1. The patient for whom you are caring needs a liver transplant to survive. This patient has been out of work for several months and doesn't have health
... [Show More] insurance or enough cash. Even though several ethical principles are at work in this case, list the principles from highest to lowest priority.
1. Accountability: You as the nurse are accountable for the well-being of this patient.
2. Respect for autonomy: This patient's autonomy will be violated if he does not receive the liver transplant.
3. Ethics of care: The caring thing that a nurse could provide this patient is resources for a liver transplant.
4. Justice: The greatest question in this situation is how to determine the just distribution of resources.
4, 2, 3, 1
2. Fill in the Blank. The point of the ethical practice is an agreement to reassure the public that in all ways the health care team not only works to heal patients but agrees to do this in the least painful and harmful way possible.
This principle is commonly called the principle of ________?
Nonmalificence
3. A child's immunization may cause discomfort during administration, but the benefits of protection from disease, both for the individual and society, outweigh the temporary discomforts. Which principle is involved in this situation?
1. Fidelity
2. Beneficence
3. Nonmaleficence
4. Respect for autonomy
2. Beneficence
4. When designing a plan for pain management for a postoperative patient, the nurse assesses that the patient's priority is to be as free of pain as possible. The nurse and patient work together to identify a plan to manage the pain. The nurse continually reviews the plan with the patient to ensure that the patient's priority is met. Which principle is used to encourage the nurse to monitor the patient's response to the pain?
1. Fidelity
2. Beneficence
3. Nonmaleficence
4. Respect for autonomy
1. Fidelity
5. A patient is admitted to a medical unit. The patient is fearful of hospitals. The nurse carefully assesses the patient to determine the exact fears and then establishes interventions designed to reduce these fears. In this setting how is the nurse practicing patient advocacy?
1. Seeking out the nursing supervisor to talk with the patient
2. Documenting patient fears in the medical record in a timely manner
3. Working to change the hospital environment
4. Assessing the patient's point of view and preparing to articulate it
4. Assessing the patient's point of view and preparing to articulate it
6. The application of utilitarianism does not always resolve an ethical dilemma. Which of the following statements best explains why?
1. Utilitarianism refers to usefulness and therefore eliminates the need to talk about spiritual values.
2. In a diverse community it can be difficult to find agreement on a definition of usefulness, the focus of utilitarianism.
3. Even when agreement about a definition of usefulness exists in a community, laws prohibit an application of utilitarianism
.4. Difficult ethical decisions cannot be resolved by talking about the usefulness of a procedure.
2. In a diverse community it can be difficult to find agreement on a definition of usefulness, the focus of utilitarianism.
7. The ethics of care suggests that ethical dilemmas can best be solved by attention to relationships. How does this differ from other ethical practices? (Select all that apply.)
1. Ethics of care pays attention to the environment in which caring occurs.
2. Ethics of care pays attention to the stories of the people involved in the ethical issue.
3. Ethics of care is used only in nursing practice.
4. Ethics of care focuses only on the code of ethics for nurses
5. Ethics of care focuses only on understanding relationships.
1. Ethics of care pays attention to the environment in which caring occurs.
2. Ethics of care pays attention to the stories of the people involved in the ethical issue.
5. Ethics of care focuses only on understanding relationships.
8. In most ethical dilemmas in health care, the solution to the dilemma requires negotiation among members of the health care team. Why is the nurse's point of view valuable?
1. Nurses understand the principle of autonomy to guide respect for a patient's self-worth.
2. Nurses have a scope of practice that encourages their presence during ethical discussions.
3. Nurses develop a relationship with the patient that is unique among all professional health care providers.
4. The nurse's code of ethics recommends that a nurse be present at any ethical discussion about patient care.
3. Nurses develop a relationship with the patient that is unique among all professional health care providers. [Show Less]