Deck 6: Application of Ethics in the Community

Question 1

There are two medically indigent clients in the clinic who have come to get their monthly supply of free insulin.There is only enough for one client.Which action does the nurse take first?

A) Identify all options.
B) Make a decision.
C) Gather additional information.
D) Act and assess decisions made.

Answer 1

Gather additional information.

Question 2

According to Leininger and Watson,the moral ideal of nursing is:

A) Caring
B) Advocacy
C) Responsibility
D) Accountability

Answer 2

Caring

Question 3

A nurse in the 1960s would have referred to which code of ethics to guide ethical decision making?

A) Nightingale Pledge
B) Code for Professional Nurses
C) Code of Ethics for Nurses with Interpretive Statements
D) International Council of Nurses (ICN) Code of Ethics for Nurses

Answer 3

Code for Professional Nurses

Question 4

A nurse believes everyone is entitled to equal rights and equal treatment in society when applying:

A) Distributive or social justice
B) Egalitarianism
C) Libertarian view of justice
D) Communitarianism

Question 5

Public health administrators in a community provide a health department to serve an indigent population of immigrants providing translators on certain days of the week.This is an example of:

A) Policy
B) Quality
C) Assurance
D) Libertarian philosophy

Question 6

When nurses apply the knowledge and processes of ethics to the examination of ethical problems in health care,they are using:

A) Values
B) Morality
C) Ethics
D) Bioethics

Question 7

An orderly process that considers ethical principles,client values,and professional obligations is:

A) Accountability
B) Ethical decision making
C) Moral principles
D) Code for Nursing Practice

Question 8

When using the principles of virtue ethics in decision making,a nurse would:

A) Provide efficient and effective nursing care.
B) Identify the meaningful facts in the situation.
C) Seek ethical community support to enhance character development.
D) Plan ways to restructure the social practices that oppress women.

Question 9

Which statement about Florence Nightingale's ideas about ethics is correct?

A) Nursing is a call to service, and the moral character of persons entering nursing is important.
B) Ethical principles are based on the values of the individual nurse.
C) Society will dictate the ethical principles to which nurses must adhere.
D) Ethics are very important in times of war, such as in the Crimean War, when she set up public health centers.

Question 10

The steps of the ethical decision making process are similar to the steps of:

A) Healthy People 2010
B) Deontology
C) The nursing process
D) Advocacy

Question 11

Which statement fits the Liberal Democratic Theory of John Rawls?

A) Rejection of any idea that societies, states, or collectives of any form can be the bearers of rights or can owe duties.
B) Inequalities result from birth, natural endowment, and historic circumstances.
C) Everyone has a right to private property.
D) Government should be limited.

Question 12

Which core function supports the belief that all Americans should receive basic health care services?

A) Assessment
B) Assurance
C) Policy development
D) Advocacy

Question 13

Which statement about feminist ethics is correct?

A) Feminists include only women in their worldview.
B) Persons who ascribe to feminist ethics are passive and wish to pursue their ideals through the legislative process.
C) Feminists believe that men should not be nurses.
D) Women's thinking and moral experiences are important and should be taken into account.

Question 14

Which statement is discussed in the Code of Ethics for Nurses with Interpretive Statements?

A) The profession of nursing is responsible for making political statements and supporting nurse-friendly candidates for office.
B) The nurse's primary focus is on acute bedside nursing, followed by community health care to promote seamless care.
C) The nurse owes duty primarily to the physician to strive to protect health, safety, and the rights of the patient.
D) The profession of nursing is responsible for articulating nursing values, for maintaining the integrity of the profession, and for shaping social policy.

Question 15

Which ethical principle requires "doing no harm"?

A) Respect for autonomy
B) Non-maleficence
C) Beneficence
D) Distributive justice

Question 16

A nurse providing care using the idea of "servicing citizens,not customers" is applying the:

A) Ethical tenets of policy development
B) Basic concepts of the feminist theory
C) Underlying premise of virtue ethics
D) Components of distributive justice

Question 17

The growing multiculturalism of American society can contribute to ethnicity conflicts when:

A) Cultural standards are congruent with professional standards.
B) Cultural traditions within an ethnic group align with those of the community.
C) Ethnic groups overburden the health care system.
D) The greater community's values are jeopardized by specific ethnic values.

Question 18

Examples of the benefits of distributive justice are:

A) Basic needs, material and social goods, liberties, rights, and entitlements
B) Taxes, military service, location of incinerators or power plants
C) Entitlement to equal rights and equal treatment
D) The right to private property and personal assets

Question 19

An example of an ethical dilemma is:

A) Whether or not to set up a community health center in a rural area
B) Allocating resources in a natural disaster
C) Deciding to withdraw care on a hospice patient
D) Applying the principles of Florence Nightingale in Bangladesh

Question 20

A nurse applies the ethical principle of non-maleficence when:

A) Administering medications using the "five rights"
B) Allowing clients to be active participants in their care
C) Providing patient privacy when delivering care
D) Referring a client to a physical therapist

Question 21

Which nursing action demonstrates advocacy?

A) Offering a smoking cessation program
B) Screening for hypertension
C) Lobbying for health care reform
D) Conducting home visits

Question 22

How can a community health nurse apply the Ethical Principles for Effective Advocacy? Select all that apply.

A) Act in the health care provider's best interest.
B) Keep the client (group, community) properly informed.
C) Maintain client confidentiality.
D) Carry out instructions with diligence and competence.

Question 23

Why would a nurse refer to the Code of Ethics for Nurses or the Public Health Code of Ethics?

A) To provide answers for ethical dilemmas
B) To guide professional practice related to ethics
C) To increase moral leadership in ethics
D) To find a framework for ethical decision making

Question 24

The community leaders in a lesser-developed country decide not to tell the citizens of a small village about a chemical spill at a major industrial facility that could produce harmful effects.Which principle are they violating?

A) Policy
B) Advocacy
C) Caring
D) Virtue

Question 25

The ethical tenets that underlie the core function of assessment are (select all that apply):

A) Competency: the persons assigned to develop community knowledge are prepared to collect data on groups and populations
B) Moral character: the persons selected to develop, assess, and disseminate community knowledge possess integrity
C) Service to others over self: a necessary condition of what is "good" or "right" policy
D) "Do no harm": disseminating appropriate information about groups and populations is morally necessary and sufficient