NURS 4516 Midterm Review (Week 1-4) Exam
With Complete Answers
Refusing to Work Principles: Patient Safety - ANSWER -The safety and well-being of the
client is of primary concern.
-Critical appraisal of the factors in any situation is the foundation of clinical
decisionmaking and professional judgment.
Refusing to Work Principles: Nurse Accountability - ANSWER -Nurses have the right to
refuse assignments that they believe will subject them or their clients to an
unacceptable level of risk
-Not required to work overtime
Refusing to Work Principles: Job Action/Strike - ANSWER -Client safety during job action
-Emergency care needs of patients takes precedence during job action
Discontinuing nursing care - ANSWER -breakdown in the therapeutic nurse-client
relationship,
-retirement or a change of practice
Declining to provide care - ANSWER -in situations beyond competence
-conflict of interest
such as conscientious objection exists or risk to them or their client (abuse or
threatening language)
-client requests the discontinuation
-alternative or replacement services are arranged
RN's accountability VS. Other HCP's During Pandemic - ANSWER -RN's will have to
quarantine themselves when asked
,-RN's expected to follow guidelines more closely as compared to someone else
Lived Experience of Nurses Major Theme 1 - Human Connections - ANSWER -Dying with
strangers
-My coworkers
-Changing relationships
-Sharing with the public
-Relationships with employers
-My outlook on life.
Lived Experience of Nurses Major Theme 2: Nursing Burden - ANSWER -Burdens
-PPE
-Burden of being a hero
-Comparison to war
Lived Experience of Nurses Major Theme 3 : Coping - ANSWER TIME SPENT OUTSIDE
DEEPER SPIRITUAL CONNECTION
IT WAS A CHALLENGE TO COPE
What's special? Ethical Issues (Gallagher, 2020) - ANSWER • Issues relating to the fair
allocation of scarce resources
• Respecting the wishes and dignity of care-recipients, of the delivery of compassionate
care, including at the end of life, and of working to minimize harm.
• Risks and constraints of a highly infectious and lethal virus.
• Jeopardizes the lives of patients and care-givers alike,.
• Many have died from COVID-19 infection
Transitionin g to Professional Practice (Casey et al., 2021) - ANSWER • Being new is
overwhelming, even more so during COVID-19,
, • Need to be flexible,
• Pandemic knowledge and practice disconnect,
• Communication barriers worsened with masks,
• Being a "COVID nurse,"
• No self-care, and
• Gratitude: still glad to be a nurse
NURSES' EXPERIENCES OF ETHICAL RESPONSIBILITIES OF CARE DURING THE
COVID-19 PANDEMIC (Peter et al., 2022) - ANSWER -Challenges providing good care in
response to sudden changes in practice.
-Tensions in juggling the responsibility to prevent COVID-19 infections with other
competing moral responsibilities
-Supports to foster nurses' capacity to meet their caring responsibilities.
-The preservation of nurses' moral identity through expressions of gratitude and health
improvement
What can we do? (Peter et al., 2022) - ANSWER ⚬ Self-care strategies & development of
personal coping skills (i.e. exercise, meditation, therapy, distraction)
⚬ Reflective/reflexive practice
⚬ Development of a supportive moral community that fosters moral dialogue, reflection,
mutual respect, and collective moral support
⚬ Supportive leadership (clinical supervision)
⚬ Improve transparency and inclusion of nurses in policy creation and decision-making
Distributive Justice Models - ANSWER -Egalitarian theories
-Utilitarian theories
-Libertarian theories
-Communitarian theories
With Complete Answers
Refusing to Work Principles: Patient Safety - ANSWER -The safety and well-being of the
client is of primary concern.
-Critical appraisal of the factors in any situation is the foundation of clinical
decisionmaking and professional judgment.
Refusing to Work Principles: Nurse Accountability - ANSWER -Nurses have the right to
refuse assignments that they believe will subject them or their clients to an
unacceptable level of risk
-Not required to work overtime
Refusing to Work Principles: Job Action/Strike - ANSWER -Client safety during job action
-Emergency care needs of patients takes precedence during job action
Discontinuing nursing care - ANSWER -breakdown in the therapeutic nurse-client
relationship,
-retirement or a change of practice
Declining to provide care - ANSWER -in situations beyond competence
-conflict of interest
such as conscientious objection exists or risk to them or their client (abuse or
threatening language)
-client requests the discontinuation
-alternative or replacement services are arranged
RN's accountability VS. Other HCP's During Pandemic - ANSWER -RN's will have to
quarantine themselves when asked
,-RN's expected to follow guidelines more closely as compared to someone else
Lived Experience of Nurses Major Theme 1 - Human Connections - ANSWER -Dying with
strangers
-My coworkers
-Changing relationships
-Sharing with the public
-Relationships with employers
-My outlook on life.
Lived Experience of Nurses Major Theme 2: Nursing Burden - ANSWER -Burdens
-PPE
-Burden of being a hero
-Comparison to war
Lived Experience of Nurses Major Theme 3 : Coping - ANSWER TIME SPENT OUTSIDE
DEEPER SPIRITUAL CONNECTION
IT WAS A CHALLENGE TO COPE
What's special? Ethical Issues (Gallagher, 2020) - ANSWER • Issues relating to the fair
allocation of scarce resources
• Respecting the wishes and dignity of care-recipients, of the delivery of compassionate
care, including at the end of life, and of working to minimize harm.
• Risks and constraints of a highly infectious and lethal virus.
• Jeopardizes the lives of patients and care-givers alike,.
• Many have died from COVID-19 infection
Transitionin g to Professional Practice (Casey et al., 2021) - ANSWER • Being new is
overwhelming, even more so during COVID-19,
, • Need to be flexible,
• Pandemic knowledge and practice disconnect,
• Communication barriers worsened with masks,
• Being a "COVID nurse,"
• No self-care, and
• Gratitude: still glad to be a nurse
NURSES' EXPERIENCES OF ETHICAL RESPONSIBILITIES OF CARE DURING THE
COVID-19 PANDEMIC (Peter et al., 2022) - ANSWER -Challenges providing good care in
response to sudden changes in practice.
-Tensions in juggling the responsibility to prevent COVID-19 infections with other
competing moral responsibilities
-Supports to foster nurses' capacity to meet their caring responsibilities.
-The preservation of nurses' moral identity through expressions of gratitude and health
improvement
What can we do? (Peter et al., 2022) - ANSWER ⚬ Self-care strategies & development of
personal coping skills (i.e. exercise, meditation, therapy, distraction)
⚬ Reflective/reflexive practice
⚬ Development of a supportive moral community that fosters moral dialogue, reflection,
mutual respect, and collective moral support
⚬ Supportive leadership (clinical supervision)
⚬ Improve transparency and inclusion of nurses in policy creation and decision-making
Distributive Justice Models - ANSWER -Egalitarian theories
-Utilitarian theories
-Libertarian theories
-Communitarian theories
