chart. His condition has deteriorated. His wife
says she wants
everything done, regardless of the patients
wishes. Which ethical principle is the wife vio-
lating?
a. Autonomy
b. Beneficence
c. Justice
d. Nonmaleficence
2. A nurse caring for a patient with neurological c. nonmaleficence.
impairment often must use painful stimuli to
elicit a patients
response. The nurse uses subtle measures of
painful stimuli, such as nailbed pressure. She
neither slaps the patient
nor pinches the nipple to elicit a response to
pain. In this scenario, the nurse is exemplifying
the ethical principle of:
a. beneficence.
b. fidelity.
c. nonmaleficence.
d. veracity.
3. The nurse is caring for a patient who is not re- c. moral distress.
sponding to medical treatment. The intensivist
holds a
conference with the family, and a decision is
made to withdraw life support. The nurses re-
ligious beliefs are
not in agreement with withdrawal. However,
, she assists with the process to avoid con-
fronting the charge nurse.
a. abandonment.
b. family stress.
c. moral distress.
d. negligence.
4. A client's small-bore feeding tube has become b. Determine if any of the medications
occluded after the nurse administered come in liquid form.
medications. What actions by the nurse are c. Flush the tube before and after ad-
appropriate? (Select all that apply.) ministering medications.
a. Attempt to dissolve the clog by instilling a e. Try to flush the tube with 30 mL of
cola product. water and gentle pressure.
b. Determine if any of the medications come in
liquid form.
c. Flush the tube before and after administer-
ing medications.
d. Mix all medications in the formula and use
a feeding pump.
e. Try to flush the tube with 30 mL of water and
gentle pressure.
5. The AACN Standards for Acute and Critical d. Nursing process
Care Nursing Practice use what framework to
guide critical care
nursing practice?
a. Evidence-based practice
b. Healthy work environment
c. National Patient Safety Goals
d. Nursing process
6. d. living will.