NUR 108:100_module_5 Questions and Answers,100% CORRECT

NUR 108:100_module_5 Questions and Answers 1. An error occurred during surgery. Which statement by the RN describes moral distress? a. “I can’t sleep because I believe the patient should know, yet I an not allowed to tell’ b. “Everyone needs to be careful with documentation for the patient until discharge” c. “The root cause analysis meeting for the error will be stressful for me” d. “The operating room is a difficult place to work; errors happen frequently” 2. An RN is caring for a patient recovering from a significant myocardial infarction. The healthcare provider has recommended the patient consider a less stressful occupation. The patient states, “I want to continue to work and make my own healthcare decisions.” Which ethical principle is represented by the patient’s statement? a. Beneficence b. Justice c. Non-maleficence d. Self-determination 3. An RN is caring for a terminally ill patient. The patient’s spouse requested that all staff avoid discussing the patient’s prognosis. The patient asks the RN, “Do other patients with this disease usually have a full recovery?” The RN is challenged to use which ethical principle to respond to the patient’s question? a. Veracity b. Autonomy c. Non-maleficence d. Confidentiality 4. According to the ANA Code of Ethics (2015), what is the RN’s primary commitment? a. The affect the decision will have on the profession of nursing b. The preservation of one’s personal values c. The maintenance of professional values d. The rights of the patient involved 5. The registered nurse is caring for a recovering alcoholic who is waiting for a liver transplant. Which ethical concept is associated for the RN who considers if the patient’s history of alcohol abuse should be a factor in the ability to receive a transplant? a. Veracity b. Fidelity c. Justice d. beneficence 6. A competent patient who is severely malnourished pulls out the IV and states, “I don’t want the IV fluids anymore, I want to die.” The RN restarts the intravenous fluid and restrains the patient’s hands. Which of the following statements describes this nurse’s action? a. The RN is upholding the principle of nonmaleficence, to do no harm b. The RN is compromising the principle of fidelity and in not faithful to the profession c. The RN is upholding the principle of beneficence by doing a good act d. The RN is violating the patient’s right to autonomy 7. What is a responsibility of the hospital ethics committee? a. Provide a forum for healthcare providers to resolve an ethical dilemma b. Make decisions about patient care when the patient is unable to c. Allocate resources for assistance in healthcare rationing d. Provide psychological support for families of a terminally ill patient 8. During an admission assessment, a patient identifies self as transgender, and tells the RN that gender reassignment surgery and hormone replacement therapy are planned. The RN personally disagrees with the patient’s decision, and asks the charge RN to change the assignment because of the conflict with personal values. Which action by the charge RN is the best response? a. Inform the RN that the assignment will not be changed b. Assign the patient to another staff member c. Co-assign the patient with another staff member d. Explore with the RN preconceived ideas to promote acceptance 9. Which statements are consistent with the 2015 ANA Code of Ethics for Nurses? Select all that apply. a. Implement culturally competent nursing care to patients b. Respect the inherent worth and uniqueness of each patient c. Deliver care the preserves and protects patient self-determination d. Maintain primary commitment to the institution where employed e. Improve moral environment of the work setting conducive to quality care 10. The RN is caring for an adolescent patient who is asking about placement on the transplant list for a potential kidney. The parents believe transplantation is not acceptable within their religion. What is the next step to resolve this ethical dilemma? a. Inform the adolescent the parent’s decision is final b. Describe complications of transplant surgery c. Explore possible options and consequences with the adolescent d. Contact the healthcare provider to put the adolescent on the transplant list 11. A patient is admitted to a home health care program for palliative care. During the initial assessment, the patient states, “I want to be comfortable and die with dignity.” The family wants chemotherapy to prolong life the patient’s life. What is the appropriate action for the RN? a. Refer family members to the primary care provider to resolve the issue b. Ask the patient to reconsider his decision for the sake of his family c. Protect the patient’s right to self-determination d. Initiate a referral to a psychiatric nurse practitioner 12. Which statement is an expression of an ethical dilemma? a. “I am not sure what I will do if I am asked to provide care for a patient who has had an abortion” b. “I can’t understand how patients can refuse treatment that will truly help their physical condition” c. “Nicotine is a known carcinogen. People need to stop smoking” d. “Obesity contributes to many health problems and people need to get help” 13. Which statement reflects an acceptable violation of the ethical principle of nonmaleficence? a. “It is critical to not make promises to a patient that I cannot keep” b. “I know that the radiation treatment may cause distress for my patient but in the end, it will help” c. “I give my patients all the information they need to make the best decision” d. “It is so important to me that I help my patients” 14. The RN caring for an immunosuppressed patient teaches all caregivers and staff the importance of handwashing to decrease the spread of disease. This is an example of which ethical principle? a. Beneficence b. Autonomy c. Justice d. veracity 15. Which situation would require the services of an interdisciplinary Ethics Committee? a. Family in conflict regarding resuscitation efforts b. Patient who desires to repeal an advanced directive c. Family in agreement about an experimental treatment d. Patient who wishes to choose a new healthcare provider 16. A nursing student is discussing ethical problems that result from value conflicts within the nursing profession. Which statement indicates additional teaching is necessary? a. “The RN has autonomy for all ethical decision-making” b. “The RN has respect for a variety of belief systems” c. “The RN has loyalties to the employment agency” d. “The RN has multiple demands on their time limiting hands-on care” 17. A novice RN witnesses an RN colleague adding alcohol to her coffee cup in the breakroom before getting report from the off-going shift. Which action by the novice RN supports the American Nurses Association (ANA) standards of ethical practice? a. Obtain report from the off-going shift RN b. Ask the charge RN to alter the client assignment for the colleague c. Place an educational pamphlet on the locker of the colleague d. Report the action of the coworker to the nursing supervisor on duty 18. An RN in the intensive care unit expresses to another RN, “I cannot do another daily arterial blood gas on this patient. There have not been changes to vent settings in a week. We are not making progress in this situation.”Which professional issue is expressed by the RN colleague? a. Whistleblowing b. Moral distress c. Value neutrality d. Distributive justice 19. An RN attended 20 professional development workshops in one year. Which professional influence is demonstrated by the RN’s attendance? a. Belief b. Attitude c. Value d. Equality 20. Which actions are part of the ethical decision-making process? Select all that apply. a. State the problem b. Consider action choices c. Collect data d. Analyze data e. Publish results