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The ANA code of nursing ethics articulates that the nurse "promotes, advocates for, and strives
to protect the health, safety, and rights of the patient." This includes the protection of patient
privacy. On the basis of this principle, if you participate in a public online social network such
as Facebook, could you post images of a patient's x-ray film if you obscured or deleted all
patient identifiers?
A.Yes, because patient privacy would not be violated since patient identifiers were removed
B.Yes, because respect for autonomy implies that you have the autonomy to decide what
constitutes privacy
C.No, because, even though patient identifiers are removed, someone could identify the
patient on the basis of other comments that you make online about his or her condition
and your place of work
D.No, because the principle of justice requires you to allocate resources fairly - ANSWER no,
because even though patient identifiers are removed, someone could identify the patient on
the basis of other comments that you make online about his or her condition and your place
of work
Ethical dilemmas often arise over a conflict of opinion. Reliance on a predictable series of steps
can help people in conflict find common ground. All of the following actions can help resolve
,conflict. What is the best order of these actions in order to promote the resolution of an
ethical dilemma?
1. List the actions that could be taken to resolve the dilemma.
2. Agree on a statement of the problem or dilemma that you are trying to resolve.
3. Agree on a plan to evaluate the action over time.
4. Gather all relevant information regarding the clinical, social, and spiritual aspects of
the dilemma.
5. Take time to clarify values and distinguish between facts and opinions—your own and those
of others involved.
6. Negotiate a plan.
A.4, 5, 2, 6, 1, 3
B.4, 5, 2, 1, 6, 3
C.5, 4, 2, 1, 3, 6
D.4, 5, 1, 2, 3, 6 - ANSWER 4,5,2,1,6,3
In most ethical dilemmas in health care, the solution to the dilemma requires
negotiation among members of the health care team. Why is the nurse's point of view
valuable?
A.Nurses understand the principle of autonomy to guide respect for a patient's self-worth.
B.Nurses have a scope of practice that encourages their presence during ethical discussions.
C.Nurses develop a relationship with the patient that is unique among all professional
health care providers.
, D.The nurse's code of ethics recommends that a nurse be present at any ethical discussion
about patient care. - ANSWER nurses develop a relationship with the patient that is
unique among all professional health care providers
The application of utilitarianism does not always resolve an ethical dilemma. Which of the
following statements best explains why?
A.Utilitarianism refers to usefulness and therefore eliminates the need to talk about
spiritual values.
B.In a diverse community it can be difficult to find agreement on a definition of usefulness,
the focus of utilitarianism.
C.Even when agreement about a definition of usefulness exists in a community, laws prohibit
an application of utilitarianism.
D.Difficult ethical decisions cannot be resolved by talking about the usefulness of a procedure. -
ANSWER in a diverse community it can be difficult to find agreement on a definition of
usefulness, the focus off utilitarianism
A patient is admitted to a medical unit. The patient is fearful of hospitals. The nurse carefully
assesses the patient to determine the exact fears and then establishes interventions designed
to reduce these fears. In this setting how is the nurse practicing patient advocacy?
A.Seeking out the nursing supervisor to talk with the patient
B.Documenting patient fears in the medical record in a timely manner
C.Working to change the hospital environment