NURS 230 Leadership - Comprehensive Final, Study Guide
questions with complete solutions
Power of Attorney (POA/DPA) CORRECT ANSWER Legal document authorizing someone to act on your behalf.
✨Living Will states wishes regarding future healthcare if the pt becomes unable to
give instructions
A 67-year-old man has been admitted to the hospital for a surgical procedure. During the admission process, the nurse asks whether he has a living will or a durable power of attorney. The patient asks, "What is a living will?" The best response by the nurse would be which of the following?
A. "A living will and a durable power of attorney are both advance directives."
B. "A living will states your wishes regarding future healthcare if you become unable to give instructions."
C. "A living will identifies a person who will make healthcare decisions in the event you are unable to do so."
D. "I will tell a case manager that you would like additional information." CORRECT ANSWER B. "A living will states your wishes regarding future healthcare if you become unable to give instructions."
Feedback: Generally, there are two types of advance directives: a living will and a durable power of attorney. A living will is a directive that declares the patient's wishes should the patient become unable to give instruction. A durable power of attorney identifies a person who will make healthcare decisions in the event the patient is unable to do so. Simply saying a living will and durable power of attorney are both advance directives is broadly stated and does not give as much information to the patient. Veracity CORRECT ANSWER Truthfulness, honesty, accuracy
The nurse hung a unit of blood on the wrong client, resulting in an anaphylactic reaction in the client. During the resuscitation, the nurse does not reveal that the wrong blood was given. Which moral principle was absent in the nurse's actions?
A. Human dignity
B. Veracity
C. Autonomy
D. Social justice CORRECT ANSWER B. Veracity
Feedback: The moral principle of veracity refers to telling the truth, no matter the outcome. By lying, the nurse jeopardized the health of the client. Human dignity includes the belief of the inherent worth of the client. Autonomy is the right to self-
determination. Social justice is the upholding of rules of equal treatment for all clients.
Autonomy CORRECT ANSWER Self-government, ability to make decisions about their own care
A nurse informs the patient's health care provider that the patient is refusing potentially life saving surgery. In this situation, which ethical principle is the nurse using?
A. Beneficence
B. Nonmaleficence
C. Autonomy
D. Justice CORRECT ANSWER C. Autonomy Feedback: Using the principle of autonomy allows individuals to have the right to determine their own actions and make their own choices. Calling the health care provider to report the patient's refusal of surgery demonstrates the nurse's use of autonomy to guide practice.
Beneficence CORRECT ANSWER Doing good or causing good to be done; kindly
action
A nurse practices beneficence when teaching a class of adolescents about the risks of drinking and driving. Beneficence is best described as:
A. The actions one takes should promote good.
B. Always telling the truth
C. The right to self-determination
D. Do no harm and safeguard the client. CORRECT ANSWER A. The actions one takes should promote good.
Feedback: Beneficence means "the actions one takes should promote good." A nurse teaching a class of adolescents is promoting the health and well-being of the community.
When designing a plan for pain management for a postoperative patient, the nurse assesses that the patient's priority is to be as free of pain as possible. The nurse and patient work together to identify a plan to manage the pain. The nurse continually reviews the plan with the patient to ensure that the patient's priority is met. Which principle is used to encourage the nurse to monitor the patient's response to the pain?
A. Fidelity B. Beneficence
C. Nonmaleficence
D. Respect for autonomy CORRECT ANSWER A. Fidelity
Feedback: Fidelity means keeping promises. Keeping the promise in this case includes not just tending to the clinical need, but evaluating the effectiveness of the
interventions.
Fidelity CORRECT ANSWER Faithfulness, loyalty
Nonmaleficence CORRECT ANSWER Do no harm
A nurse is providing patient teaching for a patient undergoing chemotherapy. The nurse is explaining that the chemotherapy will cause some unpleasant side effects, such as nausea and hair loss. In this situation, the nurse is using which ethical principle?
A. Beneficence
B. Nonmaleficence
C. Autonomy
D. Justice CORRECT ANSWER B. Nonmaleficence
Feedback: Nonmaleficence involves the duty to do no harm. Although the patient will experience nausea and hair loss (harm), the treatment will eventually produce good for the patient.
Justice CORRECT ANSWER Fairness; rightfulness
questions with complete solutions
Power of Attorney (POA/DPA) CORRECT ANSWER Legal document authorizing someone to act on your behalf.
✨Living Will states wishes regarding future healthcare if the pt becomes unable to
give instructions
A 67-year-old man has been admitted to the hospital for a surgical procedure. During the admission process, the nurse asks whether he has a living will or a durable power of attorney. The patient asks, "What is a living will?" The best response by the nurse would be which of the following?
A. "A living will and a durable power of attorney are both advance directives."
B. "A living will states your wishes regarding future healthcare if you become unable to give instructions."
C. "A living will identifies a person who will make healthcare decisions in the event you are unable to do so."
D. "I will tell a case manager that you would like additional information." CORRECT ANSWER B. "A living will states your wishes regarding future healthcare if you become unable to give instructions."
Feedback: Generally, there are two types of advance directives: a living will and a durable power of attorney. A living will is a directive that declares the patient's wishes should the patient become unable to give instruction. A durable power of attorney identifies a person who will make healthcare decisions in the event the patient is unable to do so. Simply saying a living will and durable power of attorney are both advance directives is broadly stated and does not give as much information to the patient. Veracity CORRECT ANSWER Truthfulness, honesty, accuracy
The nurse hung a unit of blood on the wrong client, resulting in an anaphylactic reaction in the client. During the resuscitation, the nurse does not reveal that the wrong blood was given. Which moral principle was absent in the nurse's actions?
A. Human dignity
B. Veracity
C. Autonomy
D. Social justice CORRECT ANSWER B. Veracity
Feedback: The moral principle of veracity refers to telling the truth, no matter the outcome. By lying, the nurse jeopardized the health of the client. Human dignity includes the belief of the inherent worth of the client. Autonomy is the right to self-
determination. Social justice is the upholding of rules of equal treatment for all clients.
Autonomy CORRECT ANSWER Self-government, ability to make decisions about their own care
A nurse informs the patient's health care provider that the patient is refusing potentially life saving surgery. In this situation, which ethical principle is the nurse using?
A. Beneficence
B. Nonmaleficence
C. Autonomy
D. Justice CORRECT ANSWER C. Autonomy Feedback: Using the principle of autonomy allows individuals to have the right to determine their own actions and make their own choices. Calling the health care provider to report the patient's refusal of surgery demonstrates the nurse's use of autonomy to guide practice.
Beneficence CORRECT ANSWER Doing good or causing good to be done; kindly
action
A nurse practices beneficence when teaching a class of adolescents about the risks of drinking and driving. Beneficence is best described as:
A. The actions one takes should promote good.
B. Always telling the truth
C. The right to self-determination
D. Do no harm and safeguard the client. CORRECT ANSWER A. The actions one takes should promote good.
Feedback: Beneficence means "the actions one takes should promote good." A nurse teaching a class of adolescents is promoting the health and well-being of the community.
When designing a plan for pain management for a postoperative patient, the nurse assesses that the patient's priority is to be as free of pain as possible. The nurse and patient work together to identify a plan to manage the pain. The nurse continually reviews the plan with the patient to ensure that the patient's priority is met. Which principle is used to encourage the nurse to monitor the patient's response to the pain?
A. Fidelity B. Beneficence
C. Nonmaleficence
D. Respect for autonomy CORRECT ANSWER A. Fidelity
Feedback: Fidelity means keeping promises. Keeping the promise in this case includes not just tending to the clinical need, but evaluating the effectiveness of the
interventions.
Fidelity CORRECT ANSWER Faithfulness, loyalty
Nonmaleficence CORRECT ANSWER Do no harm
A nurse is providing patient teaching for a patient undergoing chemotherapy. The nurse is explaining that the chemotherapy will cause some unpleasant side effects, such as nausea and hair loss. In this situation, the nurse is using which ethical principle?
A. Beneficence
B. Nonmaleficence
C. Autonomy
D. Justice CORRECT ANSWER B. Nonmaleficence
Feedback: Nonmaleficence involves the duty to do no harm. Although the patient will experience nausea and hair loss (harm), the treatment will eventually produce good for the patient.
Justice CORRECT ANSWER Fairness; rightfulness
