Chapter 22 Notes
The patient for whom you are caring needs a liver transplant to survive. This
patient has been out of work for several months and doesn't have health
insurance or enough cash. What principles would be a priority in a discussion
about ethics?
1 Accountability because you as the nurse are accountable for the well-being
of this patient
2 Respect for autonomy because this patient's autonomy will be violated if he
does not receive the liver transplant
3 Ethics of care because the caring thing that a nurse could provide this
patient is resources for a liver transplant
4 Justice because the first and greatest question in this situation is how to
determine the just distribution of resources - correct answer-4 Justice because
the first and greatest question in this situation is how to determine the just
distribution of resources
The point of the ethical principal to "do no harm" is an agreement to reassure
the public that in all ways the health care team not only works to heal patients
but agree to do this in the least painful and harmful way possible. Which
principle describes this agreement?
1 Beneficence
2 Accountability
3 Nonmaleficence
4 Respect for autonomy - correct answer-3 Nonmaleficence
A child's immunization may cause discomfort during administration, but the
benefits of protection from disease, both for the individual and society,
outweigh the temporary discomforts. Which principle is involved in this
situation?
1 Fidelity
2 Beneficence
3 Nonmaleficence
4 Respect for autonomy - correct answer-2 Beneficence
When a nurse assesses a patient for pain and offers a plan to manage the
pain, which principal is used to encourage the nurse to monitor the patient's
response to the pain?
1 Fidelity
What is the best example of the nurse practicing patient advocacy?
1 Seek out the nursing supervisor in conflicting procedural situations
2 Document all clinical changes in the medical record in a timely manner
3 Work to understand the law as it applies to an error in following standards of
care
4 Assess the patient's point of view and prepare to articulate it - correct
answer-4 Assess the patient's point of view and prepare to articulate it
Successful ethical discussion depends on people who have a clear sense of
personal values. When a group of people share many of the same values, it
may be possible to refer for guidance to philosophical principals of
utilitarianism. This philosophy proposes which of the following?
1 The value of something is determined by its usefulness to society.
2 People's values are determined by religious leaders.
3 The decision to perform a liver transplant depends on a measure of the
moral life that the patient has led so far.
4 The best way to determine the solution to an ethical dilemma is to refer the
case to the attending physician or health care provider. - correct answer-1 The
value of something is determined by its usefulness to society.
The philosophy sometimes called the ethics of care suggests that ethical
dilemmas can best be solved by attention to which of the following?
1 Patients
2 Relationships
3 Ethical principles
4 Code of ethics for nurses - correct answer-2 Relationships
In most ethical dilemmas in health care, the solution to the dilemma requires
negotiation among members of the health care team. Why is the nurse's point
of view valuable?
1 Nurses understand the principle of autonomy to guide respect for patient's
self-worth.
2 Nurses have a scope of practice that encourages their presence during
ethical discussions.
3 Nurses develop a relationship to the patient that is unique among all
professional health care providers.
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