Verified Test Bank Ethical Aspects Of Nursing Practice Ch.4

Chapter 4: Ethical Aspects of Nursing Practice

MULTIPLE CHOICE

1. The nurse is caring for a patient who has a health-care practitioner’s order to ambulate three times a day. The last two times the nurse has requested the patient ambulate, the patient has refused. After explaining both the benefits of ambulating and the consequences of not ambulating, the patient still refuses to get out of bed. The nurse documents that patient’s refusal and notifies the health-care provider. What core professional value is the nurse upholding with this patient?

1. Integrity

2. Human dignity

3. Autonomy

4. Altruism

ANS:

2. The nurse is caring for four patients. In which patient situation is the nurse utilizing the core professional value of social justice?

1. The nurse notifies a social worker after talking to a patient who is unable to keep his blood glucose within a normal range and discovers that the patient is unable to shop for himself and depends on family members to bring him food, much of which is fast food.

2. The nurse is caring for a patient who is hearing impaired and ensures that a sign language interpreter is present when the health-care provider explains the patient’s lung cancer treatment plan.

3. The nurse is caring for a patient who is waiting for the results of a lung biopsy. When the patient asks the nurse if the biopsy is back and what does it show, the nurse responds, “Yes, the biopsy is back and your health-care provider will be here within 30 minutes to discuss the results with you.”

4. The nurse is caring for a patient who refuses to receive any blood products even though the patient’s hemoglobin is 5.7 mg/dL. The nurse discusses the benefits of receiving the transfusion, but the patient still refuses so the nurse notifies the health-care practitioner of the patient’s decision.

ANS:

3. The nurse is caring for a patient who has limited vision. Which ethical principle is the nurse upholding by ensuring that there are no obstacles present between the patient’s bed and the bathroom?

1. Veracity

2. Confidentiality

3. Fidelity

4. Beneficence

ANS:

4. The nurse leader of an acute care facility has set up a policy for the nursing staff concerning using vacation time. This policy states that nursing staff may use only 40 hours of vacation at any one time to prevent staffing deficiencies. A nurse requests to use 80 hours of vacation to be able to take a cruise. The decision is that 40 hours of vacation time is the maximum allowed. What ethical theory is the nurse leader using in this situation?

1. Utilitarianism

2. Deontology

3. Principlism

4. International Council of Nurses Code of Ethics

ANS:

5. The nurse is caring for a teenage girl who just gave birth to a baby girl. The patient tells the nurse that she is planning to breastfeed, but the nurse responds, “I’m just going to bring you formula for your baby. You are very young and breastfeeding requires a lot of patience and is difficult for women who are much more mature than you are.” What nonethical principle is the nurse demonstrating in this statement and action to the patient?

1. Paternalism

2. Malpractice

3. Negligence

4. Deception

ANS:

6. The nurse is caring for a patient who is scheduled for an upcoming surgical procedure. Which action by the nurse is an example of the ethical principle of fidelity? The nurse

1. refuses to disclose the patient’s personal information to a family friend.

2. asks the patient to share the information about the procedure the surgeon gave them.

3. asks the patient’s family member to sign the consent for the procedure.

4. informs the patient of their diagnosis even though the family did not want them to know.

ANS:

7. The nurse is caring for a 95-year-old patient recently diagnosed with stage 4 pancreatitis and who is refusing to eat. After explaining the consequences of not eating, the patient still refuses to eat. The nurse documents that patient’s refusal and notifies the health-care provider. Which ethical principle is the nurse upholding by supporting the patient’s decision?

1. Veracity

2. Fidelity

3. Autonomy

4. Nonmaleficence

ANS:

MULTIPLE RESPONSE

8. A nursing assistant approaches the nurse manager and complains of bullying behavior by one of the registered nurses. The nurse leader is aware that what behaviors constitute or are a result of bullying? Select all that apply.

1. Claims the actions cause humiliation

2. Gossiping occurs around the nursing assistant

3. Registered nurse (RN) does not use please or thank you when discussing required tasks

4. Nursing assistant feels nauseated every time it is time for work

5. States the RN told others that the nursing assistant does not work hard enough

ANS:

9. The psychiatric home health nurse is making a visit to a patient with a history of schizophrenia to administer an intramuscular injection that produces a prolonged therapeutic effect. On entering the house, the nurse observes the patient to be standing up with a rigid posture. What criteria will the nurse use to determine whether this patient should be treated at this time? Select all that apply.

1. The benefit of treatment outweighs any harm that the nurse may incur.

2. The patient has never been violent with the nurse before.

3. The nurse’s care will probably prevent harm, loss, or damage to the patient.

4. The patient is at a significant risk of harm, loss, or damage if the nurse does not assist.

5. The nurse must respect the patient’s autonomy.

ANS:

10. A nurse approaches the nurse manager to inform them that a patient with terminal cancer requested a DNR from the health-care provider, but the health-care provider refused and ordered another round of chemotherapy. The nurse leader is aware that the nurse may be experiencing a threat to their moral integrity that includes which of the following? Select all that apply.

1. Moral distress

2. Moral obligation

3. Moral courage

4. Moral uncertainty

5. Moral resilience

ANS: