Nursing Ethics: Values, Transmission, and Dilemmas, Exams of Nursing

Download Nursing Ethics: Values, Transmission, and Dilemmas and more Exams Nursing in PDF only on Docsity! 2024 NURSING ETHICS EXAM QUESTIONS WITH VERIFIED SOLUTIONS 1. A nurse caring for patients in the intensive care unit develops values from experience to form a personal code of ethics. Which statements best describe this process? Select all that apply. a. People are born with values. b. Values act as standards to guide behavior. c. Values are ranked on a continuum of importance. d. Values influence beliefs about health and illness. e. Value systems are not related to personal codes of conduct. f. Nurses should not let their values influence patient care. 2. A pediatric nurse is assessing a 5-year-old boy who has dietary modifications related to his diabetes. His parents tell the nurse that they want him to value good nutritional habits, so they decide to deprive him of a favorite TV program when he becomes angry after they deny him foods not on his diet. This is an example of what mode of value transmission? a. Modeling b. Moralizing c. Laissez-faire d. Rewarding and punishing 3. A nurse who is working in a hospital setting uses value clarification to help understand the values that motivate patient behavior. Which examples denote “prizing” in the process of values clarification? Select all that apply. a. A patient decides to quit smoking following a diagnosis of lung cancer. b. A patient shows off a new outfit that she is wearing after losing 20 pounds. c. A patient chooses to work fewer hours following a stress- related myocardial infarction. d. A patient incorporates a new low-cholesterol diet into his daily routine. e. A patient joins a gym and schedules classes throughout the year. f. A patient proudly displays his certificate for completing a marathon. 4. A nurse incorporates the “five values that epitomize the caring professional nurse” (identified by the American Association of Colleges of Nursing) into a home health care nursing practice. Which attribute is best described as acting in accordance with an appropriate code of ethics and accepted standards of practice? a. Altruism b. Autonomy c. Human dignity d. Integrity 5. A nurse caring for patients in an institutional setting expresses a commitment to social justice. What action best exemplifies this attribute? a. Providing honest information to patients and the public b. Promoting universal access to health care c. Planning care in partnership with patients d. Documenting care accurately and honestly 11. A nurse has completed 4 hours of an 8-hour shift on a medical-surgical unit when the nursing supervisor calls. The nursing supervisor directs the nurse to give a report to the other two nurses on the medical-surgical unit and immediately report to the telemetry unit to assist with staff needs on that unit. The nurse informs the supervisor that the nurse has been busy with client assignments and feels this will overwhelm the nurses on the medical-surgical unit. The supervisor informs the nurse that the need is greater on the telemetry unit. This is an example of which type of ethical problem? • Allocation of scarce nursing resources 12. A client tells the nurse that the client does not want to have a painful procedure. By respecting and supporting the client's right to make decisions, the nurse is demonstrating: • advocacy. 13. Socialization into the nursing profession may have the most significant effect on: • values. 14.A parent teaches a child not to drink and drive; however, the parent does drink and drive. This action results in: • a failure to model one's own values. 15. A nurse is of the Catholic faith and votes pro-life. This nurse is considered to have: • personal values. 16. What would be an example of the nurse practicing fidelity? The nurse: • stays with a client during death as promised. 17. A client diagnosed with cancer has met with the oncologist and is now weighing whether to undergo chemotherapy or radiation for treatment. This client is demonstrating which ethical principle in making this decision? Autonomy 18. Which is a characteristic of the care-based approach to bioethics? • The promotion of the dignity and respect of clients as people 19. Which nursing situation is an example of an ethical dilemma? • Deciding whether to perform cardiac compressions against a client's wishes 20. Which traits are examples of virtues that can exemplify character and conduct as a professional nurse? Select all that apply. • Humility • Compassion • Trustworthiness 21. A nurse volunteers to serve on the hospital ethics committee. Which action should the nurse expect to take as a member of the ethics committee? • Assist in decision making based on the client's best interests. 22. A nurse obtains an order for a bed alarm for a confused client. This is an example of which ethical principle? • Paternalism 23. Which scenario is an example of the laissez-faire approach to value transmission? • Allowing a child to decide not to have an intravenous line inserted 24. A nurse is asked to serve on an ethics committee. Which roles would the nurse be required to fill on the committee? Select all that apply. • Serving as a liaison between the family and the committee members • Presenting explanations about technical terminology • Advocating for the client's wishes 25. A nurse learns to adopt behavior modeled by a charge nurse. What ethical principle or behavior is the nurse most likely to learn through this process? • Ethical conduct 26. A nurse is caring for an older adult who has cancer and is experiencing complications requiring a revision of the plan of care. The nurse sits down with the client and the family and discusses their preferences while sharing the nurse's own judgments based on the nurse's expertise. Which type of healthcare decision making does this represent? • Shared decision making 27. A nurse is providing care to a client and is preparing the client for breakfast. The nurse assists the client out of bed to the chair and then helps the client open the items on the breakfast tray. The client begins to eat breakfast. The nurse tells the client, "I'll be back in about 10 minutes to check on you. In the meantime, here is your call light in case you need me." About 10 minutes later, the nurse returns to check on the client. The nurse is demonstrating which ethical principle? • Fidelity 28. A nurse is providing care to a client with end-stage cancer. After weighing the alternatives, the client decides not to participate in a clinical trial offered and is requesting no further treatment. The nurse advocates for the client's decision based on the understanding that the client has the right to self-determination, interpreting the client's decision as reflecting which ethical principle? • Autonomy 29. Which action would cause a charge nurse to have concerns about a nurse’s moral agency? • The nurse was seen at a grocery store after calling in sick. 30. Several nurses on the same hospital unit communicate on the same social networking site. A nurse posts the following statement to the social networking page, "The lady in room 34 with heart failure was a train wreck!" In which manner has the nurse failed to apply the principles of confidentiality? • Sharing information about a client beyond the area of client care is unacceptable and breaches the client's confidentiality rights. 31. A nurse working on a critical care unit was informed by a client with multiple sclerosis that the client did not wish to be resuscitated in the event of cardiac arrest. Now the client is no longer able to express wishes, and the family has informed the physician that they want the client to be resuscitated. Aware of the client's wishes, the nurse is involved in a situation that may involve: • ethical distress. 32. What is likely to have the greatest influence on an adolescent's formation of values during this developmental stage? • Peers 33. What is the term for the beliefs held by the individual about what matters? • Values