MODULE 5 EXAM
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WITH COMPLETE
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SOLUTIONS
, Modulel 5lExam:l HESIl VNlTXGRPl 1912COHORT(VNEl 39)
Question 1 l
1l/l 1lpts
Alclientlwithlleukemialislbeinglconsideredlforlalbonelmarrowltranspla
nt.lThelhealthlcarelteamlisldiscussinglthelriskslandlbenefitsl oflthisl trea
tmentl andl otherl possibleltreatmentsl withl thelgoalloflinflictingl thelleastl
possiblelharml onlthel client.lWhichlprincipleloflhealthl carelethicslislthel
teaml practicing?
JusticelFi
delitylAuto
nomy
Co
orrrec
ct! Nonmaleficence
Rationale:lNonmaleficencelislthelavoidanceloflhurtlorlharm.l
Rememberlthatlinlhealthlcarelethics,lethicallpracticelinvolvesl
notlonlylthelwillltoldolgoodlbutlalsolthelequall commitmentl told
olnol harm.l Healthl carelprofessionalsl tryl tolbalancel thel risksla
ndl benefitsl oflalplanloflcarelwhilelstrivingltoldolthelleastlpossib
lelharm.lJusticelrefersltolfairnesslandlequitylandlensuringlfairl
allocationloflresources,lsuchlaslnursingl carelforlalllclients.lFid
elitylislthelkeepingloflpromiseslmadeltolclients,lfamilies,landlo
therlhealthlcarelprofessionals.lAutonomylrefersltolalperson’sl
independencelandlrepresentslanlagreementltolrespectlanot
her’sl rightl toldeterminel hislorlherl courseloflaction.
Test-
TakinglStrategy:lUselknowledgel oflthel subjectl tolhelplyoulwit
hlthelprocessloflelimination.lThinklaboutltheldefinitionl ofleachl
itemlinlthel options.lNotel thel relationshiploflthelwordsl“leastlpo
ssiblelharm”linlthelquestionlandltheldefinitionloflnonmaleficen
ce.lReviewlthelprinciplesloflhealthl carel ethicsl iflyoul hadl difficu
ltyl withl thisl question.
CognitivelAbility:lApplying
ClientlNeeds:lSafelandlEffectivelCarelEnvironmentlIntegrated
l Process:lNursingl Process/ImplementationlContentlArea:lEth
ical/Legal
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, Modulel 5lExam:l HESIl VNlTXGRPl 1912COHORT(VNEl 39)
Question 2 l
1l/l 1lpts
Whichlactionlbylthel nursel representsl thelethicallprincipleloflbene
ficence?
Thelnurselupholdslalclient’sldecisionltolrefuselchemotherapylforllun
glcancer.
Thelnurselfollowsl alplanl oflcareldesignedltol relievelpainlinl alclientlwit
hlcancer.
Co
orrrec
ct!
Thelnurseladministerslanlimmunizationltolalchildlevenlthoughlitlma
ylcauseldiscomfort.
Thelnurselprovideslequallamountsloflcareltolalllassignedlclientslonlt
hel basislofl illnesslacuity.
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, Modulel 5lExam:l HESIl VNlTXGRPl 1912COHORT(VNEl 39)
Rationale:lBeneficencelisltakinglactionltolhelplothers.lAltho
ughladministrationloflalchild’slimmunizationlmightlcauseldis
comfort,lthelbenefitsloflprotectionlfromldiseaseloutweighl th
eltemporaryl discomfort.lFidelitylislkeepinglpromiseslmadelt
olclients,lfamilies,landlotherlhealthlcarelprofessionals.l Auto
nomyl islalperson’slindependence.
Respectingl another’sl autonomyl meanslthatl youl arelagreein
gltolrespectlthatlperson’slrightltoldeterminelhislorlherlcourselofl
action.lJusticelrefersltolfairnesslandlequity,lincludingl fairlalloc
ationloflresources,l suchl aslnursingl carelforlalll clients.
Test-
TakinglStrategy:lFocuslonlthelsubject,lbeneficence.lRecallin
gl thatlbeneficencel refersl toltakingl actionltolhelplotherslwillldire
ctlyoultolthelcorrectloption.lReviewlthelprinciplesl oflhealthl carel
ethicsl iflyoul hadl difficultyl withlthislquestion.
CognitivelAbility:lApplying
ClientlNeeds:lSafelandlEffectivelCarelEnvironmentlIntegrate
dl Process:lNursingl Process/ImplementationlContentlArea:lE
thical/Legal
Question 3 l
1l/l 1lpts
Thelnursinglinstructorlaskslalstudentltolnamelanlexampleloflfals
elimprisonment.lWhichlsituationlreflectslalviolationloflthislclientl ri
ght?
Performinglal procedurelwithoutlconsent
Co
orrrec
ct Tellinglthelclientl thatlhelorlshel mayl notlleavelthel hospital
Threateningltolgivelalclientlalmedicationlagainstlhislorl herlwill
Observinglthelprovisionloflcarel tolthelclientl withoutl thel client’s
permission
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