HESI Management of Care - Questions (A Graded)

Latest Questions and Complete Solutions

A client with leukemia is being considered for a bone marrow transplant. The healthcare

team is discussing the risks and benefits of this treatment and other possible treatments

with the goal of inflicting the least possible harm on the client. Which principle of

healthcare ethics is the team practicing?

Justice

Fidelity

Nonmaleficence

Autonomy

Rationale: Nonmaleficence is the avoidance of hurt or harm. Remember that in

healthcare ethics, ethical practice involves not only the will to do good but also the equal

commitment to do no harm. Healthcare professionals try to balance the risks and

benefits of a plan of care while striving to do the least possible harm. Justice refers to

fairness and equity and ensuring fair allocation of resources, such as nursing care for all

clients. Fidelity is the keeping of promises made to clients, families, and other

healthcare professionals. Autonomy refers to a person’s independence and represents

an agreement to respect another’s right to determine his or her course of action.

Test-Taking Strategy: Focus on the subject - the ethical principle being utilized. Recall

the definition of each item in the options. Note the relationship of the words “least

possible harm” in the question and the definition of nonmaleficence. Review: principles

of healthcare ethics.

Reference: Potter, P., & Perry, A. (2009). Fundamentals of nursing (7thed., p. 314). St.

Louis: Mosby.

Cognitive Ability: Applying

Client Needs: Safe and Effective Care Environment

Integrated Process: Nursing Process/Implementation

Content Area: Ethical/Legal

Giddens Concepts: Celluar Regulation, Ethics

HESI Concepts: Advocacy/Ethical/Legal Issues, Cellular Regulation

Question 2

Question 1

1 / 1 pts

Question 3

1 / 1 pts

1 / 1 pts

Which action by the nurse represents the ethical principle of beneficence?

The nurse provides equal amounts of care to all assigned clients on the basis of illness

acuity.

The nurse follows a plan of care designed to relieve pain in a client with cancer.

The nurse upholds a client’s decision to refuse chemotherapy for lung cancer.

The nurse administers an immunization to a child even though it may cause discomfort.

Rationale: Beneficence is taking action to help others. Although administration of a

child’s immunization might cause discomfort, the benefits of protection from disease

outweigh the temporary discomfort. Fidelity is keeping promises made to clients,

families, and other healthcare professionals. Autonomy is a person’s independence.

Respecting another’s autonomy means that you are agreeing to respect that person’s

right to determine his or her course of action. Justice refers to fairness and equity,

including fair allocation of resources, such as nursing care for all clients.

Test-Taking Strategy: Focus on the subject, beneficence. Recalling that beneficence

refers to taking action to help others will direct you to the correct option. Review: the

principles of healthcare ethics .

Reference: Potter, P., & Perry, A. (2009). Fundamentals of nursing (7th ed., p. 314). St.

Louis: Mosby.

Cognitive Ability: Applying

Client Needs: Safe and Effective Care Environment

Integrated Process: Nursing Process/Implementation

Content Area: Ethical/Legal

Giddens Concepts: Ethics, Immunity

HESI Concepts: Advocacy/Ethical/Legal Issues, Immunity

The nursing instructor asks a student to name an example of false imprisonment. Which

situation reflects a violation of this client right?