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Professional Adjustment (1)

Professional Adjustment (1)

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Published by FreeNursingNotes
Professional adjustment notes
f you have questions please email me> freenursingnotes@yahoo.com
Professional adjustment notes
f you have questions please email me> freenursingnotes@yahoo.com

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Published by: FreeNursingNotes on Nov 26, 2009
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01/10/2013

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Name:___________________________________________________________________ Date:____________ 
1. A nurse knows that this part of philosophy which deals with systematic approaches to questions of morality is:
A.
nursing morals C. nursing ethics
B.
morals D. ethics2. Nurses understanding of ethico-legal responsibility will guide his/her nursing practice. The principle that governs rightand proper conducts of a person regarding life, biology and health profession is referred to as:A. moralityB. religionC. valuesD. bioethics3. The final decision on your ethical actions are most influenced by your:A.Ethical knowledgeB.ConscienceC.Norms of societyD.Religious beliefs4. The best course of action when faced with ethical difficulties:B.Discuss with your lawyeC.Assess ethical problem in questionD.Reflect on your conscienceE.Refer to a spiritual counselor 5. Health care issues often become an ethical dilemma because of which of the following?A.decision must be made quickly often under a stressful conditionB.decision must be made based on individual systemsC.the choices involved do not appear to be clearly right or wrongD.a client’s legal rights co-exist with health profession6. As the nurse in the prenatal clinic, you are able to protect patients’ right to every consideration of his privacy by observingwhich of the following?
A.
in doing physical examination, the nurse provides by applying the needed legging or drape and a room of enclosedareaB.the nurse accepts the patient’s desire not to take experimental drugs and a regimenC.the nurse encourages patients to participate planning her careD.the drug does not impose any treatment if the client refuses to7. Informed consent is necessary for the treatment for involuntary clients. When this cannot be obtained, permission may betaken from the:
A.
social workerB. doctor C. next kin or guardian D. chief nurse8. A nurse who supports a patient and family’s need to make decisions that is right for them is practicing which of thefollowing ethical principles:A. autonomyB. confidentialityC. privacyD. Truthfulness9. In anticipation that a mother might refuse breathing treatment, one of her children signed the consent in her behalf. Thenurse explains that his mother is rational in her thinking and which of the following clients’ rights must be regarded?
A.
right to refuse treatmentC. right to informed consent
B.
right to privacyD. right of habeas consent10. It is unethical to tell one’s friends and family members data about the patient because doing so is a violation of patient’srights to:
A.
Least restrictive environmentC. confidentiality
B.
informed consentD. civil liberty11. You informed the patient about his right which include the following EXCEPT:A. Right to expect reasonable continuity of careB. Right to consent to or decline to participate in research studies or experimentsC. Right to obtain information about another patientD. Right to expect that the records about his care will be treated as confidential.12. A mother who is pregnant and has ovarian cancer has to undergo surgery to treat the cancer. In the process the fetusdied. The doctrine that justifies the death of the fetus is:A. justiceB. autonomyC. exception of the ruleD. double effect13. Bioethics in caring for children capitalizes on some important principles. You are expected to know these by heart because nurses care for children as well as adults. What is the principle to hold on when caring for children who have beenabandoned and abused?
 ______________________________________________________________________________ 
`
 
A. Respect B. constant assurance C. autonomyD. allocation of resources14. In choosing sharp intramuscular needles for injections, you are practicing this principle:A. beneficence B. respectC. justiceD. non-maleficence15. The right to autonomy by the patient is made possible if:A.patient’s health condition and medical treatment is providedB.patient has the freedom to decide on his ownC.patient has the freedom to choose hospitalD.all of the above16. A registered nurse believes that a patient should be treated as individual. This ethical principle that the patient referredto:A. beneficenceB. nonmaleficenceC. respect for person D. autonomy17 When patients cannot make decision for themselves, the nurse advocate relies on the ethical principle of 
A.
 justice and beneficence C. beneficence and nonmaleficence
B.
fidelity and nonmaleficenceD. fidelity and justice18. A patient refuses surgery and states “I don’t need surgery, let my condition heal by itself” what principle is applied?A. beneficenceB. justiceC. autonomyD. Advocacy19. When a nurse is providing care to her/his patient, she/he must remember that she is duty bound not to do any action thatwill cause the patient harm. This is the meaning of the ethical principle:A. non-maleficenceC. JusticeB. beneficenceD. Solidarity20. When a nurse is asked to testify in court, she/he must abide by the ethical principle of:A. privileged communicationC. SolidarityB. informed consentD. Autonomy21. A nurse would be correct if he or she identifies that one of the following is a characteristic of the principle of  Nonmaleficence:A.A nurse must always prevent evil or harm for his patientB.A nurse must always remove evil or harm for his clientC.A nurse must not allow to give a wrong medication for the clientD.A nurse must always promote good for his client22. This principle deals with fairness and entitlements in the distribution of goods and services.A. Stewardship C. ConfidentialityB. Autonomy D. Justice23. A thumb mark of a comatose patient in the informed consent is considered:A. misrepresentationB. nothingC. not valid signatureD. a valid signature24. The patient has a right to information regarding the operation or other invasive procedure, and potential effects. Thisright is achieved through:
A.
informed consentC. charting
B.
 preoperative visitD. doctors rounds25. All of the following are basic elements of informed consent, which one is not:A. disclosure C. silenceB. understandingD. voluntariness26. Bioethical issues confronting nurses usually involves birth and death. Active or positive euthanasia is a deliberate act toend a person’s life. Which of the following is passive or negative?A. administer a criminal substance to hasten deathB. not doing CPR nor administering oxygen after a reported cardiac arrestC. removing life support system to alleviate prolonged sufferingD. prescribing an agent that would result to death
Situation:
One of the realities that we are confronted with is morality. It is important for us nurses to be aware of how weview suffering, pain, illness and even our death as well as its meaning, that way we can help our patients cope with death anddying.
 ______________________________________________________________________________ 
`
 
27. Irma is terminally ill; she speaks to you in confidence. You now fell that Irma’s family could be helpful if they knewwhat Irma has told you. What should you do first?A. tell the physician who in turn could tell the familyB. obtain Irma’s permission to share the information with the familyC. tell Irma that she has to tell her family what she told youD. make an appointment to discuss the situation with the family28. Ruby who has been told she has terminal cancer turns away and refuses to respond to you. You can best help her by:A. coming back periodically and indicating yours availability if she would like you to sit with her B. insisting that Ruby should talk with you because it is not good to keep everything insideC. learning her atone because she is uncooperative and unpleasant to be withD. encourage her to be physically active as possible29. Leo who is terminally ill and recognize that he is in the process of losing everything, everybody he loves, is depressed.Which of the following would best help him during depression?A. arrange for visitors who might cheer himB. sit down and talk with him for a whileC. encourage him to look at the bright side of thingsD. sit silently with him30. Maria, 90 years old has planned ahead for her death – Philosophically, socially, financially, and emotionally. This isrecognized as:A. acceptance that death is inevitable C. denial with planning for continued lifeB. avoidance of the true sedation D. awareness that death will soon occur 31. Which of the following students would best indicate that Ruffy, who is dying has accepted this impending death?A. Im ready to dieC. Whats the use?B. I have resigned myself to dyingD. “I am giving up32. One of the major ethical principles in research is beneficence that includes:A. Right to protection from physical /psychological harmB. Right to full disclosureC. Right to performance of good sourcesD. Right to protection of participants from exploitation33. The belief that euthanasia is absolutely wrong in any scenario, it is a:A. moral beliefC. personal belieB. ethical issueD. ethical principle34. Euthanasia is an ethical dilemma which confronts nurses on the intensive care unit because:A.the choices involved do not appear to be clearly right or wrongB.a client’s legal right co-exist with the nurse’s professional obligationC.decisions has to be made based on social normsD.decisions has to be made quickly, often under stressful conditions35. A patient is terminally ill and experiencing severe pain. She has liver and bone metastasis and under morphine for several months. The patient knows they are financially incapable to settle hospital accounts. She decided to sign a DNR form. What principle is used as the basis of allowing her?a. justice b. autonomy c. beneficenced. advocacy36. One bioethical issue that has surfaced in the country is the case of organ transplant. An organ such as the kidney which isto be used as transplant maybe removed from the donor only:a. within 24 hours after death b. when an EEG shows no evidence of brain activityc. after respiration and pulse ceased. only after permission is obtained37. Currently, there is a proposed bill to legalize abortion. Which of the following statement about abortion is currentlytrue?a. abortion is acceptable if done for therapeutic reason b. nurses are legally obliged to assist abortionc. abortion is legally permissible before the end of the mid monthd. abortion is absolutely illegal in the Philippines38. Which of the following statements is TRUE of abortion in the Philippines?A. Induced abortion is allowed in cases of rape and incestB. Induced abortion is both a criminal act and an unethical act for the nurse
 ______________________________________________________________________________ 
`

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