Ethical Decision Making

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Questions

Question 1

Which ethical principle is defined as the right to self-determination, meaning patients have the moral and legal right to determine what will be done with and to their person?

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Question 2

A nurse prioritizes offering free flu vaccines to older adults first because they are at a higher risk of complications. This action, which provides assistance based on specific needs to create an equal outcome, best demonstrates which ethical principle?

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Question 3

What is the primary purpose of the ANA's Code of Ethics for Nurses?

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Question 4

When a patient refuses a life-sustaining treatment, the nurse and interdisciplinary team support this decision. This action upholds which primary ethical principle?

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Question 5

According to Chapter 5.1, what is the term for the ethical principle that refers to the duty to do no harm and is a foundational principle in nursing practice?

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Question 6

A nurse is caring for a patient who has verbalized homicidal ideations. The nurse feels torn between the duty to maintain patient privacy and the duty to protect other individuals' safety. This situation is an example of a conflict related to which ethical principle?

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Question 7

In the ethical decision-making process outlined in the chapter, which step involves comparing potential outcomes, asking 'What if...?' questions, and comparing alternatives with the nursing code of ethics?

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Question 8

What is the key difference between the concepts of 'ethics' and 'morality' as described in the chapter?

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Question 9

According to the chapter, for how many consecutive years has nursing been named the most trusted profession in the United States?

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Question 10

What is a key ethical obligation of nurses regarding patient safety when they encounter incompetent, unethical, illegal, or impaired practices?

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Question 11

Which of the following is NOT a valid reason for a conscience-based refusal to participate in patient care?

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Question 12

What is the primary purpose of the Health Insurance Portability and Accountability Act (HIPAA)?

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Question 13

In the context of ethical patient education, what is the nurse's responsibility when their personal beliefs conflict with a patient's treatment choices, such as vaccination?

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Question 14

What term is defined as 'the degree to which individuals have the ability to find, understand, and use information to inform health-related decisions and actions'?

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Question 15

When a nurse questions a provider's order because it seems incorrect or unclear, what ethical responsibility is the nurse fulfilling?

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Question 16

A patient who is a Jehovah's Witness refuses a blood transfusion needed for a life-threatening condition. The nurse advocates for the patient by discussing the possibility of ordering epoetin with the provider. This action balances the nurse's duty of beneficence with which other primary principle?

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Question 17

What is the primary role of a hospital ethics committee as described in Chapter 5?

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Question 18

What is considered patient abandonment?

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Question 19

Which of the following is listed as a benefit of ethical patient education?

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Question 20

The ANA Code of Ethics is referred to as the 'social contract that nurses have with the U.S. public.' What does this imply about the nursing profession?

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Question 21

In what decade did hospital ethics committees begin to emerge as the primary source for dealing with ethical issues?

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Question 22

Which of the following is NOT listed as a common topic that can create ethical dilemmas for nurses?

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Question 23

When a nurse reports a colleague who is impaired while on duty, what is the appropriate accompanying action according to Table 5.2?

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Question 24

What is the term for the ethical principle describing the nurse's duty to faithfully uphold one's commitments, incorporating altruism, loyalty, and caring?

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Question 25

Which of the following is an example of a HIPAA violation mentioned in Chapter 5.2?

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Question 26

According to the chapter, why should nurses avoid using laypersons, such as family members, as interpreters for patient education?

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Question 27

In the ethical decision-making model from Table 5.1, what is the primary focus of the 'Evaluate outcomes' step?

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Question 28

What is the nurse's ethical duty regarding the administration of opioids for pain management, especially in terminally ill patients?

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Question 29

When providing ethical patient education, which of the following is NOT a recommended practice?

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Question 30

The chapter mentions that the ANA Code of Ethics personifies the 'proud ethical heritage of nursing.' What does this heritage commit nurses to do despite challenges in the modern health-care system?

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Question 31

What is a primary ethical concern regarding the use of social media by nurses?

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Question 32

The ethical principle of beneficence requires a nurse to act in the patient's best interest. How does the ANA define this principle?

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Question 33

In what year did the American Nurses Association (ANA) develop the modern-day version of the Nursing Code of Ethics?

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Question 34

What is one of the main responsibilities of a nurse advocate?

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Question 35

When providing ethical patient education, which factor is NOT explicitly mentioned as a key consideration for the education materials?

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Question 36

A nurse must report a practice in the health-care delivery system that could compromise a patient’s welfare. According to Table 5.2, to whom should the nurse first express this concern?

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Question 37

What does the HIPAA Security Rule specifically protect?

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Question 38

A nurse is caring for a patient who is noncompliant with their heart failure treatment, resulting in frequent hospitalizations. Despite the frustration, the nurse provides compassionate, patient-centered care. This action upholds which ethical principle?

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Question 39

Which of these is NOT listed as a cause of ethical dilemmas in nursing?

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Question 40

What is the primary objective of the 'Recognize and analyze cues' step in the ethical decision-making model?

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Question 41

According to the chapter, which of the following is a role of an ethics committee?

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Question 42

Which historical document is mentioned as the root of the Nursing Code of Ethics, having guided health care professionals for centuries?

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Question 43

What is the nurse's primary ethical obligation in a situation where a patient lacks health literacy?

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Question 44

The chapter describes a case in California, Tarasoff v. The Regents of the University of California, which created a legal precedent known as the 'duty to warn' or 'duty to protect'. What does this duty generally allow or require health-care professionals to do?

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Question 45

When is it ethically permissible for a nurse to disclose a patient's protected health information without their consent?

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Question 46

Which of the following is an example of equity, rather than equality, in the context of justice in healthcare?

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Question 47

A nurse who consistently provides compassionate care to all patients, prioritizes their individual needs, and includes health promotion in their care plan is upholding which ethical principle?

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Question 48

What is considered a key attribute of professional nursing and is based on nursing knowledge, critical thinking, and clinical reasoning?

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Question 49

What should a nurse do if they question a provider's order but the provider insists on administering the medication?

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Question 50

Which of the following would be an appropriate way for a nurse to apply the ethical principle of beneficence in patient education?

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