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Which would the nurse not list as a purpose of the nursing code of ethics when discussing it with a group of new employees? Reminding nurses of the special responsibility they assume when caring for the sick Guiding the profession in self-regulation Providing solutions for specific ethical situations Outlining the major ethical considerations of the nursing profession

When trying to make a responsible ethical decision, what should the nurse understand as the basis for ethical reasoning? Ethical principles and codes The nurse's experience The nurse's emotional feelings The policies and practices of the institution

A nurse working in the Emergency Department is asked to care for an openly gay client with AIDS. The nurse tells her supervisor that caring for the client is against her religious beliefs, and asks if she must take the assignment. Does this nurse have a moral obligation to care for the client? No, because the client's behavior caused him to contract AIDS Yes, unless the risk exceeds the responsibility No, the nurse does not have to violate religious beliefs. Yes, but the nurse should hide her negative feelings

A fully alert and competent 89-year-old client is in end-stage liver disease. The client says, "I'm ready to die," and refuses to take food or fluids. The family urges the client to allow the nurse to insert a feeding tube. What is the nurse's moral responsibility? The nurse should obtain an order for a feeding tube. The nurse should encourage the client to reconsider the decision.

The nurse should honor the client's decision. The nurse must consider that the hospital can be sued if she honors the client's request.

Which act would the nurse consider passive euthanasia?

Removing a "no code" client from a ventilator Refusing to assist a client wishing to commit suicide Administering a lethal dose of medication to a client with terminal cancer Providing pills to a client wishing to commit suicide

A client with cancer has decided against further treatment. Which nursing action would be most helpful?

Making sure the client has accurate information and understands the consequences of the decision Informing the client's wife, and encouraging her to talk to the client and intervene, if necessary Accepting the decision and making no comments to the client Talking to the client and trying to persuade the client to think about reversing the decision

A client asks you not to tell his wife that he has cancer. He does not want to burden her with this information. What would be the most appropriate response by the nurse? "I'm sorry, the doctor already told her." "Why are you afraid to tell her?" "What benefits do you see from doing this?" "Don't you think she has a right to know?"

The nurse notes that a client has a slight red rash after taking a dose of an antibiotic. What action by the nurse would demonstrate the moral principle of nonmaleficence? Teaching a cardiac client about a strenuous exercise program Getting informed consent prior to an invasive procedure Allowing a new postoperative client to ambulate independently to the bathroom Noting the reaction and getting a new medication ordered

A mentally competent client with end-stage liver disease continues to consume alcohol after being informed of the consequences of this action. What action best illustrates the nurse's role as a client advocate? Asking the spouse to take all the alcohol out of the house Accepting the client's choice and not intervening Reminding the client that the action may be an end-of-life decision Refusing to care for the client because of the client's noncompliance

A client complains of pain and asks the nurse for medication. The nurse says, "I will be right back with your medication." The medication is given within five minutes. This example best represents what moral principle? Justice Beneficence Ethics Fidelity

1. Correct Answer: Providing solutions for specific ethical situations

Nursing codes of ethics have the purpose of informing the public about minimum professional standards; providing a sign of the profession's commitment to the public; outlining major ethical considerations of the profession; providing ethical standards for professional behavior; guiding the profession in self-regulation; and reminding nurses of the special responsibility they assume when caring for the sick. Planning; Safe, Effective Care Environment; Analysis 2. Correct Answer: Ethical principles and codes Responsible ethical reasoning is rational and systematic, and should be based on ethical principles and codes rather than on emotions, intuition, fixed policies, or precedent. Planning; Psychosocial Integrity; Analysis 3. Correct Answer: Yes, unless the risk exceeds the responsibility The moral obligation to care for an HIV-infected client cannot be set aside unless the risk exceeds the responsibility. Assessment; Safe, Effective Care Environment; Analysis 4. Correct Answer: The nurse should honor the client's decision. The nurse must honor the competent client's right to refuse food and fluids. Although the family is pleading, the obligation is to the client. Assessment; Physiologic Integrity; Analysis 5. Correct Answer: Removing a "no code" client from a ventilator Passive euthanasia involves withdrawal of extraordinary means of life support, such as a ventilator. Assessment; Safe, Effective Care Environment; Analysis 6. Correct Answer: Making sure the client has accurate information and understands the consequences of the decision To plan effectively, the nurse needs to understand what has influenced the client's decision and whether the client has thought about the results of the decision. The other choices do not respect the client's right to choose. Implementation; Psychosocial Integrity; Application

7. Correct Answer:

"What benefits do you see from doing this?"

The nurse should discuss the reasons the client does not want his wife to know the diagnosis. This will clarify the benefits the client sees in his decision. The other choices are disrespectful of the client's wishes, or imply something--being afraid to tell--that may not be there. Implementation; Psychosocial Integrity; Application 8. Correct Answer: Noting the reaction and getting a new medication ordered Nonmaleficence is the duty to "do no harm." By noting the allergy and calling the physician for a change of medication, the nurse is protecting the client from harm. A cardiac client should not do strenuous exercises; this could cause harm. Getting informed consent allows a client to be autonomous in the decision. A new postoperative client requires assistance when ambulating. Evaluation; Safe, Effective Care Environment; Analysis 9. Correct Answer: Accepting the client's choice and not intervening The client has the right to consume alcohol whether others believe it is right or not. By accepting the client's choice, the nurse is acting as a client advocate. The other actions do not respect the client's right to choose. Implementation; Psychosocial Integrity; Application 10. Correct Answer: Fidelity Fidelity means being faithful to an agreement or promise. The nurse promises to return with the client's medication. This represents fidelity. Justice represents fairness. Beneficence represents "doing good," but is a term generally used when discussing legal issues. Ethics typically refers to ideals and values. Evaluation; Safe, Effective Care Environment; Analysis