Which of the following phrases best describes a value?
- A. questions about how one should act and live
- B. the process by which one decides what is important in life
- C. a belief about the worth of something to guide behavior
- D. dispositions of character that motivate goodness
Correct Answer: C
Rationale: A value is a belief about the worth of something that guides behavior, as it influences choices and actions based on what is deemed important.
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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.
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.
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.
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.
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.
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