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This activity contains 15 questions.
Which would the nurse not list as a purpose of the nursing code of ethics when discussing it with a group of new employees?
Reminding nurses of the special responsibility they assume when caring for the sick
Guiding the profession in self-regulation
Providing solutions for specific ethical situations
Outlining the major ethical considerations of the nursing profession
When trying to make a responsible ethical decision, what should the nurse understand as the basis for ethical reasoning?
Ethical principles and codes
The nurse's experience
The nurse's emotional feelings
The policies and practices of the institution
A nurse working in the Emergency Department is asked to care for an openly gay client with AIDS. The nurse tells her supervisor that caring for the client is against her religious beliefs, and asks if she must take the assignment. Does this nurse have a moral obligation to care for the client?
No, because the client's behavior caused him to contract AIDS
Yes, unless the risk exceeds the responsibility
No, the nurse does not have to violate religious beliefs.
Yes, but the nurse should hide her negative feelings
A fully alert and competent 89-year-old client is in end-stage liver disease. The client says, "I'm ready to die," and refuses to take food or fluids. The family urges the client to allow the nurse to insert a feeding tube. What is the nurse's moral responsibility?
The nurse should obtain an order for a feeding tube.
The nurse should encourage the client to reconsider the decision.
The nurse should honor the client's decision.
The nurse must consider that the hospital can be sued if she honors the client's request.
Which act would the nurse consider passive euthanasia?
Removing a "no code" client from a ventilator
Refusing to assist a client wishing to commit suicide
Administering a lethal dose of medication to a client with terminal cancer
Providing pills to a client wishing to commit suicide
A client with cancer has decided against further treatment. Which nursing action would be most helpful?
Making sure the client has accurate information and understands the consequences of the decision
Informing the client's wife, and encouraging her to talk to the client and intervene, if necessary
Accepting the decision and making no comments to the client
Talking to the client and trying to persuade the client to think about reversing the decision
A client asks you not to tell his wife that he has cancer. He does not want to burden her with this information. What would be the most appropriate response by the nurse?
"I'm sorry, the doctor already told her."
"Why are you afraid to tell her?"
"What benefits do you see from doing this?"
"Don't you think she has a right to know?"
The nurse notes that a client has a slight red rash after taking a dose of an antibiotic. What action by the nurse would demonstrate the moral principle of nonmaleficence?
Teaching a cardiac client about a strenuous exercise program
Getting informed consent prior to an invasive procedure
Allowing a new postoperative client to ambulate independently to the bathroom
Noting the reaction and getting a new medication ordered
A mentally competent client with end-stage liver disease continues to consume alcohol after being informed of the consequences of this action. What action best illustrates the nurse's role as a client advocate?
Asking the spouse to take all the alcohol out of the house
Accepting the client's choice and not intervening
Reminding the client that the action may be an end-of-life decision
Refusing to care for the client because of the client's noncompliance
Which of the following terms are moral principles?
Select all that apply.
A client with a low postoperative hemoglobin and hematocrit levels refuses a potentially life saving blood transfusion. When questioning the client about the refusal, the client states, "I know about the risks of AIDS and hepatitis and do not want a blood transfusion." The physician enters the room and begins to coerce the client to accept the blood transfusion. The nurse's best response would be:
"Didn't you hear him? He does not want a transfusion!"
"The client understands the risks associated with blood transfusions. Perhaps you can speak with him about his concerns."
"I will give the blood to him when he is asleep."
"Let's bring his family in to the discussion to change his mind."
A 43 year-old client with end stage ovarian cancer is admitted to the hospital with a bowel obstruction. The client in a tremendous amount of pain, states, "please give me enough morphine to kill me." The nurse's best response would be:
"I can't give you an overdose, but once you are discharged, you can do anything that you want."
"I can see that you are in a lot of pain. Let me rub your back too."
"I am trying to understand what you are saying. Describe the pain, where is it? How intense is the pain? What do you normally do for this type of pain?"
"All right, I can give you a little extra medication."
A famous actress has had plastic surgery. The media contacts the nurse on the unit and asks for information about the surgery. The nurse knows:
Any information released will bring publicity to the hospital.
Nurses are obligated to respect client's privacy and confidentiality.
It does not matter what is disclosed, the media will find out any way.
According to beneficence, the nurse has an obligation to implement actions that will benefit clients.
The nurse did not follow hospital procedure and hung a unit of blood on the wrong client. The client had an anaphylactic reaction and the team is called in for emergency treatment. During the resuscitation, the nurse does not reveal that the wrong blood was given. Which moral principles were violated?
Select all that apply.
Which term is defined as answerable to oneself and others for one's own actions?
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