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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.
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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 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.
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.
Which of the following are ANA standards of clinical nursing practice? Select all that apply.
- A. The nurses practice and actions are guided by hospital policy and regulations.
- B. The nurse maintains patient confidentiality within legal and regulatory parameters.
- C. The nurse is the patient advocate and discourages patients to advocate for themselves.
- D. The nurse delivers care in a nonjudgmental manner that is sensitive to patient diversity
- E. The nurse delivers care in a manner that preserves or protects patient dependency, dignity, and rights.
- F. The nurse seeks available resources to help formulate ethical decisions and use them in practice.
Correct Answer: B,D,F
Rationale: ANA standards include maintaining confidentiality, delivering nonjudgmental care, and using resources for ethical decisions.
Values theorists describe the process of valuing as focusing on three main activities. What is the first activity in the valuing process?
- A. choosing
- B. prizing
- C. acting
- D. doing
Correct Answer: A
Rationale: The valuing process begins with choosing, where one selects values freely from alternatives after considering consequences.