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CHRONIC EXAM 2 QUESTIONS AND ANSWERS
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CHRONIC EXAM 2 QUESTIONS AND ANSWERS
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CHRONIC EXAM 2 QUESTIONS ANDANSWERS
The nurse medicates her for pain. This is an example of which of the following ethical
frameworks?
A) Justice
B) Fidelity
C) Beneficence
D) Nonmaleficence - Answer-C
A home care nurse visits a client who is confined to bed and is cared for by her
daughter. The daughter is known to suffer from chemical dependence. The home is
cluttered and unclean. During the assessment the nurse notes that the client is wet with
urine and has dried feces on her buttocks, and demonstrates signs of dehydration. After
caring for the client, the nurse contacts the physician and reports the incident to Adult
Protective Services. This is an example of which ethical framework?
A) Justice
B) Autonomy
C) Nonmaleficence
D) Fidelity - Answer-C
A woman age 83 years who has suffered a cerebrovascular accident and is unable to
swallow refuses the insertion of a feeding tube. This is an example of what ethical
principle?
A) Nonmaleficence
B) Veracity
C) Autonomy
D) Justice - Answer-C
A nurse states to the client that she will keep her free of pain. However, her family
wishes to try a treatment to prolong her life that may necessitate withholding pain
medication. This factor will cause an ethical dilemma for the nurse in relation to which
ethical principle?
A) Fidelity
B) Veracity
C) Justice
D) Autonomy - Answer-A
Which of the following are examples of a nurse demonstrating the professional value of
altruism? Select all that apply.
,A) The nurse arranges for an interpreter for a client whose primary language is Spanish.
B) The nurse calls the physician of a client whose pain medication is not strong enough.
C) The nurse provides information for a client so he is capable of participating in
planning his care.
D) The nurse reviews a client chart to determine who may be informed of the patient's
condition.
E) The nurse documents client care accurately and honestly and reviews the entry to
ensure there are no errors. - Answer-A,B
A nurse has a duty of nonmaleficence. Which of the following would be considered a
contradiction to that duty?
A) Provide comfort measures for a terminally ill patient.
B) Assist the patient with ADLs.
C) Refuse to administer pain medication as ordered.
D) Provide all information related to procedures. - Answer-C
A nurse working in a long-term care facility has an elderly male client who is very
confused. What ethical dilemma is posed when using restraints in a long-term care
setting?
A) It limits personal safety.
B) It increases confusion.
C) It threatens autonomy.
D) It prevents self-directed care. - Answer-C
A home health nurse who performs a careful safety assessment of the home of a frail
elderly patient to prevent harm to the patient is acting in accord with which of the
following, a principle of bioethics?
A) Nonmaleficence
B) Advocacy
C) Morals
D) Values - Answer-A
A nurse has had, on several occasions, the opportunity to share personal prescriptions
with family members when they were in need of pain medication or antibiotics. Which
set of rules should govern this moral decision?
A) Ethics
B) Administrative law
C) Common law
D) Civil law - Answer-A
,An ethical conflict exists around a female client's expressed desire to have a neighbor
make her treatment decisions. This neighbor is an individual who the client's children
characterize as a predator. Place in the correct order the steps that the nurse should
follow in resolving this ethical conflict.
1. Clearly identify the ethical problem
2. Apply ethical principles to the situation
3. Identify the different options
4. Gather relevant data about the situation
5. Make and evaluate a decision
A) 1, 2, 3, 4, 5
B) 4, 1, 3, 2, 5
C) 2, 3, 4, 1, 5
D) 1, 4, 3, 2, 5 - Answer-B
A nurse in a physician's office has noted on several occasions that one of the
physicians frequently obtains controlled drug prescription forms for prescription writing.
The physician reports that his wife has chronic back pain and requires pain medication.
One day the nurse enters the physician's office and sees him take a pill out of a bottle.
The doctor mentions that he suffers from migraines and that his wife's pain medication
alleviates the pain. What type of nurse physician ethical situation is illustrated in this
scenario?
A) Unprofessional, incompetent, unethical, or illegal physician practice
B) Disagreements about the proposed medical regimen
C) Conflicts regarding the scope of the nurse's role
D) Claims of loyalty - Answer-A
The client was diagnosed with diabetes three years ago, but has failed to integrate
regular blood glucose monitoring or dietary modifications into his lifestyle. He has been
admitted to the hospital for treatment of acute renal failure secondary to diabetic
nephropathy, an event that has prompted the client to reassess his values. Which of the
following actions most clearly demonstrates that this client is engaging in the step of
prizing within his valuing process?
A) The client expresses pride that he now has the knowledge and skills to take control
of his diabetes management.
B) The client states that he will now begin to check his blood glucose before each meal
and at bedtime.
C) The client is now able to explain how his choices have contributed to his renal failure.
D) The client expresses remorse at how his failure to take make lifestyle changes has
adversely affected his health. - Answer-A
The children of a female client 78 years of age with a recent diagnosis of early-stage
Alzheimer's disease are attempting to convince their mother to move into an assisted
, living facility, a move to which the client is vehemently opposed. Both the client and her
children have expressed to the nurse how they are entrenched in their position. Which
of the following statements expresses a utilitarian approach to this dilemma?
A) The decision should be made in light of consequences.
B) The client's autonomy and independence are the priority considerations.
C) Benefits and burdens should be evenly distributed between the children and the
client.
D) The client has a right to self-determination. - Answer-A
A group of nurse researchers has proposed a study to examine the efficacy of a new
wound care product. Which of the following aspects of the methodology demonstrates
that the nurses are attempting to maintain the ethical principle of nonmaleficence?
A)The nurses are taking every reasonable measure to ensure that no participants
experience impaired wound healing as a result of the study intervention.
B)The nurses have organized the study in such a way that the foreseeable risks and
benefits are distributed as fairly as possible.
C)The nurses have given multiple opportunities for potential participants to ask
questions, and have been following the informed consent process systematically.
D)The nurses have completed a literature review that suggests the new treatment may
result in decreased wound healing time. - Answer-A
A client with a diagnosis of colorectal cancer has been presented with her treatment
options, but wishes to defer any decisions to her uncle, who acts in the role of a family
patriarch within the client's culture. By which of the following is the client's right to self-
determination best protected?
A) Respecting the client's desire to have the uncle make choices on her behalf
B) Revisiting the decision when the uncle is not present at the bedside
C) Teaching the client about her right to autonomy
D) Holding a family meeting and encouraging the client to speak on her own behalf -
Answer-A
A male client age 56 years is experiencing withdrawal from alcohol and is placing
himself at risk for falls by repeatedly attempting to scale his bed rails. Benzodiazepines
have failed to alleviate his agitation and the nurse is considering obtaining an order for
physical restraints to ensure his safety. The nurse should recognize that this measure
may constitute what?
A) Paternalism
B) Deception
C) Harm
D) Advocacy - Answer-A
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