1. What is the systematic decision-making model used by nurses termed? a. Nursing
diagnosis
b. Nursing interventions
c. Nursing evaluations
d. Nursing process
TEST BANK FOR PRIORITIES ANS: D
The nursing process is a systematic decision-making model that is cyclic, not linear. An
CRITICAL CARE NURSING essential and distinguishing feature of any nursing diagnosis is that it describes a health
condition. Nursing interventions constitute the treatment approach to an identified health
alteration. Evaluation of attainment of the expected patient outcomes occurs formally at
9TH EDITION BY LINDA D. intervals designated in the outcome criteria.
URDEN, KATHLEEN M.
PTS: 1 DIF: Cognitive Level: Understanding REF: n/a OBJ:
Nursing Process Step: General TOP: Critical Care Nursing Practice
MSC: NCLEX: Safe and Effective Care Environment
STACY, MARY E. LOUGH 2. What is a health condition primarily resolved by nursing interventions or therapies called?
a. Nursing diagnosis
b. Nursing interventions
c. Nursing outcomes
d. Nursing process
ANS: A
An essential and distinguishing feature of any nursing diagnosis is that it describes a health
condition. Nursing interventions constitute the treatment approach to an identified health
alteration. Evaluation of attainment of the expected patient outcomes occurs formally at
intervals designated in the outcome criteria. The nursing process is a systematic decision-
making model that is cyclic, not linear.
PTS: 1 DIF: Cognitive Level: Remembering REF: n/a
OBJ: Nursing Process Step: General TOP: Critical Care Nursing Practice MSC:
NCLEX: Safe and Effective Care Environment
3. Designing therapeutic activities that move a patient from one state of health to another is an
example of which of the following?
a. Nursing diagnosis
b. Nursing interventions
c. Nursing outcomes
d. Nursing process
, Nursing interventions constitute the treatment approach to an identified health alteration. An PTS: 1 DIF: Cognitive Level: Remembering REF: p. 5|Box 1-5
essential and distinguishing feature of any nursing diagnosis is that it describes a health OBJ: Nursing Process Step: General TOP: Critical Care Nursing Practice MSC:
condition. Evaluation of attainment of the expected patient outcomes occurs formally at NCLEX: Safe and Effective Care Environment
intervals designated in the outcome criteria. The nursing process is a systematic decision-
making model that is cyclic, not linear. 6. What is the stepwise decision-making flowchart for a specific care process
named?
PTS: 1 DIF: Cognitive Level: Remembering REF: n/a a. Algorithm
OBJ: Nursing Process Step: General TOP: Critical Care Nursing Practice MSC: b. Practice guideline
NCLEX: Safe and Effective Care Environment
c. Protocol
d. Order set
ANS: A
4. A patient was admitted to a rural critical care unit in Montana. Critical care nurses are
assisting with monitoring and care of the patient from the closest major city. What is this
type of practice termed?
a. Tele-nursing
b. Tele-ICU An algorithm is a stepwise decision-making flowchart for a specific care process or
processes. A practice guideline is usually created by an expert panel and developed by a
c. Tele-informatics
professional organization. Protocols are more directive and rigid than guidelines, and
d. Tele-hospital
providers are not supposed to vary from a protocol. An order set consists of preprinted
provider orders that are used to expedite the order process after a standard has been
ANS: B validated through analytic review of practice and research.
Tele-ICU is a form of telemedicine. Telemedicine was initially used in outpatient areas,
remote rural geographic locations, and areas where there was a dearth of medical PTS: 1 DIF: Cognitive Level: Understanding REF: p. 6
providers. Currently, there are tele-ICUs in areas where there are limited resources onsite. OBJ: Nursing Process Step: Intervention TOP: Critical Care Nursing Practice MSC:
However, experts (critical care nurses, intensivists) are located in a central distant site. NCLEX: Safe and Effective Care Environment
PTS: 1 DIF: Cognitive Level: Understanding REF: p. 5
OBJ: Nursing Process Step: General TOP: Critical Care Nursing Practice MSC: 7. Which nursing intervention continues to be one of the most error-prone for critical care
NCLEX: Safe and Effective Care Environment nurses?
a. Inappropriate care
5. Which core competency for interprofessional practice can be described as working with
b. Intimidating and disruptive clinician behavior
individuals of other professions to maintain a climate of mutual respect and shared values?
a. Interprofessional teamwork and team-based care b. Values and ethics for c. Injury to patients by falls
interprofessional practice d. Medication administration
c. Interprofessional communication
d. Roles and responsibilities for collaborative practice ANS: D
Medication administration continues to be one of the most error-prone nursing interventions
for critical care nurses. Intimidating and disruptive clinician behaviors can lead to errors and
ANS: B
preventable adverse patient outcomes. Patient safety has been described as an ethical
Values and ethics for interprofessional practice mean working with individuals of other
imperative and one that is inherent in health care professionals’ actions and interpersonal
professions to maintain a climate of mutual respect and shared values. Roles and responsibilities for
processes; examples include inappropriate care and injury to patients by falls.
collaborative practice include using knowledge of one’s own role and the roles of other professions to
appropriately assess and address the health care needs of the patients and populations served. Interprofessional
communication includes communicating with patients, families, communities, and other health professionals in PTS: 1 DIF: Cognitive Level: Remembering REF: p. 7
a responsive and responsible manner that supports a team approach to maintaining health and treatment of OBJ: Nursing Process Step: Assessment TOP: Critical Care Nursing Practice MSC:
disease. Interprofessional teamwork and team-based care means applying relationship- building values and NCLEX: Safe and Effective Care Environment
principles of team dynamics to perform effectively in different team roles to plan and deliver patient population-
centered care that is safe, timely, efficient, effective, and equitable. 8. A practitioner and nurse are performing a dressing change on an unresponsive patient in
room
, 14. The practitioner asks the nurse for an update on the patient in room 13. Which action a. Sensitivity to ethnic differences b. Openness to different lifestyles c.
should the nurse take next? Openness to different values
a. Give the update to the practitioner. d. Reticence to different beliefs
b. Refuse to give the update because of Health Insurance Portability and e. Lack of concern regarding different opinions
Accountability Act (HIPAA)
requirements.
ANS: A, B, C
c. Give the update because the is patient’s unconscious.
Diversity includes not only ethnic sensitivity but also sensitivity to openness to difference
d. Refuse to give the update because of Occupational Safety and Health Administration lifestyles, opinions, values, and beliefs. Reticence and lack of concern are not part of the
(OSHA) requirements. concept of diversity.
PTS: 1 DIF: Cognitive Level: Evaluating REF: p. 4
ANS: B OBJ: Nursing Process Step: N/A TOP: Critical Care Nursing Practice MSC:
Most specific to critical care clinicians is the privacy and confidentiality related to NCLEX: Safe and Effective Care Environment
protection of health care data. This has implications when interacting with family members
and others and the often very close work environments, tight working spaces, and 3. According to American Association of Critical-Care Nurses, what are the responsibilities of
emergency situations. A patient’s unconscious state is not a reason for another patient’s care a critical care nurse? (Select all that apply.)
to be discussed in his or her presence. Research shows hearing is the last sense to a. Respecting the values, beliefs, and rights of the patient
deteriorate. Occupational Safety and Health Administration (OSHA) has to do with safety in b. Intervening when the best interest of the patient is in question
the workplace, not privacy and confidentiality.
c. Helping the patient obtain necessary care
PTS: 1 DIF: Cognitive Level: Applying REF: p. 8
OBJ: Nursing Process Step: N/A TOP: Critical Care Nursing Practice MSC: d. Making decisions for the patient and patient’s family
NCLEX: Safe and Effective Care Environment e. Monitoring and safeguarding the quality of care the patient receives
f. Acting as a gatekeeper for the patient, the patient’s family, and other health care
= professionals
MULTIPLE
ANS: A, B, C, E
RESPONSE
1. What considerations are taken into account in evidence-based nursing practice? (Select all American Association of Critical-Care Nurses (AACN) critical care nurse role
that apply.) responsibilities include respecting the values, beliefs, and rights of the patient; intervening
a. Clinical expertise of the nurse when the best interest of the patient is in question; helping the patient obtain necessary care;
and monitoring and safeguarding the quality of care the patient receives. The nurse is not to
b. Availability of staff and facility equipment
make decisions for the patient or the patient’s family but should support their decisions. The
c. Research evidence on the topic nurse should act as a liaison, not a gatekeeper, for the patient and the patient’s family and
d. Patient knowledge of the disease other health care professionals.
e. Patient preference regarding care
PTS: 1 DIF: Cognitive Level: Evaluating REF: p. 2|Box 1-1
ANS: A, C, E OBJ: Nursing Process Step: N/A TOP: Critical Care Nursing Practice MSC:
Evidence-based nursing practice considers the best research evidence on the care topic along NCLEX: Safe and Effective Care Environment
with clinical expertise of the nurse and patient preferences. For instance, when determining
the frequency of vital sign measurement, the nurse would use available research and nursing 4. According to Kupperschmidt, what factors are needed to become a skilled communicator?
judgment (stability, complexity, predictability, vulnerability, and resilience of the patient). (Select all that apply.)
Availability of staff and facility equipment and the patient’s knowledge of the disease do not a. Becoming candid
factor into evidence-based nursing practices. b. Becoming reflective
PTS: 1 DIF: Cognitive Level: Remembering REF: p. 3
c. Setting goals
OBJ: Nursing Process Step: Assessment TOP: Critical Care Nursing Practice MSC:
NCLEX: Safe and Effective Care Environment d. Surveying the team
e. Becoming aware of self-deception
2. The concept of diversity encompasses what thoughts and actions? (Select all that apply.)
ANS: A, B, E
, Kupperschmidt and colleagues posed a five-factor model for becoming a skilled not part of the American Association of Critical-Care Nurses (AACN) framework. The
communicator: becoming aware of self-deception, becoming authentic, becoming candid, 4A’s to Rise Above Moral Distress.
becoming mindful, and becoming reflective, all of which lead to being a skilled
communicator. The HWE model was offered by Blake, who suggested five steps: rallying PTS: 1 DIF: Cognitive Level: Understanding REF: p. 12
the team, surveying the team, establishing work groups, setting goals and developing action OBJ: Nursing Process Step: General TOP: Ethics
steps, and celebrating successes along the way. MSC: NCLEX: Safe and Effective Care Environment
PTS: 1 DIF: Cognitive Level: Evaluating REF: p. 9 3. By what action can critical care nurses can best enhance the principle of autonomy?
OBJ: Nursing Process Step: General TOP: Critical Care Nursing Practice MSC: NCLEX: a. Presenting only the information to prevent relapse in a patient
Safe and Effective Care Environment
b. Assisting with only tasks that cannot be done by the patient
c. Providing the patient with all of the information and facts
d. Guiding the patient toward the best choices for care
Chapter 02: Ethical Issues Urden: Critical Care
ANS: C
Nursing, 9th EditionEdition
Patients and families must have all the information about a certain situation to make an
autonomous decision that is best for them.
MULTIPLE
PTS: 1 DIF: Cognitive Level: Applying REF: pp. 15-16
CHOICE
1. What is the difference between ethics and morals?
a. Ethics is more concerned with the “why” of behavior.
b. Ethics provides a framework for evaluation of the behavior.
OBJ: Nursing Process Step: General TOP: Ethics
c. Ethics is broader in scope than morals.
MSC: NCLEX: Safe and Effective Care Environment
d. Ethics concentrates on the right or wrong behavior based on religion and culture values.
4. Which ethical principle is most important when soliciting informed consent from a
ANS: A patient? a. Nonmaleficence
Ethics are concerned with the basis of the action rather than whether the action is right or b. Fidelity
wrong, good or bad.
c. Beneficence
d. Veracity
PTS: 1 DIF: Cognitive Level: Understanding REF: p. 12
OBJ: Nursing Process Step: General TOP: Ethics
MSC: NCLEX: Safe and Effective Care Environment ANS: D
Veracity is important when soliciting informed consent because the patient needs to be
2. A patient’s wife has been informed by the practitioner that her spouse has permanent aware of all potential risks of and benefits to be derived from specific treatments or their
quadriplegia. The wife states that she does not want anyone to tell the patient about his alternatives.
injury. The patient asks the nurse about what has happened. The nurse has conflicting
emotions about how to handle the situation. What is the nurse experiencing? a. Autonomy PTS: 1 DIF: Cognitive Level: Understanding REF: p. 15
b. Moral distress OBJ: Nursing Process Step: General TOP: Ethics
c. Moral doubt MSC: NCLEX: Safe and Effective Care Environment
d. Moral courage
5. The principle of respect for persons incorporates what additional concepts?
ANS: B a. Confidentiality and privacy
The nurse has been placed in a situation initially causing moral distress and is struggling b. Truth and reflection
with determining the ethically appropriate action to take. Moral courage is the freedom to c. Autonomy and justice
advocate for oneself, patients, and peers. Autonomy is an ethical principle. Moral doubt is d. Beneficence and nonmaleficence
diagnosis
b. Nursing interventions
c. Nursing evaluations
d. Nursing process
TEST BANK FOR PRIORITIES ANS: D
The nursing process is a systematic decision-making model that is cyclic, not linear. An
CRITICAL CARE NURSING essential and distinguishing feature of any nursing diagnosis is that it describes a health
condition. Nursing interventions constitute the treatment approach to an identified health
alteration. Evaluation of attainment of the expected patient outcomes occurs formally at
9TH EDITION BY LINDA D. intervals designated in the outcome criteria.
URDEN, KATHLEEN M.
PTS: 1 DIF: Cognitive Level: Understanding REF: n/a OBJ:
Nursing Process Step: General TOP: Critical Care Nursing Practice
MSC: NCLEX: Safe and Effective Care Environment
STACY, MARY E. LOUGH 2. What is a health condition primarily resolved by nursing interventions or therapies called?
a. Nursing diagnosis
b. Nursing interventions
c. Nursing outcomes
d. Nursing process
ANS: A
An essential and distinguishing feature of any nursing diagnosis is that it describes a health
condition. Nursing interventions constitute the treatment approach to an identified health
alteration. Evaluation of attainment of the expected patient outcomes occurs formally at
intervals designated in the outcome criteria. The nursing process is a systematic decision-
making model that is cyclic, not linear.
PTS: 1 DIF: Cognitive Level: Remembering REF: n/a
OBJ: Nursing Process Step: General TOP: Critical Care Nursing Practice MSC:
NCLEX: Safe and Effective Care Environment
3. Designing therapeutic activities that move a patient from one state of health to another is an
example of which of the following?
a. Nursing diagnosis
b. Nursing interventions
c. Nursing outcomes
d. Nursing process
, Nursing interventions constitute the treatment approach to an identified health alteration. An PTS: 1 DIF: Cognitive Level: Remembering REF: p. 5|Box 1-5
essential and distinguishing feature of any nursing diagnosis is that it describes a health OBJ: Nursing Process Step: General TOP: Critical Care Nursing Practice MSC:
condition. Evaluation of attainment of the expected patient outcomes occurs formally at NCLEX: Safe and Effective Care Environment
intervals designated in the outcome criteria. The nursing process is a systematic decision-
making model that is cyclic, not linear. 6. What is the stepwise decision-making flowchart for a specific care process
named?
PTS: 1 DIF: Cognitive Level: Remembering REF: n/a a. Algorithm
OBJ: Nursing Process Step: General TOP: Critical Care Nursing Practice MSC: b. Practice guideline
NCLEX: Safe and Effective Care Environment
c. Protocol
d. Order set
ANS: A
4. A patient was admitted to a rural critical care unit in Montana. Critical care nurses are
assisting with monitoring and care of the patient from the closest major city. What is this
type of practice termed?
a. Tele-nursing
b. Tele-ICU An algorithm is a stepwise decision-making flowchart for a specific care process or
processes. A practice guideline is usually created by an expert panel and developed by a
c. Tele-informatics
professional organization. Protocols are more directive and rigid than guidelines, and
d. Tele-hospital
providers are not supposed to vary from a protocol. An order set consists of preprinted
provider orders that are used to expedite the order process after a standard has been
ANS: B validated through analytic review of practice and research.
Tele-ICU is a form of telemedicine. Telemedicine was initially used in outpatient areas,
remote rural geographic locations, and areas where there was a dearth of medical PTS: 1 DIF: Cognitive Level: Understanding REF: p. 6
providers. Currently, there are tele-ICUs in areas where there are limited resources onsite. OBJ: Nursing Process Step: Intervention TOP: Critical Care Nursing Practice MSC:
However, experts (critical care nurses, intensivists) are located in a central distant site. NCLEX: Safe and Effective Care Environment
PTS: 1 DIF: Cognitive Level: Understanding REF: p. 5
OBJ: Nursing Process Step: General TOP: Critical Care Nursing Practice MSC: 7. Which nursing intervention continues to be one of the most error-prone for critical care
NCLEX: Safe and Effective Care Environment nurses?
a. Inappropriate care
5. Which core competency for interprofessional practice can be described as working with
b. Intimidating and disruptive clinician behavior
individuals of other professions to maintain a climate of mutual respect and shared values?
a. Interprofessional teamwork and team-based care b. Values and ethics for c. Injury to patients by falls
interprofessional practice d. Medication administration
c. Interprofessional communication
d. Roles and responsibilities for collaborative practice ANS: D
Medication administration continues to be one of the most error-prone nursing interventions
for critical care nurses. Intimidating and disruptive clinician behaviors can lead to errors and
ANS: B
preventable adverse patient outcomes. Patient safety has been described as an ethical
Values and ethics for interprofessional practice mean working with individuals of other
imperative and one that is inherent in health care professionals’ actions and interpersonal
professions to maintain a climate of mutual respect and shared values. Roles and responsibilities for
processes; examples include inappropriate care and injury to patients by falls.
collaborative practice include using knowledge of one’s own role and the roles of other professions to
appropriately assess and address the health care needs of the patients and populations served. Interprofessional
communication includes communicating with patients, families, communities, and other health professionals in PTS: 1 DIF: Cognitive Level: Remembering REF: p. 7
a responsive and responsible manner that supports a team approach to maintaining health and treatment of OBJ: Nursing Process Step: Assessment TOP: Critical Care Nursing Practice MSC:
disease. Interprofessional teamwork and team-based care means applying relationship- building values and NCLEX: Safe and Effective Care Environment
principles of team dynamics to perform effectively in different team roles to plan and deliver patient population-
centered care that is safe, timely, efficient, effective, and equitable. 8. A practitioner and nurse are performing a dressing change on an unresponsive patient in
room
, 14. The practitioner asks the nurse for an update on the patient in room 13. Which action a. Sensitivity to ethnic differences b. Openness to different lifestyles c.
should the nurse take next? Openness to different values
a. Give the update to the practitioner. d. Reticence to different beliefs
b. Refuse to give the update because of Health Insurance Portability and e. Lack of concern regarding different opinions
Accountability Act (HIPAA)
requirements.
ANS: A, B, C
c. Give the update because the is patient’s unconscious.
Diversity includes not only ethnic sensitivity but also sensitivity to openness to difference
d. Refuse to give the update because of Occupational Safety and Health Administration lifestyles, opinions, values, and beliefs. Reticence and lack of concern are not part of the
(OSHA) requirements. concept of diversity.
PTS: 1 DIF: Cognitive Level: Evaluating REF: p. 4
ANS: B OBJ: Nursing Process Step: N/A TOP: Critical Care Nursing Practice MSC:
Most specific to critical care clinicians is the privacy and confidentiality related to NCLEX: Safe and Effective Care Environment
protection of health care data. This has implications when interacting with family members
and others and the often very close work environments, tight working spaces, and 3. According to American Association of Critical-Care Nurses, what are the responsibilities of
emergency situations. A patient’s unconscious state is not a reason for another patient’s care a critical care nurse? (Select all that apply.)
to be discussed in his or her presence. Research shows hearing is the last sense to a. Respecting the values, beliefs, and rights of the patient
deteriorate. Occupational Safety and Health Administration (OSHA) has to do with safety in b. Intervening when the best interest of the patient is in question
the workplace, not privacy and confidentiality.
c. Helping the patient obtain necessary care
PTS: 1 DIF: Cognitive Level: Applying REF: p. 8
OBJ: Nursing Process Step: N/A TOP: Critical Care Nursing Practice MSC: d. Making decisions for the patient and patient’s family
NCLEX: Safe and Effective Care Environment e. Monitoring and safeguarding the quality of care the patient receives
f. Acting as a gatekeeper for the patient, the patient’s family, and other health care
= professionals
MULTIPLE
ANS: A, B, C, E
RESPONSE
1. What considerations are taken into account in evidence-based nursing practice? (Select all American Association of Critical-Care Nurses (AACN) critical care nurse role
that apply.) responsibilities include respecting the values, beliefs, and rights of the patient; intervening
a. Clinical expertise of the nurse when the best interest of the patient is in question; helping the patient obtain necessary care;
and monitoring and safeguarding the quality of care the patient receives. The nurse is not to
b. Availability of staff and facility equipment
make decisions for the patient or the patient’s family but should support their decisions. The
c. Research evidence on the topic nurse should act as a liaison, not a gatekeeper, for the patient and the patient’s family and
d. Patient knowledge of the disease other health care professionals.
e. Patient preference regarding care
PTS: 1 DIF: Cognitive Level: Evaluating REF: p. 2|Box 1-1
ANS: A, C, E OBJ: Nursing Process Step: N/A TOP: Critical Care Nursing Practice MSC:
Evidence-based nursing practice considers the best research evidence on the care topic along NCLEX: Safe and Effective Care Environment
with clinical expertise of the nurse and patient preferences. For instance, when determining
the frequency of vital sign measurement, the nurse would use available research and nursing 4. According to Kupperschmidt, what factors are needed to become a skilled communicator?
judgment (stability, complexity, predictability, vulnerability, and resilience of the patient). (Select all that apply.)
Availability of staff and facility equipment and the patient’s knowledge of the disease do not a. Becoming candid
factor into evidence-based nursing practices. b. Becoming reflective
PTS: 1 DIF: Cognitive Level: Remembering REF: p. 3
c. Setting goals
OBJ: Nursing Process Step: Assessment TOP: Critical Care Nursing Practice MSC:
NCLEX: Safe and Effective Care Environment d. Surveying the team
e. Becoming aware of self-deception
2. The concept of diversity encompasses what thoughts and actions? (Select all that apply.)
ANS: A, B, E
, Kupperschmidt and colleagues posed a five-factor model for becoming a skilled not part of the American Association of Critical-Care Nurses (AACN) framework. The
communicator: becoming aware of self-deception, becoming authentic, becoming candid, 4A’s to Rise Above Moral Distress.
becoming mindful, and becoming reflective, all of which lead to being a skilled
communicator. The HWE model was offered by Blake, who suggested five steps: rallying PTS: 1 DIF: Cognitive Level: Understanding REF: p. 12
the team, surveying the team, establishing work groups, setting goals and developing action OBJ: Nursing Process Step: General TOP: Ethics
steps, and celebrating successes along the way. MSC: NCLEX: Safe and Effective Care Environment
PTS: 1 DIF: Cognitive Level: Evaluating REF: p. 9 3. By what action can critical care nurses can best enhance the principle of autonomy?
OBJ: Nursing Process Step: General TOP: Critical Care Nursing Practice MSC: NCLEX: a. Presenting only the information to prevent relapse in a patient
Safe and Effective Care Environment
b. Assisting with only tasks that cannot be done by the patient
c. Providing the patient with all of the information and facts
d. Guiding the patient toward the best choices for care
Chapter 02: Ethical Issues Urden: Critical Care
ANS: C
Nursing, 9th EditionEdition
Patients and families must have all the information about a certain situation to make an
autonomous decision that is best for them.
MULTIPLE
PTS: 1 DIF: Cognitive Level: Applying REF: pp. 15-16
CHOICE
1. What is the difference between ethics and morals?
a. Ethics is more concerned with the “why” of behavior.
b. Ethics provides a framework for evaluation of the behavior.
OBJ: Nursing Process Step: General TOP: Ethics
c. Ethics is broader in scope than morals.
MSC: NCLEX: Safe and Effective Care Environment
d. Ethics concentrates on the right or wrong behavior based on religion and culture values.
4. Which ethical principle is most important when soliciting informed consent from a
ANS: A patient? a. Nonmaleficence
Ethics are concerned with the basis of the action rather than whether the action is right or b. Fidelity
wrong, good or bad.
c. Beneficence
d. Veracity
PTS: 1 DIF: Cognitive Level: Understanding REF: p. 12
OBJ: Nursing Process Step: General TOP: Ethics
MSC: NCLEX: Safe and Effective Care Environment ANS: D
Veracity is important when soliciting informed consent because the patient needs to be
2. A patient’s wife has been informed by the practitioner that her spouse has permanent aware of all potential risks of and benefits to be derived from specific treatments or their
quadriplegia. The wife states that she does not want anyone to tell the patient about his alternatives.
injury. The patient asks the nurse about what has happened. The nurse has conflicting
emotions about how to handle the situation. What is the nurse experiencing? a. Autonomy PTS: 1 DIF: Cognitive Level: Understanding REF: p. 15
b. Moral distress OBJ: Nursing Process Step: General TOP: Ethics
c. Moral doubt MSC: NCLEX: Safe and Effective Care Environment
d. Moral courage
5. The principle of respect for persons incorporates what additional concepts?
ANS: B a. Confidentiality and privacy
The nurse has been placed in a situation initially causing moral distress and is struggling b. Truth and reflection
with determining the ethically appropriate action to take. Moral courage is the freedom to c. Autonomy and justice
advocate for oneself, patients, and peers. Autonomy is an ethical principle. Moral doubt is d. Beneficence and nonmaleficence
