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Chapter 3. Issues in Nursing Practice
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. The nurse is under which type of obligation to work?
____ 2. The family of a patient who has been diagnosed with cancer does not want the patient told about the diagnosis. The patient asks the nurse, “Do I have cancer?” Which ethical principles should the nurse consider to resolve this situation?
a. Autonomy and veracity
b. Beneficence and justice
c. Nonmaleficence and legal obligations
d. Welfare rights and moral obligations
____ 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?
a. “The Patients’ Bill of Rights is a legal document that is enforceable by law.”
b. “The Patients’ Bill of Rights is a legal document that is open to interpretation.”
c. “The Patients’ Bill of Rights is valid if the physician prescribes that it be followed.”
d. “The Patients’ Bill of Rights is an ethical or moral right not enforceable by law.”
____ 4. The nurse is assigned to care for a patient who has HIV. The nurse accepts the patient assignment despite believing that the patient’s condition is a punishment from God. Which ethical principle did the nurse follow in accepting this patient assignment?
____ 5. Which of these actions can nurses take to increase their limitation of liability?
a. Ensure patient rights.
b. Follow directions exactly as given.
c. Verify employer’s liability insurance.
d. Follow verbal orders.
____ 6. A physician is conducting an experiment with a new medication and needs several more patients in the study. The physician asks the nurse to give the medication to an adult patient who is unable to understand the experiment but willingly takes any medication. Which ethical principle should the nurse cite in objecting to the inclusion of this patient in the experiment?
c. Standard of Best Interest
____ 7. New technology used in health care has had which of these effects on nurses’ use of the ethical decision-making process?
a. Nurses have fewer ethical decisions because computers now make many decisions.
b. Nurses can postpone ethical decisions because technology allows patients to live longer.
c. Ethical dilemmas have become more complex owing to technologies that prolong life.
d. Ethical situations remain similar to what they have always been in health care.
____ 8. Which of these would most interfere in a patient’s ability to make an autonomous decision about his or her own health care?
a. Authoritarian family relationships
b. Past experience with hospitalization
c. Lower socioeconomic status
d. Lack of information about treatment
____ 9. A patient has a living will and gives it to the nurse to follow. The patient says, “Do not tell my family about the living will.” Which of these actions should the nurse take?
a. Encourage the patient to discuss the living will with the family.
b. Assure the patient that the nurse will not tell anyone.
c. Send a copy of the living will to medical records.
d. Return the living will to the patient until the family is informed.
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