With Rationale A+ Scored
1) The nurse is caring for a client in the intensive care unit (ICU) who was in a motor vehicle
accident. The physician asks the nurse to extubate the client because there is no communication
between the brain and body due to a cervical fracture. The family agrees with the decision of the
physician, but the nurse is uncomfortable pulling the tube. The nurse is experiencing difficulty because
of:
A) An ethical conflict.
B) Personal values.
C) Legal issues.
D) Cultural values. Answer: B Explanation:
A) The nurse is distressed because of personal values, which are in conflict with causing the client's
death. The decision is within ethical principles. Cultural values are not in evidenced in this instance.
Extubating this client would not be a legal decision.
B) The nurse is distressed because of personal values, which are in conflict with causing the client's
death. The decision is within ethical principles. Cultural values are not in evidenced in this instance.
Extubating this client would not be a legal decision.
C) The nurse is distressed because of personal values, which are in conflict with causing the client's
death. The decision is within ethical principles. Cultural values are not in evidenced in this instance.
Extubating this client would not be a legal decision.
D) The nurse is distressed because of personal values, which are in conflict with causing the client's
death. The decision is within ethical principles. Cultural values are not in evidenced in this instance.
Extubating this client would not be a legal decision.
Page Ref: 2564
Cognitive Level: Analyzing
Client Need: Physiological Integrity Nursing Process: Implementation
Learning Outcome: 1. Summarize the relationship between values and ethics in the nursing profession.
2) A nurse is caring for an elderly male client with terminal cancer. The client's family wants to
continue treatment, but the client has told the nurse he would like to discontinue treatment and go
home. The nurse agrees to be present while the client tells his family of his wishes. The nurse is
supporting which of the following principles?
,A) Beneficence for the client
B) Autonomy for the client
C) Nonmaleficence for the client
D) Justice for the client Answer: B Explanation:
A) Autonomy refers to the right to make one's own decisions. The nurse is supporting this principle
by supporting the client in his decision. Nonmaleficence is the duty to "do no harm." Justice is often
referred to as fairness. Beneficence means "doing good."
B) Autonomy refers to the right to make one's own decisions. The nurse is supporting this principle
by supporting the client in his decision. Nonmaleficence is the duty to "do no harm." Justice is often
referred to as fairness. Beneficence means "doing good."
C) Autonomy refers to the right to make one's own decisions. The nurse is supporting this principle
by supporting the client in his decision. Nonmaleficence is the duty to "do no harm." Justice is often
referred to as fairness. Beneficence means "doing good."
D) Autonomy refers to the right to make one's own decisions. The nurse is supporting this principle
by supporting the client in his decision. Nonmaleficence is the duty to "do no harm." Justice is often
referred to as fairness. Beneficence means "doing good."
Page Ref: 2564
Cognitive Level: Applying
Client Need: Safe and Effective Care Environment Nursing Process: Evaluation
Learning Outcome: 2. Examine the principles of ethical decision making.
3) A nurse educator is teaching a group of nursing students about the American Nurses Association
(ANA) code of ethics for professional nurses. Which student nurse response describes the ANA code of
ethics?
A) "It alleviates suffering for those cared for by professional nurses."
B) "It provides standards for professional nursing practice."
C) "It reflects legal judgments in professional nursing practice."
D) "It serves as legal standards for professional nursing practice." Answer: B
Explanation:
A) The ANA Code of Ethics is a formal statement of the group's ideals and values. It is a set of
ethical principles that serves as a standard for professional actions. Codes of ethics usually have higher
requirements than legal standards, and they are never lower than the legal standards of the profession.
Codes of ethics do not necessarily reflect legal judgments. Codes of ethics provide the atmosphere in
which the nurse is able to alleviate suffering.
, B) The ANA Code of Ethics is a formal statement of the group's ideals and values. It is a set of
ethical principles that serves as a standard for professional actions. Codes of ethics usually have higher
requirements than legal standards, and they are never lower than the legal standards of the profession.
Codes of ethics do not necessarily reflect legal judgments. Codes of ethics provide the atmosphere in
which the nurse is able to alleviate suffering.
C) The ANA Code of Ethics is a formal statement of the group's ideals and values. It is a set of
ethical principles that serves as a standard for professional actions. Codes of ethics usually have higher
requirements than legal standards, and they are never lower than the legal standards of the profession.
Codes of ethics do not necessarily reflect legal judgments. Codes of ethics provide the atmosphere in
which the nurse is able to alleviate suffering.
D) The ANA Code of Ethics is a formal statement of the group's ideals and values. It is a set of
ethical principles that serves as a standard for professional actions. Codes of ethics usually have higher
requirements than legal standards, and they are never lower than the legal standards of the profession.
Codes of ethics do not necessarily reflect legal judgments. Codes of ethics provide the atmosphere in
which the nurse is able to alleviate suffering.
Page Ref: 2568
Cognitive Level: Applying
Client Need: Safe and Effective Care Environment Nursing Process: Implementation
Learning Outcome: 3. Explain the ANA Code of Ethics.
4) The nursing instructor is conducting a class regarding nursing ethics with a group of first-year
nursing students. The instructor determines that the students have retained the necessary information
when the student makes which statement regarding the ANA Code of Ethics?
A) "It is used by all health care professionals."
B) "It guides nurses in their professional behavior and relationships."
C) "It is the only code of ethics available for nurses."
D) "It forms the basis for possible lawsuits." Answer: B
Explanation:
A) The ANA Code of Ethics is a guide for nurses in their work with clients and other professionals.
There is also an International Code of Ethics promulgated by the International Council of Nurses. Each
profession has its own code of ethics. State laws regarding nursing are the basis of lawsuits, not the
Code of Ethics.
B) The ANA Code of Ethics is a guide for nurses in their work with clients and other professionals.
There is also an International Code of Ethics promulgated by the International Council of Nurses. Each
profession has its own code of ethics. State laws regarding nursing are the basis of lawsuits, not the
Code of Ethics.