Exam 44: Ethics Values

An alert, oriented, competent older adult patient is diagnosed with a terminal illness. The patient requests a Do Not Attempt Resuscitation/Allow Natural Death (AND) prescription. The patient's family members oppose the patient's decision and ask the healthcare team to ignore the request. Despite lengthy discussions among the patient, physician, nurse, and family, the conflict is unresolved. The nurse asks the hospital chaplain to help the family and healthcare team members understand each other's opposing views. Which step of the MORAL model is the nurse implementing?

An alert, oriented, competent 87-year-old patient requests a Do Not Attempt Resuscitation/Allow Natural Death (AND) prescription. The patient's family members oppose the patient's decision and ask the hospital's ethics committee to intervene on their behalf. Which framework is the ethics committee most likely as a guide for their decision making process?

A 60-year-old patient who is diagnosed with a treatable form of breast cancer chooses not to pursue radiation or chemotherapy. The nurse persuades the patient to receive treatment by continuing to remind the patient about her responsibilities toward her children and grandchildren. The nurse's behavior best illustrates which principle?

The patient is struggling with deciding whether or not to receive experimental treatment. To support the patient's decision-making process, which action does the nurse take?

Whistleblowing includes reporting which kind of information? Select all that apply.

The postoperative care unit (PACU) nurse provides care to a patient who underwent a total hip replacement. The nurse is aware that the patient is a practicing Jehovah's Witness. The primary care provider orders administration of blood for treatment of severe postoperative anemia. The patient is still very drowsy following general anesthesia and is unable to discuss the plan of care. The nurse understands the blood transfusion is necessary for the patient's survival. However, the nurse is also aware that the patient's religious beliefs may prohibit the patient from receiving blood products. Which term best describes the conflict the nurse is experiencing?

The nurse admits a patient to the hospital medical-surgical unit of the hospital. During the admission process, the nurse asks whether or not the patient has an advance directive. The basis for the nurse's inquiry is:

The primary care provider orders limited treatments for patients who are diagnosed with a terminal illness and distributes the majority of resources to patients who have a high likelihood of survival. The primary care provider's intention is to serve the greater good. Which ethical principle best describes the primary care provider's approach to allocation of resources?

The nursing student asks the nurse educator to explain the American Nurses Association (ANA) Code of Ethics for Nurses. Which statement does the nurse educator include in the explanation?

The nurse provides care for a patient who experienced a stroke leaving the left side of the body paralyzed. The patient states, "I can still bathe myself." To ensure that the patient is properly cleaned, the nurse proceeds to bathe the patient. The nurse's behavior illustrates violation of which ethical principles? Select all that apply.