NURS 285 Exam week 1 Questions with Complete
Solutions
Which one of the following situations below involves moral dilemma for
the nurse (you)? Correct Answer-Pregnant woman with preeclampsia
comes to your hospital. She has already made up her mind and asks to
abort the baby as she fears life-threatening complications during child
birth. The doctor supports the patient's decision and asks you to
participate in the surgery. However you question doctor's decision and
even though you are terrified you may lose your job you refuse to
participate in the surgery
You are a RN and your patient of sound capacity refuses to receive
information regarding the progression of their osteoarthritis. Your
patient's main wish is to be present at and engaging in their knitting club
gatherings, without their disease preventing them in doing so. Which of
the seven ethical responsibilities should you practice regarding your
patient's refusal of information on disease progression and; based on
your patient's wish regarding knitting club, which aspect of health does
your patient most value? Correct Answer-Promoting and respecting
informed decision-making; social health in support from group
membership and friendship
A 19-year-old patient struggling with progressive symptoms of mental
illness has recently been diagnosed with bipolar disorder. The patient's
immediate family was informed of the condition and has requested that
the nurse withholds the diagnosis from the patient in order to protect
them from additional distress. Which ethical responsibility should
predominately influence the nurse's next course of action? Correct
Answer-Nurses provide the patient of care with all the information they
,need to make autonomous decisions regarding their health and well-
being.✔
4. What theory suggests that we have a moral obligation to others simply
because we are human, a theory that accommodates individual's personal
narrative? Correct Answer-Relational Ethics
Scenario: You are a nursing student on your third day of clinical practice
in a hospital setting. A registered nurse asks you to change an IV bag.
You are unfamiliar with the procedure of changing an IV bag but you
are scheduled to learn this skill in the upcoming week. In addition, you
have seen the procedure done on "Youtube" and want to impress your
supervisor. The nurse seems busy as there are many patients waiting in
the front and in other rooms. You decide not to annoy your supervisor
for support and change the IV. What ethical value from the "code" was
breached in the scenario? Correct Answer-Being Accountable
6. You often come onto a shift after a colleague whose attention to detail
is poor. You frequently find things that have been overlooked. You
discuss your concerns with them briefly, asking if they are okay. They
disclose they are having trouble sleeping, but you take no further action.
A week later, the same colleague missed critical sign of a stroke,
resulting in permanent brain damage to a patient. You are now
experiencing anxiety and depression. You wonder whether nursing is the
right profession for you. Which of the following are you currently
experiencing? Correct Answer-Ethical Residue
A 17 year old young woman is currently been observed at the
emergency room for complications from a dilation and curettage (D &
, C) procedure. She requests that her medical report not be disclosed to
her step-mother. Which of the following best describes the nurses'
obligation in the ethical decision? Correct Answer-Ethical obligation for
confidentiality
You are caring for a 30-year-old pregnant woman who is in an acute
need of blood transfusion. Without the transfusion she and her baby may
die. She is Jehovah's Witness and therefore is refusing the blood
transfusion. The nurse experiences grief for the woman and her unborn
child. This is an example of Correct Answer-Ethical (moral) distress
A nurse just started her shift at the Alberta Children's Hospital in
emergency. Her first case is a 3 year old male who was brought in by his
family for severe abdominal pain. The diagnosis is appendicitis, and the
response is to operate and to remove the appendix before it can rupture
causing more harm. The family alerts the nurse that they are Jehovah's
Witnesses and that it is against their beliefs to have a blood transfusion.
This revelation may result in the child not undergoing surgery or affect
surgical procedures. What ethical principal is the nurse encountering?
Correct Answer-Autonomy
Mary is a registered nurse who has recently experienced the loss of her
mother whom she was really close with. During one of her first shifts
back since the loss of her mother, she misread a patient's chart and
almost administered a potentially life threatening drug that was not
prescribed to her patient. Thankfully, a colleague noticed Mary and
questioned the medication. Mary's colleague also noticed that her
behaviour was rather unusual and recommended that she talk with her
manager about taking necessary measures. Which one of the following
actions should Mary take? Correct Answer-Consult with her manager
Solutions
Which one of the following situations below involves moral dilemma for
the nurse (you)? Correct Answer-Pregnant woman with preeclampsia
comes to your hospital. She has already made up her mind and asks to
abort the baby as she fears life-threatening complications during child
birth. The doctor supports the patient's decision and asks you to
participate in the surgery. However you question doctor's decision and
even though you are terrified you may lose your job you refuse to
participate in the surgery
You are a RN and your patient of sound capacity refuses to receive
information regarding the progression of their osteoarthritis. Your
patient's main wish is to be present at and engaging in their knitting club
gatherings, without their disease preventing them in doing so. Which of
the seven ethical responsibilities should you practice regarding your
patient's refusal of information on disease progression and; based on
your patient's wish regarding knitting club, which aspect of health does
your patient most value? Correct Answer-Promoting and respecting
informed decision-making; social health in support from group
membership and friendship
A 19-year-old patient struggling with progressive symptoms of mental
illness has recently been diagnosed with bipolar disorder. The patient's
immediate family was informed of the condition and has requested that
the nurse withholds the diagnosis from the patient in order to protect
them from additional distress. Which ethical responsibility should
predominately influence the nurse's next course of action? Correct
Answer-Nurses provide the patient of care with all the information they
,need to make autonomous decisions regarding their health and well-
being.✔
4. What theory suggests that we have a moral obligation to others simply
because we are human, a theory that accommodates individual's personal
narrative? Correct Answer-Relational Ethics
Scenario: You are a nursing student on your third day of clinical practice
in a hospital setting. A registered nurse asks you to change an IV bag.
You are unfamiliar with the procedure of changing an IV bag but you
are scheduled to learn this skill in the upcoming week. In addition, you
have seen the procedure done on "Youtube" and want to impress your
supervisor. The nurse seems busy as there are many patients waiting in
the front and in other rooms. You decide not to annoy your supervisor
for support and change the IV. What ethical value from the "code" was
breached in the scenario? Correct Answer-Being Accountable
6. You often come onto a shift after a colleague whose attention to detail
is poor. You frequently find things that have been overlooked. You
discuss your concerns with them briefly, asking if they are okay. They
disclose they are having trouble sleeping, but you take no further action.
A week later, the same colleague missed critical sign of a stroke,
resulting in permanent brain damage to a patient. You are now
experiencing anxiety and depression. You wonder whether nursing is the
right profession for you. Which of the following are you currently
experiencing? Correct Answer-Ethical Residue
A 17 year old young woman is currently been observed at the
emergency room for complications from a dilation and curettage (D &
, C) procedure. She requests that her medical report not be disclosed to
her step-mother. Which of the following best describes the nurses'
obligation in the ethical decision? Correct Answer-Ethical obligation for
confidentiality
You are caring for a 30-year-old pregnant woman who is in an acute
need of blood transfusion. Without the transfusion she and her baby may
die. She is Jehovah's Witness and therefore is refusing the blood
transfusion. The nurse experiences grief for the woman and her unborn
child. This is an example of Correct Answer-Ethical (moral) distress
A nurse just started her shift at the Alberta Children's Hospital in
emergency. Her first case is a 3 year old male who was brought in by his
family for severe abdominal pain. The diagnosis is appendicitis, and the
response is to operate and to remove the appendix before it can rupture
causing more harm. The family alerts the nurse that they are Jehovah's
Witnesses and that it is against their beliefs to have a blood transfusion.
This revelation may result in the child not undergoing surgery or affect
surgical procedures. What ethical principal is the nurse encountering?
Correct Answer-Autonomy
Mary is a registered nurse who has recently experienced the loss of her
mother whom she was really close with. During one of her first shifts
back since the loss of her mother, she misread a patient's chart and
almost administered a potentially life threatening drug that was not
prescribed to her patient. Thankfully, a colleague noticed Mary and
questioned the medication. Mary's colleague also noticed that her
behaviour was rather unusual and recommended that she talk with her
manager about taking necessary measures. Which one of the following
actions should Mary take? Correct Answer-Consult with her manager
