Ch.6 Values, Ethics, and Advocacy

Question 1

Advocacy

Answer 1

protection and support of another’s rights

Question 2

Autonomy

Answer 2

self-determination; being independent and self-governing

Question 3

Bioethics

Answer 3

ethics that encompass all those perspectives that seek to understand human nature and behavior, the domain of social science, and the natural world

Question 4

Code of ethics

Answer 4

principles that reflect the primary goals, values, and obligations of the profession

Question 5

Deontologic

Answer 5

ethical system in which actions are right or wrong independent of the consequences they produce

Question 6

Moral agency

Answer 6

ability to behave in an ethical way; to do the ethically right thing because it is the right thing to do

Question 7

ethical dilemma

Answer 7

situation that arises when attempted adherence to basic ethical principles results in two conflicting courses of action

Question 8

ethics

Answer 8

system dealing with standards of character and behavior related to what is right and wrong

Question 9

Fidelity

Answer 9

keeping promises and commitments made to others

Question 10

Nursing ethics

Answer 10

a subset of bioethics; formal study of ethical issues that arise in the practice of nursing and of the analysis used by nurses to make ethical judgments

Question 11

Utilitarian

Answer 11

action-guiding theory of ethics that states that the rightness or wrongness of an action depends on the consequences of the action

Question 12

virtues

Answer 12

human excellences; cultivated dispositions of character and conduct that motivate and enable us to be good human beings

Question 13

Altruism

Answer 13

concern for wellfare and Well-being of others

Question 14

Human dignity

Answer 14

Respect for an inherent worth and uniqueness of individuals and populations

Question 15

Integrity

Answer 15

Acting according to code of ethics and standards of Practice

Question 16

Social injustice

Answer 16

Upholding the moral, legal, humanistic right

Question 17

Which three of the main activities of valuing the process involves pride, happiness, and public affirmation?

Answer 17

Prizing

Question 18

T/F examples of altruism include donations, community work, and volunteer work

Answer 18

TRUE

Question 19

A patient is scheduled for medication intake in the morning. However, he explains to the nurse he does not want to take the medications at all. The nurse, before informing the physician, then carefully explains the risks of not taking the medication as instructed and the benefits of taking the medication. After the patient was given this information, he informed the nurse that he will still not take the medication. The nurse then does not give the patient the medication and notifies the physician as well as documents the events on the patient’s charts. The nurse’s process and handling of the situation is an example of:

Autonomy
Altruism
Social Justice
Human Dignity
Integrity

Answer 19

Autonomy

Attempted to self-govern the situation. Planed care in partnership wit patient. Honored the right of patient’s decision . Provided information so that the patient can make an informed decision

Question 20

What is the definition of social injustice

Answer 20

Supports fairness and nondiscrimination in the delivery of care.

Question 21

What is the purpose of the Code of Ethics for Nurses?

Answer 21

it is a succinct statement of the ethnical obligations and duties of every nurse
it is the professions nonnegotiable ethnical standard
it is an expression of nursing own understanding of its commitment to society

Question 22

What are some examples of ethical distress a nurse can undergo when the nurse knows the right thing to do but either personal or institutional factors make it difficult to follow the correct course of action?

Answer 22

DNI/DNR patient’s
Patient refusing treatment
Parent refusing care of patient for a severely ill child
Type of health coverage a patient has (certain health insurances only cover certain treatments, medication, etc.)

Question 23

An alert older resident who lives in a long-term care facility and who is now at high risk for falls refuses to call the nurse for assistance when getting out of bed. The nurse must decide whether to obtain an order to restrain the patient. Does preventing potential harm justify violating the patient’s right to autonomy and make it acceptable for the nurse to act as a “parent,” choosing an action the patient does not want because the nurse believes it to be in the patient’s best interest?

This scenario is an example of what ethical problem?
Deception
Privacy and social media
Paternalism

Answer 23

Paternalism

Question 24

A nurse asks a middle-aged woman who is crying quietly, “Would you like to share what’s troubling you?” The woman tells the nurse that she has no idea how she will pay for this clinic visit because she entered the country illegally 2 months ago and is trying to earn enough money to help her family back home. She begs the nurse not to tell anyone. If the nurse believes that this anxiety is interfering with the patient’s ability to obtain needed health care, would it be ethical to break the woman’s confidence to obtain help for her?

This scenario is an example of what ethical problem?
Deception
Confidentiality
Paternalism
Conflicts concerning new technologies

Answer 24

Confidentiality

Question 25

A resident is attempting to perform a spinal tap on an adolescent whom you know dislikes the resident. After one failed attempt, the adolescent tells the resident to stop. The resident asks you to administer an antianxiety medication to the patient to enable the resident to get the spinal tap done quickly. Should you administer the medication knowing that the patient no longer consents to the procedure?

This scenario is an example of what ethical problem?
Valid consent or refusal
Conflicts concerning new technologies
Deception
Short staffing issues

Answer 25

Valid consent or refusal

Question 26

As a nurse, you are an advocate for

Physicians
other nursing staff
the hospital
patients

Answer 26

Patients

Question 27

What part of the nursing process gathers data?

Answer 27

Assessing the situation

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