1
NUR 242 MED SURG EXAM 1- GALEN
COLLEGE OF NURSING-COMPREHENSIVE
Q&A FOR CERTIFICATION SUCCESSS
what is the scope of ethics like?
what are the 5 types? - correct-answer -broad, encompassing many dimensions-
we are all members of a larger society in which we work in org. settings and we
function within the parameters of a particular profession.
5 types:
societal ethics
organizational ethics
professional ethics
bioethics and clinical ethics
personal ethics
what plays a role in ethical analysis and decision making? - correct-answer -useful
to apply a systematic approach to ethical analysis to make decisions- . in nursing,
usually part of interprofessional team.
organizational conflict comittee can be asked to help with mediation of the
conflict
its important to be able to ask good Q's:
ethical Q's: do i have duty to tell the truth?
,2
what is the greater harm?
to whom is my primary loyalty?
name some common ethical issues in nursing - correct-answer -protecting pt
rights and dignity
informed consent
providing care with risk to nurse.s health
using/not using chemical restraints
coping with staffing patterns that limit patient access to nursing care
prolonging living/dying process by inapproproate measures
managed care policies that threaten QO care
unethical/impaired colleagues
what is moral distress? - correct-answer -when you are unable to act upon what
you believe is the morally appropriate action to take or when you otherwise act in
a manner contrary to your personal values
2 parts of moral distress impact:
frustration, anger, guilt, anxiety
Moral residue- feelings that linger overtime with each experience
,3
name some interrelated concepts of ethics - correct-answer -health policy,
healthcare law, health care economics
professional identity
culture, spirituality, health disparities
healthcare quality, safety, evidence, collab, technology and informatics, leadership
name some clinical exemplars of ethics - correct-answer -abortion, assisted
reproduction, child abuse, confidentiality, informed consent, pain mgmt and
addiction, CPR orders, advance directives, terminal sedation, patient safety, use of
restraints, medical marijuana, access to experimental tx
what are the specific exemplars of ethics? - correct-answer -genetic enhancement
confidentiality
advance directives
uncompensated care
conflict of interest
what were the top reasons in the moral distress article that the student nurses
didnt take action during distressing situations? - correct-answer -i am a
subordinate, wanted to preserve relationship with preceptor, felt
concerns/questions were due to incomplete knowledge and judgement, didnt
know how to respectfully speak up
, 4
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: - correct-answer -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? - correct-answer -Utilitarianism
Which isn't an element of ethical decision making: beneficence, utility,
paternalism, pragmatism - correct-answer -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? - correct-answer -
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? - correct-answer -Justice
NUR 242 MED SURG EXAM 1- GALEN
COLLEGE OF NURSING-COMPREHENSIVE
Q&A FOR CERTIFICATION SUCCESSS
what is the scope of ethics like?
what are the 5 types? - correct-answer -broad, encompassing many dimensions-
we are all members of a larger society in which we work in org. settings and we
function within the parameters of a particular profession.
5 types:
societal ethics
organizational ethics
professional ethics
bioethics and clinical ethics
personal ethics
what plays a role in ethical analysis and decision making? - correct-answer -useful
to apply a systematic approach to ethical analysis to make decisions- . in nursing,
usually part of interprofessional team.
organizational conflict comittee can be asked to help with mediation of the
conflict
its important to be able to ask good Q's:
ethical Q's: do i have duty to tell the truth?
,2
what is the greater harm?
to whom is my primary loyalty?
name some common ethical issues in nursing - correct-answer -protecting pt
rights and dignity
informed consent
providing care with risk to nurse.s health
using/not using chemical restraints
coping with staffing patterns that limit patient access to nursing care
prolonging living/dying process by inapproproate measures
managed care policies that threaten QO care
unethical/impaired colleagues
what is moral distress? - correct-answer -when you are unable to act upon what
you believe is the morally appropriate action to take or when you otherwise act in
a manner contrary to your personal values
2 parts of moral distress impact:
frustration, anger, guilt, anxiety
Moral residue- feelings that linger overtime with each experience
,3
name some interrelated concepts of ethics - correct-answer -health policy,
healthcare law, health care economics
professional identity
culture, spirituality, health disparities
healthcare quality, safety, evidence, collab, technology and informatics, leadership
name some clinical exemplars of ethics - correct-answer -abortion, assisted
reproduction, child abuse, confidentiality, informed consent, pain mgmt and
addiction, CPR orders, advance directives, terminal sedation, patient safety, use of
restraints, medical marijuana, access to experimental tx
what are the specific exemplars of ethics? - correct-answer -genetic enhancement
confidentiality
advance directives
uncompensated care
conflict of interest
what were the top reasons in the moral distress article that the student nurses
didnt take action during distressing situations? - correct-answer -i am a
subordinate, wanted to preserve relationship with preceptor, felt
concerns/questions were due to incomplete knowledge and judgement, didnt
know how to respectfully speak up
, 4
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: - correct-answer -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? - correct-answer -Utilitarianism
Which isn't an element of ethical decision making: beneficence, utility,
paternalism, pragmatism - correct-answer -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? - correct-answer -
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? - correct-answer -Justice
