Respecting the right of a patient with terminal cancer to refuse chemotherapy is based on a belief that the patient has the right to determine their own actions.
Respecting the right of a patient with terminal cancer to refuse chemotherapy is based on a belief that the patient has the right to determine their own actions. What is this ethical principle?
Justice
Autonomy
Death with dignity
Non-maleficence
Question 2A school nurse wants to participate in ‘the doing of good’ principle of health care, so she creates a program that includes water safety. This is an example of which ethical principle?
Veracity
Beneficence
Autonomy
Justice
Question 3Which statement describes the deontological approach to ethics?
The rightness of an action depends on deciding which ethical principles are most important in a specific situation.
The moral rightness of an action depends on its consequences.
The rightness or wrongness of an action depends on achieving the greatest good for the greatest number of people.
The rightness or wrongness of an action depends on doing one’s duty regardless of the consequences.
Question 4A patient who is terminally ill is experiencing great pain. To relieve the patient’s suffering, the nurse needs to administer larger doses of morphine. This relieves the pain but also inhibits respiration. Which ethical principle is the nurse applying?
Fidelity
Veracity
Double effect
Justice
Question 5A care plan for a bed-ridden patient includes turning every two hours to prevent pressure ulcers. The patient is cooperative, but complains that the process is painful. Which action demonstrates the principle of fidelity?
Turning the patient despite the pain because not turning the patient would ultimately cause more harm.
Allowing the family members present to turn the patient if the nurse is not available.
Telling the patient he will be turned in two hours, and returning to complete the task on time.
Explaining that research shows that turning every two hours prevents pressure ulcers.
Question 6A patient who has no health insurance is being sent home without care to reduce hospital costs. Which action taken by the nurse best demonstrates the principle of justice?
Providing the best possible nursing care in the time allowed before the patient is discharged.
Bringing discharge instructions to the patient at the promised time.
Allowing the patient to choose which pain medicine works best and requesting an order for that medication from the provider.
Insisting that the patient’s healthcare needs are addressed regardless of ability to pay.
Question 7A nurse is turning a bed-ridden patient to prevent pressure ulcers. The patient complains that the process is painful. Which action best represents the principle of non-maleficence?
Explaining that research shows that turning every two hours prevents pressure ulcers.
Respecting the patient’s request to not be turned any more.
Telling the patient he will be turned in two hours, and returning to complete the task on time.
Turning the patient despite the pain because not turning the patient would ultimately cause more harm.
Question 8After a natural disaster, a local emergency department (ED) receives many patients. Which action illustrates the utilitarian theory of ethics?
Treat patients on a first-come, first-served basis.
Recognize the duty to work without breaks until all the patients are cared for.
Rapidly check each patient’s insurance status and treat those who have the resources to pay for care.
Classify patients by the severity of their condition and treat those who are most likely to be saved.
Question 9A nurse is caring for a terminally ill patient who just received her diagnosis from her physician. When the nurse is alone with the patient, she asks the nurse directly, “Am I going to die?” Which action uses the principle of veracity?
Gently tell the patient the truth about her prognosis.
Refer the patient to the hospital chaplain or counseling services.
Call the doctor to ask when the patient will be ready for more information.
Check the chart to see if the patient has orders related to her diagnosis.
Question 10The physician has written a Do Not Resuscitate (DNR) order for a patient. It is against the nurse’s religious beliefs to carry out a DNR order. What should the nurse do?
Request that the patient be assigned to another nurse.
Call the physician and request a change in the order.
Do nothing, but if the patient goes into cardiac arrest, go ahead and resuscitate the patient.
Talk to the patient’s family and explain that the nurse will not be able to follow the order
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