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Exam (elaborations)

NUR 242 MED SURG EXAM

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NUR 242 MED SURG EXAM

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NUR 242 MED SURG EXAM 3 2024 NEWEST LATEST
ACTUAL EXAM 250 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES|ALREADY
GRADED A+||GALEN COLLEGE OF NURSING

Nurse witnesses another nurse providing care without prosper hand hygiene and
reports this to the charge nurse. The charge nurse is friends with the other and
refuses to take action. This is an example of: - ANSWER: Moral distress

A nurse manager who makes decisions based on what will benefit the majority of the
nurse managers subordinates is using what type of ethical framework for decision
making? - ANSWER: Utilitarianism

Which isn't an element of ethical decision making: beneficence, utility, paternalism,
pragmatism - ANSWER: Pragmatism

Nancy is a loyal and trustworthy nurse that performs the duties that are expected of
her. Which principle of ethical reasoning is Nancy displaying? - ANSWER: Fidelity

The nurse in a unit is caring for several clients. To distribute nursing care the nurse
used the principle of triage due to the limited availability of resources. The nurse is
promoting which ethical principle? - ANSWER: Justice

Nursing ethics provides the standards for professional behavior and is the study of
principles of right and wrong for nurses. The standard states the duties and
obligations of the nurse should include which of of the following: individual,
community, client, all of them? - ANSWER: All of them

When does a moral issue become an ethical dilemma? - ANSWER: When forced to
choose between two or more undesirable alternatives.

The nurse manager didn't hire sally for the assistant manager job. The nurse
manager informed sally that she was a great fit but an internal candidate was
selected instead. The real reason sally wasn't hired was because her drug test was
positive. Which of the principles of ethical reasoning didn't the nurse follow? -
ANSWER: Veracity

A client is advised by the doctor to undergo chemo. An informed consent is not yet
signed. The client requests info related to chemo and the drugs that will be given to
him. The nurse explains the side effects and meds. The nurse answered all questions
even though the client chose not to undergo chemo. The nurse uses which principle
of ethical reasoning? - ANSWER: Veracity

,Nurse Bobby avoids deliberate harm and risk of harm during his performance of
nursing actions. The nurse is promoting which ethical principle? - ANSWER:
Nonmaleficence

What does provision one state? - ANSWER: Nurse practices with compassion and
respect for inherent dignity, worth and unique attributes of every person
Patient has right to decide for themselves- autonomy to accept or refuse or
terminate care (ie no more feeding tube)

What does provision 2 state? - ANSWER: Nurse's primary commitment is to the
patient, whether an individual, family, group, community or population

What does provision 3 state? - ANSWER: Nurse promotes, advocates for and
protects rights, health and safety of patient

What does provision 4 state? - ANSWER: Nurse has the authority, accountability and
responsibility for nursing practice, makes decisions and takes action consistent with
the obligation to promote health and provide optimal care

What does provision 5 state? - ANSWER: Nurse owes same duties to self as others,
including the responsibility to promote health and safety, preserve wholeness of
character and integrity, maintain competency and continue personal and
professional growth (ie CE every 2 yrs)

What does provision 7 state? - ANSWER: The nurse in all roles and setting advances
the profession thru research and scholarly inquiry, professional standards of
development and the generation of both nursing and health policy

What does provision 8 state? - ANSWER: Nurse collaborated with other health
professionals and the public to protect human rights, promote health diplomacy and
reduce health disparities

What are examples of vulnerable subjects? - ANSWER: Kids, fetuses and human
embryos, pregnant, cognitively impaired, prisoners, terminally ill, elderly,
undeserved population, economically disadvantage people, traumatized and
comatose pt

What is conscientious objection? - ANSWER: Enable patient to refuse participation in
an activity that violates personal values or beliefs (work where you agree with the
vision)

What does provision 9 state? - ANSWER: The profession of nursing collectively
through its professional organizations must articulate nursing values, maintain the
integrity of the profession and integrate principals or social justice into nursing and
health policy

, Ethics are ________, _______ and _______ - ANSWER: Unapologetic, aspirational
and non- negotiable

What is the doctrine of double effect? - ANSWER: Nurse may give meds with the
intent s/s of dying even though secondary impact may decrease respiration's, and
perhaps hasten death- the nurses actions don't cause the death, the terminal illness
causes the death

What does interdisciplinary mean?
What does interprofessional mean?
What does transprofessional mean? - ANSWER: Interdisciplinary- relating to more
than one branch of knowledge.
Interprofessional- peers from two or more professions in health and social care learn
together during all or part of their professional training with the object of cultivating
collaborative practice for providing client- or patient-centered health care.
Transprofessional- collaboration with non-professionals

<____% of worlds health research Bridget is spent on 90% of issues that don't matter
- ANSWER: <10%

______= study of morality through variety of different approaches
________ _______= helps us recognize where there's an ethical problem
_______ _______ and ______= enables us to think critically to rank our ethical
obligations and priorities - ANSWER: Ethics
Ethical sensitivity
Ethical reflection and analysis

_______ _______ ______= method ensuring that the action We take is well
reasoned and can be justified
______ _____= enables us to act on our decisions even under the most challenging
circumstances
______= branch of philosophy that considers fundamental questions about the
nature, source and meaning of concepts good or bad, right or wrong - ANSWER:
Ethical decision making
Moral courage
Metaethics

______ ______= ethics that serve the larger community (ie abortion's, physician
assisted suicide)
_______ _______= formal/informal principles and values that guide behavior,
decisions an actions take. By organization (ie billions of dollars spent annually
resulting from healthcare fraud and abuse)
_____ ______= refers to ethical standards and expectations of a particular
profession (code of ethics for nurses, ANA committee) - ANSWER: Societal ethics
Organizational ethics
Professional ethics
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