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Exam 4: Ethics in Community Health Nursing Practice

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Question 1

Multiple Choice

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The nurse learns that a family has decided not to accept medical intervention for a health care problem because paying for the care would drastically reduce the family's resources and ability to meet the needs of other family members. Ethically, which of the following actions should be taken by the nurse?

A) Appreciate that the family has made the decision that it feels is best and take no further action if it is clear the family has made an informed choice.
B) Stress that each individual in society has a right to health care and the family will have to create some way to raise funds for the needed treatment.
C) Talk to the media to see whether a campaign to raise funds for the family can be created.
D) Try to convince the agency to give the care for free, even if it means economic stress for the agency, because the medical need is obvious.

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A

Question 2

Multiple Choice

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With which of the following ethical approaches are Gilligan and Noddings associated?

A) Distributive justice approach
B) Feminine ethic
C) Principled approach
D) Virtue ethics

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Question 3

Multiple Choice

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Some nurses are debating about the appropriate action to take in relation to a particular family. The father is ill, and the other family members have chosen to continue working rather than take time off to care for the ill family member. One nurse states, "It is a wife's responsibility to care for an ill husband." Which of the following ethical approaches is being used by this nurse?

A nurse didn't know what to do when faced with a particular ethical dilemma because an option that would have a good outcome didn't seem possible. The nurse decided to talk to the agency supervisor and decide what action to take. Which of the following best describes the nurse's actions?

Some nurses are debating about the appropriate action to take in relation to a particular family. One member of the family is ill, and the other family members have chosen to continue working rather than take time off to care for the ill family member. One nurse states, "It's not up to us; it's the family's decision. They know what is best for them." Which of the following ethical approaches is being used by this nurse?

Which of the following is considered the most important goal in nursing today?

Which of the following would confirm that the nurse's advocacy has been truly successful or effective?

Three nurses disagree over the appropriate treatment for a woman who is an excellent candidate for hospice care. The first nurse believes that deciding on care rather than cure is the woman's decision and no one else can decide for her. The second nurse says that it is the responsibility of the health care team to do good for the woman, and if the physician thinks there is still a possibility of cure, then the nurses should do everything they can to implement the treatment plan. The third nurse states that it isn't fair for the family members to expend all their resources on the woman, who is probably going to die anyway. Which of the following conclusions can be drawn from this dispute? (Select all that apply.)

Some nurses are debating about the appropriate action to take in relation to a particular family. One member of the family is ill, and the other family members have chosen to continue working rather than take time off to care for the ill family member. One nurse states, "But it doesn't have to be an either/or situation. Perhaps each family member could take a turn calling in sick just 2 or 3 days. That way they could all take a turn at helping and yet not upset their employers. Wouldn't that be fair?" Which of the following ethical approaches is being used by this nurse?

What is the relationship between ethics and a community health nursing practice?

When and by whom was nursing's first code of ethics written?

A nurse is asked to meet with a family who recently emigrated from Botswana (Africa) . After the clinical doctor tells the husband the wife's diagnosis of breast cancer, the family thanks the physician and starts to leave. Ethically, which of the following is the nurse's most important action?

A new nurse states to a nursing colleague, "But why do I have to be involved in politics? I just want to be the very best clinical nurse I can." Which of the following would be the best response from the nursing colleague?

The staff cannot reach an agreement on what is the right thing to do in relation to a specific patient. Which of the following approaches should the nurse use in personally deciding what is right?

From an ethical standpoint, what is the problem with the belief that everyone should receive his or her fair share, that life should always be fair, and that everyone should make his or her own decisions?

How are ethics and public policies similar?

Which of the following is the dominant issue in ethical debate around an issue such as continuing or withdrawing treatment in acute health care?

A man entered the emergency department bleeding profusely and screaming, "I've got to see a doctor right now! I've got a right to see a doctor! I'm hurt. You have to take care of me!" Which of the following premises would ethically justify such a demand for immediate attention?

Which of the following is the first and most crucial step in the ethical decision-making process?

A physician refuses to order pain medication for a drug addict who has been severely injured in a car accident. When reminded by nurses that pain medication has not been ordered, the physician merely replies that the patient's suffering from the pain of his injuries will build character and that the addicted patient needs to get off drugs. Which of the following ethical theories is the physician using (or misusing) ?