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Leddy & Pepper’s Professional Nursing
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TEST BANK For Leddy & Pepper’s Professional Nursing,10th Edition by Lucy Hood
Four patients in labor all request epidural analgesia to manage their pain at the same
time. Which ethical principle is compromised when only one nurse anesthetist is on
call? - ANSWER:Justice
Justice refers to fairness and is used frequently in discussion regarding access to
health care resources.
The patient tells the nurse that she is afraid to speak up regarding her desire to end
care for fear of upsetting her husband and children. Which principle in the nursing
code of ethics ensures that the nurse will promote the patient's cause? -
ANSWER:Advocacy
A nurse's ability to adequate advocate for a patient is based on the unique
relationship that develops and the opportunity to better understand the patient's
point of view.
The patient's son requests to view the documentation in his mother's medical
record. What is the nurse's best response to this request?
a.
"I'll be happy to get that for you."
b.
"You will have to talk to the physician about that."
c.
"You will need your mother's permission."
d.
"You are not allowed to see it." - ANSWER:c.
"You will need your mother's permission."
When people work together to solve ethical dilemmas, individuals must examine
their own values. This step is crucial to ensure that
a.
The group identifies the one correct solution.
b.
Fact is separated from opinion.
c.
Judgmental attitudes are not provoked.
d.
Different perspectives are respected. - ANSWER:d.
Different perspectives are respected.
Ethical dilemmas are common occurrences when caring for patients. The nurse
understands that dilemmas are a result of
a.
Presence of conflicting values.
,b.
Hierarchical systems.
c.
Judgmental perceptions of patients.
d.
Poor communication with the patient. - ANSWER:a.
Presence of conflicting values.
The nurse questions a physician's order to administer a placebo to the patient. The
nurse's action is based on which ethical principle?
a.
Autonomy
b.
Beneficence
c.
Justice
d.
Fidelity - ANSWER:a.
Autonomy
The nurse finds it difficult to care for a patient whose advance directive states that
no extraordinary resuscitation measures should be taken. Which step may help the
nurse to find resolution in this assignment?
a.
Call for an ethical committee consult.
b.
Decline the assignment on religious grounds.
c.
Scrutinize her own personal values.
d.
Convince the family to challenge the directive. - ANSWER:c.
Scrutinize her own personal values.
The nurse values autonomy above all other principles. Which patient assignment will
the nurse find most difficult to accept?
a.
Teenager in labor who requests epidural anesthesia
b.
Middle-aged father of three with an advance directive declining life support
c.
Elderly patient who requires dialysis
d.
Family elder who is making the decisions for a 30-year-old female member -
ANSWER:d.
Family elder who is making the decisions for a 30-year-old female member
, Which philosophy of health care ethics would be particularly useful when making
ethical decisions about vulnerable populations?
a.
Feminist ethics
b.
Deontology
c.
Bioethics
d.
Utilitarianism - ANSWER:a.
Feminist ethics
A nurse argues that we need to reform our health care system because we have a
large number of people who are uninsured and end up needing expensive emergent
care when low-cost measures could have prevented their illnesses. What ethical
framework is she using to make this case?
a.
Deontology
b.
Ethics of care
c.
Feminist ethics
d.
Utilitarianism - ANSWER:d.
Utilitarianism
The nurse has become aware of missing narcotics in the patient care area. Which
ethical principle obligates the nurse to report the missing medications?
a.
Advocacy
b.
Responsibility
c.
Confidentiality
d.
Accountability - ANSWER:b.
Responsibility
A young woman who is pregnant with a fetus exposed to multiple teratogens
consents to have her fetus undergo serial PUBS (percutaneous umbilical blood
sampling) to examine how exposure affects the fetus over time. Although these tests
will not improve the fetus' outcomes and will expose it to some risks, the
information gathered may help infants in the future. Which ethical principle is at
greatest risk?
a.
Autonomy
b.
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