NURSING 390 Principles of Delegation and Priority Quiz(Real quiz Graded with rationale)

Principles of Delegation and Priority

Quiz

Question 1

1 / 1 pts

A 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?

Justice

Fidelit

y

Nonmaleficenc

e

Autonomy

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: Use the process of elimination and think about 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 the principles of healthcare

ethics if you had difficulty with this question.

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

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

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

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

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 if you had difficulty with this question.

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

Question 2

1 / 1 pts

Which action by the nurse represents the ethical principle of beneficence?

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Question 3

1 / 1 pts

The nursing instructor asks a student to name an example of false imprisonment. Which

of the following situations reflects a violation of this client right?

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

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

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

Performing a procedure without consent

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. If you had difficulty with

this question, 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

Question 4

1 / 1 pts

A nurse and a nursing assistant enter a client s room to provide care and find the client

lying on the floor. The nurse should first: