Ps chiatric Nursing Unit 2 Section 4 Ethics, Standards, and Nursing
Framewor PrepU Questions
1. The nurse is working with a client who has expressed a desire to discon-
tinue treatment. The care team knows that this decision would have negative
consequences for the client and is discussing the ethics of the situation. In
order to best address the situation, the nurse should first:
Ask reflective questions in order to fully understand the situation.
Enlist the assistance of the institution's legal team Ans : "Ask reflective
questions in order to fully understand the situation."
The ethical decision-making process begins with asking reflective questions to
gain a full understanding of the situation being addressed. It would be premature
to describe a decision to the client and there is no particular need for written
documentation from the client. It is often unnecessary to involve legal experts in
ethical decision-making.
2. A client asks if the medication has any possible negative side effects.
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, The nurse considers the client highly suggestible, believes the medication
will benefit the client, and, since the client has no history of cardiovascular
disease, does not tell the client of the potential for cardiac dysrhythmias. The
nurse's actions involve a conflict between veracity and which other ethical
principle Ans : Nonmaleficence.
The conflict is between veracity and nonmaleficence. Veracity is a systematic behav-
ior of honesty and truthfulness in speech. Nonmaleficence is the requirement to do
no harm to others either intentionally or unintentionally.
3. What is provided in the Code of Ethics for Nurses of the American Nurses
Association (ANA) Ans : A guideline for nurses regarding ethical conduct.
4. A client with depression who is undergoing a colonoscopy tomorrow is
receiving preoperative education regarding the procedure.Which nursing task
best describes the explanation of the procedure and the associated risks and
benefits Ans : Acquiring informed consent.
Informing the client of the risks and benefits of a procedure is best described as
obtaining informed consent. Informed consent involves the client's right of self-deci-
sion.
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