Value Considerations of Care

Every question here, with the answer

1. A patient who is well informed about a proposed treatment tells the nurse, “I understand what could happen, but I do not want this treatment.” Which nursing response best supports the professional value involved?

   1. Document that the patient is being difficult and avoid further discussion.
   2. Tell the patient the treatment is required because the provider ordered it.
   3. Ask the family to persuade the patient to accept the treatment.
   4. Support the patient’s decision-making process and ensure the patient understands the implications of the choice.

   Answer: Support the patient’s decision-making process and ensure the patient understands the implications of the choice.

   Autonomy requires supporting the patient’s right to self-determination, including the right to accept or refuse treatment. Coercing the patient, shifting the decision to family, or labeling the patient as difficult does not preserve autonomy.

2. During an admission assessment, which nurse actions demonstrate professional nursing values? Select all that apply.

   1. Assess cultural needs without judgment.
   2. Return when promised and answer questions honestly.
   3. Offer privacy and remain respectful while collecting information.
   4. Avoid explaining why personal questions are being asked because the nurse controls the assessment.
   5. Admit when an answer is unknown and find the answer for the patient.

   Answer: Assess cultural needs without judgment., Return when promised and answer questions honestly., Offer privacy and remain respectful while collecting information., Admit when an answer is unknown and find the answer for the patient.

   The assessment step can express human dignity, cultural competence, autonomy, honesty, and integrity. Withholding the reason for questions does not foster autonomy because patients should understand why information is being collected and how it will be used.

3. A nurse is asked to document that patient teaching was completed even though it was not provided. What is the nurse’s best action?

   1. Avoid saying anything because the patient was not harmed.
   2. Refuse to falsify the record and seek guidance from leadership about the conflict.
   3. Document the teaching because it helps the unit record look complete.
   4. Ask another nurse to sign the documentation instead.

   Answer: Refuse to falsify the record and seek guidance from leadership about the conflict.

   Integrity requires honesty and moral consistency, especially when the patient’s interests and the profession’s integrity are at stake. Falsifying records or staying silent would violate professional integrity; the section states that nurses should seek leadership guidance when conflicts arise.

4. A nurse is caring for several patients, including patients who are uninsured, do not speak the dominant language, and have different racial, gender, religious, and political backgrounds. Which actions reflect social justice? Select all that apply.

   1. Treat all patients equally, with dignity and respect.
   2. Allow personal discomfort with a patient’s background to affect the plan of care.
   3. Provide the same high-quality care regardless of insurance status.
   4. Give faster attention to patients who share the nurse’s political beliefs.
   5. Use respectful care for patients who do not speak the dominant language.

   Answer: Treat all patients equally, with dignity and respect., Provide the same high-quality care regardless of insurance status., Use respectful care for patients who do not speak the dominant language.

   Social justice requires equal treatment and access to health care despite socioeconomic status, language, or personal differences. Favoring patients with similar beliefs or allowing bias to affect care conflicts with social justice.

5. A confused and angry patient repeatedly speaks harshly to the nurse. Which response best demonstrates altruism in nursing practice?

   1. Provide care with kindness and respect while remembering that the patient is vulnerable.
   2. Ask to avoid the patient because the patient is difficult.
   3. Tell the patient that respectful behavior is required before care will continue.
   4. Limit care to only the tasks that can be completed quickly.

   Answer: Provide care with kindness and respect while remembering that the patient is vulnerable.

   Altruism means working for the well-being of others, even when patients present challenges such as anger or confusion. The section emphasizes that difficult patients are still vulnerable and should receive kind, respectful care.

6. A nurse is developing nursing diagnoses for patients with chronic pain from different backgrounds. Which actions reflect nursing values during the diagnosis step of the nursing process? Select all that apply.

   1. Refuse to allow personal prejudices to interfere with the nursing diagnosis process.
   2. Ensure every patient with chronic pain receives a nursing diagnosis reflecting the pain regardless of background.
   3. Take responsibility for the nurse’s role in the diagnostic process.
   4. Use the patient’s socioeconomic status to decide whether pain should be included in the nursing diagnosis.
   5. Recognize that social determinants of health may influence the patient’s health.

   Answer: Refuse to allow personal prejudices to interfere with the nursing diagnosis process., Ensure every patient with chronic pain receives a nursing diagnosis reflecting the pain regardless of background., Take responsibility for the nurse’s role in the diagnostic process., Recognize that social determinants of health may influence the patient’s health.

   During diagnosis, nursing values include recognizing social determinants of health, treating patients equitably, avoiding prejudice, and taking responsibility. Using socioeconomic status to decide whether pain is reflected in the diagnosis violates integrity, human dignity, and social justice.