Deck 12: Ethical Issues in Leadership,the Organization,and Care

Question 1

Why are patients and clients from diverse cultural backgrounds at risk?

A) Language barriers always interfere with care.
B) Patients' food preferences result in less than optimum nutrition.
C) Patients' reluctance to disclose their feelings is an issue.
D) There may not be a shared understanding of what is meaningful to these patients and their families.

Answer 1

There may not be a shared understanding of what is meaningful to these patients and their families.

Question 2

Nursing leaders are solely responsible for ensuring sound ethical practice and a healthy work environment.

Answer 2

False

Question 3

Patients' family members are an important aspect of care,and family-centred care is an important model of care.Which of the following is an example of inappropriate family involvement in the care of a patient involving a language barrier?

A) Translation by family members during decisions about cancer treatment
B) Translation by family members to assist the patient to eat
C) Translation by family members when culturally appropriate comfort measures are being provided
D) Translation by family members to help identify subtle signs of discomfort in the patient

Answer 3

Translation by family members during decisions about cancer treatment

Question 4

Which of the following organizational activities should be guided by ethical standards?

A) Recruitment practices
B) Leadership practices
C) Resource allocation
D) All of the above

Question 5

During night-shift report,the nurse notes that one of his colleagues cannot seem to stay awake.Despite prompting and tea,she remains drowsy,and the nurse suspects substance abuse.The nurse reports this to the charge nurse.Which of the following describes the charge nurse's responsibility?

A) The charge nurse should fire the employee immediately.
B) The charge nurse should send the employee home immediately.
C) The charge nurse should send the employee for drug testing immediately.
D) The charge nurse should suspend the employee with pay immediately.

Question 6

Which of the following factors is having an impact on the current nursing shortage?

A) An aging population creates a growing demand on health resources.
B) An aging population means more young people are contemplating entering the nursing profession.
C) Advances in technology call for increased generalization of practice for new nurses.
D) All of the above

Question 7

Distributive justice refers to the perception that processes have been fair and inclusive regardless of the outcome.

Question 8

Organizational ethics deals with those values that establish standards and influence how the organization is perceived both internally and externally.

Question 9

Which of the following best describes the expectations of a nurse caring for a patient with a different cultural background?

A) The nurse should ask another nurse with the same cultural background as the patient to care for the patient.
B) Nurses must be knowledgeable about all cultures and customs.
C) The nurse can identify the patient's unique cultural practices during assessment and then plan the implementation of care and interventions accordingly.
D) Nurses should avoid discussion of unusual customs.

Question 10

Which of the following is the most ethical method for recruiting internationally educated nurses?

A) Recruiting nurses from developing countries and offering them a better way of life in Canada
B) Booking a table at an international job fair for nurses and discussing opportunities with nurses who attend the fair
C) Offering large financial and transition incentives for internationally educated nurses to come to Canada
D) Hiring internationally educated nurses through international recruitment agencies

Question 11

What does the term "multidisciplinarity" mean,with respect to the levels of team functioning?

A) Feeling competent and confident in one's own discipline
B) Being willing and able to work with others in the joint evaluation,planning,and care of the patient
C) Believing that oneself and fellow professionals in one's discipline can make an important contribution to care
D) Recognizing that other disciplines also have important contributions to make