Question 1

Warning signs that can assist the critical care nurse in recognizing that an ethical dilemma may exist include which of the following?

Accepted Answer

A)  Family members are confused about what is happening to the patient. 
B)  Family members are in conflict as to the best treatment options. They disagree with one another and cannot come to consensus. 
C)  The family asks that the patient not be told of treatment plans. 
D)  The patient's condition has changed dramatically for the worse and is not responding to conventional treatment. 
E)  The physician is considering the use of a medication that is not approved to treat the patient's condition.
F) None of the above 
A)  Family members are confused about what is happening to the patient. 
B)  Family members are in conflict as to the best treatment options. They disagree with one another and cannot come to consensus. 
C)  The family asks that the patient not be told of treatment plans. 
D)  The patient's condition has changed dramatically for the worse and is not responding to conventional treatment. 
E)  The physician is considering the use of a medication that is not approved to treat the patient's condition.
F) None of the above

Question 2

The critical care nurse wants a better understanding of when to initiate an ethics consult.After attending an educational program,the nurse understands that the following situation would require an ethics consultation:

Accepted Answer

A)  Conflict has occurred between the physician and family regarding treatment decisions. A family conference is held, and the family and physician agree to a treatment plan that includes aggressive treatment for 24 hours followed by reevaluation. 
B)  Family members disagree as to a patient's course of treatment. The patient has designated a health care proxy and has a written advance directive. 
C)  Patient postoperative coronary artery bypass surgery who sustained a cardiopulmonary arrest in the operating room. He was successfully resuscitated, but now is not responding to treatment. He has a written advance directive, and his wife is present. 
D)  Patient with multiple trauma and is not responding to treatment. No family members are known, and the health care team is debating if care is futile. 
A)  Conflict has occurred between the physician and family regarding treatment decisions. A family conference is held, and the family and physician agree to a treatment plan that includes aggressive treatment for 24 hours followed by reevaluation. 
B)  Family members disagree as to a patient's course of treatment. The patient has designated a health care proxy and has a written advance directive. 
C)  Patient postoperative coronary artery bypass surgery who sustained a cardiopulmonary arrest in the operating room. He was successfully resuscitated, but now is not responding to treatment. He has a written advance directive, and his wife is present. 
D)  Patient with multiple trauma and is not responding to treatment. No family members are known, and the health care team is debating if care is futile.

Question 3

A critically ill patient has a living will in the chart.The patient's condition has deteriorated,but the spouse wants "everything done," regardless of the patient's wishes.Which ethical principle is the spouse violating?

Accepted Answer

A)  Autonomy 
B)  Beneficence 
C)  Justice 
D)  Nonmaleficence 
A)  Autonomy 
B)  Beneficence 
C)  Justice 
D)  Nonmaleficence

Warning signs that can assist the critical care nurse in recognizing that an ethical dilemma may exist include which of the following?

The critical care nurse wants a better understanding of when to initiate an ethics consult.After attending an educational program,the nurse understands that the following situation would require an ethics consultation:

A critically ill patient has a living will in the chart.The patient's condition has deteriorated,but the spouse wants "everything done," regardless of the patient's wishes.Which ethical principle is the spouse violating?

Overview of Critical Care Nursing

Patient and Family Response to the Critical Care Experience

End-Of-Life Care and Palliative Care in Critical Care Settings

Comfort and Sedation

Nutritional Support

Dysrhythmia Interpretation and Management

Hemodynamic Monitoring

Ventilatory Assistance

Rapid Response Teams and Code Management

Organ Donation

Shock,sepsis,and Multiple Organ Dysfunction Syndrome

Cardiovascular Alterations

Nervous System Alterations

Acute Respiratory Failure

Acute Kidney Injury

Hematological and Immune Disorders

Gastrointestinal Alterations

Endocrine Alterations

Trauma and Surgical Management

Burns

Filters

Exam 3: Ethical and Legal Issues in Critical Care Nursing

Warning signs that can assist the critical care nurse in recognizing that an ethical dilemma may exist include which of the following?

The critical care nurse wants a better understanding of when to initiate an ethics consult.After attending an educational program,the nurse understands that the following situation would require an ethics consultation:

A critically ill patient has a living will in the chart.The patient's condition has deteriorated,but the spouse wants "everything done," regardless of the patient's wishes.Which ethical principle is the spouse violating?

Overview of Critical Care Nursing

Patient and Family Response to the Critical Care Experience

End-Of-Life Care and Palliative Care in Critical Care Settings

Comfort and Sedation

Nutritional Support

Dysrhythmia Interpretation and Management

Hemodynamic Monitoring

Ventilatory Assistance

Rapid Response Teams and Code Management

Organ Donation

Shock,sepsis,and Multiple Organ Dysfunction Syndrome

Cardiovascular Alterations

Nervous System Alterations

Acute Respiratory Failure

Acute Kidney Injury

Hematological and Immune Disorders

Gastrointestinal Alterations

Endocrine Alterations

Trauma and Surgical Management

Burns

Filters