to suffer from chemical dependence. The home is cluttered and unclean. During the assessment, the nurse notes that the client is wet with urine and has dried feces on the buttocks, and demonstrates signs of dehydration. After caring for the client, the nurse contacts the physician and reports the incident to Adult Protective Services. This is an example of which ethical framework?

A) Justice

B) Autonomy

C) Nonmaleficence

D) Fidelity

19. An emergency department nurse and healthcare team are caring for a semiconscious child age 2 years with numerous fractures and evidence of cigarette burns. They suspect child abuse. The nurse reports the family to the child abuse hotline. The nurse is following which ethical principle?

A) Beneficence

B) Nonmaleficence

C) Justice

D) Fidelity

20. A woman age 83 years who has suffered a cerebrovascular accident and is unable to swallow refuses the insertion of a feeding tube. This is an example of what ethical principle?

A) Nonmaleficence

B) Veracity

C) Autonomy

D) Justice

21. A client is in a persistent vegetative state. The client has no immediate family and is a ward of the state. Under these circumstances, who will speak on this client's behalf?

A) Surrogate decision-maker

B) Church-appointed guardian

C) A significant other

D) Her best friend

22. A legal document that states a client's health-related wishes—such as a preference for pain management if the client becomes terminally ill—and also allows the client's daughter to direct his or her care, is a(an):

A) will.

B) standard of care.

C) license.

D) advance directive.

23. The client being admitted to the oncology unit conveys personal wishes regarding resuscitation in the event of cardiopulmonary arrest. The nurse advises the client that it would be in the client’s best interest to obtain which document?

A) A will

B) A living will

C) Proof of healthcare power of attorney

D) A proxy directive

24. The foundation for decisions about resource allocation throughout a society or group is based on the ethical principle of:

A) veracity.

B) autonomy.

C) justice.

D) confidentiality.

25. An oncology client in an outpatient chemotherapy clinic asks several questions regarding his care and treatment. The nurse explains the clinic's routine, typical side effects of the chemotherapy, and ways to decrease the number of side effects experienced. What characteristic is the nurse demonstrating?

A) Veracity

B) Fidelity

C) Justice

D) Autonomy

26. A nurse states to the client that the nurse will keep the client free of pain. However, the client’s family wishes to try a treatment to prolong the client’s life that may necessitate withholding pain medication. This factor will cause an ethical dilemma for the nurse in relation to which ethical principle?

A) Fidelity

B) Veracity

C) Justice

D) Autonomy

27. When the nurse informs a client's employer of his autoimmune deficiency disease, the nurse is committing the tort of:

A) breach of contract.

B) assault.

C) invasion of privacy.

D) battery.

28. A postanesthesia care nurse is reporting about a client to the intensive care unit nurse in the elevator. There are staff members and visitors in the elevator. The postanesthesia care nurse is doing what?

A) Implementing therapeutic communication

B) Interacting to maintain coordination of care

C) Breaching the client's confidentiality

D) Maintaining the continuity of care

29. A nurse fails to administer a medication that prevents seizures, and the client has a seizure. The nurse is in violation of the Nurse Practice Act. What type of law is the nurse in violation of?

A) Criminal

B) Federal

C) Civil

D) Supreme

30. A baccalaureate-prepared nurse is applying for a nurse practitioner position. The nurse is ...

A) well educated and can perform these duties.

B) able to practice as a nurse practitioner.

C) educated to practice only with pediatric patients.

D) practicing beyond scope according to licensure.

31. When the nurse inserts an ordered urinary catheter into the client's urethra after the client has refused the procedure, and then the client suffers an injury, the client may sue the nurse for which type of tort?

A) Battery

B) Assault

C) Invasion of privacy

D) Dereliction of duty

32. The nurse is preparing to administer a medication ordered by the surgeon in a dose much higher than is recommended. What action should the nurse take?

A) Call the surgeon to clarify the order.

B) Administer the medication as ordered and chart the high dose.

C) Administer the medication and stay with the client to observe for adverse reactions.

D) Administer the medication in the usual dosage.