Ethics Issues Contemporary Nursing Canadian Edition Burkhardt 2nd Edition-Test Bank
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Sample
Test
Chapter 3 – Ethical Principles
MULTIPLE CHOICE
1. What
does the principle of beneficence require the nurse to do?
|
a. |
to separate personal from
professional life |
|
b. |
to prevent harm or evil and
do good |
|
c. |
to make moral
decisions that are motivated by what will benefit the patient |
|
d. |
to morally regulate the
conduct of others |
ANS:
B
PTS: 1
REF: p. 59–60 BLM:
Remember
2. A
nurse respects a patient’s decision not to undergo any further dialysis. Which
principle is this situation an example of?
|
a. |
respect for persons |
|
b. |
justice |
|
c. |
beneficence |
|
d. |
autonomy |
ANS:
D
PTS:
1
REF: p.
49
BLM: Higher Order
3. The
nurse promises a patient that she will return in five minutes to sit and speak
with him. What ethical principle does this situation exemplify?
|
a. |
morals |
|
b. |
fidelity |
|
c. |
confidentiality |
|
d. |
justice |
ANS:
B
PTS:
1
REF: p. 75–76 BLM:
Higher Order
4. Which
ethical principle implies that others are worthy of high regard?
|
a. |
beneficence |
|
b. |
respect for autonomy |
|
c. |
respect for persons |
|
d. |
distributive justice |
ANS:
C
PTS:
1
REF: p.
49
BLM: Remember
5. A
patient requests multiple cosmetic surgeries. At a certain point, the health
care team questions whether the overall harm that will result from
continuing to do these procedures will outweigh the benefits. Which ethical
principle is most related to this discussion about weighing harms against
benefits?
|
a. |
beneficence |
|
b. |
non-maleficence |
|
c. |
justice |
|
d. |
veracity |
ANS:
B
PTS:
1
REF: p. 62–63 BLM:
Higher Order
6. Which
of the following ethical principles relates to noncompliance with care by a
fully aware patient?
|
a. |
beneficence |
|
b. |
autonomy |
|
c. |
fidelity |
|
d. |
non-maleficence |
ANS:
B
PTS:
1
REF: p. 49–50 | p. 52
BLM: Remember
7. A
nurse performs a pain assessment on a client and requests an order for an
analgesic as an intervention. Which of the following ethical principles is
being given a practical application in this situation?
|
a. |
beneficence |
|
b. |
autonomy |
|
c. |
veracity |
|
d. |
non-maleficence |
ANS: A
PTS:
1
REF: p. 59–60 BLM:
Higher Order
8. The
emergency room staff decide how quickly patients will be triaged through
the emergency room department. The emergency room team decides that the most
critically ill patient will be treated first. Which of the
following ethical principles is illustrated by the decision-making process in
this case?
|
a. |
respect for persons |
|
b. |
justice |
|
c. |
beneficence |
|
d. |
autonomy |
ANS: B
PTS:
1
REF: p. 76–77 BLM:
Higher Order
9. Which
ethical principle requires nurses to uphold the profession’s code of ethics, to
practise within the established scope of practice, and to remain competent?
|
a. |
beneficence |
|
b. |
autonomy |
|
c. |
fidelity |
|
d. |
non-maleficence |
ANS:
C
PTS:
1
REF: p. 75–76 BLM:
Remember
10. What
does the CNA Code of
Ethics recognize about confidentiality?
|
a. |
It develops from respect
for patients and is an absolute requirement in all situations. |
|
b. |
It is restricted to legal
regulations and definitions. |
|
c. |
It is not absolute and may
be modified to protect the patient or other innocent people. |
|
d. |
It enables preservation of
dignity for patients in intimate and private situations. |
ANS:
C
PTS:
1
REF: p.
69
BLM: Higher Order
11. Which
of the following statements best summarizes the Privacy Act, amended
April 2011?
|
a. |
Individuals have the right
to access their own information without constraints. |
|
b. |
The provincial government
sets out rules on how personal information is managed. |
|
c. |
Each province protects the
private information of Canadian citizens. |
|
d. |
The Act sets out rules for
how personal information should be managed by private-sector organizations. |
ANS:
A
PTS:
1
REF: p.
71
BLM: Higher Order
12. Which
principle of the Canada
Health Act entitles 100 percent of the insured residents of a
province or territory to health services?
|
a. |
comprehensiveness |
|
b. |
universality |
|
c. |
accessibility |
|
d. |
public administration |
ANS:
B
PTS: 1
REF: p.
78
BLM: Higher Order
13. In
which of the following situations is the nurse applying the principles of the
CNA Code of Ethics?
|
a. |
The nurse maintains
confidentiality of a gunshot victim who is a suspected gang member. |
|
b. |
The nurse carries out
mandatory testing of pregnant women for hepatitis and syphilis. |
|
c. |
The nurse keeps
information confidential when a patient states that he wants to kill
himself. |
|
d. |
The nurse reports suspected
abuse of a child and illegal activity of the parents to the police. |
ANS:
D
PTS:
1
REF: p. 69–71 BLM:
Higher Order
14. Which
principle of the Canada
Health Act entitles reasonable contact with insured
health care services in terms of physical availability of medically necessary
services?
|
a. |
comprehensiveness |
|
b. |
universality |
|
c. |
accessibility |
|
d. |
public administration |
ANS:
C
PTS:
1
REF: p. 79
BLM: Higher Order
15. Which
principle of the Canada
Health Act requires that residents moving from one province or
territory to another must continue to be covered for insured health care
services?
|
a. |
comprehensiveness |
|
b. |
portability |
|
c. |
accessibility |
|
d. |
public administration |
ANS:
B
PTS:
1
REF: p.
78
BLM: Higher Order
Chapter 4 – Values Clarification
MULTIPLE CHOICE
1. What
does the axiology branch of philosophy study?
|
a. |
ethics |
|
b. |
mathematics |
|
c. |
awareness |
|
d. |
values |
ANS:
D
PTS:
1
REF: p.
87
BLM: Remember
2. What
is the correct terminology for the process of becoming more conscious of and expressing
what we value or consider worthy?
|
a. |
journalling |
|
b. |
values clarification |
|
c. |
overt values |
|
d. |
values conflict |
ANS:
B
PTS:
1
REF: p.
91
BLM: Remember
3. A
nurse informs her supervisor that she holds the belief that abortions should
not be performed and finds conflict working on a unit where they are performed.
Which of the following terms best describes this situation?
|
a. |
societal values |
|
b. |
incongruent values |
|
c. |
overt values |
|
d. |
values clarification |
ANS:
D
PTS:
1
REF: p.
91
BLM: Higher Order
4. What
is the correct terminology for values that are implicit in expectations of an
institution, but not in set out writing?
|
a. |
formal values |
|
b. |
covert values |
|
c. |
integral values |
|
d. |
overt values |
ANS:
B
PTS:
1
REF: p.
97
BLM: Remember
5. A
female patient is hospitalized with traumatic injuries caused by a vehicular
collision. Her daughter, who was killed in the accident, was taken to the same
hospital. The patient, who had been driving the vehicle, constantly asks the
nurse about her daughter. The orthopedic surgeon has told the nurse not to tell
the patient about the death of her daughter. The orthopedic surgeon does not
give the nurse any reason for these instructions. The nurse expresses concern
to the nurse manager, who says that the orthopedic surgeon will decide when the
patient should be told. However, the nurse is not comfortable with this and
wonders what should be done. Which of the following terms best describes this
situation?
|
a. |
incongruent values |
|
b. |
values conflict |
|
c. |
overt values |
|
d. |
societal values |
ANS: B
PTS:
1
REF: p.
95
BLM: Higher Order
6. What
is an institution’s mission statement a reflection of?
|
a. |
overt values |
|
b. |
formal values |
|
c. |
covert values |
|
d. |
integral values |
ANS: A
PTS:
1
REF: p.
96
BLM: Higher Order
7. A
nurse used to love her job but now frequently exhibits anger, dissatisfaction,
frustration, and poor work performance. What may she be experiencing?
|
a. |
moral awareness |
|
b. |
moral thought |
|
c. |
moral distress |
|
d. |
moral values |
ANS:
C
PTS:
1
REF: p.
97
BLM: Remember
8. What
should nurses be aware of when working with patients regarding health care decisions?
|
a. |
personal and patient values |
|
b. |
moral development and
perceptions |
|
c. |
conflicting values and
priorities |
|
d. |
institutional values and
influence |
ANS:
A
PTS:
1
REF: p.
100
BLM: Higher Order
9. How
can values be acquired?
|
a. |
by challenging dilemmas
faced in professional or personal lives |
|
b. |
through the determination
of genetic and hereditary influences |
|
c. |
by openly expressing our
ideals to other people |
|
d. |
in both conscious and
unconscious ways throughout our lives |
ANS:
D
PTS:
1
REF: p.
87
BLM: Remember
10. In
what way can keeping a journal or diary of experiences in work situations be a
useful tool for a nurse?
|
a. |
to develop awareness and
gain insight into personal values |
|
b. |
to identify negative
actions and interpretations that need to be reinforced |
|
c. |
to identify challenging
situations and apply alternative responses |
|
d. |
to develop and monitor professional
reactions in situations |
ANS:
A
PTS:
1
REF: p.
93
BLM: Higher Order
11. How
can values best be defined?
|
a. |
as principles of right or
wrong |
|
b. |
as ideals, beliefs,
customs, and modes of conduct |
|
c. |
as self-knowledge and the
willingness to express that awareness |
|
d. |
as reflections upon and
evaluations of one’s own experiences |
ANS:
B
PTS:
1
REF: p.
87
BLM: Remember
12. Which
of the following statements best summarizes moral autonomy?
|
a. |
actions to remove harms or
to simply improve the situation of others |
|
b. |
the attempt to think
clearly and consistently about matters of concern |
|
c. |
the ability to
independently choose right or wrong, without any outside influence |
|
d. |
the process of examining
the impact of personal values, beliefs, and experiences |
ANS:
C
PTS:
1
REF: p. 88–89 BLM:
Higher Order
13. When
a patient is unable to clearly articulate their values, what is most likely to
occur?
|
a. |
It may result in distress
and feelings of marginalization. |
|
b. |
It may result in
frustration and negatively affect care. |
|
c. |
It may result in an unwillingness
to seek healthcare advice. |
|
d. |
It may result in confusion
and inadequate decision-making. |
ANS:
D
PTS:
1
REF: p.
101
BLM: Higher Order
14. What
is the correct term for the attribute of maintaining and articulating
consistent values and beliefs over time?
|
a. |
personal values |
|
b. |
authenticity |
|
c. |
moral thought |
|
d. |
implicit values |
ANS:
B
PTS:
1
REF: p.
91
BLM: Higher Order
15. When
the values of the nurse and those of the institution are different, which of
the following will the nurse likely experience?
|
a. |
incongruencies with
personal values |
|
b. |
judgment of values being
imposed |
|
c. |
divergence of moral beliefs
and restraints |
|
d. |
commitment to develop more
awareness |
ANS:
A
PTS:
1
REF: p.
97
BLM: Higher Order
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