Nursing Test Bank Exam 3 With Questions & Answers 100% A+

Four patients in labor all request epidural analgesia to manage their pain at the same time. Which ethical principle is compromised when only one nurse anesthetist is on call? - CORRECT ANSWER-Justice Justice refers to fairness and is used frequently in discussion regarding access to health care resources. The patient tells the nurse that she is afraid to speak up regarding her desire to end care for fear of upsetting her husband and children. Which principle in the nursing code of ethics ensures that the nurse will promote the patient's cause? - CORRECT ANSWER-Advocacy A nurse's ability to adequate advocate for a patient is based on the unique relationship that develops and the opportunity to better understand the patient's point of view. The patient's son requests to view the documentation in his mother's medical record. What is the nurse's best response to this request? a. "I'll be happy to get that for you." b. "You will have to talk to the physician about that." c. "You will need your mother's permission." d. "You are not allowed to see it." - CORRECT ANSWER-c. "You will need your mother's permission." When people work together to solve ethical dilemmas, individuals must examine their own values. This step is crucial to ensure that a. The group identifies the one correct solution. b. Fact is separated from opinion. c. Judgmental attitudes are not provoked. d. Different perspectives are respected. - CORRECT ANSWER-d. Different perspectives are respected. Ethical dilemmas are common occurrences when caring for patients. The nurse understands that dilemmas are a result of a. Presence of conflicting values. b. Hierarchical systems. c. Judgmental perceptions of patients. d. Poor communication with the patient. - CORRECT ANSWER-a. Presence of conflicting values. The nurse questions a physician's order to administer a placebo to the patient. The nurse's action is based on which ethical principle? a. Autonomy b. Beneficence c. Justice d. Fidelity - CORRECT ANSWER-a. Autonomy The nurse finds it difficult to care for a patient whose advance directive states that no extraordinary resuscitation measures should be taken. Which step may help the nurse to find resolution in this assignment? a. Call for an ethical committee consult. b. Decline the assignment on religious grounds. c. Scrutinize her own personal values. d. Convince the family to challenge the directive. - CORRECT ANSWER-c. Scrutinize her own personal values. The nurse values autonomy above all other principles. Which patient assignment will the nurse find most difficult to accept? a. Teenager in labor who requests epidural anesthesia b. Middle-aged father of three with an advance directive declining life support c. Elderly patient who requires dialysis d. Family elder who is making the decisions for a 30-year-old female member - CORRECT ANSWER-d. Family elder who is making the decisions for a 30-year-old female member Which philosophy of health care ethics would be particularly useful when making ethical decisions about vulnerable populations? a. Feminist ethics b. Deontology c. Bioethics d. Utilitarianism - CORRECT ANSWER-a. Feminist ethics A nurse argues that we need to reform our health care system because we have a large number of people who are uninsured and end up needing expensive emergent care when low-cost measures could have prevented their illnesses. What ethical framework is she using to make this case? a. Deontology b. Ethics of care c. Feminist ethics d. Utilitarianism - CORRECT ANSWER-d. Utilitarianism The nurse has become aware of missing narcotics in the patient care area. Which ethical principle obligates the nurse to report the missing medications? a. Advocacy b. Responsibility c. Confidentiality d. Accountability - CORRECT ANSWER-b. Responsibility A young woman who is pregnant with a fetus exposed to multiple teratogens consents to have her fetus undergo serial PUBS (percutaneous umbilical blood sampling) to examine how exposure affects the fetus over time. Although these tests will not improve the fetus' outcomes and will expose it to some risks, the information gathered may help infants in the future. Which ethical principle is at greatest risk? a. Autonomy b. Fidelity c. Nonmaleficence d. Beneficence - CORRECT ANSWER-c. Nonmaleficence Which issue has increased the attention paid to quality of life concerns in recent history? a. Health care disparities b. National movement regarding disabled persons c. Aging of the population d. Health care financial reform - CORRECT ANSWER-b. National movement regarding disabled persons Which patient is most likely to have difficulty with the ethical concept of autonomy? a. 18-year-old patient in labor b. 35-year-old patient with appendicitis c. 53-year-old patient with pancreatitis d. 78-year-old patient with rheumatoid arthritis - CORRECT ANSWER-d. 78-year-old patient with rheumatoid arthritis The nurse is caring for a severely ill patient with AIDS who now requires ventilator support. Which intervention is considered futile? a. Administering the influenza vaccine b. Providing oral care every 5 hours c. Applying fentanyl patches prn for pain d. Supporting the patient's lower extremities with pillows - CORRECT ANSWER-a. Administering the influenza vaccine During a severe respiratory epidemic, the local health care organizations decide to give health care providers priority access to ventilators over other members of the community who also need that resource. Which philosophy would give the strongest support for this decision? a. Feminist ethics b. Utilitarianism c. Deontology d. Ethics of care - CORRECT ANSWER-b. Utilitarianism Determinations regarding quality of life are a. Based on a person's ability to act according to ethical principles. b. Based on a patient's self-determination. c. Value judgments that can vary from person to person. d. Consistent and stable over the course of one's lifetime. - CORRECT ANSWER-c. Value judgments that can vary from person to person.