Questions With
Complete Solutions
2024
, A nurse is orientating a newly licensed nurse to the procedure involved in obtaining informed
consent. The nurse knows informed consent is based on the ethical principle of:
-bebefience
-autonomy
-paternalism
-justice - ANS- A. Autonomy
R/T Informed consent is based on the ethical principle of asutonomy, which is the right to self-
determination, independence, and freedom of choice. Beneficence is based on the principle that
actions that a person takes should be done with the intent to do good. It is associated with
nonmalefience, which is the requirement that healthcare providers do no harm to their clients.
Paternalism is a principle that is based on the assumption that one person can assume responsibility
for making the decisions of another person.
By the middle of a shift, two of the three nurses working have gone home ill, leaving the nursing unit
short staffed. Which of the following is the most appropriate action for the charge nurse?
-Assume responsibility for client care until the end of the shift.
-Assess the needs of the clients and make reassignments accordingly
-Inform the remaining staff and ask them to assist with client care
-Call the nursing supervisor and request additional staff - ANS- A. Call the nursing supervisor and
request additional staff.
R/T: This is the most appropriate action by the charge nurse. The charge nurse has an obligation to
ensure that the needs of clients can be met without jeopardizing the safety of all clients on the unit.
Assuming responsibility is not the most appropriate because it takes the charge nurse away from his
own duties and could jeopardize the safety of all other clients on the unit. Assessing the needs is not
the most appropriate because it does not ensure that clients needs will be met and client safety may
be jeopardized as a result. Informing the remaining staff is not the most appropriate because it does
not ensure that client needs will be met and client safety may be jeopardized as a result.
Which of the following observations made by a nurse should be reported to the nurse manager as a
violation against HIPPA?
-Admitting a client who requested a private room to a semi-private room due to unavailability.