PHI 116 Exam 2 Review 151 Questions and
Answers 2025
D ("I will respect your wishes and keep your information confidential. I do wish you would reconsider
though") (Page 356) -
The nurse is seeing a client who is going to be married in a month. This client has a history of
Huntington disease in her family. The genetic testing has come back, and the client has just been
told she carries the gene for Huntington disease and will develop the disease when she gets older.
The client asks the nurse if this information is confidential and if it will remain that way. The nurse
explains to the client that her family should be told and so should her fiancé. The client forcefully
tells the nurse "no." She is not going to tell either her family or her fiancé. What is the nurse's best
response?
A-"I am ethically bound to tell your family and your fiancé."
B-"Your information will remain confidential until the geneticist reviews everything. Then he will
have to tell your family."
C-"Have you thought about what this disease will do to the person you are going to marry and any
children you may have?"
D-"I will respect your wishes and keep your information confidential. I do wish you would reconsider
though"
A (Contact the physician and obtain necessary orders.) -
A nurse assesses a client with psychotic symptoms and determines that the client likely poses a
safety threat and needs vest restraints. The client is adamantly opposed to this. What would be the
best nursing action?
A-Contact the physician and obtain necessary orders.
B-Restrain the client with vest restraints.
C- Ask a family member to come in to supervise the client.
D-Apply wrist restraints instead of vest restraints.
A (The decision should be made in light of consequences.) -
The children of a 78-year-old female client with a recent diagnosis of early-stage Alzheimer's disease
are attempting to convince their mother to move into an assisted living facility, a move to which the
client is vehemently opposed. Both the client and her children have expressed to the nurse how they
,are entrenched in their position. Which of the following statements expresses a utilitarian approach
to this dilemma?
A-The decision should be made in light of consequences.
B-The client's autonomy and independence are the priority considerations.
C-Benefits and burdens should be evenly distributed between the children and the client. --D-The
client has a right to self-determination that is the ultimate priority.
B (Interpersonal Skills) -
A client scheduled to have a surgery for a hernia the next day is anxious about the whole procedure.
The nurse assures the client that surgery for hernias is very common and that the prognosis is very
good. What skills of the nurse are reflected here?
A-Imaginal skills.
B- Interpersonal skills.
C-Instrumental skills.
D-Systems skills.
A (Integrity pg. 108) -
In the delivery of care, the nurse acts in accordance with nursing standards and the code of ethics
and reports a medication error that she has made. The nurse is most clearly demonstrating which of
the following professional values?
A- Integrity
B- Altruism
C-Social justice
D-Human dignity
A (Allocation of scarce nursing resources pg. 104) -
A nurse has completed 4 hours of his 8-hour shift on a medicalsurgical unit when he receives a
phone call from the nursing supervisor. The nursing supervisor informs the nurse that he needs to
give a report to the other two nurses on the medicalsurgical unit and immediately report to the
telemetry unit to assist with staff needs on that unit. The nurse informs the supervisor that he has
been busy with his patient assignment and feels this will overwhelm the nurses on the
,medicalsurgical unit. The supervisor informs the nurse that the need is greater on the telemetry unit.
This is an example of which type of ethical problem?
A-Allocation of scarce nursing resources
B-Advocacy in a market-driven environment
C-Conflicts concerning new technology
D-Deception
A ("I need to inform you that your behavior is within the definition of assault.") -
A nurse manager overhears a nurse caring for a client with an IV make the following statement: "If
you don't stop playing with your IV, I will tie your hand to the side rail." What is the most
appropriate response by the nurse manager to address this situation?
A-"I need to inform you that your behavior is within the definition of assault."
B-"You need to think of a more creative way to stop the client from playing with the IV."
C-"You will save the client from another IV insertion by restraining the client's hand."
D-"I'm sure the client knows you were joking, but it was still inappropriate to say."
C ("Neither intelligence nor personality normally decline because of aging." pgs. 425 - 426) -
The charge nurse in an extended-care facility knows that the new nurse understands ageism when
she says which of the following?
A-"Most older adults are lonely."
B-"Older adults have incontinence."
C-"Neither intelligence nor personality normally decline because of aging."
D-"Older adults don't mind how they look."
C (Filling out an occurrence report and notifying the health care provider pgs 96-97) -
A nurse is administering evening medications and notices that a medication was omitted during the
day shift. Which of the following statements demonstrates the principle of accountability?
A- Administering the medication with the other evening medications
B-Telling the client that the medication will be given the following morning
, C-Filling out an occurrence report and notifying the health care provider
D-Documenting a narrative note in the chart about the occurrence
A (Invasion of privacy pgs 118-119) -
The nursing student talks with the student's family about an AIDS client from the clinical experience.
Which tort has the student committed?
A-Invasion of privacy
B-Fraud
C-Assault
D-Slander
B (Calling the physician to request an oral pain medication) -
For a hospitalized client, the physician orders morphine, 4 mg I.V., every 2 hours as needed for pain.
However, the client refuses to take injections. Which nursing action is most appropriate?
A- Administering the medication as ordered
B- Calling the physician to request an oral pain medication
C- Withholding the medication until the client understands its importance
D- Explaining that no other medication can be given until the client receives the pain medication
D (justice pg 159) -
A psychiatric nursing class is discussing current trends in mental health care. A student voices the
opinion that there should be equitable access to mental health care and resources for those who live
in rural areas, for those without health insurance, and for those with very little income. The student
nurse's opinion most closely reflects which ethical principle?
A- nonmaleficence
B- paternalism
C- veracity
D- justice
Answers 2025
D ("I will respect your wishes and keep your information confidential. I do wish you would reconsider
though") (Page 356) -
The nurse is seeing a client who is going to be married in a month. This client has a history of
Huntington disease in her family. The genetic testing has come back, and the client has just been
told she carries the gene for Huntington disease and will develop the disease when she gets older.
The client asks the nurse if this information is confidential and if it will remain that way. The nurse
explains to the client that her family should be told and so should her fiancé. The client forcefully
tells the nurse "no." She is not going to tell either her family or her fiancé. What is the nurse's best
response?
A-"I am ethically bound to tell your family and your fiancé."
B-"Your information will remain confidential until the geneticist reviews everything. Then he will
have to tell your family."
C-"Have you thought about what this disease will do to the person you are going to marry and any
children you may have?"
D-"I will respect your wishes and keep your information confidential. I do wish you would reconsider
though"
A (Contact the physician and obtain necessary orders.) -
A nurse assesses a client with psychotic symptoms and determines that the client likely poses a
safety threat and needs vest restraints. The client is adamantly opposed to this. What would be the
best nursing action?
A-Contact the physician and obtain necessary orders.
B-Restrain the client with vest restraints.
C- Ask a family member to come in to supervise the client.
D-Apply wrist restraints instead of vest restraints.
A (The decision should be made in light of consequences.) -
The children of a 78-year-old female client with a recent diagnosis of early-stage Alzheimer's disease
are attempting to convince their mother to move into an assisted living facility, a move to which the
client is vehemently opposed. Both the client and her children have expressed to the nurse how they
,are entrenched in their position. Which of the following statements expresses a utilitarian approach
to this dilemma?
A-The decision should be made in light of consequences.
B-The client's autonomy and independence are the priority considerations.
C-Benefits and burdens should be evenly distributed between the children and the client. --D-The
client has a right to self-determination that is the ultimate priority.
B (Interpersonal Skills) -
A client scheduled to have a surgery for a hernia the next day is anxious about the whole procedure.
The nurse assures the client that surgery for hernias is very common and that the prognosis is very
good. What skills of the nurse are reflected here?
A-Imaginal skills.
B- Interpersonal skills.
C-Instrumental skills.
D-Systems skills.
A (Integrity pg. 108) -
In the delivery of care, the nurse acts in accordance with nursing standards and the code of ethics
and reports a medication error that she has made. The nurse is most clearly demonstrating which of
the following professional values?
A- Integrity
B- Altruism
C-Social justice
D-Human dignity
A (Allocation of scarce nursing resources pg. 104) -
A nurse has completed 4 hours of his 8-hour shift on a medicalsurgical unit when he receives a
phone call from the nursing supervisor. The nursing supervisor informs the nurse that he needs to
give a report to the other two nurses on the medicalsurgical unit and immediately report to the
telemetry unit to assist with staff needs on that unit. The nurse informs the supervisor that he has
been busy with his patient assignment and feels this will overwhelm the nurses on the
,medicalsurgical unit. The supervisor informs the nurse that the need is greater on the telemetry unit.
This is an example of which type of ethical problem?
A-Allocation of scarce nursing resources
B-Advocacy in a market-driven environment
C-Conflicts concerning new technology
D-Deception
A ("I need to inform you that your behavior is within the definition of assault.") -
A nurse manager overhears a nurse caring for a client with an IV make the following statement: "If
you don't stop playing with your IV, I will tie your hand to the side rail." What is the most
appropriate response by the nurse manager to address this situation?
A-"I need to inform you that your behavior is within the definition of assault."
B-"You need to think of a more creative way to stop the client from playing with the IV."
C-"You will save the client from another IV insertion by restraining the client's hand."
D-"I'm sure the client knows you were joking, but it was still inappropriate to say."
C ("Neither intelligence nor personality normally decline because of aging." pgs. 425 - 426) -
The charge nurse in an extended-care facility knows that the new nurse understands ageism when
she says which of the following?
A-"Most older adults are lonely."
B-"Older adults have incontinence."
C-"Neither intelligence nor personality normally decline because of aging."
D-"Older adults don't mind how they look."
C (Filling out an occurrence report and notifying the health care provider pgs 96-97) -
A nurse is administering evening medications and notices that a medication was omitted during the
day shift. Which of the following statements demonstrates the principle of accountability?
A- Administering the medication with the other evening medications
B-Telling the client that the medication will be given the following morning
, C-Filling out an occurrence report and notifying the health care provider
D-Documenting a narrative note in the chart about the occurrence
A (Invasion of privacy pgs 118-119) -
The nursing student talks with the student's family about an AIDS client from the clinical experience.
Which tort has the student committed?
A-Invasion of privacy
B-Fraud
C-Assault
D-Slander
B (Calling the physician to request an oral pain medication) -
For a hospitalized client, the physician orders morphine, 4 mg I.V., every 2 hours as needed for pain.
However, the client refuses to take injections. Which nursing action is most appropriate?
A- Administering the medication as ordered
B- Calling the physician to request an oral pain medication
C- Withholding the medication until the client understands its importance
D- Explaining that no other medication can be given until the client receives the pain medication
D (justice pg 159) -
A psychiatric nursing class is discussing current trends in mental health care. A student voices the
opinion that there should be equitable access to mental health care and resources for those who live
in rural areas, for those without health insurance, and for those with very little income. The student
nurse's opinion most closely reflects which ethical principle?
A- nonmaleficence
B- paternalism
C- veracity
D- justice
