NURSING 2362 Module 5 Exam with Rationale

NURSING 2362 Module 5 Exam

Questions

1.ID: 8482553041A client with leukemia is being considered for a bone marrow

transplant. The healthcare team is discussing the risks and benefits of this

treatment and other possible treatments with the goal of inflicting the least

possible harm on the client. Which principle of healthcare ethics is the team

practicing?

A Justice

B Fidelity

C Autonomy

D Nonmaleficence Correct

Rationale: Nonmaleficence is the avoidance of hurt or harm. Remember that in

healthcare ethics, ethical practice involves not only the will to do good but also

the equal commitment to do no harm. Healthcare professionals try to balance the

risks and benefits of a plan of care while striving to do the least possible harm.

Justice refers to fairness and equity and ensuring fair allocation of resources, such

as nursing care for all clients. Fidelity is the keeping of promises made to clients,

families, and other healthcare professionals. Autonomy refers to a person’s

independence and represents an agreement to respect another’s right to determine

his or her course of action.

Test-Taking Strategy: Focus on the subject - the ethical principle being utilized.

Recall the definition of each item in the options. Note the relationship of the

words “least possible harm” in the question and the definition of nonmaleficence.

Review: principles of healthcare ethics.

Reference: Potter, P., & Perry, A. (2009). Fundamentals of nursing (7th ed., p.

314). St. Louis: Mosby.

Cognitive Ability: Applying

Client Needs: Safe and Effective Care Environment

Integrated Process: Nursing Process/Implementation

Content Area: Ethical/Legal

Giddens Concepts: Celluar Regulation, Ethics

HESI Concepts: Advocacy/Ethical/Legal Issues, Cellular Regulation Awarded 1.0

points out of 1.0 possible points.

2.ID: 8482553007Which action by the nurse represents the ethical principle of

beneficence?

A The nurse upholds a client’s decision to refuse chemotherapy for lung cancer.

B The nurse follows a plan of care designed to relieve pain in a client with cancer.

C The nurse administers an immunization to a child even though it may cause

discomfort. Correct

D The nurse provides equal amounts of care to all assigned clients on the basis of

illness acuity.

Rationale: Beneficence is taking action to help others. Although administration of

a child’s immunization might cause discomfort, the benefits of protection from

disease outweigh the temporary discomfort. Fidelity is keeping promises made to

clients, families, and other healthcare professionals. Autonomy is a person’s

independence. Respecting another’s autonomy means that you are agreeing to

respect that person’s right to determine his or her course of action. Justice refers to

fairness and equity, including fair allocation of resources, such as nursing care for

all clients.

Test-Taking Strategy: Focus on the subject, beneficence. Recalling that

beneficence refers to taking action to help others will direct you to the correct

option. Review: the principles of healthcare ethics .

Reference: Potter, P., & Perry, A. (2009). Fundamentals of nursing (7th ed., p.

314). St. Louis: Mosby.

Cognitive Ability: Applying

Client Needs: Safe and Effective Care Environment

Integrated Process: Nursing Process/Implementation

Content Area: Ethical/Legal

Giddens Concepts: Ethics, Immunity

HESI Concepts: Advocacy/Ethical/Legal Issues, Immunity Awarded 1.0 points out

of 1.0 possible points.

3.ID: 8482553071The nursing instructor asks a student to name an example of

false imprisonment. Which situation reflects a violation of this client right?

A Performing a procedure without consent

B Telling the client that he or she may not leave the hospital Correct

C Threatening to give a client a medication against his or her will

D Observing the provision of care to the client without the client’s permission

Rationale: Telling a client that he or she may not leave the hospital constitutes

false imprisonment. Performing a procedure without consent is an example of

battery. Threatening to give a client a medication against his or her will is assault.

Invasion of privacy takes place with unreasonable intrusion into an individual’s

private affairs. Observing the provision of care to a client without the client’s

permission is an example of invasion of privacy.

Test-Taking Strategy: Focus on the subject, an example of false imprisonment.

Note the relationship of the subject and the words in the correct option. Review:

the concept of false imprisonment.

References: Cherry, B., & Jacob, S. (2008). Contemporary nursing issues: Trends

& management (4th ed., pp. 175, 176). St. Louis: Mosby.

Zerwekh, J., & Claborn, J. (2009). Nursing today: Transition and trends (6th ed., p.

424).

Cognitive Ability: Evaluating

Client Needs: Safe and Effective Care Environment

Integrated Process: Teaching and Learning

Content Area: Ethical/Legal 

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Giddens Concepts: Health Care Law, Leadership

HESI Concepts: Advocacy/Ethical/Legal Issues, Health Policy/Systems—Health

Care Law Awarded 1.0 points out of 1.0 possible points.

4.ID: 8482550821The nurse and an unlicensed assistive personnel (UAP)enter a

client’s room to provide care and find the client lying on the floor. Which action

should the nurse take first?

A Ask the nursing assistant to complete an incident report

B Check the client’s level of consciousness and vital signs Correct