Questions and Answers
A nurse's use of ethical responsibility can best be seen in which of the following nursing actions?
When making choices concerning the adoption of evidence-based practice, the literature must be reviewed regarding its: (Select all that apply)
The specific ethical principle that is in question when a client becomes ill from chemotherapy is:
Which of the following statements reflects an example of the type of response a nurse should use in a values clarification situation?
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Which of the following statements related to confidentiality made by a nurse requires immediate follow-up by the nurse manager?
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Which of the following statements best illustrates the deontological ethical theory?
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The nurse realizes that an individual client's value system is most affected by:
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Abandoning a client would be an example of a nurse's failure to professionally display:
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Which one of the following actions is an example of an unintentional tort?
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Although a nurse may not agree, the nurse recognizes that a terminally ill client has the legal right to:
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Which of the following statements made by a nurse shows the best understanding regarding the requirements of the Health Insurance Portability and Accountability Act (HIPAA) of 2003?
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A nurse who shares a client's private information in an elevator may be held liable for:
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Which of the following nursing statements reflects the best understanding of the importance of appropriate nursing documentation regarding risk management?
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Which of the following is the most important factor in a nurse deciding whether or not to carry malpractice insurance?
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A nurse is being asked to move from the eye unit to a general surgery floor where she is inexperienced. Her initial recourse should be to:
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Study Notes
Ethical Responsibilities in Nursing
- Ethical responsibility is exemplified by the delivery of competent care.
- Responsibility encompasses reliability and dependability in nursing actions.
- The nursing process's correct application is important but does not directly reflect ethical responsibility.
Evidence-Based Practice Considerations
- Key factors in adopting evidence-based practices include content, relevance, reliability, and ethical soundness.
- Evaluative literature reviews help in making informed nursing decisions.
Ethical Principles and Client Care
- Nonmaleficence focuses on avoiding harm while considering treatment benefits versus side effects.
- Veracity (truthfulness), fidelity (keeping promises), and justice (fairness) are important but not directly questioned in treatment scenarios.
Values Clarification in Patient Interaction
- Effective communication in values clarification involves encouraging the client to express their thoughts.
- The aim is to facilitate self-discovery and understanding of the client’s values.
Confidentiality Violations
- Sharing unnecessary personal information about a client violates confidentiality rules.
- Maintaining confidentiality is crucial unless the information directly impacts the client's care.
Deontological Ethics in Nursing
- Deontological theory judges actions as right or wrong based on adherence to duty and principles, not outcomes.
- An absolute stance on continuous CPR exemplifies deontological ethics.
Influence on Individual Value Systems
- Life experiences critically shape an individual's value system, particularly during childhood.
- Other factors like economic status, spiritual beliefs, and education have less influence.
Fidelity and Client Commitment
- Fidelity involves upholding commitments, including not abandoning clients.
- Nurses must prioritize patient continuity and care commitments.
Unintentional Torts in Nursing
- An unintentional tort occurs when harm results from negligence, such as leaving side rails down.
- Restraining a client without consent may lead to assault claims, while breaching confidentiality can lead to privacy violation claims.
Patient Rights Regarding Treatment
- Terminally ill patients can refuse various treatments, including hydration and nutrition.
- Legal rights must be respected regardless of personal beliefs.
HIPAA Compliance
- Effective handling of client information is mandated by HIPAA, requiring safeguards for client confidentiality.
- The notification of receiving parties when faxing client information shows compliance with HIPAA regulations.
Liability for Information Disclosure
- Slander can occur if a nurse discloses confidential patient information that is overheard by others.
- This incident illustrates the need for discretion and adherence to privacy laws.
Importance of Nursing Documentation
- Accurate nursing documentation serves as critical evidence of care and adherence to standards of practice.
- It supports the claim of reasonable and appropriate actions taken by nurses in patient care scenarios.
Malpractice Insurance Considerations
- Evaluating the employer's malpractice coverage is key for nurses when considering their insurance options.
- Understanding individual liability and coverage terms is crucial in making informed decisions.
Addressing Inexperience in Nursing Roles
- Nurses should promptly notify supervisors about their lack of experience when floating to unfamiliar units.
- Appropriate orientation or supervision is essential to ensure safe nursing practices in unfamiliar settings.
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Description
Dive into the essential concepts covered in Fundi Chapters 22 and 23 with these NCLEX flashcards. This quiz focuses on ethical responsibilities and appropriate nursing actions to enhance your understanding and preparation for the NCLEX exam.
