Potter: Basic Nursing, 7th Edition Chapter 05: Ethics 1.

A 73-year-old patient with hypertension is awaiting a triple cardiac bypass surgery. Robert is hard of hearing and did not understand what the surgeon told him regarding the surgery. His daughter is concerned that he does not understand the risks of the surgery. If not clarified, this would be a violation of what principle? A. Autonomy B. Justice C. Fidelity D. Nonmaleficence 2. A 45-year-old mother of two children has cirrhosis of the liver and is on a waiting list for a liver transplantation. She had to meet certain criteria to be eligible to receive a liver. She has been waiting for seven months for a donor liver and fears that she is running out of time. She understands that she is next on the list for a donor liver that matches. This is an example of which of the following principles? A. Autonomy B. Justice C. Fidelity D. Nonmaleficence 3. A registered nurse who works on an oncology unit discussed pain control options that the health care provider had ordered with a patient undergoing treatment for pancreatic cancer. The patient requested that they be given prn intravenous (IV) pain medication on a regular basis. The nurse agreed to provide the prn IV pain medication as requested. This is an example of which of the following principles? A. Autonomy B. Justice C. Fidelity D. Nonmaleficence 4. A registered nurse knows that an oncology patient undergoing a bone marrow transplant will spend weeks in isolation in the hospital. During that time the patient will be at an increased risk for infection and other complications. There is the possibility that the patient may not recover from the complications of the procedure. The nurse has a duty to ensure that the patient has been given information

regarding the risks and potential benefits of the procedure. This is an example of which of the following principles? A. Autonomy B. Justice C. Fidelity D. Nonmaleficence 5. A registered nurse is working on a pediatric oncology unit and caring for four children undergoing chemotherapy. Today she has a new nursing assistive personnel (NAP) assigned to assist her. Although she has never worked with this person, she understands that the NAP had to pass a basic competency examination before he was allowed to work on the unit with patients. She will delegate a portion of the fundamental nursing tasks to the NAP during the shift. This is an example of demonstrating which of the following? A. Ethical dilemma B. Code of ethics C. Bioethics D. Feminist ethics 6. The mother of a 45-year-old patient is a retired physician and requests to discuss her daughters plan of care with the nurse caring for the patient. What is the nurses best response to this request? A. I will need to ask permission from my supervisor before I can share that information. B. I cannot share that information with you. I would suggest you ask your daughter. C. I would suggest that you discuss that with your daughters physician. D. I will have to get your daughters permission before I can share that information. 7. A RN has been a nurse for 35 years. During that time she has become very intolerant to patients who are smokers. This is a violation of __________ standards. A. legal B. ethical C. clinical D. professional

8. A registered nurse has recently been reassigned to the gynecology unit at her hospital. She is a devout Catholic and is strongly against abortion. She contacts the nursing supervisor regarding her assignment because the unit cares for women who are undergoing abortions. With which of the following is she having a conflict? A. Morals B. Values C. Beneficence D. Fidelity 9. A 9-year-old patient was severely burned and has been undergoing whirlpool treatments to debride her wounds. She is crying and does not want to go to the physical therapy department for the treatment. The registered nurse caring for the girl knows that, even though it is uncomfortable, she needs to have the therapy for the wounds to heal properly. The nurse is demonstrating which of the following principles? A. Feminine ethics B. Bioethics C. Nonmaleficence D. Beneficence 10. Although a registered nurse has been working for several years as a staff nurse on an adult oncology unit, he recently transferred to a pediatric unit in the hospital. He will be in orientation for several days to learn about the different systems, and he will need to demonstrate proficiency in various pediatric areas such as medication administration. This is because he will need to demonstrate which of the following? A. Competency B. Judgment C. Advocacy D. Utilitarianism 11. A code of ethics provides the foundation for professional nursing. A nurses use of ethical responsibility can best be exemplified when the nurse: A. delivers competent care. B. applies the nursing process. C. forms interpersonal relationships. D. evaluates new computerized technologies.

12. A nurse decides to withhold a medication because it will further lower a patients respiratory rate. In this case, the nurse is practicing what principle? A. Responsibility B. Accountability C. Competency D. Moral behavior 13. A patient is about to undergo a new, controversial bone marrow transplant procedure. The procedure may cause periods of pain and suffering. Although nurses agree to do no harm, this procedure may be necessary to promote health. This is an example of which of the following ethnical principles? A. Autonomy B. Justice C. Fidelity D. Nonmaleficence 14. A community health nurse states, I wish we had just a portion of the dollars spent repairing atherosclerotic hearts to teach the community about cardiovascular risk factors. This statement stems from what philosophy? A. Deontology B. Feminist ethic C. Utilitarianism D. Ethics of care 15. A nurse decides to tell adult children that they need to decide how to advise their father about taking narcotics during the terminal phase of his illness. This critical processing step of an ethical dilemma: A. articulates the problem. B. evaluates the action. C. negotiates the outcome. D. determines values surrounding the problem.

16. The code of ethics for nursing sets forth ideals of nursing conduct and provides a common foundation for nurses training, which was developed by what organization? A. Board of Registered Nurses B. American Medical Association C. National League for Nursing D. American Nurses Association 17. A nurse is working with the parents of a seriously ill newborn. Surgery has been proposed for the infant, but the chances of success are unclear. To help the parents resolve this conflict, the nurse will begin to analyze this ethical dilemma by doing which of the following? Select all that apply. A. Identifying people who can solve this dilemma B. Gathering all relevant information surrounding this dilemma C. Clarifying the values related to the cause of this dilemma D. Consulting a professional ethicist regarding how to proceed with this dilemma E. Considering possible courses of action