NUR 108 Final Exam Questions and Answers

This is a timed exam. You have 130 minutes to complete this exam. Monitor the timer as you progress so you do not run out of time. You must work independently on the exam. Use of references (textbooks, notes, other individuals, internet sources, etc.) is not allowed. Read the following instructions carefully: You must submit your response to each question, by clicking the "Submit" button on the left side below each question. It is important to note that there is no 'Submit' button for the exam as a whole. Each response must be submitted individually. To exit the exam, click on the "End My Exam" button next to the timer in the top right hand corner of your screen. 1.0M8E_N108 1.25 points possible (graded, results hidden) Which statement reflects the ethical principle of justice? Patients should be able to go to the physician of their choice. Patients should be treated equally regardless of socioeconomic status. submitted If a health care provider agrees to care for a patient, there is an obligation to follow through. Competent care is a patient’s right and a provider’s obligation. SubmitYou have used 1 of 1 attemptSome problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted.Review 2.0M8E_N108 1.25 points possible (graded, results hidden) Which ethical principle is implicit in the statement “Provision of safe, competent care without patient harm is a healthcare provider’s duty.”? Nonmaleficence submitted Justice Veracity Autonomy SubmitYou have used 1 of 1 attemptSome problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted.Review 3.0M8E_N108 1.25 points possible (graded, results hidden) Which statement made during a meeting of a hospital’s ethics committee is based on the ethical principle of autonomy? Costly treatment measures should not be prohibited for the elderly based on age. This treatment is not appropriate for this patient because the danger of destroying the liver is greater than any potential beneficial effect. The nurse agreed to be present when the patient talked to family about surgical treatment, however the nurse did not show up. Patients have a right to refuse pain medication even when they admit to having severe pain. submitted SubmitYou have used 1 of 1 attemptSome problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted.Review 4.0M8E_N108 1.25 points possible (graded, results hidden) Which of the following is a contributing factor to the higher patient mortality rates in the United States as compared to other developed countries? Diversity of the population. Limited access to healthcare. submitted Population density. Aging of the population. SubmitYou have used 1 of 1 attemptSome problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted.Review 5.0M8E_N108 1.25 points possible (graded, results hidden) Which step in the ethical decision-making process does the RN explore personal bias about an ethical issue? Assessment submitted Evaluation Diagnosis Planning SubmitYou have used 1 of 1 attemptSome problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted.Review 6.0M8E_N108 1.25 points possible (graded, results hidden) An RN states, “I feel emotionally drained and physically sick after caring for some patients who receive aggressive treatments. It seems like we are only prolonging their dying process.” What is this RN experiencing? Cultural shock Disillusionment in nursing Work overload Moral distress submitted SubmitYou have used 1 of 1 attemptSome problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted.Review 7.0M8E_N108 1.25 points possible (graded, results hidden) Which ethical principle is the nurse violating when the nurse tells a crying child, “If you don’t swallow this pill, I am going to give you a shot into your leg.”? Justice Obligation Fidelity Nonmaleficence submitted SubmitYou have used 1 of 1 attemptSome problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted.Review 8.0M8E_N108 1.25 points possible (graded, results hidden) The RN is teaching the student nurse about the ANA Standards of Ethical Practice. Which statement by the student nurse indicates additional teaching is necessary regarding patient protection and impaired practice? “Assistance is available for impaired nurses from professional associations.” “Impaired nurses may return to practice after recovery.” “Nurses who report impaired colleagues risk retaliation from the institution.” submitted “Report all concerns regarding an impaired co-worker to the nursing supervisor.” SubmitYou have used 1 of 1 attemptSome problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted.Review 9.0M8E_N108 1.25 points possible (graded, results hidden) A terminally ill patient who is considering withdrawal of treatment asks the RN if the family should be told. What is the next step in ethical decision making for the RN? Review the possible options of disclosure. submitted Consult with a member of the ethics committee. Identify a physician who can write the necessary prescriptions. Discuss the patient’s feelings and concerns. SubmitYou have used 1 of 1 attemptSome problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted.Review 10.0M8E_N108 1.25 points possible (graded, results hidden) The RN who speaks up when a health care worker does not perform hand hygiene is upholding which ethical principle? Veracity Autonomy Justice Nonmaleficince submitted SubmitYou have used 1 of 1 attemptSome problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted.Review 11.0M8E_N108 1.25 points possible (graded, results hidden) A student nurse asks an RN “What strategies are useful when faced with an ethical dilemma in professional practice?” How does the RN respond? Select all that apply. “I defer to the healthcare provider to make the correct decision.” “I focus on myself and what I would I do if faced with the issue.” “I use the nursing process to organize my thought process.” “I consult the ethics committee when the problem is complex.” “I use the Nursing Code of Ethics for guidance.” submitted SubmitYou have used 1 of 1 attemptSome problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted.Review 12.0M8E_N108 1.25 points possible (graded, results hidden) A patient with end stage heart disease is seeking a heart transplant. What ethical principle supports the eligibility criteria that reviews the patient’s history of adherence to the medical treatment plan? Veracity Distributive justice submitted Autonomy Beneficence SubmitYou have used 1 of 1 attemptSome problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted.Review 13.0M8E_N108 1.25 points possible (graded, results hidden) A patient refused to receive blood products based on religious beliefs. The patient had unexpected blood loss during surgery. Which action by the healthcare team is consistent with patient autonomy? Convince the family that administering blood is the right thing to do. Give blood products in the operating room to stabilize the patient. Aggressively treat the patient with therapies that exclude blood products. submitted Encourage the family to agree to a do not resuscitate order. SubmitYou have used 1 of 1 attemptSome problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted.Review 14.0M8E_N108 1.25 points possible (graded, results hidden) A patient who is considering enrolling in a clinical research trial asks the RN “What would you do?” How does the RN respond in an ethical manner? “I would agree to be enrolled because the study will also help other people.” “The study offers you a hope of a cure, it would be worth a try.” “I prefer to be treated with the medications that other people have used.” “It is a difficult decision, we will support you in whatever you chose.” submitted SubmitYou have used 1 of 1 attemptSome problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted.Review 15.0M8E_N108 1.25 points possible (graded, results hidden) Which RN actions are supported by the 2015 ANA Code of Ethics? Select all that apply. Participate in scientific inquiry to advance nursing practice. Collaborate with others to promote health initiatives. Accept accountability for delegation of nursing activities. Advocate for patient rights. Address patient needs as the priority before personal duties. submitted SubmitYou have used 1 of 1 attemptSome problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted.Review 16.0M8E_N108 1.25 points possible (graded, results hidden) A teenager with a chronic disease disagrees with their parents regarding aggressive or palliative care treatment options. Which is the best response by the RN? “In my experience, aggressive care has the best results.” “The ethics committee can assist with the decision-making process.” submitted “Your parents are ultimately responsible for making this decision.” “It is best to rely on the decision by your healthcare provider.” SubmitYou have used 1 of 1 attemptSome problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted.Review 17.0M8E_N108 1.25 points possible (graded, results hidden) A patient with no health care directives is admitted to the hospital with a devastating stroke. The family asks the RN about options regarding resuscitation efforts. What is the RN’s best initial response? “Gather your family to make the best decision.” “What do you think the patient would want done?” “Do you want to discuss all possible outcomes?” “It is too early to make this decision.” unanswered