Exam 5 (Ch 44 Test Questions) Flashcards
____ 1. A 77-year-old woman with an inoperable brain tumor has been hospitalized for the past 5 days. Her daughter comes to visit her. The patient has asked that her daughter not be told her diagnosis. After visiting with her mother, the daughter asks to speak to the nurse. She says, “My mother claims she has pneumonia, but I know she is not telling me the truth.” The daughter asks the nurse to tell her what is truly wrong with her mother. The nurse should tell her that:
1) Her mother has an inoperable brain tumor, but does not wish anyone to know.
2) She needs to speak to the physician in charge of her mother’s care.
3) Her mother has requested that her case not be discussed with anyone, not even family.
4) Her mother is very sick with a serious case of pneumonia that could lead to death.
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____ 2. Which of the following terms refers to the ethical questions that arise out of nursing practice?
1) Nursing ethics
2) Bioethics
3) Ethical dilemma
4) Moral distress
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____ 3. A belief about the worth of something that serves as a principle or a standard that influences decision making is called which of the following?
1) Morals
2) Attitudes
3) Beliefs
4) Values
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____ 4. A 45-year-old patient is ventilator dependent after a high cervical neck injury. He is conscious and competent and has decided that he wants to be removed from the ventilator. His family and the multidisciplinary team agree. The nurse believes the patient intends suicide, and would prefer he choose differently, but says nothing. The nurse remains at the bedside holding the patient’s hand. In this instance the nurse is displaying which of the following?
1) Value set
2) Value system
3) Value neutrality
4) Value awareness
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____ 5. A 45-year-old patient is ventilator dependent after a high cervical neck injury. He is alert and oriented and, after giving it much thought, has decided that he wants to be removed from the ventilator. The nurse believes the patient intends suicide, but supports his final decision. When the ventilator is removed, the nurse remains with the patient to support him. The nurse’s action demonstrates respect for what moral principle?
1) Nonmaleficence
2) Autonomy
3) Beneficence
4) Fidelity
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____ 6. Which of the following consequentialist theories takes the position that the value of an action is determined by its usefulness?
1) Ethics of care
2) Utilitarianism
3) Deontology
4) Categorical imperative
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____ 7. The ability of nurses to base their practice on professional standards of ethical conduct and to participate in ethical decision making is known as which of the following?
1) Ethical agency
2) Attitudes
3) Belief
4) Value neutrality
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____ 8. Identify the third step in the MORAL decision-making model.
1) Reassess the dilemma
2) Resolve the dilemma
3) Review the problem
4) Recall the history of the problem
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____ 9. 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 explain the results. The nurse assists the other patient to the bathroom and then returns to explain the results to the patient. What moral principle has the nurse displayed?
1) Nonmaleficence
2) Autonomy
3) Beneficence
4) Fidelity
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____ 10. The nurse is a member of the ethics committee. An alert, oriented, and competent 87-year-old man has asked to have a DNAR order 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?
1) Social justice
2) Patient benefit
3) Autonomy
4) DNAR determination
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____ 11. 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?
1) Nonmaleficence
2) Autonomy
3) Paternalism
4) Beneficence
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____ 12. Nursing codes are:
1) Legally binding.
2) Not legally binding.
3) Legally binding in some circumstances.
4) Not admissible in court.
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____ 13. An alert, oriented, and competent frail older adult man has been told that he is dying, and has asked to have a DNAR order 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?
1) M—Massage the dilemma
2) O—Outline the options
3) R—Resolve the dilemma
4) L—Look back and evaluate
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____ 14. An alert, oriented, and competent frail older adult man has been told that he is dying, and has asked to have a DNAR order 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 agree, 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 order. This is an example of which of the following?
1) An integrity-producing (good) compromise
2) An ethically sound compromise
3) Settlement of an issue by force
4) An effort to keep peace on the unit
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____ 1. Which of the following is an example of whistle-blowing? Choose all that apply.
1) Reporting fraudulent billing practices
2) Reporting patient’s health status against the patient’s wishes
3) Reporting unsafe work practices
4) Reporting a coworker for working under the influence of drugs
1,3,4
