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ATI PN Fundamentals, proctored
exam review. 31 pages.
Autonomy - client's right to make own personal decisions, even when those decisions might not be in
the client's own best interest
Beneficence - positive actions to help others
Fidelity - agreement to keep promises
Justice - fairness in care delivery and use of resources
Nonmaleficence - avoidance of harm or injury
Paternalism - assumption that one person can assume responsibility for making the decisions of another
person
Advocacy - support of clients' health, safety, and personal rights
Responsibility - willingness to respect obligations and follow through on promises
Accountability - ability to answer for one's own actions
Confidentiality - protection of privacy without diminishing access to high-quality care
When is a problem an ethical dilemma? - When:
- A review of scientific data is not enough to solve it.
,ATI PN FUNDAMENTALS,
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- It involves a conflict between two moral imperatives.
- The answer will have a profound effect on the situation and the client.
,ATI PN FUNDAMENTALS,
PROCTORED EXAM LATEST REVIEW
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Ethical decision making - 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 - 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 - 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
, ATI PN FUNDAMENTALS,
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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?