Chapter 42 Nursing Ethics

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Chapter 42  Nursing Ethics

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

Multiple Choice
Identify the choice that best completes the statement or answers the question.

____ 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.

ANS: 3
The nurse’s first allegiance is to the patient and her desire for confidentiality. Telling the daughter to speak to the physician would place the physician in the same position as the nurse. Telling her that her mother has pneumonia would be a lie. The nurse, of course, should inform the physician of the patient’s wishes so that he will be prepared if the daughter questions him about her mother’s health condition.

PTS: 1 DIF: Moderate REF: p. 1529
KEY: Nursing process: Interventions | Client need: SECE | Cognitive level: Application

 

____ 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

ANS: 1
Nursing ethics refers to ethical questions that arise out of nursing practice. Bioethics is a broader field that refers to the application of ethics to healthcare. An ethical dilemma occurs when a choice must be made between two equally undesirable actions, and there is no clearly right or wrong option. Moral distress occurs when someone is unable to carry out his or her moral decision.

PTS: 1 DIF: Moderate REF: V1, p. 1526
KEY: Nursing process: N/A | Client need: SECE | Cognitive level: Recall

 

____ 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

ANS: 4
A value is a belief you have about the worth of something that serves as a principle or a standard that influences decision making. Morals are private, personal, or group standards of right and wrong. Attitudes are mental dispositions or feelings toward a person, object, or idea. A belief is something that one accepts as true.

PTS: 1 DIF: Difficult REF: p. 1530
KEY: Nursing process: N/A | Client need: N/A | Cognitive level: Recall

 

____ 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

ANS: 3
Value neutrality occurs when we put aside our own values regarding an issue in order to provide nonjudgmental care to clients. A value set is your list of values. A value system is your value set with the values ranked on a continuum from most important to least important.

PTS: 1 DIF: Moderate REF: p. 1532
KEY: Nursing process: Interventions | Client need: PSI | Cognitive level: Application

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