Week 2 Ethics and legal Flashcards
Clicker
A priority action for the nurse who works with culturally diverse clients is to complete which additional form of support initially/first
A. A sign language course
B. Cultural self assessment
C. cultural client assessment
D. A conversational Spanish course
B. cultural self assessment
A nurse plans to move to an area that is rich in immigrants from several countries and is concerned about respecting others’ cultural beliefs. What is the nurse’s first step to ensure cultural competence and sensitivity?
A. Enrolling in a nursing theories course to increase knowledge about transcultural practices
B. Becoming immersed in nursing literature about culturally diverse client
C. Participating in continuing education that focuses on health assessment variations among cultural groups
D. Conducting a cultural self assessment to identify biases r prejudices
D. Conducting a cultural self assessment to identify biases or prejudices
A nurse is caring for a recent Asian immigrant client and is overheard making the following comment, “these rituals you believe in are false. You live in America now and must believe in realistic health practices, like Americans do”. The nurse is exhibiting behavior associated with what belief?
A. stereotyping
B. Ethnocentrism
C. cultural accommodation
D. Empathy
B. Ethnocentrism
While completing a masters nursing degree in Virginia, a nurse who is interested in teaching in Laredo, Texas, enrolls in Spanish classes for 4 years, knowing that a high number of Mexican Americans live there. This nurse is demonstrating what social value?
A. Cultural competence
B. Ethnocentrism
C. Prejudice
D. Stereotyping
A. Cultural competence
When it comes to whistleblowing, what does the acronym THINK stand for
T - talk with an attorney or other legal representation
H - have concrete and credible evidence of the violation or wrongdoing
I - Institute a survival plan, if your job is put in jeopardy or you are fired
N - note the nature and consequences of the problem; its type, severity, and potential impact
K - know your reporting options and support systems
How many stages are there in Kohlberg’s theory about children going through moral reasoning ability
3 stages
What flaw did Gilligan find in Kohlberg’s research and how she change it in her theory
the study was male biased. Gilligan’s research focused on both girls and boys with ethical decision making
What are the ethical principles discussed in the text? Give a brief description of each
Autonomy - person’s right to choose
nonmaleficence - obligation to do no harm
beneficence - duty to promote good
fidelity - keep promises
veracity - tell the truth
justice - obligation to be fair
The nurse provides care to an alert, oriented client who is prescribed a blood transfusion for treatment of sever anemia. The client refuses the treatment. The primary care provider explains to the client that the blood transfusion is necessary for survival; however the client continues to refuse the transfusion. Which action does the nurse anticipate implementing?
A. Document the client’s confusion and administer the blood
B. Request a psychological evaluation to ensure that the client understands the risks
C. Ask family members to persuade the client to consent to receiving blood
D. Follow the client’s wishes and do not administer the blood
D. Follow the client’s wishes and do not administer the blood
The nurse provides care to a client who is admitted to the hospital for management of severe migraines. After administering a prescribed medication, the nurse states, “I will return in 20 minutes to reassess your pain.” By following through on the commitment to return at the specified time, which ethical principle does the nurse display?
A. nonmaleficence
B. autonomy
C. beneficence
D. fidelity
D. fidelity
When discussing processes for ethical practice, what does MORAL stand for
M - massage the dilemma (think it through)
O - outline the options (considering options; no decisions)
R - resolve the dilemma (deciding on option)
A - Act by applying the chosen option (implementation)
L - look back and evaluate
What is the difference between liability and malpractice
liability = financially or legally responsible for something
Malpractice = failed to act in a reasonable and prudent manner
What are some of the sources of law? give a characteristic of each
- U.S. Constitution; government
- Statutory law; body of each state
- Administrative law; governing laws of administrative agencies
- Common (judicial) law; compilation of law by judges “case law”
A 15 year old client who is at 39 weeks gestation is transported by her mother to the ED of a private hospital. The client reports she is in active labor. The client’s mother states, “We don’t have any money or insurance, but this hospital is closer than the public hospital” Which action does the ED nurse implement?
A. Arrange for an ambulance to transport the client to the nearest public hospital
B. Explain to the client and her mother that the hospital only accepts clients who have health insurance
C. Examine the client to determine whether her condition is stable or whether she requires immediate medical attention
D. Advise the client’s mother to transport the client to the nearest public hospital
C. Examine the client to determine whether her condition is stable or whether she requires immediate medical attention
Under what act does a living will and durable power of attorney fall under
Patient self determination act
What is the difference between a living will and a durable power of attorney
living will = directions about a person’s wishes regarding life prolonging treatments
Durable power of attorney = surrogate decision maker
