What is one negative aspect for children of learning values through the moralizing mode of transmission?
- A. little likelihood of developing acceptable behaviors
- B. can lead to confusion and conflict
- C. unacceptable behaviors are punished
- D. not much opportunity to weigh values
Correct Answer: D
Rationale: Moralizing involves teaching values directly, often without allowing children to evaluate or choose, limiting their ability to weigh and internalize values independently.
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A patient nearing the end of life requests that he be given no food or fluids. The physician orders the insertion of a nasogastric tube to feed the patient. What situation does this create for the nurse providing care?
- A. nurse must follow the physicians orders
- B. an inability to provide care for the patient
- C. an ethical dilemma about inconsistent courses of action
- D. a barrier to establishing an effective nursepatient relationship
Correct Answer: C
Rationale: The conflict between the patient's wishes and the physician's orders creates an ethical dilemma.
Which branch of bioethics is most concerned with ethical problems that arise within the context of caring for patients wherever they are found?
- A. moral development
- B. clinical ethics
- C. bioethics
- D. nursing ethics
Correct Answer: B
Rationale: Clinical ethics focuses on ethical issues in patient care across various settings.
Mrs. Jones always thanks clerks at the grocery store. Her 6-year-old daughter echoes her thank you. The child is demonstrating what mode of value transmission?
- A. modeling
- B. moralizing
- C. reward and punishment
- D. responsible choice
Correct Answer: A
Rationale: The child is imitating her mother's behavior, which is an example of modeling, where values are learned by observing others.
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.
A middle-aged man is having increasing difficulty breathing. He never exercises, eats fast food regularly, and smokes two packs of cigarettes a day. He tells the nurse practitioner that he wants to change the way he lives. What is one means of helping him change behaviors?
- A. ethical change strategy
- B. values neutrality choices
- C. values transmission
- D. values clarification
Correct Answer: D
Rationale: Values clarification helps individuals identify and prioritize their values, guiding behavior changes like adopting healthier habits.
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