Foundations Week 7

In the emergency department a client believes that he has been waiting longer than the other individuals based on his ability to pay for services. Which of the following ethical principles would be most helpful for the nurse to apply in this situation?

• Beneficence

• Autonomy

• Justice

• Nonmaleficence

The nurse supports the client's autonomy when he/she does what?

• Learns to perform a procedure safely and effectively.

• Returns to speak to the client at an agreed upon time.

• Supports the client's decision to refuse a specific life-saving medication.​

• • Prepares the client's room for comfort and privacy.​

  • :​

At an accident scene, a nurse stopped and began to provide emergency care for the victims.  His/her actions are best labeled ethically as:

• Autonomy​

• Beneficence

• Veracity

• Respect for persons

A nurse is planning care for a patient going to surgery. Who is responsible for informing the patient about the surgery along with possible risks, complications, and benefits?

• Family member

• Surgeon

• Nurse

• Nurse Manager

A woman has severe life-threatening injuries, is unresponsive, and is hemorrhaging following a car accident. The health care provider ordered two units of packed red blood cells to treat the woman’s anemia. The woman’s husband refuses to allow the nurse to give his wife the blood for religious reasons. What is the nurse’s responsibility?

• Obtain a court order to give the blood. ​

• Convince the husband to allow the nurse to give the blood. ​

• Call security and have the husband removed from the hospital. ​

• Gather more information about the wife’s preferences and determine whether the husband is her power of attorney for health care.​

A nurse sends a text message to the oncoming nurse to report that a patient refuses to take medication as ordered. What should the oncoming nurse do? (Select all that apply).

• Add this information to the board hanging at the patient’s bedside. ​

• Tell the nurse who sent the text that the text is a HIPAA violation. ​

• Inform the nursing supervisor.

• Forward the text to the charge nurse.

• Thank the nurse for sending the information.

Which of the following actions, if performed by a registered nurse, could result in both criminal and administrative law sanctions against the nurse? (Select all that apply.)

• Reviewing the electronic health record of a family member who is a patient in the same hospital on a different unit.

• Refusing to provide health care information to a patient’s child.

• Reporting suspected abuse and neglect of children.

• Applying physical restraints without a written order.

• Completing an occurrence report on the unit​

A home health nurse notices significant bruising on a 2-year-old patient’s head, arms, abdomen, and legs. The patient’s mother describes the patient’s frequent falls. What is the best nursing action for the home health nurse to take?

• Instruct the mother on safe handling of a 2-year-old child. ​

• Contact a child abuse hotline.

• Discuss this story with a colleague.

• Do, nothing. Not your problem.

You are floated to work on a nursing unit where you are given an assignment that is beyond your capability. Which is the best nursing action to take first?

• Call the nursing supervisor to discuss the situation.

• Discuss the problem with a colleague.

• Leave the nursing unit and go home.

• Say nothing and begin your work.​

Match the following actions:

• Responsibility

• You see an open medical record on the computer and close it so that no one else can read the record without proper access.

• Advocacy

• You tell your patient that you will return in 30 minutes to give him his next pain medication

• Accountability

• A patient at the end of life Your patient wants to go home to die, but the family wants every care possible. The nurse contacts the primary care provider about the patient’s request. ​

• Confidentiality

• You administer a once-a-day cardiac medication at You administer the wrong med at the wrong time, but nobody sees it. However, you contact the provider and your head nurse and follow agency procedure. ​