1
Questions
1. ID: 8482553041A client with leukemia is being considered for a bone
marrowtransplant. The healthcare team is discussing the risks and benefits of this
treatment and other possible treatments with the goal of inflicting the least possible
harm on the client. Which principle of healthcare ethics is the team practicing?
Justice
Fidelity
Autonom
y
Nonmaleficence Correct
Rationale: Nonmaleficence is the avoidance of hurt or harm. Remember
that in healthcare ethics, ethical practice involves not only the will to do good but also
the equal commitment to do no harm. Healthcare professionals try to balance the risks
and benefits of a plan of care while striving to do the least possible harm. Justice
refers to fairness and equity and ensuring fair allocation of resources, such as nursing
care for all clients. Fidelity is the keeping ofpromises made to clients, families, and
other healthcare professionals. Autonomy refers to a person’s independence and
represents an agreement to respect another’s right to determine his or her course of
action.
Test-Taking Strategy: Focus on the subject - the ethical principle being
utilized.
Recall the definition of each item in the options. Note the relationship of the
words “least possible harm” in the question and the definition of nonmaleficence.
Review: principles of healthcare ethics.
Reference: Potter, P., & Perry, A. (2009). Fundamentals of nursing (7th ed., p.
314). St. Louis: Mosby.
Cognitive Ability: Applying
, 2
Client Needs: Safe and Effective Care
Environment Integrated Process: Nursing
Process/ImplementationContent Area:
Ethical/Legal
Giddens Concepts: Celluar Regulation, Ethics
HESI Concepts: Advocacy/Ethical/Legal Issues, Cellular Regulation
Awarded 1.0points out of 1.0 possible points.
2. ID: 8482553007Which action by the nurse represents the ethical principle
of
beneficence?
The nurse upholds a client’s decision to refuse chemotherapy for lung
cancer. The nurse follows a plan of care designed to relieve pain in a
client with cancer.
The nurse administers an immunization to a child even though it may cause discomfort.
Correct
The nurse provides equal amounts of care to all assigned clients on the basis of illness
acuity.
Rationale: Beneficence is taking action to help others. Although
administration ofa child’s immunization might cause discomfort, the benefits of
protection from disease outweigh the temporary discomfort. Fidelity is keeping
promises made to clients, families, and other healthcare professionals. Autonomy is a
person’s independence. Respecting another’s autonomy means that you are agreeing to
respect that person’s right to determine his or her course of action.Justice refers to
fairness and equity, including fair allocation of resources, such as nursing care for all
clients.
Test-Taking Strategy: Focus on the subject, beneficence. Recalling that
beneficence refers to taking action to help others will direct you to the correct option.
Review:
, 3
the principles of healthcare ethics .
Reference: Potter, P., & Perry, A. (2009). Fundamentals of nursing (7th ed., p.
314). St. Louis: Mosby.
Cognitive Ability: Applying
Client Needs: Safe and Effective Care
Environment Integrated Process: Nursing
Process/ImplementationContent Area:
Ethical/Legal
Giddens Concepts: Ethics, Immunity
HESI Concepts: Advocacy/Ethical/Legal Issues, Immunity Awarded 1.0
points out of 1.0 possible points.
3. ID: 8482553071The nursing instructor
asks a student to name an
example offalse imprisonment. Which situation reflects a violation of this client
right?
Performing a procedure without consent
Telling the client that he or she may not leave the hospital Correct
Threatening to give a client a medication against his or her will
Observing the provision of care to the client without the client’s permission
Rationale: Telling a client that he or she may not leave the hospital
constitutesfalse imprisonment. Performing a procedure without consent is an example
of battery.
Threatening to give a client a medication against his or her will is assault. Invasion of
privacy takes place with unreasonable intrusion into an individual’s private affairs.
Observing the provision of care to a client without the client’s permission is an example
of invasion of privacy.
Test-Taking Strategy: Focus on the subject, an example of false
imprisonment. Note the relationship of the subject and the words in the correct option.
Review: the concept of false imprisonment.
Questions
1. ID: 8482553041A client with leukemia is being considered for a bone
marrowtransplant. The healthcare team is discussing the risks and benefits of this
treatment and other possible treatments with the goal of inflicting the least possible
harm on the client. Which principle of healthcare ethics is the team practicing?
Justice
Fidelity
Autonom
y
Nonmaleficence Correct
Rationale: Nonmaleficence is the avoidance of hurt or harm. Remember
that in healthcare ethics, ethical practice involves not only the will to do good but also
the equal commitment to do no harm. Healthcare professionals try to balance the risks
and benefits of a plan of care while striving to do the least possible harm. Justice
refers to fairness and equity and ensuring fair allocation of resources, such as nursing
care for all clients. Fidelity is the keeping ofpromises made to clients, families, and
other healthcare professionals. Autonomy refers to a person’s independence and
represents an agreement to respect another’s right to determine his or her course of
action.
Test-Taking Strategy: Focus on the subject - the ethical principle being
utilized.
Recall the definition of each item in the options. Note the relationship of the
words “least possible harm” in the question and the definition of nonmaleficence.
Review: principles of healthcare ethics.
Reference: Potter, P., & Perry, A. (2009). Fundamentals of nursing (7th ed., p.
314). St. Louis: Mosby.
Cognitive Ability: Applying
, 2
Client Needs: Safe and Effective Care
Environment Integrated Process: Nursing
Process/ImplementationContent Area:
Ethical/Legal
Giddens Concepts: Celluar Regulation, Ethics
HESI Concepts: Advocacy/Ethical/Legal Issues, Cellular Regulation
Awarded 1.0points out of 1.0 possible points.
2. ID: 8482553007Which action by the nurse represents the ethical principle
of
beneficence?
The nurse upholds a client’s decision to refuse chemotherapy for lung
cancer. The nurse follows a plan of care designed to relieve pain in a
client with cancer.
The nurse administers an immunization to a child even though it may cause discomfort.
Correct
The nurse provides equal amounts of care to all assigned clients on the basis of illness
acuity.
Rationale: Beneficence is taking action to help others. Although
administration ofa child’s immunization might cause discomfort, the benefits of
protection from disease outweigh the temporary discomfort. Fidelity is keeping
promises made to clients, families, and other healthcare professionals. Autonomy is a
person’s independence. Respecting another’s autonomy means that you are agreeing to
respect that person’s right to determine his or her course of action.Justice refers to
fairness and equity, including fair allocation of resources, such as nursing care for all
clients.
Test-Taking Strategy: Focus on the subject, beneficence. Recalling that
beneficence refers to taking action to help others will direct you to the correct option.
Review:
, 3
the principles of healthcare ethics .
Reference: Potter, P., & Perry, A. (2009). Fundamentals of nursing (7th ed., p.
314). St. Louis: Mosby.
Cognitive Ability: Applying
Client Needs: Safe and Effective Care
Environment Integrated Process: Nursing
Process/ImplementationContent Area:
Ethical/Legal
Giddens Concepts: Ethics, Immunity
HESI Concepts: Advocacy/Ethical/Legal Issues, Immunity Awarded 1.0
points out of 1.0 possible points.
3. ID: 8482553071The nursing instructor
asks a student to name an
example offalse imprisonment. Which situation reflects a violation of this client
right?
Performing a procedure without consent
Telling the client that he or she may not leave the hospital Correct
Threatening to give a client a medication against his or her will
Observing the provision of care to the client without the client’s permission
Rationale: Telling a client that he or she may not leave the hospital
constitutesfalse imprisonment. Performing a procedure without consent is an example
of battery.
Threatening to give a client a medication against his or her will is assault. Invasion of
privacy takes place with unreasonable intrusion into an individual’s private affairs.
Observing the provision of care to a client without the client’s permission is an example
of invasion of privacy.
Test-Taking Strategy: Focus on the subject, an example of false
imprisonment. Note the relationship of the subject and the words in the correct option.
Review: the concept of false imprisonment.
