NUR 214 EXAM 2 2026 UPDATE QUESTIONS
AND CORRECT VERIFIED ANSWERS ALREADY
GRADED A+ (BRAND NEW VISION)
When working with ethical dilemmas, there are no rules—only guidelines—because
when
working with people, there are innumerable variations in background and response.
Nurses
need ethical guidelines and processes to help them in their practices.
A nurse explains to a student that the object of beneficence is to
a. consider all the ways patients benefit from action.
b. do the best thing in every patient care scenario.
c. provide "good" according to the patient's wishes.
d. use one's own judgment to make patient care decisions. - ANS-ANS: C
The object of beneficence is to provide good to the patient, but the meaning of
"good" must
be clarified within each patient's wishes and desires.
There is no practical way to consider every single way a patient can benefit from
an action,
particularly when you realize that every patient is a unique individual and will
have potential
benefits that are unique to him or her.
Doing good for patients is the basis of the principle, but merely doing the best
thing does not
specify using the patient's preferences and values in each setting. It would also
be impossible
to accomplish this in every single situation.
Making care decisions without considering the patient's wishes is not practicing
ethically,
although there are times when professional judgment may be a priority.
A nurse admits a patient with end-stage cancer who is very obviously in pain yet refuses
pain
medication because of the desire to remain aware of family members who are present.
The
best example of the nurse acting under the ethical principle of beneficence is to
a. assess the patient and pain thoroughly and discuss the patient's wishes.
b. call the doctor and get orders for around-the-clock pain medication anyway.
c. tell the patient and family that the patient has the right to refuse treatment.
d. try convincing the patient that the family does not want her to be in pain. - ANS-ANS
A
,The heart of ethical nursing practice is a therapeutic nurse-patient relationship in
which the
nurse's actions are influenced by each patient's unique situation. To follow the
principle of
beneficence, the nurse needs to promote good understanding of the patient's
wishes. After
obtaining this information, the nurse can move on to a plan to manage the
patient's pain that is
acceptable to the patient (possibly nonpharmacological therapies). But without
having this
information first, the nurse cannot treat the patient's pain in a beneficent manner.
One option might be to call the doctor and get pain medication ordered so it will
be available
should the patient change her mind. But first, the nurse needs to understand the
patient's
wishes and desires in order to assist the physician in ordering the most
appropriate
medication. It is not beneficent to merely get pain medication ordered anyway.
The patient does have the right to refuse any treatment (if the patient is able to
make reasoned
judgments), but this corresponds to the principle of autonomy.
Trying to convince the patient to act in accordance with the wishes of others is
not promoting
beneficence.
A nurse speaking in the legislature in favor of providing universal health care would best
support this cause by calling on the ethical principle of
a. autonomy.
b. beneficence.
c. justice.
d. veracity. - ANS-ANS: C
The principle of justice relates to fairness and how health care resources should
be distributed.
The argument may well be made that justice requires equal access to health care
for all.
Autonomy is the principle that relates to self-determination.
Beneficence means doing good, which may be applicable to such discussions
but is not the
strongest principle to use for this argument.
Veracity is telling the truth and keeping promises, which would not be the most
applicable
concept in this situation.
A nurse feels strongly that nursing practice should be based on justice. The action by
the nurse
that best demonstrates this principle is to
,a. allow patients to make their own decisions regarding nursing care.
b. make sure all patients get their meals ordered at the same time.
c. spend the same amount of time with each patient during the shift.
d. use a consistent approach in deciding which patients to see first. - ANS-ANS: D
When a nurse cares for multiple patients, their needs often conflict. The nurse
practicing
within the principle of justice has a clear plan for deciding how to allocate her or
his time as a
resource, seeing to it that those with the most pressing needs are seen first and
that other
patients' needs are cared for as well during the shift. Doing so according to a
consistent
standard helps ensure that personal biases do not influence this decision.
Allowing patients to make their own decisions regarding nursing care would
relate more to
autonomy, which is the right to self-determination and to make choices regarding
health care.
On the surface, making sure all patients get their meals ordered at the same time
sounds fair
and just, but it does not take into account individual patient needs.
Spending the same amount of time with each patient does not allow for individual
patient
needs.
A nurse is assessing factors that may influence a patient's decision-making ability.
Which
assessment by the nurse would provide the most useful information?
a. Financial ability to pay for care
b. How long the patient has to decide
c. The patient's current pain level
d. What information is available - ANS-ANS: C
Constraints to autonomy include patient variables that affect the person's
capacity to make
choices. Factors such as pain, cognitive ability, and fatigue can all influence this.
Financial ability to pay for health care does not have an effect on autonomy.
How long the patient has to decide should not affect the patient's ability to make
decisions.
The patient may or may not have enough information to make an informed
decision, but this
does not affect the personal abilities to choose.
A nursing instructor tells the class the most important ethical principle involved in
informed
consent is
a. autonomy.
b. beneficence.
, c. confidentiality.
d. veracity. - ANS-ANS: A
Autonomy is the ability to make one's own decisions. Informed consent is based
on this self-
determination.
Beneficence is doing good for patients; although this is important in all health
care
interactions, it is not the most important principle in informed decision making.
Confidentiality is a vital component of ethical practice, but it does not create the
foundation
for informed consent.
Veracity, or telling the truth and keeping promises, is not the most important
principle for
informed consent.
A patient with a head injury is confused and combative and wants to leave the hospital,
repeatedly getting out of bed. The nurses obtain an order for soft wrist restraints and a
vest
restraint. This action best demonstrates
a. beneficence.
b. justice.
c. nonmaleficence.
d. paternalism. - ANS-ANS: D
This patient is confused and combative after sustaining a head injury. It is reasonable to
think
the patient does not understand the implications of his or her actions and thus is
incapable of
making informed decisions. Thus, the nurse needs to use professional judgment and
provide
care that meets the patient's needs. Overriding a patient's choice for his or her good is
called
paternalism and can be justified in specific situations.
Beneficence is doing good, but it must take into consideration the patient's needs and
wishes
in order to provide good. However, this patient is confused and combative and unable to
articulate wishes in a way that the nurse can use them when providing good. This is not
the
best answer to this question because it does not take into account the patient's
diminished
cognitive abilities.
Justice means using health care resources equally and is not applicable to this
situation.
Nonmaleficence means doing no harm, which is not the best answer in this case.
A patient is in pain and requests pain medication. The nurse sees that it is too early to
administer the medication. Practicing under the principle of veracity, the nurse should
AND CORRECT VERIFIED ANSWERS ALREADY
GRADED A+ (BRAND NEW VISION)
When working with ethical dilemmas, there are no rules—only guidelines—because
when
working with people, there are innumerable variations in background and response.
Nurses
need ethical guidelines and processes to help them in their practices.
A nurse explains to a student that the object of beneficence is to
a. consider all the ways patients benefit from action.
b. do the best thing in every patient care scenario.
c. provide "good" according to the patient's wishes.
d. use one's own judgment to make patient care decisions. - ANS-ANS: C
The object of beneficence is to provide good to the patient, but the meaning of
"good" must
be clarified within each patient's wishes and desires.
There is no practical way to consider every single way a patient can benefit from
an action,
particularly when you realize that every patient is a unique individual and will
have potential
benefits that are unique to him or her.
Doing good for patients is the basis of the principle, but merely doing the best
thing does not
specify using the patient's preferences and values in each setting. It would also
be impossible
to accomplish this in every single situation.
Making care decisions without considering the patient's wishes is not practicing
ethically,
although there are times when professional judgment may be a priority.
A nurse admits a patient with end-stage cancer who is very obviously in pain yet refuses
pain
medication because of the desire to remain aware of family members who are present.
The
best example of the nurse acting under the ethical principle of beneficence is to
a. assess the patient and pain thoroughly and discuss the patient's wishes.
b. call the doctor and get orders for around-the-clock pain medication anyway.
c. tell the patient and family that the patient has the right to refuse treatment.
d. try convincing the patient that the family does not want her to be in pain. - ANS-ANS
A
,The heart of ethical nursing practice is a therapeutic nurse-patient relationship in
which the
nurse's actions are influenced by each patient's unique situation. To follow the
principle of
beneficence, the nurse needs to promote good understanding of the patient's
wishes. After
obtaining this information, the nurse can move on to a plan to manage the
patient's pain that is
acceptable to the patient (possibly nonpharmacological therapies). But without
having this
information first, the nurse cannot treat the patient's pain in a beneficent manner.
One option might be to call the doctor and get pain medication ordered so it will
be available
should the patient change her mind. But first, the nurse needs to understand the
patient's
wishes and desires in order to assist the physician in ordering the most
appropriate
medication. It is not beneficent to merely get pain medication ordered anyway.
The patient does have the right to refuse any treatment (if the patient is able to
make reasoned
judgments), but this corresponds to the principle of autonomy.
Trying to convince the patient to act in accordance with the wishes of others is
not promoting
beneficence.
A nurse speaking in the legislature in favor of providing universal health care would best
support this cause by calling on the ethical principle of
a. autonomy.
b. beneficence.
c. justice.
d. veracity. - ANS-ANS: C
The principle of justice relates to fairness and how health care resources should
be distributed.
The argument may well be made that justice requires equal access to health care
for all.
Autonomy is the principle that relates to self-determination.
Beneficence means doing good, which may be applicable to such discussions
but is not the
strongest principle to use for this argument.
Veracity is telling the truth and keeping promises, which would not be the most
applicable
concept in this situation.
A nurse feels strongly that nursing practice should be based on justice. The action by
the nurse
that best demonstrates this principle is to
,a. allow patients to make their own decisions regarding nursing care.
b. make sure all patients get their meals ordered at the same time.
c. spend the same amount of time with each patient during the shift.
d. use a consistent approach in deciding which patients to see first. - ANS-ANS: D
When a nurse cares for multiple patients, their needs often conflict. The nurse
practicing
within the principle of justice has a clear plan for deciding how to allocate her or
his time as a
resource, seeing to it that those with the most pressing needs are seen first and
that other
patients' needs are cared for as well during the shift. Doing so according to a
consistent
standard helps ensure that personal biases do not influence this decision.
Allowing patients to make their own decisions regarding nursing care would
relate more to
autonomy, which is the right to self-determination and to make choices regarding
health care.
On the surface, making sure all patients get their meals ordered at the same time
sounds fair
and just, but it does not take into account individual patient needs.
Spending the same amount of time with each patient does not allow for individual
patient
needs.
A nurse is assessing factors that may influence a patient's decision-making ability.
Which
assessment by the nurse would provide the most useful information?
a. Financial ability to pay for care
b. How long the patient has to decide
c. The patient's current pain level
d. What information is available - ANS-ANS: C
Constraints to autonomy include patient variables that affect the person's
capacity to make
choices. Factors such as pain, cognitive ability, and fatigue can all influence this.
Financial ability to pay for health care does not have an effect on autonomy.
How long the patient has to decide should not affect the patient's ability to make
decisions.
The patient may or may not have enough information to make an informed
decision, but this
does not affect the personal abilities to choose.
A nursing instructor tells the class the most important ethical principle involved in
informed
consent is
a. autonomy.
b. beneficence.
, c. confidentiality.
d. veracity. - ANS-ANS: A
Autonomy is the ability to make one's own decisions. Informed consent is based
on this self-
determination.
Beneficence is doing good for patients; although this is important in all health
care
interactions, it is not the most important principle in informed decision making.
Confidentiality is a vital component of ethical practice, but it does not create the
foundation
for informed consent.
Veracity, or telling the truth and keeping promises, is not the most important
principle for
informed consent.
A patient with a head injury is confused and combative and wants to leave the hospital,
repeatedly getting out of bed. The nurses obtain an order for soft wrist restraints and a
vest
restraint. This action best demonstrates
a. beneficence.
b. justice.
c. nonmaleficence.
d. paternalism. - ANS-ANS: D
This patient is confused and combative after sustaining a head injury. It is reasonable to
think
the patient does not understand the implications of his or her actions and thus is
incapable of
making informed decisions. Thus, the nurse needs to use professional judgment and
provide
care that meets the patient's needs. Overriding a patient's choice for his or her good is
called
paternalism and can be justified in specific situations.
Beneficence is doing good, but it must take into consideration the patient's needs and
wishes
in order to provide good. However, this patient is confused and combative and unable to
articulate wishes in a way that the nurse can use them when providing good. This is not
the
best answer to this question because it does not take into account the patient's
diminished
cognitive abilities.
Justice means using health care resources equally and is not applicable to this
situation.
Nonmaleficence means doing no harm, which is not the best answer in this case.
A patient is in pain and requests pain medication. The nurse sees that it is too early to
administer the medication. Practicing under the principle of veracity, the nurse should
