NUR 108 Final Exam Questions and Answers

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. 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 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 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.Which step in the ethical decision-making process does the RN explore personal bias about an ethical issue? Assessment submitted Evaluation Diagnosis Planning 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 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 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.” 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.