NUR 242 MED SURG EXAM 1 LATEST
ACTUAL EXAM 250 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES|ALREADY GRADED
A+||GALEN COLLEGE OF NURSING
GUARANTEED SUCCESS!
QUESTIONS AND ANSWERS
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)
ACTUAL EXAM 250 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES|ALREADY GRADED
A+||GALEN COLLEGE OF NURSING
GUARANTEED SUCCESS!
QUESTIONS AND ANSWERS
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)
