l l l l l
p 2023(Questions with Answe
l l l l
rs)LatestGradedA+
l l l
, Question 1 l
1l/l1lpts
Alclientlwithlleukemialislbeinglconsideredlforlalbonelmarrowltranspla
nt.lThelhealthllcarelteamlisldiscussinglthelriskslandlbenefitsloflthisltre
atmentlandlotherlpossibleltreatmentsl withlthelgoalloflinflictinglthellea
stlpossiblelharmlonlthelclient.lWhichlprincipleloflhealthllcarelethicslislt
helteamlpracticing?
JusticelFi
delitylAuto
nomy
o rrrec
Co l t! Nonmaleficence
Rationale:lNonmaleficencellislthelavoidanceloflhurtlorlharm.l
Rememberlthatlinlhealthlcarelethics,lethicallpracticelinvolve
slnotlonlyllthelwillltoldolgoodlbutlalsolthelequallcommitmentltol
dolnolharm.lHealthllcarelprofessionalsltryltolbalancelthelrisksl
andlbenefitsloflalplanloflcarelwhilelstrivingltoldolthelleastlposs
iblelharm.
Justicelrefersltolfairnesslandlequitylandlensuringlfairlallocatio
nloflresources,lsuchlaslnursinglcarelforlalllclients.lFidelityl islthe
l keepingl ofl promisesl madel tol clients,lfamilies,landlotherlhealt
hlcarelprofessionals.lAutonomylrefersltolalperson’slindepend
encelandlrepresentslanlagreementltolrespectl another’slrightlt
oldeterminelhislorlherlcourseloflaction.
Test-
TakinglStrategy:lUselknowledgeloflthelsubjectltolhelplyoulwit
hlthelprocessloflelimination.lThinklaboutltheldefinitionlofleachl
itemlinltheloptions.lNotelthelrelationshiploflthelwordsl“leastlpo
ssiblelharm”l inlthelquestionlandltheldefinitionloflnonmalefice
nce.lReviewlthelprinciplesloflhealthl carelethicsliflyoulhadldiffi
cultyllwithlthislquestion.
CognitivelAbility:lApplying
ClientlNeeds:lSafelandlEffectivelCarelEnvironmentlIntegrat
edlProcess:lNursinglProcess/ImplementationlContentlArea:
l Ethical/Legal
1/117
, Question 2 l
1l/l1lpts
Whichlactionlbylthelnurselrepresentslthelethicallprincipleloflben
eficence?
Thelnurselupholdslalclient’sldecisionltolrefuselchemotherapylforllungl
cancer.
Thelnurselfollowslalplanloflcareldesignedltolrelievelpainlinlalclientlwith
lcancer.
o rrrec
Co l t!
Thelnurseladministerslanlimmunizationltolalchildlevenlthoughlitlmaylc
auseldiscomfort.
Thelnurselprovideslequallamountsloflcareltolalllassignedlclientslonlth
elbasisloflillnesslacuity.
2/117
, Rationale:lBeneficencelisltakinglactionltolhelplothers.lAlthoug
hladministrationloflalchild’slimmunizationlmightlcauseldiscomf
ort,lthelbenefitsloflprotectionlfromldiseaseloutweighltheltempo
raryldiscomfort.lFidelitylislkeepinglpromiseslmadeltolclients,lf
amilies,landlotherlhealthlcarelprofessionals.lAutonomylislalper
son’slindependence.
Respectinglanother’slautonomyllmeanslthatlyoularelagreeingl
tolrespectlthatl person’slrightltoldeterminelhislorlherlcourselofl
action.lJusticelrefersltolfairnesslandlequity,lincludinglfairlalloc
ationloflresources,lsuchlaslnursinglcarelforlalllclients.
Test-
TakinglStrategy:lFocuslonlthelsubject,lbeneficence.lRecallinglth
atlbeneficencelrefersltoltakinglactionltolhelplotherslwillldirectlyoult
olthelcorrectloption.lReviewlthelprinciplesloflhealthlcarelethicslifly
oulhadldifficultylwithlthislquestion.
CognitivelAbility:lApplying
ClientlNeeds:lSafelandlEffectivelCarelEnvironmentlIntegrate
dlProcess:lNursinglProcess/ImplementationlContentlArea:lEt
hical/Legal
Question 3 l
1l/l1lpts
Thelnursinglinstructorlaskslalstudentltolnamelanlexampleloflfals
elimprisonment.lWhichlsituationlreflectslalviolationloflthislclientlri
ght?
Performinglalprocedurelwithoutlconsent
o rrrec
Co l t! Tellinglthelclientlthatlhelorlshelmaylnotlleavelthelhospital
Threateningltolgivelalclientlalmedicationlagainstlhislorlherlwill
Observinglthelprovisionloflcareltolthelclientlwithoutlthelclient’slperm
ission
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