N316 Exam 1 Questions with correct answers
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. Even though several ethical principles
are at work in this case, list the principles from highest to lowest
priority.
A. accountability: you as the nurse are accountable for the wellbeing of
this patient.
B. respect for autonomy: this patient's autonomy will be violated if he
does not receive the liver transplant.
C. ethics of care: the caring thing that a nurse could provide this patient
is resources for a liver transplant.
D. justice: the greatest question in this situation is how to determine the
just distribution of resources Correct Answer-D B C A
Fill in the blank. The point of the ethical practice is an agreement to
reassure the public that in all ways the health care team not only works
to heal patients but agrees to do this in the least painful and harmful way
possible. This principle is commonly called the principle of _____?
Correct Answer-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?
A. Fidelity
B. Beneficence
,C. Nonmaleficence
D. Respect for autonomy Correct Answer-B. beneficence
When designing a plan for pain management for a postoperative patient,
the nurse assesses that the patient's priority is to be as free of pain as
possible. The nurse and patient work together to identify a plan to
manage the pain. The nurse continually reviews the plan with the patient
to ensure that the patient's priority is met. Which principle is used to
encourage the nurse to monitor the patient's response to the pain?
A. Fidelity
B. Beneficence
C. Nonmaleficence
D. Respect for autonomy Correct Answer-A. fidelity
A patient is admitted to a medical unit. The patient is fearful of
hospitals. The nurse carefully assesses the patient to determine the exact
fears and then establishes interventions designed to reduce these fears. In
this setting how is the nurse practicing patient advocacy?
A. seeking out the nursing supervisor to talk with the patient
B. Documenting patient fears in the medical record in a timely manner
C. Working to change the hospital environment
D. Assessing the patient's point of view and preparing to articulate it.
Correct Answer-D. assessing the patient's point of view and preparing to
articulate it
,The application of utilitarianism does not always resolve an ethical
dilemma. Which of the following statements best explains why?
A. utilitarianism refers to usefulness and therefore eliminates the need to
talk about spiritual values.
B. in a diverse community it can be difficult to find agreement on a
definition of usefulness, the focus of utilitarianism
C. Even when agreement about a definition of usefulness exists in a
community, laws prohibit an application of utilitarianism.
D. difficult ethical decision cannot be resolved by talking about the
usefulness of a procedure Correct Answer-B. in a diverse community it
can be difficult to find agreement on a definition of usefulness, the focus
of utilitarianism
The ethics of care suggest that ethical dilemmas can best solved by
attention to relationships. How does this differ from other ethical
practices? (select all that apply)
A. ethics of care pays attention to the environment in which caring
occurs
B. ethics of care pays attention to the stories of the people involved in
the ethical issue
C. ethics of care is used only in nursing practice
D. ethics of care focuses only on the code of ethics for nurses
E. ethics of care focuses only on understanding relationships Correct
Answer-A, B, E
, 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?
A. Nurses understand the principle of autonomy to guide respect for a
patient's self-worth
B. Nurses have a scope of practice that encourages their presence during
ethical discussions
C. Nurses develop a relationship with the patient that is unique among
all professional health care providers.
D. The nurse's code of ethics recommends that a nurse be present at any
ethical discussion about patient care. Correct Answer-C. 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 promise the resolution of an
ethical dilemma?
A. list the actions that could be taken to resolve the dilemma
B. Agree on a statement of the problem or dilemma that you are trying to
resolve.
C. agree on a plan to evaluate the action over time
D. gather all relevant information regarding the clinical, social and
spiritual aspects of the dilemma
E. take time to clarify values and distinguish between facts and
opinions--your own and those of others involved
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. Even though several ethical principles
are at work in this case, list the principles from highest to lowest
priority.
A. accountability: you as the nurse are accountable for the wellbeing of
this patient.
B. respect for autonomy: this patient's autonomy will be violated if he
does not receive the liver transplant.
C. ethics of care: the caring thing that a nurse could provide this patient
is resources for a liver transplant.
D. justice: the greatest question in this situation is how to determine the
just distribution of resources Correct Answer-D B C A
Fill in the blank. The point of the ethical practice is an agreement to
reassure the public that in all ways the health care team not only works
to heal patients but agrees to do this in the least painful and harmful way
possible. This principle is commonly called the principle of _____?
Correct Answer-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?
A. Fidelity
B. Beneficence
,C. Nonmaleficence
D. Respect for autonomy Correct Answer-B. beneficence
When designing a plan for pain management for a postoperative patient,
the nurse assesses that the patient's priority is to be as free of pain as
possible. The nurse and patient work together to identify a plan to
manage the pain. The nurse continually reviews the plan with the patient
to ensure that the patient's priority is met. Which principle is used to
encourage the nurse to monitor the patient's response to the pain?
A. Fidelity
B. Beneficence
C. Nonmaleficence
D. Respect for autonomy Correct Answer-A. fidelity
A patient is admitted to a medical unit. The patient is fearful of
hospitals. The nurse carefully assesses the patient to determine the exact
fears and then establishes interventions designed to reduce these fears. In
this setting how is the nurse practicing patient advocacy?
A. seeking out the nursing supervisor to talk with the patient
B. Documenting patient fears in the medical record in a timely manner
C. Working to change the hospital environment
D. Assessing the patient's point of view and preparing to articulate it.
Correct Answer-D. assessing the patient's point of view and preparing to
articulate it
,The application of utilitarianism does not always resolve an ethical
dilemma. Which of the following statements best explains why?
A. utilitarianism refers to usefulness and therefore eliminates the need to
talk about spiritual values.
B. in a diverse community it can be difficult to find agreement on a
definition of usefulness, the focus of utilitarianism
C. Even when agreement about a definition of usefulness exists in a
community, laws prohibit an application of utilitarianism.
D. difficult ethical decision cannot be resolved by talking about the
usefulness of a procedure Correct Answer-B. in a diverse community it
can be difficult to find agreement on a definition of usefulness, the focus
of utilitarianism
The ethics of care suggest that ethical dilemmas can best solved by
attention to relationships. How does this differ from other ethical
practices? (select all that apply)
A. ethics of care pays attention to the environment in which caring
occurs
B. ethics of care pays attention to the stories of the people involved in
the ethical issue
C. ethics of care is used only in nursing practice
D. ethics of care focuses only on the code of ethics for nurses
E. ethics of care focuses only on understanding relationships Correct
Answer-A, B, E
, 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?
A. Nurses understand the principle of autonomy to guide respect for a
patient's self-worth
B. Nurses have a scope of practice that encourages their presence during
ethical discussions
C. Nurses develop a relationship with the patient that is unique among
all professional health care providers.
D. The nurse's code of ethics recommends that a nurse be present at any
ethical discussion about patient care. Correct Answer-C. 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 promise the resolution of an
ethical dilemma?
A. list the actions that could be taken to resolve the dilemma
B. Agree on a statement of the problem or dilemma that you are trying to
resolve.
C. agree on a plan to evaluate the action over time
D. gather all relevant information regarding the clinical, social and
spiritual aspects of the dilemma
E. take time to clarify values and distinguish between facts and
opinions--your own and those of others involved
