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Chapter 3: Ethics and Patient Care

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20 Questions

Which ethical principle is being demonstrated when a nurse respects a patient's decision to refuse treatment, even if the nurse believes it is in the patient's best interest?

Autonomy

A patient is hesitant to undergo a lifesaving surgery due to fear of potential complications. Which ethical principle guides the nurse's responsibility to provide accurate information about the risks and benefits of the surgery?

Veracity

A nurse is allocating scarce resources, such as ventilators, during a pandemic. Which ethical principle is being applied when the nurse prioritizes patients based on their likelihood of survival?

Justice

A patient is considering a new treatment option that has a high risk of serious side effects. Which ethical principle guides the nurse's responsibility to inform the patient of these risks?

Nonmaleficence

A patient asks a nurse about the likelihood of a successful outcome from a surgery. Which ethical principle guides the nurse's response, ensuring that the patient receives accurate information?

Veracity

A nurse is working in a resource-constrained environment and must prioritize care for multiple patients. Which ethical principle guides the nurse's decision-making process?

Justice

A patient has the right to make their own decisions about their care, even if the nurse disagrees with their choice. Which ethical principle is being demonstrated?

Autonomy

A nurse is considering the potential benefits and risks of a new treatment option for a patient. Which ethical principle guides the nurse's decision-making process?

Beneficence

A nurse is working with a patient who has a serious illness and is considering end-of-life care options. Which ethical principle guides the nurse's responsibility to provide accurate information about the patient's prognosis?

Veracity

A nurse is working in a resource-constrained environment and must allocate limited resources to multiple patients. Which ethical principle guides the nurse's decision-making process?

Justice

What is the primary ethical principle demonstrated when a patient decides to refuse medical treatment?

Autonomy

Which ethical principle is demonstrated when a nurse provides accurate information about treatment options to a patient?

Veracity

What is the primary ethical principle guiding the allocation of scarce resources, such as organs for transplantation?

Justice

When a nurse prioritizes patients based on their likelihood of survival during a pandemic, which ethical principle is being applied?

Justice

What is the primary ethical principle demonstrated when a nurse respects a patient's decision to refuse treatment, even if the nurse believes it is in the patient's best interest?

Autonomy

When a nurse provides information about treatment options to a patient, which ethical principle is being demonstrated?

Veracity

What is the primary ethical principle guiding the decision to allocate limited resources to multiple patients?

Justice

When a nurse provides information about the risks and benefits of a treatment option, which ethical principle is being demonstrated?

Veracity

What is the primary ethical principle demonstrated when a nurse avoids causing harm to a patient?

Nonmaleficence

When a nurse prioritizes patients based on their needs, which ethical principle is being applied?

Justice

Study Notes

Ethical Responsibilities in Nursing

  • Justice: Refers to fairness in care delivery and use of resources, ensuring equal treatment for all patients.
  • Nonmaleficence: A commitment to do no harm, prioritizing patient safety and avoiding harm or injury.
  • Veracity: A commitment to tell the truth, being honest with patients and providing accurate information.
  • Autonomy: The right to make personal decisions, even when they are not necessarily in the best interest of the patient.
  • Fidelity: The fulfillment of promises, ensuring that nurses uphold their professional commitments.
  • Beneficence: Actions that promote good for others, without any self-interest, prioritizing patient well-being.

Application of Ethical Principles

  • Assigning a higher client load to staff nurses due to reduced staff numbers can compromise justice, as it may affect fairness in care delivery.
  • A surgeon discussing only surgical options with a client without mentioning conservative measures violates veracity, as the client is not provided with accurate information.
  • A nurse offering pain medication to a postoperative client before ambulation demonstrates beneficence, as it promotes the client's well-being.

Resolving Ethical Dilemmas

  • The ATI Active Learning Template: Basic Concept can be used to resolve ethical dilemmas by defining underlying principles and listing steps to make an ethical decision.
  • A nurse's primary commitment is to do no harm (nonmaleficence), ensuring that patients are not harmed or injured during care.
  • Organ procurement organizations prioritize justice by applying the same qualifications to all potential recipients, ensuring fairness in the allocation of scarce resources.

Ethical Responsibilities in Nursing

  • Justice: Refers to fairness in care delivery and use of resources, ensuring equal treatment for all patients.
  • Nonmaleficence: A commitment to do no harm, prioritizing patient safety and avoiding harm or injury.
  • Veracity: A commitment to tell the truth, being honest with patients and providing accurate information.
  • Autonomy: The right to make personal decisions, even when they are not necessarily in the best interest of the patient.
  • Fidelity: The fulfillment of promises, ensuring that nurses uphold their professional commitments.
  • Beneficence: Actions that promote good for others, without any self-interest, prioritizing patient well-being.

Application of Ethical Principles

  • Assigning a higher client load to staff nurses due to reduced staff numbers can compromise justice, as it may affect fairness in care delivery.
  • A surgeon discussing only surgical options with a client without mentioning conservative measures violates veracity, as the client is not provided with accurate information.
  • A nurse offering pain medication to a postoperative client before ambulation demonstrates beneficence, as it promotes the client's well-being.

Resolving Ethical Dilemmas

  • The ATI Active Learning Template: Basic Concept can be used to resolve ethical dilemmas by defining underlying principles and listing steps to make an ethical decision.
  • A nurse's primary commitment is to do no harm (nonmaleficence), ensuring that patients are not harmed or injured during care.
  • Organ procurement organizations prioritize justice by applying the same qualifications to all potential recipients, ensuring fairness in the allocation of scarce resources.

This quiz covers the fundamentals of nursing, focusing on ethics and patient care. Topics include justice, nonmaleficence, and veracity in healthcare settings.

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