Deck 8: Ethical Concerns in Nursing Practice

Question 1

Which of the following best explains the concept of values clarification? Select all that apply.

A) Increased exploration of personal values
B) Enhanced self-awareness
C) Facilitates decision-making
D) Moral thoughts
E) Belief shared by members of a culture

Answer 1

Increased exploration of personal values
Enhanced self-awareness
Facilitates decision-making

Question 2

The nurse is attending an in-service on assisted suicide. Which of the following illustrates the primary arguments against assisted suicide? Select all that apply.

A) Religion
B) Medical ethics
C) Unintended consequences
D) Widespread euthanasia
E) Autonomy

Answer 2

Religion
Medical ethics
Unintended consequences

Question 3

Which of the following best demonstrates just distribution of limited medical resources? Select all that apply.

A) Need
B) Ability to pay
C) Societal contribution
D) Home ownership
E) Steady employment

Answer 3

Need
Ability to pay
Societal contribution

Question 4

The nursing student is reviewing ethical principles. Which ethical principle best explains the modern definition of accountability in nursing practice?

A) Fidelity
B) Justice
C) Beneficence
D) Veracity

Question 5

A nursing student is reviewing the deontology principle. Which example best explains this principle?

A) All persons in a research study have complete understanding of informed consent
B) Justification of capitation in a managed care organization
C) Health department fully funds immunizations and limits funding for episodic illness care
D) Using income inequality to determine eligibility for access to healthcare

Question 6

The nurse is speaking to a group of students about autonomy. Which of the following demonstrates a major application of autonomy?

A) Individual rights
B) Cultural relativism
C) Standard of best interest
D) Paternalism

Question 7

The nurse is faced with moral distress while caring for a client. Which source best explain common areas of moral distress? Select all that apply.

A) End-of-life care
B) Distributions of resources
C) Protecting client rights
D) Collective bargaining
E) Science and technology

Question 8

A nurse has just been asked to serve on an ethics committee. Which of the following best demonstrate the role of an ethics committee? Select all that apply.

A) Education
B) Policy development
C) Individual case review
D) Determine outcomes of care
E) Composed primarily of physicians

Question 9

The nurse is employing the steps of ethical decision-making. Which of the following formulates the steps of this process? Select all that apply.

A) Clarify the problem
B) Gather data
C) Evaluate options
D) Make a decision
E) Commitment to the client
F) Responsible work ethic

Question 10

The nurse is reviewing commitment for personal excellence in nursing. Which of these is the client's best protection against poor nursing care?

A) Self-evaluation
B) Continuing education
C) Positive attitude
D) Quality assurance

Question 11

The nursing student is learning about boundary violations in nursing care. Which of the following best illustrates a boundary violation between a nurse and a client?

A) Accepting gifts from clients and families
B) Respecting the client's autonomy to refuse medication
C) Educating clients about an experimental treatment
D) Arranging transportation for the client

Question 12

The nurse is reviewing factors associate with the impaired nurse. Which of the following best demonstrate factors that lead to chemical dependency? Select all that apply.

A) Stress
B) Frequent shift changes
C) Staffing shortages
D) Acceptance
E) Poor performance evaluations

Question 13

The nursing student is reviewing factors related to chemical dependence in nursing. Which of the following best explain factors associated with chemical dependence in nursing? Select all that apply.

A) Mood swings
B) Slurred speech
C) Tardiness
D) Improved documentation
E) Compliance with policies

Question 14

The nurse suspects a coworker is chemically impaired. Which of the following demonstrate the most appropriate reasons not to confront the nurse? Select all that apply.

A) Increased secretive behavior
B) Feelings of rejection
C) Validation of observations
D) Friendship
E) Client safety

Question 15

The nurse is concerned that a boundary violation has been committed. Which best explains the type of violation that has occurred?

A) Trust
B) Genuineness
C) Empathy
D) Rapport

Question 16

The nurse is describing negative euthanasia to a group of students. Which information best demonstrates this concept? Select all that apply.

A) Do not resuscitate orders
B) Withholding treatment
C) Withdrawing treatment
D) Administering pain medication
E) Advance directives

Question 17

The nurse is discussing issues surrounding the right to die with a group of students. Which information is most appropriate for this discussion? Select all that apply.

A) Refusing treatment
B) Dignity
C) Assisted suicide
D) Ethics
E) State laws

Question 18

The nursing student is studying about nonmaleficence. Which of the following best demonstrates examples of nonmaleficence? Select all that apply.

A) Wound debridement
B) Adverse drug reactions
C) Treatment side effects
D) Applying restraints without cause
E) Assisted suicide

Question 19

The nurse is studying the concept of veracity. Which ethical principle is most likely to conflict with veracity?

A) Nonmaleficence
B) Justice
C) Fidelity
D) Paternalism

Question 20

The nurse is caring for a Japanese client who has just been diagnosed with terminal cancer. Which ethical principle is most controversial in this scenario?

A) Veracity
B) Justice
C) Fidelity
D) Paternalism