NURSING 2362 MODULE5 EXAM Questions 1 ID 8482553041A client with leukemia is being considered for a bone marrow transplant The healthcare team is discussing the risks and benefits of this treatment and other possible treatments with the goal of inflicting the least possible harm on the client Which principle of healthcare ethics is the team practicing Justice Fidelity Autonomy Nonmaleficence Correct Rationale Nonmaleficence is the avoidance of hurt or harm Remember that in healthcare ethics ethical practice involves not only the will to do good but also the equal commitment to do no harm Healthcare professionals try to balance the risks and benefits of a plan of care while striving to do the least possible harm Justice refers to fairness and equity and ensuring fair allocation of resources such as nursing care for all clients Fidelity is the keeping of promises made to clients families and other healthcare professionals Autonomy refers to a person s independence and represents an agreement to respect another s right to determine his or her course of action Test Taking Strategy Focus on the subject the ethical principle being utilized Recall the definition of each item in the options Note the relationship of the words least possible harm in the question and the definition of nonmaleficence Review principles of healthcare ethics Reference Potter P Perry A 2009 Fundamentals of nursing 7th ed p 314 St Louis Mosby Cognitive Ability Applying Client Needs Safe and Effective Care Environment Integrated Process Nursing Process Implementation Content Area Ethical Legal Giddens Concepts Celluar Regulation Ethics HESI Concepts Advocacy Ethical Legal Issues Cellular Regulation Awarded 1 0 points out of 1 0 possible points 2 ID 8482553007Which action by the nurse represents the ethical principle of beneficence The nurse upholds a client s decision to refuse chemotherapy for lung cancer The nurse follows a plan of care designed to relieve pain in a client with cancer The nurse administers an immunization to a child even though it may cause discomfort Correct The nurse provides equal amounts of care to all assigned clients on the basis of illness acuity Rationale Beneficence is taking action to help others Although administration of a child s immunization might cause discomfort the benefits of protection from disease outweigh the temporary discomfort Fidelity is keeping promises made to clients families and other healthcare professionals Autonomy is a person s independence Respecting another s autonomy means that you are agreeing to respect that person s right to determine his or her course of action Justice refers to fairness and equity including fair allocation of resources such as nursing care for all clients Test Taking Strategy Focus on the subject beneficence Recalling that beneficence refers to taking action to help others will direct you to the correct option Review the principles of healthcare ethics 314 St Louis Mosby Reference Potter P Perry A 2009 Fundamentals of nursing 7th ed p Cognitive Ability Applying Client Needs Safe and Effective Care Environment Integrated Process Nursing Process Implementation Content Area Ethical Legal Giddens Concepts Ethics Immunity HESI Concepts Advocacy Ethical Legal Issues Immunity Awarded 1 0 points 3 ID 8482553071The nursing instructor asks a student to name an example of out of 1 0 possible points false imprisonment Which situation reflects a violation of this client right Performing a procedure without consent Telling the client that he or she may not leave the hospital Correct Threatening to give a client a medication against his or her will Observing the provision of care to the client without the client s permission Rationale Telling a client that he or she may not leave the hospital constitutes false imprisonment Performing a procedure without consent is an example of battery Threatening to give a client a medication against his or her will is assault Invasion of privacy takes place with unreasonable intrusion into an individual s private affairs Observing the provision of care to a client without the client s permission is an example of invasion of privacy Test Taking Strategy Focus on the subject an example of false imprisonment Note the relationship of the subject and the words in the correct option Review the concept of false imprisonment References Cherry B Jacob S 2008 Contemporary nursing issues Trends management 4th ed pp 175 176 St Louis Mosby Zerwekh J Claborn J 2009 Nursing today Transition and trends 6th ed p 424 Cognitive Ability Evaluating Client Needs Safe and Effective Care Environment Integrated Process Teaching and Learning Content Area Ethical Legal Giddens Concepts Health Care Law Leadership HESI Concepts Advocacy Ethical Legal Issues Health Policy Systems Health Care Law Awarded 1 0 points out of 1 0 possible points 4 ID 8482550821The nurse and an unlicensed assistive personnel UAP enter a client s room to provide care and find the client lying on the floor Which action should the nurse take first Ask the nursing assistant to complete an incident report Check the client s level of consciousness and vital signs Correct Ask the nursing assistant to assist in getting the client back to bed Contact the unit secretary on the intercom and ask that the client s health care provider be called Rationale When a client sustains a fall the nurse must first assess the client The nurse should check the client s level of consciousness and vital signs and look for any bruises or injuries sustained in the fall If the nurse determines that the client has not sustained any injuries and that it is safe to move the client the nurse should ask the UAP to assist in getting the client into bed The nurse should then contact the health care provider and file an incident report Test Taking Strategy Note the strategic word first Use the steps of the nursing process to answer the question The correct option is the only one that addresses assessment Remember to always assess the client first if a client sustains a fall Review client injuries and procedures for filing incident reports References Ignatavicius D Workman M 2010 Medical surgical nursing Patient centered collaborative care 6th ed p 180 St Louis Saunders Potter P Perry A 2009 Fundamentals of nursing 7th ed p 403 St Louis Mosby Cognitive Ability Applying Client Needs Safe and Effective Care Environment Integrated Process Nursing Process Implementation Content Area Delegating Prioritizing