NUR 242 – MEDICAL-SURGICAL NURSING CONCEPTS
NUR 242 – MEDICAL-SURGICAL NURSING CONCEPTS – HIGH
MARKS GUARANTEED | 2026
Nurse witnesses another nurse providing care without prosper hand hygiene and reports this to
the charge nurse. The charge nurse is friends with the other and refuses to take action. This is
an example of: - Moral distress
A nurse manager who makes decisions based on what will benefit the majority of the nurse
managers subordinates is using what type of ethical framework for decision making? -
Utilitarianism
Which isn't an element of ethical decision making: beneficence, utility, paternalism, pragmatism
- Pragmatism
Nancy is a loyal and trustworthy nurse that performs the duties that are expected of her. Which
principle of ethical reasoning is Nancy displaying? - Fidelity
The nurse in a unit is caring for several clients. To distribute nursing care the nurse used the
principle of triage due to the limited availability of resources. The nurse is promoting which
ethical principle? - Justice
Nursing ethics provides the standards for professional behavior and is the study of principles of
right and wrong for nurses. The standard states the duties and obligations of the nurse should
include which of of the following: individual, community, client, all of them? - All of them
When does a moral issue become an ethical dilemma? - When forced to choose between
two or more undesirable alternatives.
The nurse manager didn't hire sally for the assistant manager job. The nurse manager informed
sally that she was a great fit but an internal candidate was selected instead. The real reason
sally wasn't hired was because her drug test was positive. Which of the principles of ethical
reasoning didn't the nurse follow? - Veracity
A client is advised by the doctor to undergo chemo. An informed consent is not yet signed. The
client requests info related to chemo and the drugs that will be given to him. The nurse explains
the side effects and meds. The nurse answered all questions even though the client chose not to
undergo chemo. The nurse uses which principle of ethical reasoning? - Veracity
,NUR 242 – MEDICAL-SURGICAL NURSING CONCEPTS
Nurse Bobby avoids deliberate harm and risk of harm during his performance of nursing actions.
The nurse is promoting which ethical principle? - Nonmaleficence
What does provision one state? - Nurse practices with compassion and respect for
inherent dignity, worth and unique attributes of every person
Patient has right to decide for themselves- autonomy to accept or refuse or terminate care
(i.e. no more feeding tube)
What does provision 2 state? - Nurse's primary commitment is to the patient, whether an
individual, family, group, community or population
What does provision 3 state? - Nurse promotes, advocates for and protects rights, health
and safety of patient
What does provision 4 state? - Nurse has the authority, accountability and responsibility
for nursing practice, makes decisions and takes action consistent with the obligation to promote
health and provide optimal care
What does provision 5 state? - Nurse owes same duties to self as others, including the
responsibility to promote health and safety, preserve wholeness of character and integrity,
maintain competency and continue personal and professional growth (i.e. CE every 2 yrs)
What does provision 7 state? - The nurse in all roles and setting advances the profession
thru research and scholarly inquiry, professional standards of development and the generation
of both nursing and health policy
What does provision 8 state? - Nurse collaborated with other health professionals and
the public to protect human rights, promote health diplomacy and reduce health disparities
What are examples of vulnerable subjects? - Kids, fetuses and human embryos, pregnant,
cognitively impaired, prisoners, terminally ill, elderly, undeserved population, economically
disadvantage people, traumatized and comatose pt
What is conscientious objection? - Enable patient to refuse participation in an activity
that violates personal values or beliefs (work where you agree with the vision)
What does provision 9 state? - The profession of nursing collectively through its
professional organizations must articulate nursing values, maintain the integrity of the
profession and integrate principals or social justice into nursing and health policy
Ethics are , and - Unapologetic, aspirational and non-
negotiable
, NUR 242 – MEDICAL-SURGICAL NURSING CONCEPTS
What is the doctrine of double effect? - Nurse may give meds with the intent s/s of dying
even though secondary impact may decrease respirations, and perhaps hasten death- the
nurses actions don't cause the death, the terminal illness causes the death
What does interdisciplinary mean?
What does interprofessional mean?
What does trans professional mean? - Interdisciplinary- relating to more than one branch
of knowledge.
Interprofessional- peers from two or more professions in health and social care learn together
during all or part of their professional training with the object of cultivating collaborative
practice for providing client- or patient-centered health care.
Trans professional- collaboration with non-professionals
< % of worlds health research Bridget is spent on 90% of issues that don't matter -
<10%
= study of morality through variety of different approaches
= helps us recognize where there's an ethical problem
and = enables us to think critically to rank our ethical obligations and
priorities - Ethics
Ethical sensitivity
Ethical reflection and analysis
= method ensuring that the action We take is well reasoned and can
be justified
= enables us to act on our decisions even under the most challenging
circumstances
= branch of philosophy that considers fundamental questions about the nature, source
and meaning of concepts good or bad, right or wrong - Ethical decision making
Moral courage
Metaethics
= ethics that serve the larger community (i.e. abortion's, physician
assisted suicide)
NUR 242 – MEDICAL-SURGICAL NURSING CONCEPTS – HIGH
MARKS GUARANTEED | 2026
Nurse witnesses another nurse providing care without prosper hand hygiene and reports this to
the charge nurse. The charge nurse is friends with the other and refuses to take action. This is
an example of: - Moral distress
A nurse manager who makes decisions based on what will benefit the majority of the nurse
managers subordinates is using what type of ethical framework for decision making? -
Utilitarianism
Which isn't an element of ethical decision making: beneficence, utility, paternalism, pragmatism
- Pragmatism
Nancy is a loyal and trustworthy nurse that performs the duties that are expected of her. Which
principle of ethical reasoning is Nancy displaying? - Fidelity
The nurse in a unit is caring for several clients. To distribute nursing care the nurse used the
principle of triage due to the limited availability of resources. The nurse is promoting which
ethical principle? - Justice
Nursing ethics provides the standards for professional behavior and is the study of principles of
right and wrong for nurses. The standard states the duties and obligations of the nurse should
include which of of the following: individual, community, client, all of them? - All of them
When does a moral issue become an ethical dilemma? - When forced to choose between
two or more undesirable alternatives.
The nurse manager didn't hire sally for the assistant manager job. The nurse manager informed
sally that she was a great fit but an internal candidate was selected instead. The real reason
sally wasn't hired was because her drug test was positive. Which of the principles of ethical
reasoning didn't the nurse follow? - Veracity
A client is advised by the doctor to undergo chemo. An informed consent is not yet signed. The
client requests info related to chemo and the drugs that will be given to him. The nurse explains
the side effects and meds. The nurse answered all questions even though the client chose not to
undergo chemo. The nurse uses which principle of ethical reasoning? - Veracity
,NUR 242 – MEDICAL-SURGICAL NURSING CONCEPTS
Nurse Bobby avoids deliberate harm and risk of harm during his performance of nursing actions.
The nurse is promoting which ethical principle? - Nonmaleficence
What does provision one state? - Nurse practices with compassion and respect for
inherent dignity, worth and unique attributes of every person
Patient has right to decide for themselves- autonomy to accept or refuse or terminate care
(i.e. no more feeding tube)
What does provision 2 state? - Nurse's primary commitment is to the patient, whether an
individual, family, group, community or population
What does provision 3 state? - Nurse promotes, advocates for and protects rights, health
and safety of patient
What does provision 4 state? - Nurse has the authority, accountability and responsibility
for nursing practice, makes decisions and takes action consistent with the obligation to promote
health and provide optimal care
What does provision 5 state? - Nurse owes same duties to self as others, including the
responsibility to promote health and safety, preserve wholeness of character and integrity,
maintain competency and continue personal and professional growth (i.e. CE every 2 yrs)
What does provision 7 state? - The nurse in all roles and setting advances the profession
thru research and scholarly inquiry, professional standards of development and the generation
of both nursing and health policy
What does provision 8 state? - Nurse collaborated with other health professionals and
the public to protect human rights, promote health diplomacy and reduce health disparities
What are examples of vulnerable subjects? - Kids, fetuses and human embryos, pregnant,
cognitively impaired, prisoners, terminally ill, elderly, undeserved population, economically
disadvantage people, traumatized and comatose pt
What is conscientious objection? - Enable patient to refuse participation in an activity
that violates personal values or beliefs (work where you agree with the vision)
What does provision 9 state? - The profession of nursing collectively through its
professional organizations must articulate nursing values, maintain the integrity of the
profession and integrate principals or social justice into nursing and health policy
Ethics are , and - Unapologetic, aspirational and non-
negotiable
, NUR 242 – MEDICAL-SURGICAL NURSING CONCEPTS
What is the doctrine of double effect? - Nurse may give meds with the intent s/s of dying
even though secondary impact may decrease respirations, and perhaps hasten death- the
nurses actions don't cause the death, the terminal illness causes the death
What does interdisciplinary mean?
What does interprofessional mean?
What does trans professional mean? - Interdisciplinary- relating to more than one branch
of knowledge.
Interprofessional- peers from two or more professions in health and social care learn together
during all or part of their professional training with the object of cultivating collaborative
practice for providing client- or patient-centered health care.
Trans professional- collaboration with non-professionals
< % of worlds health research Bridget is spent on 90% of issues that don't matter -
<10%
= study of morality through variety of different approaches
= helps us recognize where there's an ethical problem
and = enables us to think critically to rank our ethical obligations and
priorities - Ethics
Ethical sensitivity
Ethical reflection and analysis
= method ensuring that the action We take is well reasoned and can
be justified
= enables us to act on our decisions even under the most challenging
circumstances
= branch of philosophy that considers fundamental questions about the nature, source
and meaning of concepts good or bad, right or wrong - Ethical decision making
Moral courage
Metaethics
= ethics that serve the larger community (i.e. abortion's, physician
assisted suicide)
