Chapter 2: Ethics and Standards of Practice Issues(FREE) Nursing School Test Banks

Chapter 2: Ethics and Standards of Practice Issues

Multiple Choice

1. An ethical dilemma unique to perinatal nursing is the:a. Innate conflict between maternal and fetal rights
b. Intensive use of technologyc. Shortage of health-care resourcesd. Risk of violation of the principle of veracity

ANS: a
Feedback
a. A unique aspect of maternity nursing is that the nurse advocates for two individuals: the woman and the fetus.
b. The use of technology is not unique to perinatal nursing.
c. Currently, in the United States, decisions in perinatal nursing are not based on resources available.
d. In perinatal nursing, the obligation to tell the truth is generally adhered to.

KEY: Integrated Process: Caring | Cognitive Level: Application | Content Area: Maternity | Client Need: Safe and Effective Care Environment | Difficulty Level: Moderate
2. The American Nurses Association Code of Ethics for Nurses directs nurses to provide patient care that is:a. Curativeb. Utilitarianc. Negotiabled. Respectful

ANS: d
Feedback
a. Adaptation rather than cure is the goal of nursing.
b. Nursing does not define the value of a person by his or her utility.
c. The Code of Ethics outlines the nursing professions nonnegotiable ethical standard.
d. Respect for the inherent dignity, worth, and uniqueness of every individual is part of the Code of Ethics.
KEY: Integrated Process: Caring | Cognitive Level: Analysis | Content Area: Maternity | Client Need: Safe and Effective Care Environment | Difficulty Level: Moderate
3. Evidence-based practice is the integration of the best: a. Randomized clinical trials, clinical expertise, and patients requestsb. Research evidence, clinical expertise, and patients valuesc. Quantitative research, clinical expertise, and patients preferencesd. Research findings, clinical experience, and patients preferences

ANS: b
Feedback
a. Evidence-based practice is the use of evidence that may include research beyond randomized clinical trials.
b. These elements are the accepted definition of evidence-based practice.
c. Qualitative research, as well as quantitative research, contributes to evidence-based practice.
d. Clinical expertise, as well as clinical experience, defines evidence-based practice.

KEY: Integrated Process: Clinical Problem Solving | Cognitive Level: Knowledge | Content Area: Maternity | Client Need: Safe and Effective Care Environment | Difficulty Level: Easy
Multiple Response

4. Infants whose mothers were obese during pregnancy are at higher risk for which of the following? (Select all that apply.)
a. Childhood diabetes
b. Heart defects
c. Hypospadias
d. Respiratory distress

ANS: a, b, c
Fetuses and/or infants of women who were obese during pregnancy are at higher risk for spina bifida, health defects, anorectal atresia, hypospadias, intrauterine fetal death, birth injuries related to macrosomia, and childhood obesity and diabetes.

KEY: Integrated Process: Teaching and Learning | Cognitive Level: Knowledge | Content Area: Peds/Maternity | Client Need: Health Promotion and Maintenance | Difficulty Level: Moderate

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