Nokea
What fundamental principle must the nurse first observe when confronted with an ethical decision?
- A. Autonomy
- B. Beneficence
- C. Respect for people
- D. Nonmaleficence
Correct Answer: C
Rationale: The first fundamental principle is respect for people. Autonomy, beneficence, and nonmaleficence are not the first fundamental principles to observe when confronted with an ethical decision.
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The nurse caring for a patient in the acute care setting assumes responsibility for a patient's care. What is this legally binding situation?
- A. Nurse-patient relationship
- B. Accountability
- C. Advocacy
- D. Standard of care
Correct Answer: A
Rationale: When the nurse assumes responsibility for a patient's care, the nurse-patient relationship is formed. This is a legally binding 'contract' for which the nurse must take responsibility. Accountability is being responsible for one's own actions. An advocate is one who defends or pleads a cause or issue on behalf of another. Standards of care define acts whose performance is required, permitted, or prohibited.
The nurse has strong moral convictions that abortions are wrong. When assigned to assist with an abortion what is the most appropriate action for the nurse to take?
- A. Ask for another assignment.
- B. Leave work.
- C. Transfer to another floor.
- D. Protest to the supervisor.
Correct Answer: A
Rationale: The nurse should not abandon the patient, but ask for another assignment.
What are the universal guidelines that define appropriate measures for all nursing interventions?
- A. Scope of practice
- B. Advocacy
- C. Standard of care
- D. Prudent practice
Correct Answer: C
Rationale: Standards of care define actions that are permitted or prohibited in most nursing interventions. These standards are accepted as legal guidelines for appropriateness of performance. The laws that formally define and limit the scope of nursing practice are called nurse practice acts. An advocate is one who defends or pleads a cause or issue on behalf of another. Prudent is a term that refers to careful and/or wise practice.
The nurse is assisting a patient to clarify values by encouraging the expression of feelings and thoughts related to the situation. What is the most appropriate action for the nurse?
- A. Compare values with those of the patient.
- B. Make a judgment.
- C. Withhold an opinion.
- D. Give advice.
Correct Answer: C
Rationale: The nurse can assist the patient in values clarification without giving an opinion.
An LPN/LVN is asked by the RN to administer an IV chemotherapeutic agent to a patient in the acute care setting. What law should this nurse refer to before initiating this intervention?
- A. Standards of care
- B. Regulation of practice
- C. American Nurses' Association Code
- D. Nurse practice act
Correct Answer: D
Rationale: It is the nurse's responsibility to know the nurse practice act in his or her state. Standards of care, regulation of practice, and the American Nurses' code are not laws that the nurse should refer to before initiating this treatment.