ETHICS
A client has a traumatic brain injury and is not able to live without artificial respiratory support and is unresponsive. The healthcare provider confers with the family, and the decision is made for the client to be extubated. For which reason would the nurse experience difficulty with this decision?
Issues with personal value
The nurse is caring for a terminally ill, pediatric client. The parents have decided to remove the child from life support. Which action by the nurse displays the role of client advocate?
Respecting the parents decision
The nurse provides morphine to a client after surgery to help with pain, even though morphine has a risk of creating dependence and addiction. Which ethical principle does the nurse apply in this situation when planning care?
Beneficence
Which term describes a form of bullying that involves forcing a physically weaker individual into doing or not doing something to avoid punishment?
Intimidation
Which leader type is suitable for ra unit which works well with group discussion and has high satisfaction with group work?
Democratic leader
Roach's theory of caring as the human mode of being
A nurse is caring for an older client with terminal cancer who makes the decision to stop treatment and go home, but the client's family wants treatment to continue. The nurse agrees to be present when the client discusses the decision with the family. Which principle is the nurse supporting?
Autonomy
The charge nurse notices that a client has a black eye that was not present when admitted to the facility, Which action by the charge nurse is appropriate?
Discuss the situation with the client in a private setting
Every year the nurse takes CEU courses, which section of the ICN code of ethics does this uphold?
Nurses and practice
Which value is the most basic to client advocacy
The client is a holistic, autonomous being who has the right to make choices and decisions.
A nurse on a medical unit is planning care for several clients. Which of the following clients should benefit most from the nurse acting as an advocate?
1) A client who has previously undergone a procedure that is to be performed for a second time
2) A client who has been educated on treatment options and chooses alternative treatments
3) A client who makes an informed decision not to participate in chemotherapy treatment
4) An older adult client who has no family and is uncertain about moving to assisted living
When a person meets their lower-level needs, they can strive to develop maximum potential and fully realize their abilities and qualities is referring to which concept?
Self-Actualization
Purpose of the ANA Code of Ethics for nurses
Serves as the profession's nonnegotiable ethical standard
In which way does accountability differ from responsibility?
Responsibility involves specific tasks that must be completed in order to fulfill a role, whereas accountability involves being answerable for the outcomes of those tasks.
A client has learned that her baby has died in utero and is planning to carry the baby until natural delivery because abortion is against her religion. Which behavior is the client demonstrating?
Morals
A nurse is caring for a client who states, “I have got to get out of this hospital! They have found my address and are coming for my family!” The nurse responds, “Don’t worry, no one will harm your family.” Which of the following types of communication breakdown does this response represent?
1) Offering sympathy
2) Offering false reassurance
3) Showing disapproval
4) Providing a passive response
A nurse is teaching about delegation to a newly licensed nurse. The following statement indicates an understanding of delegation responsibility.
I am responsible for ensuring that a delegated task is completed.
Which task/action is needed for a nurse to effectively use critical thinking?
Inquiry
When dealing with an ethical dilemma in practice, which actions are important to take
Investigating all aspects of the situation
A home health nurse suspects that another nurse providing home care to a client has been taking the client's narcotics. Which action should the nurse carry out?
Follow the reporting procedures for her agency
The family of a terminally ill client asks that the client not be informed of the diagnosis. Which moral principle does the request violate?
Veracity-duty to tell the truth
An adolescent client diagnosed with leukemia to stop chemotherapy but the parents of the client want the healthcare team to continue all treatments. Which action by the nurse is appropriate?
Providing information to the family and allowing them to voice concerns.
A nurse should identify which of the following as one of the five rights of delegation?
Right communication.
A client with aspiration pneumonia is diaphoretic, pale, and taking gasping breaths. Which is the priority nursing action?
Complete a thorough cardiopulmonary assessment
A healthcare provider refuses to provide care to a client who has been noncompliant in the past with the healthcare provider's recommendations. What is the best action for the nurse to take?
Take the issue to the hospital ethics committee
A nurse is rehearsing assertive communication approaches to use when declining leadership of a nursing department committee. Which of the following statements should the nurse make?
1) "It's just not the right time for me to do this."
2) "Everyone knows there are others who can chair this committee better than me."
3) "Can you tell me why you chose me?"
4) "I decline the opportunity at this time."
A nurse is volunteering time in a local free clinic that provides care to the underinsured population. By volunteering time to work in the clinic, this nurse is demonstrating which professional value?
Social justice
The parent of a 3-year old client whose cancer has metastasized decides to decline further treatment for their child. There is conflict between the parents and the rest of the family regarding the withdrawal of care for the child. Which information should the nurse consider when considering action?
The values of the parents.
What is the purpose of delegation?
Delegation permits a designated individual to meet a goal on your behalf.
A nurse is working with a social worker and a physical therapist in preparing a discharge projection for a client who is postoperative. Which of the following steps of the nursing process is the nurse engaging in?
Planning