NURSING NCLEX Module 5 Exam Questions and Answers
Module 5 Exam
Questions
1. 1.ID: 327498249
A client with leukemia is being considered for a bone
... [Show More] marrow transplant. The healthcare team is discussing the risks and benefits of this treatment and other possible treatments with the goal of inflicting the least possible harm on the client. Which principle of healthcare ethics is the team practicing?
A. Justice
B. Fidelity
C. Autonomy
D. Nonmaleficence Correct
Rationale: Nonmaleficence is the avoidance of hurt or harm. Remember that in healthcare ethics, ethical practice involves not only the will to do good but also the equal commitment to do no harm. Healthcare professionals try to balance the risks and benefits of a plan of care while striving to do the least possible harm. Justice refers to fairness and equity and ensuring fair allocation of resources, such as nursing care for all clients. Fidelity is the keeping of promises made to clients, families, and other healthcare professionals. Autonomy refers to a person’s independence and represents an agreement to respect another’s right to determine his or her course of action.
TestTaking Strategy: Use the process of elimination and think about the definition of each item in the options. Note the relationship of the words “least possible harm” in the question and the definition of nonmaleficence. Review the principles of healthcare ethics if you had difficulty with this question.
Reference: Potter, P., & Perry, A. (2009). Fundamentals of nursing (7th ed., p. 314). St. Louis: Mosby.
Cognitive Ability: Applying
Client Needs: Safe and Effective Care Environment
Integrated Process: Nursing Process/Implementation
Content Area: Ethical/Legal
Awarded 1.0 points out of 1.0 possible points.
2. 2.ID: 327496879
Which action by the nurse represents the ethical principle of beneficence?
A. The nurse upholds a client’s decision to refuse chemotherapy for lung cancer.
B. The nurse follows a plan of care designed to relieve pain in a client with cancer.
C. The nurse administers an immunization to a child even though it may cause discomfort. Correct
D. The nurse provides equal amounts of care to all assigned clients on the basis of
illness acuity.
Rationale: Beneficence is taking action to help others. Although administration of a child’s immunization might cause discomfort, the benefits of protection from disease outweigh the temporary discomfort. Fidelity is keeping promises made to clients, families, and other healthcare professionals. Autonomy is a person’s independence. Respecting another’s autonomy means that you are agreeing to respect that person’s right to determine his or her course of action. Justice refers to fairness and equity, including fair allocation of resources, such as nursing care for all clients.
TestTaking Strategy: Focus on the subject, beneficence. Recalling that beneficence refers to taking action to help others will direct you to the correct option. Review the principles of healthcare ethics if you had difficulty with this question.
Reference: Potter, P., & Perry, A. (2009). Fundamentals of nursing (7th ed., p. 314). St. Louis: Mosby.
Cognitive Ability: Applying
Client Needs: Safe and Effective Care Environment
Integrated Process: Nursing Process/Implementation
Content Area: Ethical/Legal
Awarded 1.0 points out of 1.0 possible points.
3. 3.ID: 327498211
The nursing instructor asks a student to name an example of false imprisonment. Which of the following situations reflects a violation of this client right?
A. Performing a procedure without consent
B. Telling the client that he or she may not leave the hospital Correct
C. Threatening to give a client a medication against his or her will
D. Observing the provision of care to the client without the client’s permission
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