Situations
Beyonce is in the hospital and is your patient. She has a concert tonight and needs a Lexiscan before she can go. There are several people on the schedule already, but she demands to be put first. Thousands of people have purchased tickets and they will lose money if she misses her concert. What should the nurse do in this situation? Which ethical principle applies in the situation?
Sorry Beyonce.
Justice
In situation ethics, right and wrong depend on _________
the situation
What is the definition of nonmaleficence?
Do no harm
A nurse is assessing a client with a lesion on his skin. It is irregularly shaped and blue/brown toned. What is this a potential finding of?
Melanoma
The nurse owes the same duties to _______ as to others, including the responsibility to promote health and safety, preserve wholeness of character and integrity, maintain competence, and continue personal and professional growth.
"self"
You are caring for an 75 year old patient who presented with a swollen lymph node. After diagnostic testing, he has stage IV lymphoma. His children tell you they don't want to tell him because they don't want him to know his prognosis. What should the nurse do in this situation? What ethical principle is involved?
Tell the patient
Veracity
Deontological decision making is ________ focused
duty
What is the definition of autonomy?
Self-determination
At what age should a child have a neat pincer grasp?
11 months
The nurse collaborates with other health professionals and _________ to protect human rights, promote health diplomacy, and reduce health disparities.
"the public"
The nurse is caring for a patient on diltiazem, HCTZ, and a new prescription for metoprolol. During med pass, the nurse checks the blood pressure and it is 89/54. What should the nurse do? What ethical principle is involved?
Withold med
nonmaleficence
Teleological decision making is _______ focused
Fairness, equal distribution of benefits
Lung re-expansion OR tube obstruction
The nurse, in all roles and settings, advances the profession through research and scholarly inquiry, professional standards development, and the generation of both nursing and _________.
A nurse is administering an oral sedative to a patient who is in hospital following an involuntary admission. The client states "I don't want to take this medication. I won't take it."
What should the nurse do? What ethical principle is involved with this situation?
Document the patient's medication refusal.
Autonomy
Principlism is focused on _________
What is the definition of beneficence?
Do good
A nurse receives an order for 1g magnesium sulfate over 20min. Available is 2g/50ml. At what rate should the nurse program the pump (in ml/hr)
75ml/hr
The nurse promotes, _________ for, and protects the rights, health, and safety of the patient.
"advocates"
A nurse is caring for a patient who is NPO for a heart procedure. Unfortunately, the surgeon has been held up with emergent surgery and it has been some time since the patient has had any food or water. The nurse notices that the patient's BUN is trending up. What should the nurse do in this situation? What ethical principle is involved?
Contact MD, request fluids
Beneficence
A nurse is participating in an ethics committee about a client with a history of alcohol use disorder and needs a liver transplant. What should the committee do first?
Collect information
OR
Determine if there is an ethical dilemma
What is the definition of fidelity?
Commitment/Keeping promises
List the steps of walking with a cane
1. Hold on strong side of body
2. Advance cane 6-10 in
3. Move weak leg in line with the cane
4. Move strong leg past the cane
The profession of nursing, collectively through its _____________, must articulate nursing values, maintain the integrity of the profession, and integrate principles of social justice into nursing and health policy.
"professional organizations"