Nur1025 - T2 - Ch. 22 - Ethics & Values

Front 1

C1. The pt for whom you are caring needs a liver transplant to survive. This pt has been out of work for several months and doesn't have health insurance or enough cash. What principles would be a priority in a discussion about ethics?
1. Accountability because you as the nurse are accountable for the well-being of this pt
2. Respect for autonomy b/c this pt's autonomy will be violated if he does not receive the liver transplant
3. Ethics of care b/c the caring thing that a nurse could provide this pt is resources for a liver transplant
4. Justice because the first and greatest question in this situation is how to determine the just distribution of resources.

Back 1

4.

Front 2

C2. The point of the ethical principle to "do no harm" is an agreement to reassure the public that in all ways the health care team not only works to heal pts but agree to do this in the least painful and harmful way possible. Which principle describes this agreement?
1. Beneficence
2. Accountability
3. Nonmaleficence
4. Respect for autonomy

Back 2

3. Nonmaleficence

Front 3

C3. A child's immunization may cause discomfort during administration, but the benefits of protection from disease, both for the individual and society, outweigh the temporary discomforts. Which principle is involved in this situation?
1. Fidelity
2. Beneficence
3. Nonmaleficence
4. Respect for Autonomy

Back 3

2. Beneficence

Front 4

C4. When a nurse assesses a pt for pain and offers a plan to manage the pain, which principal is used to encourage the nurse to monitor the pt's response to the pain?
1. Fidelity
2. Beneficence
3. Nonmaleficence
4. Respect for autonomy

Back 4

1. Fidelity

Front 5

C5. What is the best example of the nurse practicing patient advocacy?
1. Seek out the nursing supervisor in conflicting procedural situations
2. Document all clinical changes in the medical recod in a timely manner
3. Work to understand the law as it applies to an error in following standards of care
4. Assess the pt's point of view and prepare to articulate it

Back 5

4. Assess the pt's point of view and prepare to articulate it.

Front 6

C6. Successful ethical discussion depends on ppl who have a clear sense of personal values. When a group of people share many of the same values, it may be possible to refer for guidance to philosophical principals of utilarianism. This philosophy proposes which of the following?
1. The value of something is determined by its usefulness to society.
2. Ppl's values are determined by religious leaders.
3. The decision to perform a liver transplant depends on a measure of the moral life that the pt has led so far.
4. The best way to determine the solution to an ethical dilemma is to refer the case to do the attending physician or HCP.

Back 6

1. The value of sthg is determined by its usefulness to society.

Front 7

C7. The philosophy sometimes called the "ethics of care" suggests that ethical dilemmas can best be solved by attentionto which of the following?
1. Patients
2. Relationships
3. Ethical principles
4. Code of ethics for nurses

Back 7

2. Relationships

Front 8

C8. In most ethical dilemmas in health care, the solution to the dilemma requires negotiation among members of the health care team. Why is the nurse's point of view valuable?
1. Nurses understand the principle of autonomy to guide respect for pt's self-worth
2. Nurses have a scope of practice that encourages their presence during ethical discussions
3. Nurses develop a relationship to the pt that is unique among all professional HCPs.
4. The nurse's code of ethics recommends that a nurse be present at any ethical discussion about pt care.

Back 8

3.

Front 9

C9. Ethical dilemmas often arise over a conflict of opinion. What is the critical first step in negotiating the difference of opinions?
1. Consult a professional ethicist to ensure that the steps of the process occur in full.
2. Gather all relevant information regarding the clinical, social, and spiritual aspects of the dilemma.
3. Ensure that the attending physician or health care provider has written an order for an ethics consultation to support the ethics process.
4. List the ethical principles that inform the dilemma so negotiations agree on the language of the discussion.

Back 9

2

Front 10

C.10 The ANA code of nursing ethics articulates that the health "promotes, advocates for, and strives to protect the health, safety, and rights of the patient." This includes the protection of pt privacy. On the basis of this principal, if you participate in a public online social network such as FB, could you post images of a pt's x-ray film if you deleted all pt identifiers?
1. Yes b/c pt privacy would not be violated as long as the pt identifiers were removed
2. Yes b/c respect for autonomy implies that you have the autonomy to decide what constitutes privacy.
3. No b/c even though pt identifiers are removed, someone could identify the pt based on other comments that you make online about his or her condition and your place of work.
4. No because the principal of justice requires you to allocate resources fairly

Back 10

3

Front 11

C11. When an ethical dilemma occurs on your unit, can you resolve the dilemma by taking a vote?
1. Yes, b/c ethics is essentially a democratic process, with all participants sharing an equal voice
2. No b/c an ethical dilemma involves the resolution of conflicting values and principals rather than simply the identification of what ppl want to do.
3. Yes b/c ethical dilemmas otherwise take up time and energy that is better spent at the bedside performing direct pt care.
4. No b/c most ethical dilemmas are resolved by deferring to the medical director of the ethics department.

Back 11

2

Front 12

C12. Resolution of an ethical dilemma involves discussion with the pt, the pt's family, and participants from all health care disciplines. Which of the following describes the role of the nurse in the resolution of ethical dilemmas?
1. To articulate his or her unique point of view, including knowledge based on clinical and psychosocial observations
2. To await new clinical orders from the physician
3. To limit discussions about ethical principals
4. To allow the pt and the physician to resolve the dilemma without regard to personally held values or opinions regarding the ethical issues.

Back 12

1.