NSG130 Ethics Exam With Correct
Solution
A.) Deciding on long-term care in nursing homes or skilled nursing facilities - ANSWER
An older adult patient is increasingly unable to care for himself. The patient has had
several falls and his children are worried about his ability to live alone safely.
Which is the most frequently encountered patient rights issue related to older adult
patients?
A.) Deciding on long-term care in nursing homes or skilled nursing facilities
B.) Designating of a power of attorney for healthcare
C.) Deciding whether or not to have a do-not-resuscitate (DNR) order
D.) Getting providers to listen and take their complaints seriously
D.) The decision could lead to a reduction in the quality of care provided. - ANSWER A
hospital that has a shortage of RNs but an increasing patient census is exploring ways
to accommodate this increased patient volume without hiring additional RNs. The
facility decides to increase the nurse/patient ratio and hire additional unlicensed
assistive personnel (UAPs) to fill the gap.
Which ethical dilemma does this solution present?
A.) The hospital will be perceived as being cheap instead of cost-effective, resulting in
bad publicity.
B.) This practice may discourage UAPs from furthering their careers because they
already have steady employment.
C.) The hospital may not be able to attract qualified RNs if the nurse/patient ratio is
increased.
D.) The decision could lead to a reduction in the quality of care provided.
B.) Nonmaleficence - ANSWER The nurse administers blood to a patient without
verifying the patient's identity. As a result, the patient receives the wrong type of blood
and has a severe reaction.
Which principle of ethical decision making is demonstrated by the nurse's failure to
verify the correct blood?
A.) Justice
B.) Nonmaleficence
, C.) Veracity
D.) Beneficence
A.) "Patient responsibilities are designed to help you and your healthcare providers
work together as a team." - ANSWER The nurse is reviewing the American Hospital
Association's (AHA's) patient responsibilities with a 19-year-old patient at 34 weeks of
gestation. As the nurse is speaking, the patient interrupts and says, "I get it. You're in
charge, and I have to do what you tell me."
Which response by the nurse is most appropriate?
A.) "Patient responsibilities are designed to help you and your healthcare providers
work together as a team."
B.) "Patient responsibilities are intended to help keep you and members of your
healthcare team safe and comfortable."
C.) "Patient responsibilities are established to make sure that you know you can refuse
care without suffering any consequences."
D.) "Patient responsibilities are meant to help you understand that you are entitled to
respectful, courteous care."
B.) Ensuring personal safety by taking such measures as getting between a patient and
the door - ANSWER The nurse is performing care interventions for patients who lack
moral development or have been exposed to corrupt environments.
Which is an important self-care consideration for the nurse?
A.) Taking the opportunity to discuss their own moral code with patients in an effort to
foster moral development
B.) Ensuring personal safety by taking such measures as getting between a patient and
the door
C.) Refraining from speaking to these patient unless necessary because they pose a
safety risk
D.) Instructing these patients about how they must be compliant in all aspects of care
because the care team has formed a plan that implements morals and ethics
C.) A behavioral health agency closes three small rural clinics to expand and improve
services provided in their busiest facilities. - ANSWER Which statement describes the
application of utilitarianism?
A.) A hospital expands its emergency department services in order to provide more
efficient care.
B.) A physician practice adds a second provider to help increase the number of patients
Solution
A.) Deciding on long-term care in nursing homes or skilled nursing facilities - ANSWER
An older adult patient is increasingly unable to care for himself. The patient has had
several falls and his children are worried about his ability to live alone safely.
Which is the most frequently encountered patient rights issue related to older adult
patients?
A.) Deciding on long-term care in nursing homes or skilled nursing facilities
B.) Designating of a power of attorney for healthcare
C.) Deciding whether or not to have a do-not-resuscitate (DNR) order
D.) Getting providers to listen and take their complaints seriously
D.) The decision could lead to a reduction in the quality of care provided. - ANSWER A
hospital that has a shortage of RNs but an increasing patient census is exploring ways
to accommodate this increased patient volume without hiring additional RNs. The
facility decides to increase the nurse/patient ratio and hire additional unlicensed
assistive personnel (UAPs) to fill the gap.
Which ethical dilemma does this solution present?
A.) The hospital will be perceived as being cheap instead of cost-effective, resulting in
bad publicity.
B.) This practice may discourage UAPs from furthering their careers because they
already have steady employment.
C.) The hospital may not be able to attract qualified RNs if the nurse/patient ratio is
increased.
D.) The decision could lead to a reduction in the quality of care provided.
B.) Nonmaleficence - ANSWER The nurse administers blood to a patient without
verifying the patient's identity. As a result, the patient receives the wrong type of blood
and has a severe reaction.
Which principle of ethical decision making is demonstrated by the nurse's failure to
verify the correct blood?
A.) Justice
B.) Nonmaleficence
, C.) Veracity
D.) Beneficence
A.) "Patient responsibilities are designed to help you and your healthcare providers
work together as a team." - ANSWER The nurse is reviewing the American Hospital
Association's (AHA's) patient responsibilities with a 19-year-old patient at 34 weeks of
gestation. As the nurse is speaking, the patient interrupts and says, "I get it. You're in
charge, and I have to do what you tell me."
Which response by the nurse is most appropriate?
A.) "Patient responsibilities are designed to help you and your healthcare providers
work together as a team."
B.) "Patient responsibilities are intended to help keep you and members of your
healthcare team safe and comfortable."
C.) "Patient responsibilities are established to make sure that you know you can refuse
care without suffering any consequences."
D.) "Patient responsibilities are meant to help you understand that you are entitled to
respectful, courteous care."
B.) Ensuring personal safety by taking such measures as getting between a patient and
the door - ANSWER The nurse is performing care interventions for patients who lack
moral development or have been exposed to corrupt environments.
Which is an important self-care consideration for the nurse?
A.) Taking the opportunity to discuss their own moral code with patients in an effort to
foster moral development
B.) Ensuring personal safety by taking such measures as getting between a patient and
the door
C.) Refraining from speaking to these patient unless necessary because they pose a
safety risk
D.) Instructing these patients about how they must be compliant in all aspects of care
because the care team has formed a plan that implements morals and ethics
C.) A behavioral health agency closes three small rural clinics to expand and improve
services provided in their busiest facilities. - ANSWER Which statement describes the
application of utilitarianism?
A.) A hospital expands its emergency department services in order to provide more
efficient care.
B.) A physician practice adds a second provider to help increase the number of patients
