6 Chapter 11 Quizzes Flashcards
On which ethical theory do nurses implement their care when they act on the basis of the needs of one specific patient rather than the potential consequences to other patients
Deontology
Act rather than consequences
Which nursing intervention is the best example of patient advocacy
Seeking an additional analgesic medication order for a patient who is experiencing severe pain
What action should nurses who demonstrate accountability take if they forget to administer a patients medication at the ordered time?
Follow the administration and documentation procedures for medication errors
Nursing students are held at which standard by the code of ethics for nurses/
Demonstration of respect for all individuals with whom the student interacts
Avoidance of behavior that shows disregard for the effect of those actions on others
Accepting responsibility for resolving conflicts in a professional manner
If a student nurse overhears a peer speaking disrespectfully about a patient, nurse, faculty member, or classmate, what is the most ethical first action for the students nurse to take
Speak to the peer privately to prevent further occupancies
What nursing intervention is best when a patient is struggling with the decision to abort an abnormally developing fetus discovered during genetic testing in the first trimester of pregnancy
Listen to the patients concerns
Making prejudicial, untrue statements about another person during conversation may expose a nurse to being charged with what effense
Slander
What consequences may a nurse experience if the nurse is convicted of a crime?
Loss of nursing licensure
Monetary penalty
Imprisonment
What is the best way for a nurse to avoid crossing professional practice boundaries with patients
Focus on the needs of patients and their families
What action should a nurse take if a patient who needs to sign an informed-consent form for non emergency surgery appears to be under the influence of drugs or alcohol
Wait to have the informed-consent form signed when the patient is alert and oriented
Civil law
Governs unjust acts against
Assault
A treat of bodily harm or violence
Slander
Written forms of defamation
Battery
Actual physical harm caused
Negligence
Creating a risk of harm to others
Professional boundary violations
Intervening in personal patient relationships
Spending excessive time with one patient
Keeping secrets with a patient
Demonstrates the nurse practicing the ethical principle of fidelity
Reporting on the patients concern regarding a medication
The patient refuses an IM med. the nurse proceeds with the injection. The nurse is committing which of the following
Battery
A competent adult patient wants to leave the medical center, but the nurse believes that would be detrimental to the patients health. If the patient insists on leaving what is the nurses best action
Have the patient sign an against-medical-advice form
The nurse is obtaining informed consent and discovers the patient has no idea about the possible complications of the surgery. What is the nurses best action?
Have the physician explain the complications
A nurse goes to another unit to visit a friend who has been admitted. The nurse looks at the friends medical record. What is this an example of?
Invasion of privacy
Purpose of living will
To specify desires for end-of-life care
A patient has been diagnosed with cancer, but the primary care provider to tell The patient so that they can make decisions about their care. Which ethical principle is the nurse demonstrating
Veracity
Patient advocacy is best demonstrated by the nurse
Supporting the patients right to refuse treatment
A nurse is planning care for a patient going to surgery. Who is responsible for informing the patient about the surgery along with possible risks, complications, and benefits?
Surgeon
Healthcare institutions establish ethics committees to process ethical dilemmas. What are the purposes of ethics committees? Select all that apply.
Education
Case consultation
Policy recommendation
You are the night shift nurse and are caring for a newly admitted patient who appears to be confused. The family asks to see the patient’s medical record. What is the first nursing action to take?
Discuss the issues that concern the family with them
The nurse educator, while teaching a group of student nurses instructs, “Do not insert the urinary catheter against the will of the patient.” Which aspect of statutory law is the nurse educator teaching?
Battery
Which is the best method of negotiating or processing difficult ethical situations?
Institutional ethics committees help to ensure that all participants involved in the ethical dilemma get a fair hearing and an opportunity to express values, feelings, and opinions as a way to find consensus.
A senior nurse is discussing ethical dilemmas with colleagues. Which statements are true about ethical dilemmas? Select all that apply.
Ethical dilemmas should be processed carefully to reduce distress and controversy.
An ethical dilemma cannot be resolved solely through scientific data.
Resolving ethical dilemmas is similar to the nursing process.
A nurse is explaining to students the difference between nonmaleficence and beneficence. What information should the nurse include in her explanation to help the students understand the two concepts? Select all that apply.
According to the concept of beneficence, all interventions should consider the patient’s best interest.
According to the concept of nonmaleficence, the healthcare provider should weigh the risks and benefits of the intervention before delivering it.
The nurse is sending the health information of a hospitalized patient to the hospital diagnostic laboratory via fax. Which actions should the nurse perform before sending the fax according to the Health Insurance Portability and Accountability Act (HIPAA) of 1996? Select all that apply.
Include a coversheet indicating the fax is confidential.
Ensure that the fax machine is located in a confidential area.
Ensure that the facility is ready to receive the transmission.
The nursing instructor is evaluating the knowledge of student nurses on the ethical rules of deontology. Which statements by the student nurse indicate the need for further teaching? Select all that apply.
The rules are specific to ethics as they relate to nursing practice.
The rules emphasize right and wrong behaviors with respect to the consequences.
The rules emphasize meeting the needs of a patient maintaining autonomy.
While on duty, the nurse observes that a fellow nurse is being discriminated against for being HIV positive. Which act would provide protection to the fellow nurse?
The Americans with Disabilities Act
A senior nurse is teaching a group of nursing students about healthcare ethics. What should the nurse teach as examples of showing respect for a patient’s autonomy? Select all that apply.
The nurse ensures that the patient understands the risks of a medical procedure.
The nurse includes the patient when deciding on care.
The patient is asked to read and sign an informed consent before surgery.
The nurse receives permission from the patient before performing a physical examination.
A nurse is caring for a patient who recently had coronary bypass surgery. Which are legal sources of standards of care the nurse uses to deliver safe health care? Select all that apply.
Policies and procedures of the employing hospital
State Nurse Practice Act
Regulations identified in The Joint Commission’s manual
The American Nurses Association standards of nursing practice
