an rn knows that sometimes when working through an ethical dilemma the decision makers are unable to arrive at a mutually agreed upon decision which o

ATI RN

ATI Leadership Proctored

1. An RN knows that sometimes, when working through an ethical dilemma, the decision makers are unable to arrive at a mutually agreed upon decision. Which of the following is a reason why an agreement cannot be reached?

A. One or more of the parties may be able to reconcile their values.
B. The patient�s point of view is recognized as valuable.
C. The dilemma involves two or more equally unpleasant choices.
D. The institution is unable to honor the patient�s request.

Correct answer: C

Rationale: An agreement cannot be reached because the dilemma involves two or more equally unpleasant choices.

2. An RN enters a patient�s room to place an indwelling urinary catheter, as ordered by the health-care professional. The client is alert and oriented and tells the RN he wants to leave the hospital now and not receive further treatment. Which of the following actions by the RN would be considered false imprisonment?

A. The RN tells the client he is not allowed to leave until the physician has released him.
B. The RN asks the client why he wishes to leave.
C. The RN asks the client to explain what he understands about his medical diagnosis.
D. The RN asks the client to sign an against medical advice discharge form.

Correct answer: A

Rationale: The RN tells the client he is not allowed to leave until the physician has released him would be considered false imprisonment.

3. What is the primary focus of health promotion activities?

A. To manage chronic diseases
B. To educate patients about their health
C. To prevent the onset of disease
D. To identify and treat diseases early

Correct answer: C

Rationale: The correct answer is C: 'To prevent the onset of disease.' Health promotion activities aim to prevent diseases before they occur by promoting healthy behaviors, lifestyles, and environments. Choice A, 'To manage chronic diseases,' is incorrect as health promotion focuses on prevention rather than management. Choice B, 'To educate patients about their health,' is important but not the primary focus of health promotion. Choice D, 'To identify and treat diseases early,' is related to early detection and treatment, which is different from the primary goal of health promotion.

4. Although technology has seen many advances, which two ethical principles may be in conflict because of technology?

A. Beneficence and justice
B. Beneficence and nonmaleficence
C. Beneficence and veracity
D. Beneficence and confidentiality

Correct answer: B

Rationale: The correct answer is B: Beneficence and nonmaleficence. Beneficence refers to the obligation to do good and act in the best interest of the patient, while nonmaleficence means to 'do no harm.' With advances in technology, there can be situations where the pursuit of benefit (beneficence) may inadvertently cause harm (nonmaleficence), leading to a conflict between these two ethical principles. Choice A, beneficence and justice, is incorrect because justice pertains to fairness and equality in the distribution of resources and treatments, not conflicting directly with beneficence. Choice C, beneficence and veracity, involves the obligation to tell the truth and is not in direct conflict with beneficence. Choice D, beneficence and confidentiality, relate to maintaining privacy and trust, which can complement rather than conflict with beneficence in most cases.