Question 1 A nurse manager has a staff nurse who observes certain religious holidays. The manager tries to make sure that these observances can be met if possible. Which value is the manager practicing? 1. Human dignity 2. Social justice 3. Autonomy 4. Altruism Question 2 Parents of a terminally ill child have decided to remove their child from life support, a decision that has met with little positive support. Which nursing action demonstrates autonomy regarding the parents’ decision? 1. Showing respect for the family 2. Respecting the parents’ decision 3. Referring the parents to social services 4. Asking to be assigned to a different client Question 3 A client has chosen to discontinue hemodialysis. His family is not supportive of his decision. Which statement should the nurse make that demonstrates the theory of principles-based reasoning? 1. “This client is of sound mind and is capable of making his own decisions regarding health care. It really is his decision to make.” 2. “I need to try and help the family understand the client’s decision so they can work through this situation together.” 3. “This client’s health is so deteriorated that the treatment is not saving his life. It is prolonging the ultimate outcome, which is his death.” 4. “The client understands his decision and the advanced stage of his disease. If he quits treatment, he will die.” Question 4

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