Question 1

Which of the following elements must be present when evaluating a patient's decision-making capacity?

Accepted Answer

A)  the ability to determine a positive outcome 
B)  the ability to communicate understanding 
C)  the ability to behave in an ethical manner 
D)  the ability to understand medical terminology 
A)  the ability to determine a positive outcome 
B)  the ability to communicate understanding 
C)  the ability to behave in an ethical manner 
D)  the ability to understand medical terminology B

Question 2

Which of the following actions are part of the nurse's role and responsibilities in informed consent?

Accepted Answer

A)  verifying that the patient is aware of options and the implications of each option 
B)  providing recommendations about care to the patient 
C)  explaining the procedure to the patient when the doctor cannot do so 
D)  signing as a witness attesting that the patient is unable to give consent 
A)  verifying that the patient is aware of options and the implications of each option 
B)  providing recommendations about care to the patient 
C)  explaining the procedure to the patient when the doctor cannot do so 
D)  signing as a witness attesting that the patient is unable to give consent A

Question 3

Which of the following elements must be included in an informed consent?

Accepted Answer

A)  description of common practices of the healthcare institute 
B)  needs and expectations of the patient 
C)  description of the health concern 
D)  verification of understanding 
A)  description of common practices of the healthcare institute 
B)  needs and expectations of the patient 
C)  description of the health concern 
D)  verification of understanding C

Question 4

Which source document acknowledges the importance of living wills and clearly identifies promoting and respecting informed decision making?

Accepted Answer

A)  Substitute Decision Maker Proxy 
B)  Code of Ethics 
C)  Lifestyle Choices Policy 
D)  Advance Directives Act 
A)  Substitute Decision Maker Proxy 
B)  Code of Ethics 
C)  Lifestyle Choices Policy 
D)  Advance Directives Act

Question 5

What is the definition of competence?

Accepted Answer

A)  a legal action physicians can impose on patients who are elderly and confused 
B)  the ability of a patient to understand medical options and treatment 
C)  a legal ruling regarding a person's ability to make meaningful life decisions 
D)  the ability of a patient to communicate about current events 
A)  a legal action physicians can impose on patients who are elderly and confused 
B)  the ability of a patient to understand medical options and treatment 
C)  a legal ruling regarding a person's ability to make meaningful life decisions 
D)  the ability of a patient to communicate about current events

Question 6

A patient asks the surgeon what will be gained by having the procedure and the surgeon does not respond. Which patient right is being violated?

Accepted Answer

A)  autonomy 
B)  justice 
C)  advance directives 
D)  informed consent 
A)  autonomy 
B)  justice 
C)  advance directives 
D)  informed consent

Question 7

When a nurse discusses a patient's condition and treatment with family members who were not authorized to have medical information disclosed to them, what principle is the nurse breaching?

Accepted Answer

A)  autonomy 
B)  non-maleficence 
C)  competence 
D)  confidentiality 
A)  autonomy 
B)  non-maleficence 
C)  competence 
D)  confidentiality

Question 8

A nurse is injured with a percutaneous exposure of blood while on duty. The nurse wishes to have the patient tested for HIV; however, the patient refuses. Which of the following statements best summarizes testing issues related to HIV?

Accepted Answer

A)  The nurse's right to have the testing completed supersedes any patient's objections. 
B)  It is illegal to perform testing without the patient's consent. 
C)  It is mandatory for all patients to be HIV tested and therefore the nurse would have results available. 
D)  The nurse needs to advise the patient of the potential risks of refusing to have the testing completed. 
A)  The nurse's right to have the testing completed supersedes any patient's objections. 
B)  It is illegal to perform testing without the patient's consent. 
C)  It is mandatory for all patients to be HIV tested and therefore the nurse would have results available. 
D)  The nurse needs to advise the patient of the potential risks of refusing to have the testing completed.

Question 9

A nurse is caring for a patient with cancer who describes using ozone therapy and mega intravenous doses of vitamin C as part of her treatment. Which of the following nursing actions would take into consideration the patient's ability to self-determination?

Accepted Answer

A)  Honour the patient's right to use therapies other than conventional medicine to address their health care needs. 
B)  Tell the patient that they should stop these therapies because the research does not support them. 
C)  Inform the patient that they have a right to do what they want, but that it is unwise to mix different modalities of therapy 
D)  Encourage the patient to share the alternative therapies with other patients to see if they might help them as well. 
A)  Honour the patient's right to use therapies other than conventional medicine to address their health care needs. 
B)  Tell the patient that they should stop these therapies because the research does not support them. 
C)  Inform the patient that they have a right to do what they want, but that it is unwise to mix different modalities of therapy 
D)  Encourage the patient to share the alternative therapies with other patients to see if they might help them as well.

Question 10

What is the legal protection of a patient's right to personal autonomy called?

Accepted Answer

A)  paternalism 
B)  advanced directives 
C)  informed consent 
D)  competence 
A)  paternalism 
B)  advanced directives 
C)  informed consent 
D)  competence

Question 11

A patient is refusing to participate in his plan of care. The nurse is aware that the patient's refusal will negatively affect his health outcome. According to the Canadian Nurses Association Code of Ethics, what must the nurse take into consideration?

Accepted Answer

A)  that the patient's unhealthy life practices require further allocation of resources 
B)  that the nurse has the right to refuse to continue care 
C)  that the quality of nursing care must NOT be affected 
D)  that the plan of care should NOT be revised 
A)  that the patient's unhealthy life practices require further allocation of resources 
B)  that the nurse has the right to refuse to continue care 
C)  that the quality of nursing care must NOT be affected 
D)  that the plan of care should NOT be revised

Question 12

A nurse encourages a patient to take narcotics for severe cancer pain. The patient is concerned about the possible side effects. The nurse gives the patient the narcotic and tells the patient; "It's for your own good and it's important to get your pain under control." What is the nurse's behaviour an example of?

Accepted Answer

A)  paternalism 
B)  justice 
C)  autonomy 
D)  competence 
A)  paternalism 
B)  justice 
C)  autonomy 
D)  competence

Question 13

Which law states that active euthanasia and assisted suicide are both illegal and that taking part in them is against the law, even if carried out for merciful intentions or relieve suffering?

Accepted Answer

A)  the Criminal Code of Canada 
B)  the Code of Ethics 
C)  the Advance Directives Act 
D)  the Lifestyle Choices Policy 
A)  the Criminal Code of Canada 
B)  the Code of Ethics 
C)  the Advance Directives Act 
D)  the Lifestyle Choices Policy

Question 14

What is the purpose of a patient completing a living will?

Accepted Answer

A)  prolonging life or improving quality of life 
B)  identifying a proxy or substitute decision-maker 
C)  a medical determination relating only to the issue at hand 
D)  evaluating health care decisions and reducing choices 
A)  prolonging life or improving quality of life 
B)  identifying a proxy or substitute decision-maker 
C)  a medical determination relating only to the issue at hand 
D)  evaluating health care decisions and reducing choices

Question 15

What does a nurse's advocacy role regarding a patient's advance directives (AD) include?

Accepted Answer

A)  making sure that the patient is not resuscitated in a cardiac arrest situation 
B)  telling patients about changes in their condition so they can modify their AD 
C)  informing health team members about healthcare decisions when the patient cannot do so 
D)  informing health team members of the content of a patient's AD 
A)  making sure that the patient is not resuscitated in a cardiac arrest situation 
B)  telling patients about changes in their condition so they can modify their AD 
C)  informing health team members about healthcare decisions when the patient cannot do so 
D)  informing health team members of the content of a patient's AD

Which of the following elements must be present when evaluating a patient's decision-making capacity?

Which of the following actions are part of the nurse's role and responsibilities in informed consent?

Which of the following elements must be included in an informed consent?

Which source document acknowledges the importance of living wills and clearly identifies promoting and respecting informed decision making?

What is the definition of competence?

A patient asks the surgeon what will be gained by having the procedure and the surgeon does not respond. Which patient right is being violated?

When a nurse discusses a patient's condition and treatment with family members who were not authorized to have medical information disclosed to them, what principle is the nurse breaching?

A nurse is injured with a percutaneous exposure of blood while on duty. The nurse wishes to have the patient tested for HIV; however, the patient refuses. Which of the following statements best summarizes testing issues related to HIV?

A nurse is caring for a patient with cancer who describes using ozone therapy and mega intravenous doses of vitamin C as part of her treatment. Which of the following nursing actions would take into consideration the patient's ability to self-determination?

What is the legal protection of a patient's right to personal autonomy called?

A patient is refusing to participate in his plan of care. The nurse is aware that the patient's refusal will negatively affect his health outcome. According to the Canadian Nurses Association Code of Ethics, what must the nurse take into consideration?

Which law states that active euthanasia and assisted suicide are both illegal and that taking part in them is against the law, even if carried out for merciful intentions or relieve suffering?

What is the purpose of a patient completing a living will?

What does a nurse's advocacy role regarding a patient's advance directives (AD) include?

Social, Philosophical, and Other Historical Forces Influencing the Development of Nursing

Ethical Theory

Ethical Principles

Values Clarification

Values Development

Ethical Decision Making

Legal Issues

Professional Issues

Professional Relationship Issues

Practice Issues Related to End-Of-Life Care

Scholarship Issues

The Future of Canadian Health Care: Challenges and Priorities

Health Policy Issues

Economic Issues

Social Issues

Issues of Gender and Culture

Rural and Aboriginal Nursing in Canada

Empowerment for Nurses

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Exam 11: Practice Issues Related to Patient Self-Determination

Which of the following elements must be present when evaluating a patient's decision-making capacity?

Which of the following actions are part of the nurse's role and responsibilities in informed consent?

Which of the following elements must be included in an informed consent?

Which source document acknowledges the importance of living wills and clearly identifies promoting and respecting informed decision making?

What is the definition of competence?

A patient asks the surgeon what will be gained by having the procedure and the surgeon does not respond. Which patient right is being violated?

When a nurse discusses a patient's condition and treatment with family members who were not authorized to have medical information disclosed to them, what principle is the nurse breaching?

A nurse is injured with a percutaneous exposure of blood while on duty. The nurse wishes to have the patient tested for HIV; however, the patient refuses. Which of the following statements best summarizes testing issues related to HIV?

A nurse is caring for a patient with cancer who describes using ozone therapy and mega intravenous doses of vitamin C as part of her treatment. Which of the following nursing actions would take into consideration the patient's ability to self-determination?

What is the legal protection of a patient's right to personal autonomy called?

A patient is refusing to participate in his plan of care. The nurse is aware that the patient's refusal will negatively affect his health outcome. According to the Canadian Nurses Association Code of Ethics, what must the nurse take into consideration?

Which law states that active euthanasia and assisted suicide are both illegal and that taking part in them is against the law, even if carried out for merciful intentions or relieve suffering?

What is the purpose of a patient completing a living will?

What does a nurse's advocacy role regarding a patient's advance directives (AD) include?

Social, Philosophical, and Other Historical Forces Influencing the Development of Nursing

Ethical Theory

Ethical Principles

Values Clarification

Values Development

Ethical Decision Making

Legal Issues

Professional Issues

Professional Relationship Issues

Practice Issues Related to End-Of-Life Care

Scholarship Issues

The Future of Canadian Health Care: Challenges and Priorities

Health Policy Issues

Economic Issues

Social Issues

Issues of Gender and Culture

Rural and Aboriginal Nursing in Canada

Empowerment for Nurses

Filters