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Foundations of Professional Practice, and Bioethics Introductory and Professional Nursing curriculum

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Foundations of Professional Practice, and Bioethics Introductory and Professional Nursing curriculum

Institution
RN Nursing
Course
RN nursing

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Foundations of Professional Practice, and Bioethics

Introductory and Professional Nursing curriculum

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, Page 2 of 45



A nurse has been offered a position on an obstetric unit and has learned that
the unit offers therapeutic abortions, a procedure that contradicts the nurse's
personal beliefs. What is the nurse's ethical obligation to these clients?
The nurse should make the choice to decline this position and pursue a different
nursing role.


Rationale: To avoid facing the ethical dilemma of providing care that contradicts the
nurse's personal beliefs, the nurse should consider working in an area of nursing that
would not pose this dilemma. The nurse should not provide care to the client
because it is a conflict of personal values. The nurse should not deny care to these
clients as this would be a breach in the Code of Ethics for nurses. If the client is not
requesting information for alternatives to abortions, then the nurse should not be
providing this information.
An 80-year-old client is admitted with a diagnosis of community-acquired
pneumonia. During admission the client states, "I have a living will." What
implication of this should the nurse recognize?
This document specifies the client's wishes before hospitalization.


Rationale: A living will is one type of advance directive. In most situations, living wills
are limited to situations in which the client's medical condition is deemed terminal.
The other answers are incorrect because living wills are not always honored in every
circumstance, they are not binding for the duration of the client's life, and they are
not drawn up by the client's family.
A nurse has been providing ethical care for many years and is aware of the
need to maintain the ethical principle of nonmaleficence. Which of the
following actions would be considered a violation of this principle?
Refusing to administer pain medication as prescribed


Rationale: The duty not to inflict as well as prevent and remove harm is termed
nonmaleficence. Discussing a DNR order with a terminally ill client and assisting a
client with ADLs would not be considered contradictions to the nurse's duty of
nonmaleficence. Some clients justifiably require more care than others.

, Page 3 of 45


A nurse has begun creating a client's plan of care shortly after the client's
admission. The nurse knows that it is important that the wording of the chosen
nursing diagnoses falls within the taxonomy of nursing. Which organization is
responsible for developing the taxonomy of a nursing diagnosis?
North American Nursing Diagnosis Association (NANDA)


Rationale: NANDA International is the official organization responsible for developing
the taxonomy of nursing diagnoses and formulating nursing diagnoses acceptable
for study. The ANA, NLN, and Joint Commission are not charged with the task of
developing the taxonomy of nursing diagnoses.
medical nurse has obtained a new client's health history and has completed
the admission assessment. The nurse followed this by documenting the
results and creating a care plan for the client. Which of the following is the
most important rationale for documenting the client's care?
It provides continuity of care.


Rationale: This record provides a means of communication among members of the
health care team and facilitates coordinated planning and continuity of care. It serves
as the legal and business record for a health care agency and for the professional
staff members who are responsible for the client's care. Documentation is not
primarily a teaching log; it does not verify staffing; and it is not intended to provide
the client with information about treatments.
The nurse has been assigned to care for a client admitted with an
opportunistic infection secondary to AIDS. The nurse informs the clinical
nurse leader that the nurse refuses to care for a client with AIDS. The nurse
has an obligation to this client under which of the following?
International Council of Nurses (ICN) Code of Ethics for Nurses


Rationale: The ethical obligation to care for all clients is included in the Code of
Ethics for Nurses. The Good Samaritan Act relates to lay people helping others in
need. The NIC is a standardized classification of nursing treatment that includes
independent and collaborative interventions. Nurse practice acts primarily address
scope of practice.

, Page 4 of 45


The nurse, in collaboration with the client's family, is determining priorities
related to the care of the client. The nurse explains that it is important to
consider the urgency of specific problems when setting priorities. What
should the nurse adopt as the best framework for prioritizing client problems?
Maslow hierarchy of needs


Rationale: The Maslow hierarchy of needs provides a useful framework for
prioritizing problems, with the first level given to meeting physical needs of the client.
Availability of hospital resources, family member statements, and nursing skill do not
provide a framework for prioritization of client problems, though each may be
considered.
A medical nurse is caring for a client who is receiving palliative care following
cancer metastasis. The nurse is aware of the need to uphold the ethical
principle of beneficence. How can the nurse best exemplify this principle in the
care of this client?
The nurse tactfully regulates the number and timing of visitors as per the client's
wishes.


Rationale: Beneficence is the duty to do good and the active promotion of
benevolent acts. Enacting the client's wishes regarding visitors is an example of this.
Each of the other nursing actions is consistent with ethical practice, but none directly
exemplifies the principle of beneficence.
In the process of planning a client's care, the nurse has identified a nursing
diagnosis of Ineffective Health Maintenance related to alcohol use. What must
precede the determination of this nursing diagnosis?
Collecting and analyzing data that corroborate the diagnosis


Rationale: In the diagnostic phase of the nursing process, the client's nursing
problems are defined through analysis of client data. Establishing a plan comes after
collecting and analyzing data; evaluating a plan is the last step of the nursing
process; and assigning a positive value to each consequence is not done.
The provider has recommended an amniocentesis for an 18-year-old
primiparous client. The client is at 34 weeks' gestation and does not want this
procedure, but the health care provider arranges for the amniocentesis to be

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