Ethical and social issues in prenatal nursing

Question 1

1. Successful ethical discussion depends on people who have a clear sense of personal values. When many
   people share the same values it may be possible to identify a philosophy of utilitarianism, with proposes that:
   A. The value of people is determined solely by leaders in the Unitarian church
   B. The decision to perform a liver transplant depends on a measure of the moral life that the client has led
   so far
   C. The best way to determine the solution to an ethical dilemma is to refer the case to the attending
   physician
   D. The value of something is determined by its usefulness to society

Answer 1

D. The value of something is determined by its usefulness to society.

Question 2

2. A document that lists the medical treatment a person chooses to refuse if unable to make decisions is the:
A. Durable power of attorney
B. Infored consent
C. Living will
D. Advance directives

Answer 2

A. Durable power of attorney

Question 3

3. In most ethical dilemmas, the solution to the dilemma requires negotiation among members of the health care team. The nurse’s point of view is valuable because:
   A. Nurses have a legal license that encourages their presence during ethical discussions.
   B. The principle of autonomy guides all participants to respect their own self-worth
   C. Nurses develop a relationship to the client that is unique among all professional health care providers
   D. The nurse’s code of ethics recommends that a nurse be present at any ethical discussion about client
   care

Answer 3

C. Nurses develop a relationship to teh client that is unique among all professional health care providers.

Question 4

4. The most important factor in providing nursing care to clients in a specific ethnic group is:
A. Communication
B. Time orientation
C. Biological variation
D. Environmental control

Answer 4

A. Communication

Question 5

5. Obtaining informed consent is the responsibility of:
A. The physician
B. The RN manager
C. The Nurse
D. The CNA manager

Answer 5

A. The physician

Question 6

6. The nurse notes that an advance directive is in the client’s medical record. Which of the following statements represents the best description of guidelines a nurse would follow in this case?
   A. A durable power of attorney for health care is invoked only when the client has a terminal condition or is a persistent vegetative state
   B. A living will allows an appointed person to make health care decisions when the client is in an
   incapacitated state.
   C. A living will is invoked only when the client has terminal condition or is in a persistent vegetative state.
   D. The client cannot make changes in the advance directive once the client is admitted into the hospital.

Answer 6

C. The living will is invoked only when the client has terminal condition or is in a persistent vegetative state.

Question 7

8. The philosophy sometimes called the code of ethics of care suggests that ethical dilemmas can best be solved by attention to:
A. Ethical principles
B. Relationships
C. Code of ethics for nurses
D. Clients

Answer 7

B. Relationships

Question 8

9. When signing a form as a witness, your signature shows that the client:
   A. Was free to sign without pressure
   B. Was awake and fully alert and not medicated with narcotics.
   C. Is fully informed and is aware of all consequences.
   D. Has signed that form and the witness saw it being done

Answer 8

D. Has signed that form and teh witness saw it being done.