Questions and Answers (2026) | Complete
Exam Review Pack | Verified Q&A | A+
• Autonomy. CORRECT ANSWER: client's right to make own personal decisions,
even when those decisions might not be in the client's own best interest
• Beneficence. CORRECT ANSWER: positive actions to help others
• Fidelity. CORRECT ANSWER: agreement to keep promises
• Justice. CORRECT ANSWER: fairness in care delivery and use of resources
• Nonmaleficence. CORRECT ANSWER: avoidance of harm or injury
• Paternalism. CORRECT ANSWER: assumption that one person can assume
responsibility for making the decisions of another person
• Advocacy. CORRECT ANSWER: support of clients' health, safety, and personal
rights
• Responsibility. CORRECT ANSWER: willingness to respect obligations and
follow through on promises
• Accountability. CORRECT ANSWER: ability to answer for one's own actions
,• Confidentiality. CORRECT ANSWER: protection of privacy without
diminishing access to high-quality care
• When is a problem an ethical dilemma?. CORRECT ANSWER: When:
- A review of scientific data is not enough to solve it.
- It involves a conflict between two moral imperatives.
- The answer will have a profound effect on the situation and the client.
• Ethical decision making. CORRECT ANSWER: Process that requires striking a
balance between science and morality
• A nurse is caring for a client who decides not to have surgery despite significant
blockages in his
coronary arteries. The nurse understands that this client's choice is an example of
which of the following
ethical principles?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence. CORRECT ANSWER: B. Autonomy
In this situation, the client is exercising his right to make his own personal decision
about
surgery, regardless of others' opinions of what is "best" for him. This is an example
of autonomy.
• A nurse offers pain medication to a client who is postoperative prior to
ambulation. The nurse
,understands that this aspect of care delivery is an example of which of the
following ethical principles?
A. Fidelity
B. Autonomy
C. Justice
D. Beneficence. CORRECT ANSWER: D. Beneficence
Beneficence is taking positive actions to help others. By administering pain
medication
before the client attempts a potentially painful exercise like ambulation, the nurse
is taking a
specific and positive action to help the client.
• A nurse is instructing a group of nursing students about the responsibilities
involved with organ
donation and procurement. When the nurse explains that all clients waiting for a
kidney transplant have
to meet the same qualifications, the students should understand that this aspect of
care delivery is an
example of which of the following ethical principles?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence. CORRECT ANSWER: C. Justice
Justice is fairness in care delivery and in the use of resources. By applying the
same
, qualifications to all potential kidney transplant recipients, organ procurement
organizations
demonstrate this ethical principle in determining the allocation of these scarce
resources.
• A nurse questions a medication prescription as too extreme in light of the client's
advanced age
and unstable status. The nurse understands that this action is an example of which
of the following
ethical principles?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence. CORRECT ANSWER: D. Nonmaleficence
Nonmaleficence is the avoidance of harm or injury. In this situation, administering
the
medication could harm the client. By questioning it, the nurse is demonstrating this
ethical principle.
• A nurse is instructing a group of nursing students about how to know and what to
expect when ethical
dilemmas arise. Which of the following situations should the students identify as
an ethical dilemma?
A. A nurse on a medical-surgical unit demonstrates signs of chemical impairment.
B. A nurse overhears another nurse telling an older adult client that if he doesn't
stay in bed, she
will have to apply restraints.