Chapter 3. Issues in Nursing Practice

Chapter 3. Issues in Nursing Practice

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Multiple Choice

Identify the choice that best completes the statement or answers the question.

____     1.   After working a 12-hour shift, the nurse is asked to work part of the next shift due to short staffing. Which obligation to work should the nurse use to guide the response to this request?

____     2.   The family of a patient who has been diagnosed with cancer does not want the patient to be told about the diagnosis. The patient asks the nurse, “Do I have cancer?” Which ethical principles should the nurse consider when resolving this situation?

____     3.   A patient tells the nurse that the Patient’s Bill of Rights gives patients the legal right to read their medical information. Which of these responses would be appropriate for the nurse to make?

____     4.   The nurse assigned to care for a patient who has HIV accepts the patient assignment despite believing that the patient’s condition is a punishment from God. With which ethical principle is this nurse’s behavior associated?

____     5.   While planning patient care, the nurse considers what needs to be done to limit any liability. Which action should the nurse take to minimize liability when providing patient care?

MULTIPLE CHOICE

1. ANS:  C

Morals are standards set by our own conscience, and they guide a person’s decision to work. A. Justice is the ethical principle of fairness and equality. B. D. Welfare and legal rights are guaranteed by laws.

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Safe and Effective Care Environment—Management of Care | Cognitive Level: Application

2. ANS:  A
3. In health care, autonomy refers to individuals who are considered capable and competent making health care decisions for themselves. Veracity is the virtue of truthfulness that requires health care providers (HCPs) whenever possible to tell the truth and not intentionally deceive or mislead patients. B. Beneficence is considering and offering treatments that are likely to provide relief. Justice is the ethical principle of fairness and equality. C. Welfare rights are guaranteed by laws. Morals are standards set by our own conscience. D. Nonmaleficence is doing no harm. Legal rights are guaranteed by laws.

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Safe and Effective Care Environment—Management of Care | Cognitive Level: Application

3. ANS:  C

The content of the medical record is considered the property of the patient. According to HIPAA, the patient has the right to read the medical information. The patient, however, might not understand everything that is written in the record. The best response would be for the nurse to stay with the patient while the record is being read in the event the patient does not understand the information in the record. A. The nurse does not need to ask the physician if the record can be read by the patient. B. Asking if the patient is concerned about care is a defensive response and does not address the patient’s request to read the medical record. D. The nurse does not need to ask the charge nurse if the patient can read the medical record.

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Safe and Effective Care Environment—Management of Care | Cognitive Level: Application

4. ANS:  A

Justice is the ethical principle of fairness and equality. B. Veracity is the virtue of truthfulness. C. Beneficence is considering and offering treatments that are likely to provide relief. D. Nonmaleficence is doing no harm.

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Safe and Effective Care Environment—Management of Care | Cognitive Level: Analysis

5. ANS:  A
6. To provide quality care and limit liability, the nurse should understand and provide care according to the patients’ rights. B. C. Directions that are controversial, given verbally, concern situations of high liability, or involve a discrepancy between the direction and standard policy should be questioned. D. Having insurance does not limit liability. Insurance provides liability coverage and may be offered by some employers but not all.

PTS:     1          DIF:     Moderate