Stanhope Ch 4
Study online at https://quizlet.com/_7mrb6w
1. When and by whom was nursing's first code of ethics written?
a) 1893, by Lystra Gretter
b) 1950, by the ANA House of Delegates
c) 1953, by the International Council of Nurses (ICN)
d) 2001, by the ANA House of Delegates: A
The Nightingale Pledge, considered nursing's first code of ethics, was written by
Lystra Gretter in 1893.
2. A nurse didn't know what to do when faced with a particular ethical dilemma
because an option that would have a good outcome didn't seem possible. The
nurse decided to talk to the agency supervisor and decide what action to take.
Which of the following best describes the nurse's actions?
a) Appropriate, because the supervisor is responsible for the nurse's choices
b) Intelligent, because the supervisor has access to resource persons (clergy,
physicians, administrators) who might know of options the nurse hadn't con-
sidered
c) Justified, because this provides an opportunity to discuss the issue but the
nurse maintains responsibility for the decision
d) Wise, because the supervisor would be more knowledgeable concerning
agency priorities and traditional practices: C
Ethically, each nurse is responsible for his or her own decisions and cannot avoid
ethical accountability by relying on obedience to a supervisor or any external rule or
policy.
3. Which of the following is the first and most crucial step in the ethical
decision-making process?
a) Assess the context or environment in which the decision must be made
b) Consider the various ethical principles or theories
, Stanhope Ch 4
Study online at https://quizlet.com/_7mrb6w
c) Identify the ethical concerns
d) Make a decision and act on it: C
The first step in the ethical decision-making framework is to carefully identify the
ethical issue or dilemma.
4. A nurse is asked to meet with a family who recently emigrated from
Botswana (Africa). After the clinical doctor tells the husband the wife's diag-
nosis of breast cancer, the family thanks the physician and starts to leave.
Ethically, which of the following is the nurse's most important action?
a) Emphasizing that the family must set up a surgical appointment for the wife
immediately
b) Assessing the family's current living situation, including insurance and
other assets
c) Educating the family concerning the usual treatment and the prognosis of
breast cancer
d) Interviewing the family concerning their perspective of the threat to the
family's well-being: D
Any of the actions might be taken. However, the United States is a multicultural nation
with diverse ethnic groups and diverse values. Before any intervention can be made,
the health care professionals must understand the family's cultural, psychological,
social, communal, and environmental contexts, because these contexts affect the
way issues are formulated and decisions are made. Consequently, it is crucial to
interview the family to determine their understanding of the situation before deciding
what, if any, intervention must be made. In many cultures the family, rather than the
individual, is the unit of primary concern.
5. The nurse learns that a family has decided not to accept medical interven-
tion for a health care problem because paying for the care would drastically
reduce the family's resources and ability to meet the needs of other family
members. Ethically, which of the following actions should be taken by the
nurse?
a) Appreciate that the family has made the decision that it feels is best and
take no further action if it is clear the family has made an informed choice
Study online at https://quizlet.com/_7mrb6w
1. When and by whom was nursing's first code of ethics written?
a) 1893, by Lystra Gretter
b) 1950, by the ANA House of Delegates
c) 1953, by the International Council of Nurses (ICN)
d) 2001, by the ANA House of Delegates: A
The Nightingale Pledge, considered nursing's first code of ethics, was written by
Lystra Gretter in 1893.
2. A nurse didn't know what to do when faced with a particular ethical dilemma
because an option that would have a good outcome didn't seem possible. The
nurse decided to talk to the agency supervisor and decide what action to take.
Which of the following best describes the nurse's actions?
a) Appropriate, because the supervisor is responsible for the nurse's choices
b) Intelligent, because the supervisor has access to resource persons (clergy,
physicians, administrators) who might know of options the nurse hadn't con-
sidered
c) Justified, because this provides an opportunity to discuss the issue but the
nurse maintains responsibility for the decision
d) Wise, because the supervisor would be more knowledgeable concerning
agency priorities and traditional practices: C
Ethically, each nurse is responsible for his or her own decisions and cannot avoid
ethical accountability by relying on obedience to a supervisor or any external rule or
policy.
3. Which of the following is the first and most crucial step in the ethical
decision-making process?
a) Assess the context or environment in which the decision must be made
b) Consider the various ethical principles or theories
, Stanhope Ch 4
Study online at https://quizlet.com/_7mrb6w
c) Identify the ethical concerns
d) Make a decision and act on it: C
The first step in the ethical decision-making framework is to carefully identify the
ethical issue or dilemma.
4. A nurse is asked to meet with a family who recently emigrated from
Botswana (Africa). After the clinical doctor tells the husband the wife's diag-
nosis of breast cancer, the family thanks the physician and starts to leave.
Ethically, which of the following is the nurse's most important action?
a) Emphasizing that the family must set up a surgical appointment for the wife
immediately
b) Assessing the family's current living situation, including insurance and
other assets
c) Educating the family concerning the usual treatment and the prognosis of
breast cancer
d) Interviewing the family concerning their perspective of the threat to the
family's well-being: D
Any of the actions might be taken. However, the United States is a multicultural nation
with diverse ethnic groups and diverse values. Before any intervention can be made,
the health care professionals must understand the family's cultural, psychological,
social, communal, and environmental contexts, because these contexts affect the
way issues are formulated and decisions are made. Consequently, it is crucial to
interview the family to determine their understanding of the situation before deciding
what, if any, intervention must be made. In many cultures the family, rather than the
individual, is the unit of primary concern.
5. The nurse learns that a family has decided not to accept medical interven-
tion for a health care problem because paying for the care would drastically
reduce the family's resources and ability to meet the needs of other family
members. Ethically, which of the following actions should be taken by the
nurse?
a) Appreciate that the family has made the decision that it feels is best and
take no further action if it is clear the family has made an informed choice
