Chapter 22.docx - Chapter 22 Ethics and Values MULTIPLE CHOICE 1 Four patients in labor all request epidural analgesia to manage their pain at the same

Chapter 22.docx - Chapter 22 Ethics and Values MULTIPLE...

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Chapter 22: Ethics and Values MULTIPLE CHOICE 1. Four patients in labor all request epidural analgesia to manage their pain at the same time. Which ethical principle is compromised when only one nurse anesthetist is on call? 1. Justice 2. Nonmaleficence 3. Beneficence 4. Fidelity ANS: A Justice refers to fairness and is used frequently in discussion regarding access to health care resources. Here the just distribution of resources, in this case pain management, cannot be justly apportioned. Nonmaleficence means do no harm, beneficence means to do good, and fidelity means to be true to, or honest. Each of these principles is partially expressed in the question; however, justice is most comprised because not all laboring patients have equal access to pain management owing to lack of personnel resources. DIF: Understand REF: 293 OBJ: Discuss the role of ethics in professional nursing. TOP: Implementation MSC: Safe and Effective Care Environment 2. The patient tells the nurse that she is afraid to speak up regarding her desire to end care for fear of upsetting her husband and children. Which principle in the nursing code of ethics ensures that the nurse will promote the patients cause? 1. Responsibility 2. Advocacy 3. Confidentiality 4. Accountability ANS: B Nurses advocate for patients when they support the patients cause. A nurses ability to adequate advocate for a patient is based on the unique relationship that develops and the opportunity to better understand the patients point of view. Responsibility refers to respecting ones professional obligations and following through on promises. Confidentiality deals with privacy issues, and accountability refers to owning ones actions. DIF: Understand REF: 293 OBJ: Discuss the role of ethics in professional nursing.
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TOP: Diagnosis MSC: Psychological Integrity Test Bank - Fundamentals of Nursing by Potter (9th Edition, 2016) 221 3. The patients son requests to view the documentation in his mothers medical record. What is the nurses best response to this request? 1. Ill be happy to get that for you. 2. You will have to talk to the physician about that. 3. Y ou will need your mothers permission. 4. You are not allowed to see it. ANS: C The nurse understands that sharing health information is governed by HIPAA legislation, which defines rights and privileges of patients for protection of privacy. Private health information cannot be shared without the patients specific permission. The other three responses either are outright false and/or use poor communication techniques. DIF: Apply REF: 293 OBJ: Discuss the role of ethics in professional nursing. TOP: Evaluation MSC: Safe and Effective Care Environment 4. When people work together to solve ethical dilemmas, individuals must examine their own values. This step is crucial to ensure that 1. The group identifies the one correct solution.
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  • Fall '19
  • Ruth Bundy

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