Chapter 07 Nursing Values and Ethics Test Bank.docx

The patient states that she needs to exercise regularly, watch her weight, and reduce her fat intake. What does this demonstrate about the patient? a. She believes she will have a heart attack. b. She values health promotion activities. c. She believes she will not become sick. d. She has unrealistic expectations for herself. - correct answer b. She values health promotion activities. A value is a strong personal belief. It is an ideal that a person or group (such as nurses) strives to uphold. An individual's values reflect cultural, social influences, and personal needs. Which of the following assists in protecting the patient's right to autonomy? a. Answerability b. Informed consent c. Constrained moral agency d. Maleficence - correct answer b. Informed consent The goal of informed consent is to protect the patient's right to autonomy. A secondary schoolteacher with advanced multiple sclerosis teaches from her wheelchair but insists on being treated the same as other colleagues. Which of the following is the teacher demonstrating? a. Preserving dignity b. Choosing from alternatives c. Considering all consequences d. Acting with a pattern of consistency - correct answer a. Preserving dignity The teacher's choice is preserving dignity, which is a value included in the Canadian Nurses Association (CNA) Code of Ethics. She cherishes her choice of being treated like everyone else despite her medical condition and publicly affirms the choice by teaching from her wheelchair and insisting that she be treated the same as her colleagues. In which of the following instances does the nurse recognize that interventions for values clarification are beneficial for the patient? a. The patient and nurse have different beliefs. b. The patient is experiencing a values conflict. c. The nurse is unsure of the patient's values. d. The patient has rejected normal values. - correct answer b. The patient is experiencing a values conflict. Values clarification is the process of appraising one's own personal values. It is not a set of rules; nor does it suggest that certain values should be accepted by all people. A nurse is working with a patient to try to clarify the patient's values in relation to his care. Which of the following is an example of the type of response that the nurse should use in such a situation? a. "Your questions were pretty blunt." b. "Tell me what you are thinking about." c. "I've felt that way before; I'd be upset, too." d. "You seem concerned about your tests. Let me explain them." - correct answer b. "Tell me what you are thinking about." Values clarification is the process of appraising one's own personal values. It involves self-reflection that leads to greater self-awareness and personal insight. Which one of the following is an example of ethical responsibility? a. Delivery of competent care b. Formation of interpersonal relationships c. Application of the nursing process d. Evaluation of new computerized technologies - correct answer a. Delivery of competent care Providing competent care is one of the values in the CNA Code of Ethics that nurses have to uphold. A student nurse realizes that she has administered the wrong dose of medication to a patient and immediately informs her clinical instructor of this error. How is this student nurse best described as a professional? a. Confident b. Trustworthy c. Compliant d. Accountable - correct answer d. Accountable Accountability refers to the ability to answer for one's own actions. The goal is the prevention of injury to the patient. The student nurse who informs her instructor of her error is holding herself accountable for her action and aims to avoid causing any injury to the patient. Accountability is one of the seven values of the CNA Code of Ethics central to nursing practice. A patient has just been informed by her physician that she has cancer. The patient says that she is not ready to discuss this with her family. The nurse encourages the patient to consider sharing the information with her family so that the family can support her through the decisions she will need to make regarding her care. Which following principle must the nurse be careful not to breach? a. Confidentiality b. Fidelity c. Veracity d. Justice - correct answer a. Confidentiality The nurse should recognize the importance of privacy and confidentiality, and safeguard the patient's personal, family, and community information obtained in the context of a professional relationship. The nurse is investigating the process for resolving an ethical problem. Which of the following is the correct sequence for resolving ethical problems? a. Examining one's own values; evaluating; identifying the problem b. Evaluating the outcomes; gathering data; considering actions c. Gathering facts; verbalizing the problem; considering actions d. Recognizing the dilemma; evaluating; gathering information - correct answer c. Gathering facts; verbalizing the problem; considering actions The correct sequence for resolving ethical problems is recognizing the dilemma, gathering facts, examining one's own values, verbalizing the problem,