BIOETHICS FINALS
The nurse, who is opposed to abortion, is asked to give a medication to the client that will terminate the client's pregnancy. Which strategy might help the nurse in this case?
A. Tell the client that taking the medication is immoral.
B. Withhold the medication until the prescribing person arrives.
C. Have self-awareness of values and beliefs.
D. Refuse to participate in the collaboration regarding this client.
A nurse is asked to care for an openly gay client with AIDS. The nurse tells her supervisor that caring for the client is against her religious beliefs. Does this nurse have an ethical obligation to care for the client?
A. No, the nurse does not have to violate religious beliefs.
B. Yes, unless the risk exceeds the responsibility.
C. No, because the client's behavior caused him to contract AIDS.
C. No, because the client's behavior caused him to contract AIDS.
A 67-year-old male client states that he and his 37-year-old wife would like to have a child. A 23-year-old surrogate will carry the child. Which response by the nurse is most appropriate?
A. "I will ask our counselor to give you additional information."
B. "Why "You will be 87 when your child is 20." isn't your wife carrying your own chi "You could adopt a child instead.
C. ." Why isn't your wife carrying your own child?”
D. You could adopt a child instead
The parents of a child with no apparent brain function refuse to permit withdrawal of life support. Which moral principle is applied with the nurse's action to support the family's decision?
A. Respect for autonomy
B. Nonmaleficence
C. Beneficence
D. Justice
A client asks the nurse not to tell his wife that he has cancer. What would be the most appropriate response by the nurse?
A. "Why are you afraid to tell her?"
B. "Don't you think she has a right to know?"
C. "I'm sorry, but the doctor already told her."
D. "What benefits do you see from not telling your wife your diagnosis?"
Which action is the most important nursing responsibility when an ethical issue arises?
A. Ensuring that a team is responsible for deciding ethical questions
B. Following the client and family wishes exactly
C. Being able to defend the morality of one's own actions
D. Remaining neutral and detached when making ethical decisions
A health care issue often becomes an ethical dilemma because:
A. Decisions must be made quickly, often under stressful conditions
B. The choices involved do not appear to be clearly right or wrong
B. The choices involved do not appear to be clearly right or wrong
D. A clients legal rights coexist with a health professionals obligation
The nurse is working with parents of a seriously ill newborn. Surgery has been proposed for the infant, but the chances of success are unclear. In helping the parents resolve this ethical conflict, the nurse knows that the first step is:
A. Identifying people who can solve the difficulty
B. Clarifying values related to the cause of the dilemma
C. Collecting all available information about the situation
D. Exploring reasonable courses of action
Access to health care usually depends on a client's ability to pay for health care, either through insurance or by paying cash. The nurse is caring for the client needs a liver transplant to survive. This client has been out of work for several months and does not have insurance or enough cash. A discussion about the ethics of this situation would involve:
A. Ethics of care, because the caring thing that a nurse could provide this patient is resources for a liver transplant
B. Respect of autonomy, because this client's autonomy will be violated if he does not receive the liver transplant
C. Accountability, because you as the nurse are accountable for the well being of this client
D. Justice, because the first and greatest question in this situation is how to determine the just distribution of resources
Nurses agree to be advocates for their patients. Practice of advocacy calls for the nurse to:
A. Document all clinical changes in the medical record in a timely manner
B. Assess the client's point of view and prepare to articulate this point of view
C. Work to understand the law as it applies to the client's clinical condition
D. Seek out the nursing supervisor in conflicting situations
Which description is a characteristic of professional values?
A. Insight into how actions influence values
B. Development of socialization to nursing by nursing school faculty
C. Influence by insight into clients' values
D. Influence by cultural norms
Ethical principles for professional nursing practice in a clinical setting are guided by the principles of conduct that are written as the:
A. Philippine Nurses Association’s (PNA’s) Code of Ethics
B. Nurse Practice Act (NPA) written by state legislation C. Standards of care from experts in the practice field
C. Standards of care from experts in the practice field
D. Good Samaritan laws for civil guidelines
Whistle blowing without justification is right because what you are telling is the truth
TRUE
FALSE
The nurse is obligated to follow a physician’s order unless:
A. The order is a verbal order
B. The order is illegible
B. The order is illegible
D. The order is an error, violates hospital policy, or would be detrimental to the client.
Disparities in health outcomes between the rich and the poor illustrate the influence of socioeconomic factors in morbidity and mortality. Social factors such as poverty and lack of universal medical insurance compromise the health status of the poor and unemployed.
A. True
B. False
You are asked by your supervisor to take photographs of the residents and their family members who are attending a holiday dinner and celebration at your long term care facility. What should you do?
A. Take the photographs because these photographs are part of the holiday tradition at this facility
B. Take the photographs because all of the residents are properly attired and in a dignified condition
C. Refuse to take the photographs unless you have the consent of all to do so
D. Refuse to take the photographs because this is not part of the nurse’s role
You are the Nurse Manager for the trauma unit. Which of these staff comments or statements indicate the need for you to provide an educational activity relating to confidentiality and information security?
A. “A computer in the hallway was left unattended and a client’s medical record was visible to me.”
B. “I just saw a nursing student looking at the medical record for a client that they are NOT caring for during this clinical experience.”
c. “As I was walking past the nursing station, I saw a dietician reading the progress notes written by members of the laboratory department in addition to other dieticians’ progress notes.”
D. “I refused the nursing supervisor’s request to share my electronic password for the new nurse on the unit.”
A nurses’ point of view is valuable in an ethical committee because it is recommended by the nurses code of ethics.
A. True
B. False
The ambulatory care nurse is discussing preoperative procedures with a Japanese American client who is scheduled for surgery the following week. During the discussion, the client continually smiles and nods the head. How should the nurse interpret this nonverbal behavior?
A. Client agreeing to the required procedure
B. Reflecting cultural value
C. Client understanding the preoperative procedure
D. Acceptance of treatment
A nurse who works in an abortion operating room, even if she does not agree with what the doctor is doing, is too closely related to evil to be permitted to continue in her job.
A. Principle of Moral Discernment
B. Principle of formal cooperation
C .Principle of Material cooperation
D. Principle of well-formed conscience
Patients have the right to receive information and ask questions about recommended treatments so that they can make well-considered decisions about care; It is applied as
A. Principle of Moral Discernment
B. Principle of formal cooperation
C. Principle of Material cooperation
D. Principle of well-formed conscience
Giving Antibiotics to a patient can be cured but sometimes it has side effects or adverse effects is an example of; (Understanding)
A. Principle of double effect
B. Principle of formal cooperation
C. Principle of Material cooperation
D. Principle of lesser evil
During the nursing evaluations in transcultural nursing nurses includes the self evaluation on attitude and emotions towards providing care for the patient is a form of.
A. It is to become transparent
B. It helps the nurse in deloading the burden
C. It is an act of self-disclosure
D. It is with in the contract
Which of the following definitions is compatible with the definition of advance directives.
A. Is a legal document in which a person specifies what actions should be taken for their health if they are no longer able to make decisions for themselves because of illness or incapacity.
B. A document in which the hospital will perform the appropriate interventions in times when it is mostly needed.
C. A legal document wherein all the pertinent legal inclusions to the interventions performed by the doctors to the patients is included.
D. All of the above definitions.
Sexual orientation is a term used to describe your pattern of emotional, romantic or sexual attraction, among the orientation listed below is not included under sexual attraction.
A. Homosexual
B. Heterosexual
C. Asexual
D. Transsexual
What maybe the possible reason why sexual orientations faces moral issues.
A. When a homosexual have a sexual relations with heterosexuals
B. When a bisexual develop a sexual relations with a transgender
C. When a heterosexual have a sexual relations outside the relation.
D. When an asexual remains not to experience sexual attractions.
When death is brought by an act for example taking a high dose of drugs, lethal injection. To end a person’s life by the use of drugs, either by oneself or by the aid of a physician.
ACTIVE EUTHANISIA
PASSIVE EUTHANASIA
PAS
NOTA
Johnny is diagnosed with stage 3 pancreatic cancer, together with his lawyer, they created a health care proxy. Which of the following statement best describes a health care proxy?
A. Johnny appoints Maria his wife for 40 years to make health care decisions on his behalf if ever he becomes incapable of doing so
B. Johnny appoints Mark his business partner to take over their business once he is gone
C. Johnny appoints Dr. Silverman to be the one to turn off the mechanical ventilator when the time comes
D. A and C
The following are purposes of advance directives. Please select all that apply. Appointment of health care proxy Make decision and guide doctors about life sustaining procedures in the event of terminal condition, persistent vegetative state and end stage condition I.e DNR, Pain management, Organ Donation, Euthanasia To prevent unnecessary pain, burden an financial problems brought upon by continuous life support to artificial prolong the life of a person who is most likely won't recover from his/her condition To practice autonomy even if the patient is not capable of deciding for himself/herself
1.2,3
2,3,4
2,3
1,2,3,4
Making a nursing diagnosis for clients with different cultural background should include Potential problems as a result of.
A. Medical conditions
B. Complications
C. Problems involving the effect of culture
D. The impending foreseen health problem
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