Chapter 6 - Values, Ethics, and Advocacy

Question 1

A client continues to report pain despite receiving medication. The family states, “In our culture, it is acceptable to vent frustration this way.” What would be the best response by the nurse?

Answer 1

Tell me more about your cultural beliefs.

Question 2

Which statements violate the concept of feminist ethics?
1. Of course, you would have the surgery
2. Daddy will want you to have the surgery
3. You need to do what the health care provider thinks is best for you
4. Let’s find out what your options are before making any decisions
5. If it was me who was sick, you would want me to have the surgery

Answer 2

1, 2, 3, and 5

Question 3

A nurse is caring for an older adult who has cancer and is experiencing complications requiring a revision of the plan of care. The nurse sits down with the client and the family and discusses their preferences while sharing the nurse’s judgments based on the nurse’s expertise. Which type of health care decision making does this represent?

Answer 3

Shared decision making

Question 4

Privacy or confidentiality?Sharing client information only with the caregivers directly assigned to client care

Answer 4

Confidentiality

Question 5

Privacy or confidentiality? Keeping the door closed while conducting a physical assessment

Answer 5

Privacy

Question 6

Privacy or confidentiality?: Obtaining the client’s permission before allowing a student nurse to assist with care

Answer 6

Confidentiality

Question 7

Privacy or confidentiality?: Logging off the electronic health record after documenting assessment information

Answer 7

Privacy

Question 8

Privacy or confidentiality?: Asking the client to sign a medical release form before providing information to the health insurance company

Answer 8

Confidentiality

Question 9

An older adult was diagnosed with stage 4 pancreatic cancer. The client states, “I am so overwhelmed and I feel like everyone has already decided that I need to be put in hospice care.” The nurse upholds the principle of autonomy by ________ and _________

Answer 9

1. Offering to answer questions the client may have about care and treatment options
2. Providing the client with the information needed to obtain a second opinion

Question 10

Nursing practice consistent with the Code of Ethics for nurses includes?

Answer 10

• Delivering culturally safe care
• acknowledging that the client is the focus and center of care and remains a part of the treatment team
• protecting the client’s right to confidentiality and privacy