A nurse is caring for a patient who has a malignant brain tumor. The patient has undergone several surgeries and radiation therapy to treat the tumor. The health-care provider recommends another surgery.
After the health-care provider leaves, the patient tells the nurse he does not want any more treatments. In the role of patient advocate, which action should the nurse take?
A. Indicate the patient's request in the plan of care
B. Suggest that the patient discuss the decision with the family and health-care provider
C. Remind the patient that this decision violates his religion
D. Tell the patient that he needs to think about this before making a decision
Question 2A nurse is reviewing the health practitioner orders on each of his assigned patients. Which ethical principle is the nurse practicing?
A. Autonomy
B. Beneficence
C. Nonmaleficence
D. Justice
Question 3During the hand-off in the critical care unit, the day shift nurse tells the night nurse that the patient who was admitted for hepatitis and a subarachnoic hemorrhage is an alcoholic and a heroin addict.
The patient is difficult and should be grateful that his health insurance will pay for this. He doesn't deserve to take up an ICU bed. What ethical behavior is the nurse violating?
A. Veracity
B. Discernment
C. Autonomy
D. Compassion
Question 4A visitor takes the elevator to the eighth floor to visit her husband who is a patient. The visitor overhears two nurses speaking about her husband. They are discussing his possible prognosis and if he should be told.
What ethical principle have the nurses violated?
A. Autonomy
B. Confidentiality
C. Beneficence
D. Justice
Question 5A new graduate is considering working at a health-care institution that focuses on core values. It is important for the new graduate to:
A. Read the organization's mission and philosophy.
B. Develop a new set of values that blend with the organization.
C. Speak with other nurses who work in the institution.
D. Both A and C.
Question 6A young couple carry the gene for a rare genetic disorder that causes severe mental retardation and physiological problems incompatible with life.
They have conceived twice, however, both children had the disorder and died within 2 months after birth. They come to the fertility clinic and tell the nurse, After you harvest the eggs and fertilize them, throw out all the bad ones, and give us only the good ones. The best response made by the nurse is:
A. Now, that's not very nice.
B. We never implant bad embryos; we have a reputation to keep.
C. You have to take the good with the bad.
D. Let's talk about your concerns regarding the health of these embryos.
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