BSN 111 Final Exam Practice
Questions and Answers56
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?
A. Justice
B. Nonmaleficence
C. Beneficence
D. Fidelity - ANSWERS-ANS: A
Justice refers to fairness and is used frequently in discussion regarding access to health care
resources. Here the just distribution of resources, in this case pain management, cannot be
justly apportioned.
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?
A. Responsibility
B. Advocacy
C. Confidentiality
D. Accountability - ANSWERS-ANS: B
Nurses advocate for patients when they support the patient's cause. 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. - ANSWERS-ANS: C
The nurse understands that sharing health information is governed by HIPAA legislation, which
defines rights and privileges of patients for protection of privacy. Private health information
cannot be shared without the patient's specific 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 - ANSWERS-ANS: D
Values are personal beliefs that influence opinions. To be able to negotiate differences in
opinions, the nurse must first be clear about personal values, which will influence behaviors,
decisions, and actions.
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. - ANSWERS-ANS: A
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 - ANSWERS-ANS: A
Autonomy refers to the freedom to make decisions free of external control. In this case, the
nurse questions the physician's order for a placebo because it supports the patient's 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 - ANSWERS-ANS: C
Values develop over time and are influenced by family, schools, religious traditions, and life
experiences. The nurse must recognize that no two humans have the same set of experiences,
and so differences in values are more likely the norm than the exception.
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 - ANSWERS-ANS:
D
Autonomy refers to freedom from external control. A person who values autonomy highly may
find it difficult to accept situations where the patient is not the primary decision maker
regarding his or her care. A teenager requesting an epidural, a father with an advanced
directive, and an elderly patient requiring dialysis all describe a patient or family that can make
their own decisions and choices regarding care
, Which philosophy of healthcare ethics would be particularly useful when making ethical
decisions about vulnerable populations?
A. Feminist ethics
B. Deontology
C. Bioethics
D. Utilitarianism - ANSWERS-ANS: A
Feminist ethics particularly focuses on the nature of relationships, especially those where there
is a power imbalance or a point of view that is not routinely accepted.
A nurse argues that we need to reform our healthcare 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 - ANSWERS-ANS: D
Utilitarianism is a system of ethics that believes that value is determined by usefulness. This
system of ethics focuses on the outcome of the greatest good for the greatest number of
people.
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 - ANSWERS-ANS: B
Questions and Answers56
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?
A. Justice
B. Nonmaleficence
C. Beneficence
D. Fidelity - ANSWERS-ANS: A
Justice refers to fairness and is used frequently in discussion regarding access to health care
resources. Here the just distribution of resources, in this case pain management, cannot be
justly apportioned.
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?
A. Responsibility
B. Advocacy
C. Confidentiality
D. Accountability - ANSWERS-ANS: B
Nurses advocate for patients when they support the patient's cause. 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. - ANSWERS-ANS: C
The nurse understands that sharing health information is governed by HIPAA legislation, which
defines rights and privileges of patients for protection of privacy. Private health information
cannot be shared without the patient's specific 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 - ANSWERS-ANS: D
Values are personal beliefs that influence opinions. To be able to negotiate differences in
opinions, the nurse must first be clear about personal values, which will influence behaviors,
decisions, and actions.
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. - ANSWERS-ANS: A
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 - ANSWERS-ANS: A
Autonomy refers to the freedom to make decisions free of external control. In this case, the
nurse questions the physician's order for a placebo because it supports the patient's 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 - ANSWERS-ANS: C
Values develop over time and are influenced by family, schools, religious traditions, and life
experiences. The nurse must recognize that no two humans have the same set of experiences,
and so differences in values are more likely the norm than the exception.
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 - ANSWERS-ANS:
D
Autonomy refers to freedom from external control. A person who values autonomy highly may
find it difficult to accept situations where the patient is not the primary decision maker
regarding his or her care. A teenager requesting an epidural, a father with an advanced
directive, and an elderly patient requiring dialysis all describe a patient or family that can make
their own decisions and choices regarding care
, Which philosophy of healthcare ethics would be particularly useful when making ethical
decisions about vulnerable populations?
A. Feminist ethics
B. Deontology
C. Bioethics
D. Utilitarianism - ANSWERS-ANS: A
Feminist ethics particularly focuses on the nature of relationships, especially those where there
is a power imbalance or a point of view that is not routinely accepted.
A nurse argues that we need to reform our healthcare 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 - ANSWERS-ANS: D
Utilitarianism is a system of ethics that believes that value is determined by usefulness. This
system of ethics focuses on the outcome of the greatest good for the greatest number of
people.
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 - ANSWERS-ANS: B
