CCRN Domain 6: Professional Caring and Ethical Practice Welcome to your CCRN Domain 6: Professional Caring and Ethical Practice 1. CCRN: Professional Caring and Ethical Practice A critical care nurse is faced with a situation where a patient's family insists on continuing life support despite a clear advance directive stating the patient's wish to avoid prolonged measures. What is the most appropriate action for the nurse to take in this situation? Follow the family's wishes, as they are the primary decision-makers. Consult the hospital's ethics committee for guidance. Discontinue life support based on the patient's advance directive. Persuade the family to accept the inevitable and agree to palliative care. None 2. CCRN: Professional Caring and Ethical Practice When a critical care nurse encounters a situation where the patient's wishes are not known, and there is no advance directive, which ethical principle is primarily at stake? Justice Autonomy Beneficence Nonmaleficence None 3. CCRN: Professional Caring and Ethical Practice In the context of professional caring, which action best demonstrates a critical care nurse's commitment to the principle of fidelity? Providing care that is consistent with the best practices and standards. Ensuring that the patient's care preferences are communicated to all team members. Advocating for the patient's rights and wishes in team discussions. Keeping a promise to the patient to be present when delivering difficult news. None 4. CCRN: Professional Caring and Ethical Practice A critical care nurse is aware of a colleague's consistent practice of documenting care not rendered. What is the FIRST step the nurse should take? Report the colleague to the nursing manager. Confront the colleague directly about the behavior. Document the incidents and gather evidence. Discuss the matter with a trusted mentor for advice. None 5. CCRN: Professional Caring and Ethical Practice How should a critical care nurse act when they recognize a personal value conflict with a patient's end-of-life care decision? Refrain from providing care to the patient. Seek to transfer the patient to another nurse. Discuss their personal values with the patient to find common ground. Continue to provide compassionate, unbiased care. None 6. CCRN: Professional Caring and Ethical Practice What is the most appropriate response when a critical care nurse witnesses a colleague providing substandard care that compromises patient safety? Address the issue with the colleague in private. Report the incident to the appropriate supervisor or manager. Discuss the matter with other colleagues to seek their opinions. Wait to see if the behavior is repeated before taking any action. None 7. CCRN: Professional Caring and Ethical Practice A critical care nurse is involved in a research study within the ICU. The nurse realizes that the consent form provided to participants lacks clear information about potential risks. What is the most ethical action for the nurse to take? Proceed with the study, assuming participants understand the general risks. Inform the study participants about the risks verbally, in addition to the written consent. Report the concern to the research team and ensure the consent form is revised. Withdraw from the research team due to the ethical breach. None 8. CCRN: Professional Caring and Ethical Practice In a situation where a critical care nurse faces a moral dilemma about whether to follow a family's request for non-disclosure of a poor prognosis to the patient, what ethical principle is primarily being challenged? Beneficence Nonmaleficence Autonomy Justice None 9. CCRN: Professional Caring and Ethical Practice A critical care nurse observes a consistent lack of cultural sensitivity from a colleague towards patients of a certain background. What should be the nurse's initial response? Report the behavior to hospital administration immediately. Engage in a private conversation with the colleague to address the behavior. Ignore the behavior, assuming it's part of the colleague's personal beliefs. Educate the colleague about cultural sensitivity in a team meeting. None 10. CCRN: Professional Caring and Ethical Practice When a critical care nurse is asked to implement a new treatment protocol that they believe is not in the best interest of the patient, what is the most appropriate action? Refuse to implement the protocol and request reassignment. Implement the protocol without expressing any concerns. Seek clarification and discuss concerns with the healthcare team. Advise the patient to refuse the treatment based on personal opinion. None 11. CCRN: Professional Caring and Ethical Practice If a critical care nurse becomes aware that a colleague has a substance abuse problem that is affecting their work, what is the most ethical course of action? Confront the colleague and demand they seek help. Report the issue to the nursing supervisor or management. Discuss the matter with other colleagues to determine if they have noticed similar behavior. Ignore the issue, respecting the colleague's privacy. None 12. CCRN: Professional Caring and Ethical Practice When a patient in the ICU expresses a desire to discontinue treatment, despite the potential for recovery, what should a critical care nurse prioritize? The healthcare team's perspective on the patient's potential for recovery. The patient's right to make decisions about their own care. The family's wishes for the patient to continue treatment. The nurse's personal beliefs about the value of life. None 13. CCRN: Professional Caring and Ethical Practice How should a critical care nurse approach a scenario where a patient's religious beliefs conflict with the recommended medical treatment? Attempt to convince the patient to forgo their beliefs for the sake of treatment. Respect the patient's beliefs and collaborate to find an acceptable treatment plan. Ignore the patient's beliefs and proceed with the standard treatment protocol. Inform the patient that their beliefs cannot be accommodated in medical decisions. None 14. CCRN: Professional Caring and Ethical Practice When a nurse is assigned to a patient who has made derogatory remarks about the nurse's ethnicity, what is the most professional response? Request an immediate reassignment to another patient. Confront the patient about their inappropriate remarks. Provide care professionally without addressing the remarks. Report the patient's behavior to the nursing supervisor. None 15. CCRN: Professional Caring and Ethical Practice If a critical care nurse discovers that a colleague has been altering patient records to cover up a mistake, what is the first step the nurse should take? Report the colleague to the legal department. Discuss the issue directly with the colleague to understand the situation. Immediately inform the patient or the patient's family about the discrepancy. Report the behavior to the immediate supervisor or the compliance department. None 16. CCRN: Professional Caring and Ethical Practice In the context of informed consent, what is a critical care nurse's ethical obligation when a patient does not fully understand the implications of a proposed treatment? Proceed with the treatment, assuming consent is implicit. Clarify the treatment's risks, benefits, and alternatives to ensure understanding. Postpone the treatment indefinitely until the patient initiates further discussion. Transfer the responsibility of explanation to the patient's family. None 17. CCRN: Professional Caring and Ethical Practice How should a nurse act when they observe a peer providing care that is not aligned with the patient's cultural preferences, despite the patient's clear communication of these preferences? Ignore the situation, assuming cultural preferences are not critical in care. Educate the peer on the importance of cultural sensitivity and patient preferences. Report the peer to management without discussing it with them first. Suggest that the patient adapt to the standard care practices. None 18. CCRN: Professional Caring and Ethical Practice What action should a critical care nurse take when they realize that a prescribed medication may have adverse effects on a patient due to a known allergy? Administer the medication and monitor the patient closely for any reactions. Replace the medication with an alternative without consulting a physician. Consult with the prescribing physician to discuss alternative treatments. Inform the patient about the risk and allow them to decide. None 19. CCRN: Professional Caring and Ethical Practice When a nurse witnesses another healthcare professional acting in a discriminatory manner towards a patient, what is the most appropriate initial response? Address the behavior with the individual privately to discuss its impact. Ignore the behavior to avoid workplace conflict. Report the behavior to a superior without confronting the individual. Discuss the incident with the patient to gauge their feelings. None 20. CCRN: Professional Caring and Ethical Practice How should a critical care nurse approach a scenario where the legal surrogate decision-maker's choices appear to conflict with the patient's best interest? Follow the surrogate's decisions without question, as they have legal authority. Seek clarification and further discussion with the healthcare team and the surrogate. Disregard the surrogate's decisions and act based on what the nurse believes is best. Report the surrogate for potential abuse of power. None 1 out of 20 Time is Up! Time's up
