Exam 1 NUR2242C 113 Questions with Complete Solutions

Exam 1 NUR2242C 113 Questions with Complete Solutions A patient suffered a brain injury from a motor vehicle accident and has no brain activity. The patient has a living will which states no heroic measures. The family requests that no additional heroic measures be instituted for their son. The nurse respects this decision in keeping with which principle?

• Accountability
• Autonomy
• Nonmaleficence
• Veracity - Correct Answers Autonomy

Patients and families must be treated in a way that respects their autonomy and their ability to express their wishes and make informed choices about their treatment.A male patient suffered a brain injury from a motor vehicle accident and has no brain activity. The spouse has come up to see the patient every day for the past 2 months. She asks the nurse, "Do you think when he moves his hands he is responding to my voice?" The nurse feels bad because she believes the movements are involuntary, and the prognosis is grim for this patient. She states, "He can hear you, and it appears he did respond to your voice." The nurse is violating which principle of ethics?

• Autonomy
• Veracity
• Utilitarianism
• Deontology - Correct Answers Veracity

Veracity is the principle of telling the truth in a given situation. Autonomy is the principle of respect for the individual person; this concept states that humans have incalculable worth or moral dignity.Utilitarianism is an approach that is rooted in the assumption that an action or practice is right if it leads to the greatest possible balance of good consequences or to the least possible balance of bad consequences.The nurse is faced with an ethical issue. When assessing the ethical issue, which action should the nurse perform first?

• Ask, "What is the issue?"
• Identify all possible alternatives.
• Select the best option from a list of alternatives. 1 / 4

• Justify the choice of action or inaction. - Correct Answers Ask, "What is the issue?"

The first step in the situational assessment procedure is to find out the technical and scientific facts and assess the human dimension of the situation—the feelings, emotions, attitudes, and opinions.A nursing student is conducting a survey of fellow nursing students. Which ethical concept is the student following when calculating the risk-to-benefit ratio and concluding that no harmful effects were associated with a survey?

• Beneficence
• Human dignity
• Justice
• Human rights - Correct Answers Beneficence

Beneficence is a term that is defined as promoting goodness, kindness, and charity. In ethical terms, beneficence means to provide benefit to others by promoting their good. Human dignity is the inherent worth and uniqueness of a person. Justice involves upholding moral and legal principles.Human rights are the basic rights of each individual.A nurse on the unit makes an error in the calculation of the dose of medication for a critically ill patient. The patient suffered no ill consequences from the administration. The nurse decides not to report the error or file an incident report. The nurse is violating which principle of ethics?

• Fidelity
• Individuality
• Justice
• Values clarification - Correct Answers Fidelity

Fidelity is the principle that requires us to act in ways that are loyal. In the role of a nurse, such action includes keeping your promises, doing what is expected of you, performing your duties, and being trustworthy.An unconscious patient is treated in the emergency department for head trauma. The patient is unconscious and on life support for 2 weeks prior to making a full recovery. The initial actions of the medical team are based on which ethical principle?a. Utilitarianism

• Deontology
• Autonomy 2 / 4

• Veracity - Correct Answers Deontology

Deontology is an approach that is rooted in the assumption that humans are rational and act out of principles that are consistent and objective and that compel them to do what is right. Deontologic theory claims that a decision is right only if it conforms to an overriding moral duty and wrong only if it violates that moral duty.A drug-addicted nurse switches a patient's morphine injection with normal saline so that the nurse can use the morphine. The nurse is violating which principles of ethics? (Select all that apply.)

• Autonomy
• Utilitarianism
• Beneficence
• Dilemmas
• Veracity - Correct Answers -Autonomy

-Utilitarianism -Beneficence -Veracity Beneficence is providing benefit to others by promoting their welfare. In general terms, to be beneficent is to promote goodness, kindness, and charity. By taking the patient's pain medication and substituting saline, the nurse did harm, not good, for the patient. Autonomy is the principle of respect for the individual person; the nurse does not respect someone upon whom the nurse is inflicting harm. Utilitarianism is the principle that assumes that an action is right if it leads to the greatest possible balance of good consequences or to the least possible balance of bad consequences.The new nurse correctly defines a law when stating which information?

• "Law is a fundamental concept for health care professionals."
• "Law's rule is developed by the employee's organization."
• "Law's rule is enacted by a government agency that defines what must be done in

a given circumstance."

• "Law is a mandate from the Joint Commission or other accrediting agency." - Correct Answers

"Law's rule is enacted by a government agency that defines what must be done in a given circumstance." 3 / 4

Which of the following is true about health care legislation?

• The US Constitution addresses health care law specifically to give the federal

government the ability to license professionals and institutions.

• The power of the US Constitution does not have a direct relationship to health care

and reserves most of the power to the states.

• State laws are considered the highest source of health care law and trump the

federal laws.

• The federal government asserts its power over health care legislation through the US Constitution.
• Correct Answers The power of the US Constitution does not have a direct relationship to health care

and reserves most of the power to the states.The power of the US Constitution does not have a direct relationship to health care and reserves most of the power to the states.Which is an example of the regulatory power to make law?

• Joint Commission establishing a medication reconciliation standard.
• Centers for Disease Control and Prevention (CDC) developing recommendations for childhood

immunizations.

• Institute of Medicine (IOM) defining the approximate number of medication errors

that result in significant patient harm or death.

• Centers for Medicare and Medicaid Services (CMS) enacting rules for restraint and seclusion for

participating hospitals. - Correct Answers Centers for Medicare and Medicaid Services (CMS) enacting rules for restraint and seclusion for participating hospitals.The Centers for Medicare and Medicaid Services (CMS) enacting rules for restraint and seclusion for participating hospitals refers to the enactment of law, while the other answers discuss the development of standards and recommendations that do not have the authority of law.What is one of the major attributes of health care law?

• It defines the expected behavior of persons in the business of health care.
• The law or rule is easy to interpret and comply with.
• It is established by any health care authority.
• The creator must be an expert in health care. - Correct Answers It defines the expected behavior

of persons in the business of health care.

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