Exam 44: Ethics Values

The emergency department nurse provides care to a 17-year-old patient who is diagnosed with cervical cancer secondary to human papillomavirus. The patient declines treatment and states, "I don't want my parents to know I have been sexually active. If they find out about the cancer, they'll know I have been having sex." When planning a course of action, the nurse recognizes a conflict between the ethical principles of nonmaleficence and __________.

Through application of the MORAL model to decision making, the nurse who opposes abortion determines that caring for patients who undergo an abortion is still an ethical duty. Which outcome is the best indicator that the nurse effectively applied the MORAL model to the decision making process?

The nurse witnesses the patient's signature on a consent form to participate in a physician's research study. After the physician leaves the room, the patient tells the nurse, "I don't really want to participate, but I'm afraid my doctor will be upset with me if I say no." To advocate for the patient, which nursing action is most appropriate?

The nurse states, "I believe nurses who do not regularly exercise should not talk to patients about the importance of physical activity. Nurses should practice what they teach." Which term best relates to the content of the nurse's statement?

The emergency department nurse is providing discharge teaching to a patient. The patient asks the nurse, "I appreciate everything you've done for me and I really like you. Can I take you out for dinner?" Which response does the nurse choose?

The nurse is assigned to provide care to an unconscious, mechanically ventilated patient who is receiving palliative treatment. The patient is receiving an intravenous morphine infusion. The primary care provider's orders include discontinuing the patient's mechanical ventilation and increasing the morphine infusion rate, as needed, to maintain the patient's comfort. The nurse refuses to implement the orders based on a belief that implementing the orders would be equivalent to killing the patient. The nurse's decision illustrates which concept?

Which action is included in Step 3 of the MORAL decision-making model?

The nurse provides care to a 12-year-old patient who is diagnosed with leukemia. The patient's parents refuse to allow the patient to receive chemotherapy, saying they will not ruin what is left of his life with drugs that will make him feel sicker. Which solution represents an integrity-producing compromise?

Which concept refers to conflicts that arise between two or more ethical principles in patient care scenarios?

The nurse provides care to an alert, oriented patient who is prescribed a blood transfusion for treatment of severe anemia. The patient refuses the treatment. The primary care provider explains to the patient that the blood transfusion is necessary for survival; however, the patient continues to refuse the transfusion. Which action does the nurse anticipate implementing?

Which issue represents an internal constraint that may prevent the implementation of ethical decisions?

The nurse preceptor observes a novice nurse preparing to insert an intravenous (IV) access device into a patient's antecubital vein. Prior to inserting the IV, the novice nurse tells the patient, "You won't feel a thing." The nurse preceptor recognizes the novice nurse's violation of which ethical principle?

The nurse manager's goals include allowing staff members to schedule vacation while still ensuring that an adequate number of staff members are present to deliver safe patient care. To determine the minimum number of staff members who must be scheduled to work during holidays, the nurse manager performs a risk-benefit analysis. Which ethical framework best describes the nurse manager's problem-solving approach?

The nurse applies the MORAL model to decision making. After recognizing a problem, which action does the nurse take next?

Confidentiality will be maintained by the nurse who believes in and values the ethical principle of:

The nurse's obligations in ethical situations include which actions? Select all that apply.

The nursing student is delivering a classroom presentation about professional values identified by the American Association of Colleges of Nursing (AACN). Which example does the nursing student use to illustrate the value of integrity?

When faced with a true ethical dilemma, the nurse plans implementation of a variety of strategies to resolve the issue. Which outcome does the nurse anticipate?

The nurse provides care to a patient who is admitted to the hospital for management of severe migraines. After administering a prescribed pain medication, the nurse states, "I will return in 20 minutes to reassess your pain." By following through on the commitment to return at the specified time, which ethical principle does the nurse display?

The nurse is assigned to provide care to a patient who developed septicemia following an abortion. The nurse believes abortion is murder of the unborn child. Which concept most specifically requires the nurse to provide high-quality patient care regardless of personal beliefs?