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Legal And Ethical Issues In Nursing Guido Pdf

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Legal and Ethical Issues in Nursing 6th Edition Guido Test Bank

Which statements would the nurse evaluate as correctly identifying difference between ethics and law? Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Rationale 1: Both ethics and the law apply to conduct, actions, and motive. Attitude is more associated with ethics. Rationale 2: Ethics, like values, is individualistic and is subject to philosophical, moral, and individual interpretations. The law focuses on rules and regulations that guide society in a formal and binding manner. Rationale 4: The legal system, including the judicial branch, is founded on rules and regulations that guide society in a formal and binding manner.

Rationale 5: Ethical values are subject to philosophical, moral, and individual interpretations and may change as the person grows and develops. Laws are more formal, but can also be changed. This is sample only, Download all chapters at: testbankreal.

The nurse bases individual nursing practice upon commitment to quality patient care and understanding of the nursing role. Under which broad classification of ethical theory does this fall?

Rationale 1: Applied ethics analyzes specific, controversial moral issues and is not a broad category of ethics that serves as a basis for daily decisions. Rationale 2: Utilitarian theory states that what makes an action right or wrong is its utility, with useful actions bringing about the greatest good for the greatest number of people.

Following utilitarian principles will not always support providing excellent nursing care to an individual. Rationale 3: Deontological theories derive norms and rules from the duties human beings owe one another by virtue of commitments that are made and roles that are assumed.

The nurse makes a commitment to excellence of patient care. Rationale 4: Teleological theories derive norms or rules for conduct from the consequences of actions. Teleological principles do not support excellence in individual care.

The hospital ethics committee has decided to move to the relational ethics framework for decision making. What change should the committee members expect from this framework shift? The number of options for discussion will be reduced. Rationale 1: Relational ethics moves decisions into the context of the environment in which these decisions are made, creating more "practical action-oriented" ethics.

Rationale 4: Relational ethics moves decision making into the context of the environment in which the decisions are made. Rationale 1: Respect for others acknowledges the right of individuals to make decisions and to live or die based on those decisions.

Rationale 2: Paternalism is allowing someone else to make a decision for another and allows no collaboration in the decision-making process. In this scenario the nurse is encouraging the patient to let someone else the physician make treatment decisions. Rationale 3: Justice states that people should be treated fairly and equally.

Nothing in this scenario demonstrates use of justice. Rationale 4: Fidelity is keeping one's promises or commitments. Nothing in this scenario demonstrates fidelity. A group of nurses wishes to improve the ethics of the care their group provides. What is the first step this group should take to reach their goal? Rationale 3: A relying primarily on the ethical determinations of others is not a means to promote the ethics for a group of health care providers.

Rationale 4: At some point the nurses will need to consider the ethics and values of those with whom they work. This is not the first logical step in the process being undertaken. Prior to surgery, the nurse checks to ensure that the patient has signed an informed consent form.

Which ethical principle is the nurse supporting? Rationale 3: Autonomy is the right to choose what will happen to one's own person. Being informed about the benefits and risks of surgery through informed consent is a direct reflection of the principle of autonomy. The nurse tells a patient that an immunization "will not hurt at all" when the nurse is aware that the injection will be painful.

Which ethical principle has the nurse most clearly violated? Rationale 1: Veracity concerns truth telling. This nurse knowingly was not truthful with this patient, thereby violating the ethical principle of veracity. The nurse makes practice decisions based upon each patient's unique characteristics, the relationship between the patient and the nurse, and the most humanistic course of action in the particular case circumstance. Which branch of ethics does this reflect?

Correct Answer: 4. Rationale 1: Virtual ethics emphasizes development of good character and habitually performing in this quality character mode. Rationale 2: Duty ethics derive norms and rules from the duties human beings owe one another by virtue of commitments that are made and roles that are assumed.

Rationale 3: Utilitarian ethics declares that what makes an action right or wrong is its utility, with useful actions bringing about the greatest good for the greatest number of people. Rationale 4: Situational ethics takes into account the unique characteristics of each individual, the caring relationship between the person and the caregiver, and the most humanistic course of action given the circumstances. A patient is prescribed medication for the treatment of cancer.

The nurse is concerned that administering this medication may have a harmful effect on the patient. Which conditions would help the nurse decide that it is ethical to administer the medication through the application of the concept of double effect? The harmful effect must not occur in order for the medication to be successful in treating the cancer. The benefits of using this medication are more likely to occur than are the undesired actions of the medication.

Rationale 2: One of the conditions that must be present for the concept of double effect to be used is that the nurse must intend only the good effect of the action. Rationale 3: In order for the concept of double effect to be useful the undesired effect must not be the means of attaining the good effect. Rationale 4: A proportional or favorable balance between the desirable and the undesirable effects of the action must exist for the concept of double effect to be pertinent.

Rationale 5: While teaching about undesired effects is part of patient education and the patient retains the right to refuse the medication this is not a part of the concept of double effect. An ethical dilemma has arisen in regard to a patient who has been declared incompetent and who left no advance directive.

Which model is likely to be of best use to the ethics committee reviewing the case? Rationale 3: The patient benefit model uses substituted judgment and facilitates decision making for the incompetent patient. Rationale 4: The social justice model considers broad social issues and is accountable to the institution.

The hospital is forming an ethics committee. Which concept should be central to that committee's function? Rationale 1: Ethical dilemmas can be both short-term and long-term. There is no restriction on ethics committees to focus primarily on short-term issues. This committee is concerned about the provision of ethical care to the patient. Rationale 3: Ethics committees should be broad based, including members from a variety of professions and services.

Rationale 4: Ethics committees can 1 provide structure and guidelines for potential problems, 2 serve as an open forum for discussion, and 3 function as a true patient advocate by placing the patient at the core of the committee discussions.

The hospital has a well-designed, fully functioning ethics committee. What ethical debate topics, concerning the entire social network rather than an individual patient, might now be addressed by this committee? Rationale 1: A do-not-resuscitate order is an issue focused on an individual patient or health care organization. Rationale 2: Autonomy is a broad-based ethical theory that the committee would use to guide decision making.

It is not a specific topic of discussion. Rationale 3: Duplication of services is a topic that concerns the entire social network of provision of health care and is a much broader topic than the typical individual concerns addressed by maturing committees.

Rationale 4: Informed consent is an ethical concern directed at the individual health care organization and is not a broad based issue that affects larger populations. Rationale 5: The impact of managed care on patient well-being is the kind of broad-based, societal issue that can be addressed by a well-developed mature ethics committee.

Which nursing actions would exemplify cardinal virtues as seen by Plato and other virtue ethicists? Rationale 2: This action took courage on the part of the nurse which is one of the cardinal virtues as described by Plato and other virtue ethicists.

Rationale 3: This is an example of fortitude, but is not always wise, so a cardinal virtue is not demonstrated. Rationale 4: This is an example of generosity, but is not always wise nor does it evidence self-respect.

This is not an example of a cardinal virtue. Rationale 5: This is an example of justice which is a cardinal virtue as described by Plato and other virtue ethicists.

A nurse is frequently tardy to work causing other nurses to have to change their plans to cover the unit. The nurse never thanks those who cover for her and often criticizes the work they did in her absence. If another nurse is tardy, she refuses to stay over to cover. Which ethical theories is this nurse violating? Rationale 1: The nurse makes a promise to work when scheduled unless extenuating circumstances are present. Fidelity is the duty to keep promises.

Rationale 2: Nothing in this scenario indicates the nurse is violating the ethical principle of autonomy. Rationale 3: Beneficence is the basic obligation to assist others. By refusing to work over to cover for a tardy co- worker, even though co-workers often do so for her, this nurse is not working to promote good and is not assuming the obligation to help others. Rationale 4: Veracity concerns telling the truth. There is nothing in the scenario that indicates the nurse lies about the reasons why she is tardy.

Rationale 5: Paternalism involves completely making the final decisions for others. There is no evidence of paternalism in this scenario.

The hospital ethics committee has been asked to consider a controversial issue that has a significant number of persons both for and against it.

In this section:

Ironically, the nurse had been assigned to care for that patient that day. If the patient sues this nurse, which statement is true? The nurse cannot be held liable for either malpractice or negligence based upon this set of facts. The nurse can be held liable for both negligence and malpractice. The nurse can be held liable for malpractice but not negligence.

September , Volume Number 9 , page 54 - [Free]. Join NursingCenter to get uninterrupted access to this Article. From to , for instance, the number of malpractice payments made by nurses increased from to see Figure 1 , page The trend shows no signs of stopping, despite efforts by nursing educators to inform nurses and student nurses of their legal and professional responsibilities and limitations. A charge of negligence against a nurse can arise from almost any action or failure to act that results in patient injury-most often, an unintentional failure to adhere to a standard of clinical practice-and may lead to a malpractice lawsuit.

She developed an interest in this area of nursing when teaching undergraduate nursing students in. Dr Guido also continues to publish and present. She developed an interest in this area of nursing when teaching undergraduate nursing students in Houston, Texas, and this excitement for further knowledge and understanding of this content area encouraged her to pursue a doctor of jurisprudence degree. Over the years, she has attended multiple workshops and conferences, updating and expanding her knowledge base regarding both the legal and ethical aspects of nursing practice. Dr Guido also continues to publish and present on legal and ethical issues with special emphasis in a variety of clinical practice settings.

Ethical issues in pain and omics research. Some points to start the debate

Test Bank Legal and Ethical Issues in Nursing 6th Edition Guido

Pain is still a major public health problem, with a high prevalence of both acute and chronic conditions. The inclusion of genomic and other omics technologies represents a new approach in pain research.

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5 Comments

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    30.03.2021 at 08:24
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    and ethical aspects of nursing practice. Dr. Guido also continues to publish and present on legal and ethical issues with special emphasis in a variety of clinical.

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    Which statements would the nurse evaluate as correctly identifying difference between ethics and law?

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