Comprehensive Nursing Ethics and Professional Practice Flashcards Set

What are some of nursing's core professional values? Select all that apply.

Which organization is responsible for nursing's code of ethics?

The American Nurses Association Code of Ethics is a contract between nurses and _____, and that contract is relevant in any situation. The code is _____ in any setting.

What is the act or process of supporting a cause or proposal, especially in nursing?

What is the obligation to perform required professional activities at a level commensurate with one's education and in compliance with applicable laws and standards?

What does it mean to be answerable to oneself and others for one's own choices, decisions, and actions as measured against a standard?

What is the nondisclosure of patient secrets or information without patient authorization?

Which provision states that the nurse practices with compassion and respect for the inherent dignity, worth, and unique attributes of every person?

Which provision emphasizes that the nurse's primary commitment is to the patient, whether an individual, family, group, community, or population?

Which provision states that the nurse promotes, advocates for, and protects the rights, health, and safety of the patient?

Which provision states that the nurse has authority, accountability, and responsibility for nursing practice; makes decisions; and takes action consistent with the obligation to provide optimal patient care?

Which provision states that the nurse owes the same duties to self as to others, including the responsibility to promote health and safety, preserve wholeness of character and integrity, maintain competence, and continue personal and professional growth?

Which provision states that the nurse, through individual and collective effort, establishes, maintains, and improves the ethical environment of the work setting and conditions of employment that are conducive to safe, quality healthcare?

Which provision states that the nurse in all roles and settings advances the profession through research and scholarly inquiry, professional standards development, and the generation of both nursing and health policy?

Which provision states that the nurse collaborates with other health professionals and the public to protect human rights, promote health diplomacy, and reduce health disparities?

The nursing code of ethics began with the Nightingale Pledge in _____

In what year did the group that would eventually become the American Nurses Association (ANA) first discuss a code of ethics?

In what year did the ANA publish a 'suggested' code, which provided the first outline for ethical nursing behavior?

In what year was a tentative code released that first described nursing as a profession?

The first formal code of ethics for nurses was adopted in _____

The code of ethics was first revised in _____ and included 17 provisions.

The _____ revision was the first time that brief interpretative statements were included, reducing the number of provisions from 17 to 10.

Which provisions address direct client care and describe the most fundamental values and commitments of the nurse?

Which provisions focus on the ethical environment, the individual nurse's responsibility and accountability in nursing practice, and the promotion of safe, quality healthcare?

Which provisions focus on the expanded duties of the nurse and the profession in advancing nursing and healthcare nationally and globally?

What is the primary focus of Provisions 1 through 3 of the code of ethics? Select all that apply.

The nurse practices with compassion and respect for _____, _____, and _____ of every person.

What are the 5 aspects of Provision 1 in the nursing code of ethics?

Which part of Provision 1 addresses lateral violence, nurse bullying, and incivility?

The client tells the nurse they are afraid to speak up regarding a desire to stop chemotherapy treatment and end future care for fear of upsetting family members. Which principle in the nursing code of ethics ensures that the nurse will support the client's decision?

Select all the ethical dilemmas that Nina is facing in the following scenario: Nina Brossard is a new graduate nurse assigned to care for a 21-year-old client diagnosed with leukemia. The client is refusing treatment, stating they are tired of fighting cancer. The family is not in agreement with this decision and asks Nina to administer the intravenous treatment despite the client's statements.

Which ethical principle is Nina demonstrating by encouraging the family to respect the client's wishes?

Nina's colleagues express that the client is too young to make this type of decision. However, Nina knows that every client should be treated with respect despite personal attributes. Nina worries that her colleagues are violating part of Provision 1— _____

The situation has escalated and the family is now demanding to speak with Nina's supervisor. Which solution to this dilemma might Nina suggest?

The family requests to review the client's medical records stating, 'We are the parents and we have a right to know what is happening.' What is the best action for Nina to take?

After applying concepts from the Code of Ethics for Nurses to resolve this ethical dilemma, Nina understands that nursing care is shaped by client _____, _____, values, and _____

The nurse has become aware of missing narcotics in the client care area. Which ethical principle obligates the nurse to report the missing medications?

The client's older brother asks the nurse to send a picture of the client's broken arm x-ray stating that the image is so 'cool' and they want to share it with friends on Instagram. What is the best response by the nurse?

A nurse reports suspicious co-worker behavior to the nurse manager. What ethical principle is the nurse demonstrating?

What does maleficence refer to in nursing ethics?

What does fidelity refer to in nursing ethics?

What does autonomy refer to in healthcare?

What does justice refer to in nursing ethics?

What does beneficence refer to in nursing ethics?

What does veracity refer to in nursing ethics?

Choose the ethical principle to match the scenario: Mr. Smith refuses to take a narcotic for pain, stating the medication makes him too sleepy. The nurse ensures that the client has all the information necessary to make this decision and accepts the client's choice.

Choose the ethical principle to match the scenario: Nurse Johnson offers to help a coworker who is overwhelmed with a new admission. This action ensures that the client is cared for as quickly as possible.

Choose the ethical principle to match the scenario: Ms. Martin is at risk of falling after surgery. The nurse puts fall prevention protocols into place to avoid injury to the client.

Choose the ethical principle to match the scenario: Nurse Miller provides excellent care to two clients, one of whom is very wealthy with health insurance and the other who is experiencing homelessness.

Choose the ethical principle to match the scenario: Nurse Chen promises the client to return in 30 minutes to assist with bathing and dressing. At the appointed time, the nurse returns to help the client.

A nurse is experiencing an ethical dilemma with a client. Which information indicates the nurse has a correct understanding of the primary cause of ethical dilemmas?

What is the first step in resolving an ethical dilemma?

What is the second step in resolving an ethical dilemma?

What is the third step in resolving an ethical dilemma?

What is the fourth step in resolving an ethical dilemma?

What is the fifth step in resolving an ethical dilemma?

What is the sixth step in resolving an ethical dilemma?

What is the seventh step in resolving an ethical dilemma?

Katie Costa, a registered nurse, is caring for a client who is dying. During admission, the client states they have an advanced directive requesting not to be resuscitated in the event of cardiac arrest. Katie receives a do not resuscitate (DNR) prescription from the healthcare provider and, soon after, the client goes into cardiac arrest. The family insists that the healthcare team do everything possible to save the client. The provider agrees with the family and tells Katie to begin CPR. If Katie speaks up, Katie is demonstrating which ethical principle?

Identify which is an ethical dilemma vs moral distress: a. Two opposing but justifiable options are presented, often using the nursing process will identify more options for the nurse. b. The environment contributes to the problem.

Which provision includes protecting client information, whistleblowing, attributes for professional practice, a culture of safety, and processes to address questionable practice?

What are the 6 aspects of Provision 3 in the nursing code of ethics?

Which provision includes nursing authority, accountability, and responsibility, as well as delegation of nursing activities or tasks?

What is the triad of Evidence-based Practice?

Identify the standard: The registered nurse utilizes appropriate resources to plan, provide, and sustain evidence-based nursing services that are safe, effective, financially responsible, and used judicially.

Identify the standard: The registered nurse evaluates their own and others' nursing practice by ensuring that nursing practice is consistent with regulatory requirements.

Identify the standard: The registered nurse contributes to quality nursing practice by ensuring the nursing practice is safe, effective, efficient, equitable, timely, and person-centered.

Select all items that may represent an ethical situation in the case below: Amelia Reyes, a nurse in the emergency department, is assigned to care for a young adult male client who was admitted following a motorcycle accident. The client has suffered a broken arm and leg and is waiting for surgery. During admission, the client verbalized a history of substance-use disorder. Despite reporting pain 10/10, the healthcare provider has not prescribed narcotic pain medication due to the client's history. When Amelia approached the provider, the provider stated, 'I'm sure the pain is not that bad, he is just wanting fentanyl (a narcotic).' When Amelia consulted with the charge nurse, they stated, 'He has been here before asking for narcotic pain medication.'

A nurse receives a medication prescription that seems incorrect based on the client's diagnosis and contacts the provider for clarification. The nurse understands that this action is an example of which ethical principle?

A nurse offers pain medication to a client who is experiencing acute appendicitis. The nurse understands that this aspect of care delivery is an example of which ethical principle?

Which organization is responsible for nursing's scope and standards of practice?

How many total standards are presented in the Scope and Standards of Practice?

Match the scope of nursing practice to the situation: The unique function of the nurse is to assist the individual, sick or well, in the performance of those activities contributing to health or its recovery (or to peaceful death) that the person would perform unaided given the necessary strength, will, or knowledge.

Match the scope of nursing practice to the situation: A registered nurse uses the nursing process to care for each client.

Match the scope of nursing practice to the situation: A registered nurse cares for clients on weekends, holidays, and in the middle of the night.

Match the scope of nursing practice to the situation: A registered nurse working who has a BSN and works in a cardiac intensive care in the state of Montana.

Match the scope of nursing practice to the situation: A registered nurse understands that medicine and the needs of society change frequently, and they will be lifelong learners to improve outcomes.

Match the scope of nursing practice to the situation: A registered nurse is caring for clients in an urgent care clinic in Texas.

Which of the following are standards of nursing practice? Select all that apply.

Match each standard to an example of a nurse demonstrating the standard: A client no longer wants to have a surgical procedure and refuses to sign the consent. The nurse contacts the healthcare provider to return to the bedside.

Match each standard to an example of a nurse demonstrating the standard: A nurse serves on a quality improvement committee that is exploring ways to reduce inpatient falls.

Match each standard to an example of a nurse demonstrating the standard: A nurse returns to school to earn an advanced practice degree.

Match each standard to an example of a nurse demonstrating the standard: A nurse reviews evidence-based literature about fall prevention strategies and presents them at a staff meeting.

Which of the following are included in Provision 7 of the code of ethics? Select all that apply.

Identify cues that Larry is demonstrating the behaviors of a professional registered nurse: Larry Wilcox is a registered nurse and clinical manager working in an Emergency Department. He has recently noticed that the time from arrival to being seen by a healthcare provider (wait time) in the department is consistently above 60 minutes. Larry researches best practices in an attempt to lower the wait time and implements a new time tracking policy. Additionally, Larry serves on a volunteer committee through the American Nurses Association. Today, Larry is helping his staff by performing assessments on clients in the triage area to reduce wait times. While working in the triage area, a client enters the waiting room with chest pain. Larry quickly assesses the client and moves them to a bed in the Emergency Department.

Larry is helping to orient a new graduate and wants to discuss the definition of nursing. Where could Larry find the most common definitions of nursing? Select all that apply.

For each statement, identify which publication it represents: a. Describes the competence level of nursing practice using critical thinking b. Incorporates 9 provisions c. Includes 6 standards d. Describes expected behaviors of the registered nurse e. Uses the nursing process to demonstrate competency f. Includes 12 standards

Sharon Powers is a registered nurse leading a quality improvement initiative to prevent hospital-acquired pressure injuries. She attends a master's program in nursing leadership during the day and works as a charge nurse on the telemetry unit at night. Which standards is she displaying? Select all that apply.

While caring for clients, Sharon follows the nursing process. These standards of practice demonstrate that the nurse is _____ thinking and using clinical _____

Where are specific nursing practice rules found?

What establishes and provides authority to the state board of nursing?

Click to select whether each statement is true or false: a. Advancing technology and increasing service providers necessitated the need for regulation of nursing practice. b. The United States Constitution includes provisions to regulate nursing practice. c. New Jersey was the first state to enact a nurse practice act. d. New York was the first state to define a nursing scope of practice.

What information is found in any given nurse practice act? Select all that apply.

Match the question a nurse may have to the section of the nurse practice act where the information may be found: a. What can be delegated to an unlicensed assistive personnel? b. What is the term limit for each member of the board of nursing? c. What are the qualifications required of nursing faculty? d. What is the typical fine for a violation of the scope of practice? e. What continuing education is required for license renewal? f. What is an encumbered license?

What is the purpose of the National Council of State Boards of Nursing (NCSBN)? Select all that apply.

What is the purpose of the nurse licensure compact (NLC)?

What are the major responsibilities of the state board of nursing (BON)? Select all that apply.

The steps in the nursing process are ...

The nurse is caring for a client experiencing shortness of breath, wheezing, and coughing due to an asthma attack. The client's respiratory rate is high. The nurse elevates the head of the bed, administers medication to relax the client's airway, and delivers supplemental oxygen. After these interventions, the client states, 'I feel like I can breathe better now.' Which nursing action(s) can the nurse use to evaluate the plan of care? Select all that apply.

Comprehensive Nursing Ethics and Professional Practice Flashcards Set

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