Nokea
A nurse who forgets to give a patient her medication throws away the medicine and documents that it was dispensed on the patient chart. The nurse then becomes uneasy about her action and vows never to falsify a record again. This is an example of which of the following?
- A. ethical uncertainty
- B. ethical distress
- C. ethical residue
- D. ethical disengagement
Correct Answer: C
Rationale: Ethical residue occurs when a nurse feels lingering guilt or unease after an ethically troubling action.
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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.
A patient tells the nurse that he does not want to have a painful procedure. By respecting and supporting the patients right to make decisions, what is the nurse demonstrating?
- A. confidentiality
- B. advocacy
- C. altruism
- D. justice
Correct Answer: B
Rationale: Supporting the patient's decision-making demonstrates advocacy for their autonomy.
Which of the following modes of value transmission is most likely to lead to confusion and conflict?
- A. modeling
- B. moralizing
- C. laissez-faire
- D. responsible choice
Correct Answer: C
Rationale: The laissez-faire mode, where no clear guidance is provided, can leave children without direction, leading to confusion and conflicting values.
A nurse in a womens health clinic values abstinence as the best method of birth control. However, she offers compassionate care to unmarried pregnant adolescents. What is the nurse demonstrating?
- A. modeling of value transmission
- B. conflict in values acceptance
- C. nonjudgmental value neutral care
- D. values conflict that may lead to stress
Correct Answer: C
Rationale: The nurse is providing care without judgment, demonstrating value-neutral care despite her personal beliefs.
Two children need a kidney transplant. One is the child of a famous sports figure, whereas the other child comes from a low-income family. What ethically relevant consideration is important to the nurse as an advocate for these patients?
- A. balance between benefits and harms in patient care
- B. norms of family life
- C. considerations of power
- D. cost-effectiveness and allocation
Correct Answer: D
Rationale: Fair allocation of resources, like organs, is a key ethical consideration in advocacy.