A nurse manager is reviewing the nursing code of ethics with the staff nurses. Which of the following statements by a staff nurse indicate understanding of the teaching? (Select all that apply.)

"I have the assistive personnel double-check packed RBCs when other nurses are busy."

I can delegate the removal of an IV catheter to an LPN on the unit."

"The family of a newly admitted client recently treated me to lunch in the hospital cafeteria."

"will attend continuing education classes for professional growth

"administer pain medication to my clients even if they have a history of narcotic addiction."

Answer and Explanation

Correct Answer : B,D,E

Rationale:

A. Having assistive personnel double-check packed RBCs is inappropriate and unsafe, as this task requires nursing knowledge, critical thinking, and accountability. Delegating this to an AP violates ethical standards related to patient safety.

B. Delegating the removal of an IV catheter to an LPN is appropriate, as LPNs are trained and licensed to perform certain procedures under the supervision of an RN. This demonstrates understanding of the ethical principle of delegation within scope of practice.

C. Accepting gifts from clients or families can lead to conflicts of interest or perceived favoritism. The Code of Ethics advises nurses to avoid situations that compromise professional judgment, making this statement indicate a lack of understanding.

D. Attending continuing education classes for professional growth reflects the nurse’s ethical obligation to maintain competence and provide safe, evidence-based care, which aligns with the Code of Ethics.

E. Administering pain medication regardless of a client’s history of narcotic addiction demonstrates the ethical principle of nonmaleficence and beneficence, ensuring that clients receive appropriate pain management without discrimination or bias.

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Correct Answer is D

Explanation

Rationale:
A. Refusing to participate in an elective abortion is an example of exercising conscientious objection, which is ethically and legally permitted, provided the nurse ensures the client’s care is not compromised and appropriate staff take over. This behavior does not indicate a need for further education.

B. Administering opioids to a terminally ill client is ethically appropriate under the principle of double effect, where the primary intent is pain relief, not hastening death. This is standard palliative care practice and does not indicate a need for further education.

C. Explaining that a DNR order does not include withholding comfort measures demonstrates correct ethical understanding. Comfort measures, such as pain relief and emotional support, are always provided, regardless of resuscitation status. This behavior is correct.

D. Informing a confused client that he must stay at the facility until he is better violates the ethical principle of autonomy. Even if the client lacks full decision-making capacity, coercion or providing false information is unethical. This behavior indicates a need for further education on respecting client rights, informed consent, and ethical care practices.

A. Explaining to the client that he cannot have visitors until his manifestations resolve B. Wearing a mask when within 1 m (3.3 ft) of the client C. Donning sterile gloves when performing routine oral care D. Placing the client in a positive airflow room with 12 air exchanges per hour

Correct Answer is B

Explanation

Rationale:
A. Restricting visitors is not necessary for streptococcal pharyngitis, as this infection is typically spread via droplets. Standard visitor precautions (masking and hand hygiene) are sufficient, rather than a total visitor ban.

B. Wearing a mask when within 1 meter (3.3 feet) of the client is appropriate for droplet precautions, which are indicated for streptococcal pharyngitis. The mask prevents inhalation of respiratory droplets that contain infectious bacteria. This action demonstrates correct adherence to infection control protocols.

C. Donning sterile gloves is unnecessary for routine oral care. Standard precautions using clean gloves are sufficient unless there is a risk of exposure to blood or body fluids requiring aseptic technique. Sterile gloves are reserved for invasive procedures or surgery.

D. Placing the client in a positive airflow room with 12 air exchanges per hour is part of airborne isolation for infections like tuberculosis. Streptococcal pharyngitis is not airborne, so this is not required.

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A nurse manager is reviewing the nursing code of ethics with the staff nurses. Which of the following statements by a staff nurse indicate understanding of the teaching? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A facility provides annual staff education regarding ethical practice. A charge nurse recognizes a need for further education when which of the following behaviors is observed?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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