NR 222 Health and Wellness Final
Exam | Questions and Answers
Rated A| Chamberlain | 2024/2025
Complete Guide
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 a
patient's self-worth.
2. Nurses have a scope of practice that encourages their presence
during ethical discussions.
3. Nurses develop a relationship with the patient that is unique among all
professional health care providers.
4. The nurse's code of ethics recommends that a nurse be present at
any ethical discussion about patient care.
-CORRECT ANSWER - Nurses develop a relationship with the patient
that is unique among all professional health care providers.
Ethical dilemmas often arise over a conflict of opinion. Reliance on a
predictable series of steps can help people in conflict find common
ground. All of the following actions can help resolve conflict. What is the
best order of these actions in order to promote the resolution of an
ethical dilemma?
1. List the actions that could be taken to resolve the dilemma.
,2. Agree on a statement of the problem or dilemma that you are trying to
resolve.
3. Agree on a plan to evaluate the action over time.
4. Gather all relevant information regarding the clinical, social, and
spiritual aspects of the dilemma.
5. Take time to clarify values and distinguish between facts and opinions
—your own and those of others involved.
6. Negotiate a plan.
-CORRECT ANSWER - 4, 5, 2, 1, 6, 3
The ANA code of nursing ethics articulates that the nurse "promotes,
advocates for, and strives to protect the health, safety, and rights of the
patient." This includes the protection of patient privacy. On the basis of
this principle, if you participate in a public online social network such as
Facebook, could you post images of a patient's x-ray film if you obscured
or deleted all patient identifiers?
1. Yes, because patient privacy would not be violated since patient
identifiers were removed
2. Yes, because respect for autonomy implies that you have the
autonomy to decide what constitutes privacy
3. No, because, even though patient identifiers are removed, someone
could identify the patient on the basis of other comments that you make
online about his or her condition and your place of work
4. No, because the principle of justice requires you to allocate resources
fairly
-CORRECT ANSWER - No, because, even though patient identifiers are
removed, someone could identify the patient on the basis of other
,comments that you make online about his or her condition and your
place of work
What are the correct steps to resolve an ethical dilemma on a clinical
unit? Place the steps in correct order.
1. Clarify values.
2. Ask the question, Is this an ethical dilemma?
3. Verbalize the problem.
4. Gather information.
5. Identify course of action.
6. Evaluate the plan.
7. Negotiate a plan
-CORRECT ANSWER - 2, 4, 1, 3, 5, 7, 6
Resolution of an ethical dilemma involves discussion with the patient, the
patient's family, and participants from all health care disciplines. Which
of the following best describes the role of the nurse in the resolution of
ethical dilemmas?
1. To articulate the nurse's unique point of view, including knowledge
based on clinical and psychosocial observations.
2. To study the literature on current research about the possible clinical
interventions available for the patient in question.
3. To hold a point of view but realize that respect for the authority of
administrators and physicians takes precedence over personal opinion.
4. To allow the patient and the physician to resolve the dilemma on the
basis of ethical principles without regard to personally held values or
opinions.
, -CORRECT ANSWER - To articulate the nurse's unique point of view,
including knowledge based on clinical and psychosocial observations.
It can be difficult to agree on a common definition of the word quality
when it comes to quality of life. Why? (Select all that apply.)
1. Average income varies in different regions of the country.
2. Community values influence definitions of quality, and they are subject
to change over time.
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3. Individual experiences influence perceptions of quality in different
ways, making consensus difficult.
4. The value of elements such as cognitive skills, ability to perform
meaningful work, and relationship to family is difficult to quantify using
objective measures.
5. Statistical analysis is difficult to apply when the outcome cannot be
quantified.
6. Whether or not a person has a job is an objective measure, but it does
not play a role in understanding quality of life.
-CORRECT ANSWER - 2. Community values influence definitions of
quality, and they are subject to change over time.
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3. Individual experiences influence perceptions of quality in different
ways, making consensus difficult.
4. The value of elements such as cognitive skills, ability to perform
meaningful work, and relationship to family is difficult to quantify using
objective measures.
5. Statistical analysis is difficult to apply when the outcome cannot be
quantified.
