Exam 44: Ethics Values

The nurse arrives at work to find the unit will be short staffed for the shift because a nurse called in sick at the last minute,leaving no time to find a replacement.What factors contribute to the dilemma faced by the nurse working this shift? Select all that apply.

The nurse manager performs a risk-benefit analysis to determine the minimum number of staff the unit will need over the Christmas and New Year's holiday to allow as many nurses to take time off as possible while maintaining the safety of the patients.What ethical problem-solving approach is this nurse manager using?

A patient has asked the nurse to explain her laboratory results.The nurse informs the patient that he must first assist another patient to the bathroom and then he will return to explain the results.After assisting the other patient to the bathroom,the nurse returns to explain the results to the patient.What ethical principle has the nurse displayed?

An alert,oriented,and competent frail older adult man has been told that he is dying and has asked to have a DNAR (AND)prescription put on his chart.The patient's family does not agree with his decision and asks the healthcare team to ignore the request.The healthcare team does not comply with the family's wishes,and after several days the family takes the matter to court.The court sides with the family and orders the healthcare team to remove the DNAR (AND)prescription.This is an example of which of the following?

The parents of a 12-year-old boy refuse chemotherapy to treat the child's leukemia,saying they will not ruin what is left of his life with drugs that will make him feel sicker.Which solution to this ethical dilemma would demonstrate compromise,maintaining the integrity of all involved?

The nurse's obligations in ethical decisions include which of the following? Select all that apply.

A patient who is being discharged asks the nurse,"Can I take you out for dinner to show my appreciation for all that you have done for me? I really like you." The nurse's best response is which of the following?

The nurse believes that abortion is murder of the unborn child.While at work,the nurse is assigned a woman with septicemia following an abortion.Which concept most specifically requires the nurse to provide high-quality care for this patient?

A 60-year-old patient with a treatable form of breast cancer has decided not to pursue radiation or chemotherapy.The nurse believes that the patient should be treated.She coerces her into receiving treatment by continuing to remind the patient about her responsibilities for raising her children.What type of behavior has the nurse displayed?

A mentally competent patient has an extremely low blood count and will likely die without a blood transfusion.The patient knows the risk,but continues to refuse the blood.Which action by the nurse is the most appropriate?

An alert,oriented,and competent frail older adult man has been told that he is dying and has asked to have a DNAR (AND)prescription put on his chart.The patient's family does not agree with his decision and asks the healthcare team to ignore the request.After a great deal of discussion among the physician,nurse,and family,they are no closer to resolution of the conflict.The nurse asks the hospital chaplain to come and help the family and the team understand each other's opposing views.Which step of the MORAL model does this illustrate?

Which is not a professional value identified by the American Association of Colleges of Nursing (AACN)?

On a patient's admission to the hospital,a nurse asks the patient whether he has a living will or durable power of attorney for healthcare.He states he does and provides a copy for the chart.The basis for the nurse's inquiry is which of the following?

The emergency department nurse cares for a 17-year-old adolescent who is diagnosed with cervical cancer secondary to human papillomavirus.The patient declines treatment,saying,"I don't want my parents to know I have been sexually active,and if they find out about the cancer,they'll figure out the rest of it." The nurse explains the risk of death if the cancer is not treated,but the patient continues to refuse therapy.What conflicting principles is this nurse facing as the result of this patient's choices?

Which of the following concepts refers to conflicts that arise between two or more ethical principles in patient care scenarios?

The nurse overhears a coworker say,"How can an overweight nurse teach proper nutrition? That nurse should practice what is taught." Which concept best describes what the coworker is expressing?

The nurse is facing a moral dilemma and applies the MORAL model to decision making.After writing down all the possible options to solve the problem,what will the nurse do next?

The nurse is a member of the ethics committee.An alert,oriented,and competent 87-year-old man has asked to have a DNAR (AND)prescription put on his chart.The patient's family does not agree with his decision and requests the ethics committee to intervene on their behalf.The ethics committee would most likely use which model in this patient's case?

A nurse is providing care to a patient who is a Jehovah's Witness.Against the patient's wishes,the physician ordered the nurse to give the patient two units of packed red blood cells.The nurse knows that the blood will save the patient's life,but also that it is against the patient's wishes; she is unsure what is the right thing for her to do.The nurse is experiencing a(n):

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