Question 15
Type: MCSA
A 20-year-old client with Down syndrome is diagnosed with an illness. Even though the client is able to live in an
assisted environment and work part-time for a local bookstore, the parents of the client are adamant about not
initiating a course of treatment whose side effects are unknown with Down syndrome clients. According to the
nursing code of ethics, to whom is the nurse’s first loyalty?
1. The client
2. The parent
3. The physician
4. The nurse
Question 16
Type: MCSA
A hospice nurse has been working closely with a client who, on several occasions, has asked about guidance and
support in ending her life. What information should the nurse use when making an ethical and moral decision
about this client’s request?
1. Passive euthanasia is an easy decision to arrive at.
2. Legal issues are not the same as moral or ethical ones.
3. Active euthanasia is supported in the Code for Nurses.
4. Assisted suicide is illegal in all states.
Question 17
Type: MCSA
A client with terminal cancer is refusing food and fluids, and pushes the caregiver’s hands away when attempts are
made to feed the client or offer any kind of fluid. The family is considering placing a gastrostomy tube because
they feel the client is “starving to death.” What should the nurse do?
1. Honor the family’s wishes and have them sign a consent form.
2. Talk to the physician so he or she can move forward with the family’s wishes.
3. Honor the client’s refusal and help the family come to terms with the situation.
4. Take the case to the hospital’s ethics committee.
Question 18
Type: MCSA
A client with a sexually transmitted illness (STI) asks the nurse to not tell anyone about the diagnosis. According
to the Health Insurance Portability and Accountability Act (HIPAA) of 1996, what must the nurse do?
1. Honor the client’s wishes.
2. Not disclose any information to anyone.
3. Respect the client’s privacy and confidentiality.
4. Communicate only necessary information.
Question 19
Type: MCSA
The nurse learns that a home care client is diluting prescribed nutritional supplements because of the cost. What
should the nurse do to advocate for this client?
1. Help the client look for available community resources that may be of assistance.
2. Tell the client that she needs to take the prescribed amount.
3. Report the situation to the physician.
4. Weigh the client on a weekly basis to monitor weight gain or loss.
Question 20
Type: MCMA
The nurse is reviewing the preamble of the International Council of Nurses Code of Ethics. On which
responsibilities should the nurse focus when reviewing this preamble?
Standard Text: Select all that apply.
1. Promote health.
2. Restore health.
3. Inform the public about minimum standards of nursing conduct.
4. Provide self-regulation in the profession.
5. Prevent illness.
6. Alleviate suffering.
Question 21
Type: MCMA
The nurse manager determines that a staff nurse demonstrates understanding of the professional responsibility to
advocate for a client’s health, safety, and rights. What did the manager observe to come to this conclusion about
the staff nurse?
Standard Text: Select all that apply.
1. Reporting a medication error that he was responsible for making
2. Notifying the unit manager that a nurse is showing signs of being under the influence of alcohol
3. Being sure the computer screen is not visible to visitors when charting
4. Asking the client to explain in her own words the purpose of the research project she asked to act in as a
participant
5. Calling the health care provider to clarify a confusing prescription for a client’s pain
Question 22
Type: SEQ
The nurse is addressing an ethical issue. In which order should the nurse implement the steps of this decision-
making process?
Standard Text: Click and drag the options below to move them up or down.
Choice 1. Interviewing the client regarding details of the problem
Choice 2. Discussing the various results of the identified possible actions to resolve the problem
Choice 3. Determining what, if any, ethical issues exist
Choice 4. Determining whether affected parties are in ethical conflict
Choice 5. Assessing all involved parties concerning their ethical beliefs regarding the problem
[New Questions: ]
Question 23
Type: MCMA
A client with lung disease is strongly urged to stop smoking but likes to smoke and does not know what to do. In
what order should the nurse take the following actions to help this client clarify values?
Standard Text: Click and drag the options below to move them up or down.
1. Choose freely.
2. List alternatives.
3. Affirm the choice.
4. Act with a pattern.
5. Examine consequences of choices.
6. Examine feelings about the choice.
Question 24
Type: MCMA
The school of nursing professor is preparing a classroom activity to assist the students in acquiring professional
values. Which actions should the professor select for this assignment?
Standard Text: Select all that apply.
1. Discuss codes of ethics with the students.
2. Recommend that the students avoid ethical issues.
3. Encourage the students to discuss experiences.
4. Invite other professors to participate in a discussion.
5. Have the students interview each other about experiences.
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