Nokea
A nurse is concerned about the practice of routinely ordering a battery of laboratory tests for patients who are admitted to the hospital from a long-term care facility. An appropriate source in handling this ethical dilemma would be which of the following?
- A. the patients family
- B. the admitting physician
- C. the nurse in charge of the unit
- D. the institutional ethics committee
Correct Answer: D
Rationale: The institutional ethics committee is equipped to address systemic ethical concerns like unnecessary testing.
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Which of the following illustrates the activity of acting in values clarification?
- A. respecting the human dignity of all patients
- B. seeking public affirmation for actions
- C. disregarding several alternatives when choosing
- D. considering consequences of actions
Correct Answer: A
Rationale: Acting in values clarification involves consistently applying chosen values, such as respecting patient dignity in practice.
Which of the following is an example of paternalistic behavior?
- A. telling a patient that a painful procedure will not hurt
- B. intercepting a visitors gift of candy to a patient with diabetes
- C. deciding to close the intensive care unit when all beds are full
- D. discussing a patients condition with the patients roommate
Correct Answer: B
Rationale: Paternalistic behavior involves making decisions for a patient's benefit without their input, like intercepting candy for a diabetic patient.
Which of the following statements accurately describe a characteristic of ethics? Select all that apply.
- A. The ability to be ethical begins in young adulthood.
- B. Ethics cannot be defined as a code of professional conduct.
- C. Ethics usually refers to personal or communal standards of right and wrong.
- D. It is important to distinguish ethics from religion, law, custom, and institutional practices.
- E. Values are intimately related to, and direct, ethical conduct.
- F. Ethics is a systematic inquiry into principles of right and wrong conduct.
Correct Answer: A,C,D,E,F
Rationale: Ethics involves standards of right and wrong, is distinct from other domains, is guided by values, and involves systematic inquiry. Ethical ability can begin earlier than young adulthood.
A nurse provides patient care within a philosophy of ethical decision making and professional expectations. What is the nurse using as a framework for practice?
- A. Code of Ethics
- B. Standards of Care
- C. Definition of Nursing
- D. Values Clarification
Correct Answer: A
Rationale: The Code of Ethics provides a framework for ethical decision-making in nursing practice.
A student nurse is working in the library on her plan of care for a clinical assignment. The patients name is written at the top of her plan. What ethical responsibility is the student violating?
- A. confidentiality
- B. accountability
- C. trust
- D. informed consent
Correct Answer: A
Rationale: Writing the patient's name publicly violates confidentiality.