Exam 6: Ethical Decision Making

Which of the following best defines moral residue?  

During which step of the ethical decision-making process is it appropriate to determine the key participants?  

The nurse and other members of the healthcare team participate with the patient in making a particularly difficult moral decision. If the CNO Practice Standard for Ethics is properly implemented, which of the following may occur?  

What step in the process of ethical decision making involves participants excluding results that are unacceptable, along with their potential consequences?  

The nurse states that an elderly patient should be allowed to go home rather than into Long Term Care as planned, because he feels everyone deserves to be in their own home. What level of response to an ethical dilemma does this suggest?  

The nurse manager asks Martha, a staff nurse, if she will work an additional four hours at the end of her shift. Martha's patient is unstable, and there are not enough nurses on the next shift to care for him adequately. If she works overtime, Martha will have to break a promise she made to watch her children's soccer game. What is this situation an example of?  

Which would be considered as part of the "Identify Options" stage of the ethical decision-making process?  

A registered nurse witnesses another nurse violating a patient's autonomy. Even though she did not participate in the action, the nurse who witnessed the act experiences powerlessness, frustration, and anger. What does this reaction describe?  

When do moral dilemmas occur?  

According to Thomas and Waluchow, which of the following is an example of a pre-reflective statement in response to a moral question?  

What step in the process of ethical decision making involves the nurse examining the situation for evidence of conflicting obligations, principles, duties, rights, loyalties, values, or beliefs?  

The nurse is involving all stakeholders and has identified and proposed new options to institutional guidelines. Applying the nursing process, what stage would the nurse be using, according to the College of Nurses Practice Standard for Ethics?  

When does moral uncertainty occur?  

Which of the following is an example of a moral dilemma?  

A couple is pregnant with their second child and, during a routine ultrasound, the physician discovers that the fetus is anencephalic. The life expectancy of an anencephalic baby is only a few weeks after birth. The couple struggle with the choice of whether to terminate the pregnancy now or to carry to term. The couple decide to terminate the pregnancy. What stage of the ethical decision-making process is this?  

Michael, an ICU nurse, worked with the team as they followed the physician's order to discontinue life support on a patient diagnosed with persistent vegetative state. Michael believes that life is sacred and that he has a duty to do whatever it takes to preserve life. Nevertheless, he remained silent as the decision was made, and he assisted his coworkers when they unplugged the respirator. In this situation, what is Michael likely to experience?  

Which is an example of a nurse demonstrating moral resilience?