Module 1 - Ethics Flashcards
A family of your critically-ill client tells a nurse that they have not spoken with the physician in over 24 hours and that they have some questions they want clarified. During morning rounds, the nurse conveys this concern to the attending intensivist and arranges a meeting with the family at 4:00 PM. Which competency of critical care nursing does this represent?
Collaboration with patients, families, and team members
Facilitation of learning for patients, families, and team members
Clinical judgment and clinical reasoning skills
Advocacy and moral agency in solving ethical issues
Collaboration with patients
Comparing the patient’s current (home) medications with those ordered during hospitalization and communicating a complete list of medications to the next provider when the patient is transferred within an organization or to another setting are strategies to:
Reduce harms associated with the administration of anticoagulants.
Prevent errors related to look-alike and sound-alike medications.
Reconcile medications across the continuum of care.
Improve accuracy of patient identification.
Reconcile medications across the continuum of care.
An intensive care nurse is working on a committee to reduce noise in the unit. Which recommendation should the nurse propose first?
Change telephones to blinking lights instead of audible ringtones
Invest in call lights that page the nursing staff instead of beeping
Sound proof the pneumatic tube system that take supplies to other areas of the hospital
Recommend that nurses turn off cardiac monitors on stable patients
Sound proof pneumatic tube system that take supplies to other areas of the hospital
Which nursing intervention would best support the family of a critically-ill client?
Provide beverages and snacks in the waiting room
Encourage family members to stay all night in case the patient needs them
Give a condition update each morning and whenever changes occur
Limit visitation of children in the critical care unit
Give a condition update each morning and whenever changes occur
A nurse is caring for a client whose condition has deteriorated and who is not responding to standard treatment. A physician calls for an ethical consultation with the family to discuss potential withdrawal of treatment versus aggressive treatment. The nurse understands that applying a model for ethical decision making involves which of the following? (Select all that apply)
Patient’s wishes
Burden vs benefit
Potential outcomes of treatment options
Family’s wishes
Patient’s wishes
Burden vs benefit
Potential outcomes of treatment options
A nurse is caring for a client who is not responding to medical treatment. The intensivist holds a conference with the family and a decision is made to withdraw life support. The nurse’s religious beliefs are not in agreement with the withdrawal of life support. However, the nurse assists with the process to avoid confronting the charge nurse. Afterward the nurse feels guilty for “killing the client.” This scenario is likely to cause:
family stress.
moral distress.
negligence.
abandonment.
Moral Distress
