ethics final

justice, beneficence

What are Frankena's Mixed Deontological Theory of Obligation two main principles

d.The child is often absent from school and seems apathetic and tired

What assessment data should a school nurse recognize as signs of neglect? a.The child is insecure and has a poor self-esteem b.The child has multiple bruises on their body c.The child is quiet and reserved d.The child is often absent from school and seems apathetic and tired

Capacity

What do physicians, often times a psychiatrist, assess for in those who struggle to form rational decisions, specifically the individual's ability to understand, appreciate, or comprehend information to make these rational decisions?

a. Report the suspected abuse and neglect according to state regulations.

What is a nurse's legal responsibility if abuse or neglect of a child or elder is suspected? a. Report the suspected abuse and neglect according to state regulations. b. Document observations in the medical record c. Continue assessing the situation d. Discuss findings with the physician

The ability to give informed consent determined by a court of law.

What is meant by a patient's "mental competency"?

c) Fairness

When CRISPR technology is used to remove alter a multitude of traits including eye color, gender, and genes related to intelligence it violates which principle of Thiroux's universal ethical principles? a) Truth telling b) Individual Freedom c) Fairness d) Honesty

False

True or False? The battle against communicable disease will probably end in the next century

False

True or False? The legal definition of death has a single, simple criterion.

True

True or False? The main focus of palliative care is comfort for the patient.

False

True or False? The most underfunded kind of nursing in a community hospital would probably be postsurgical.

True

True or False? To be a leader, one must be in upper management.

C) local power.

14. If you want to improve local heath, you need more: A) money. B) allies. C) local power. D) popularity.

Remove all tubes and equipment (unless organ donation is to take place), clean the body, and position appropriately.

A client who had a "Do Not Resuscitate" order passed away. After verifying there is no pulse or respirations, the nurse should next:

A) consciously and in full awareness in an attempt to establish relatedness and to structure nursing intervention.

1. According to Travelbee (1971), the "therapeutic use of self" can be defined in psychiatric nursing as using one's personality: A) consciously and in full awareness in an attempt to establish relatedness and to structure nursing intervention. B) to provide psychotherapy to the patient during care. C) to influence other family members who may not support the patient. D) to better society in a utilitarian model.

A. organizational culture.

1. An organization's beliefs, values, attitudes, ideologies, practices, customs, and language refers to: A. organizational culture. B. organization. C. power. D. organizational ethics.

A) A person has to put death in perspective to understand life.

1. Existential philosophers believe which statement about death? A) A person has to put death in perspective to understand life. B) A person must fear death in order to live a moral life. C) A person has to practice a religion to ease their fear of death. D) Being anxious about death leads to a more civilized society.

B) To help the U.S. population attain high-quality, longer lives free of preventable disease, disability, injury, and premature death

1. What is the fundamental purpose of public health nursing, as stated in Healthy People 2020? A) To provide moral care of sick populations B) To help the U.S. population attain high-quality, longer lives free of preventable disease, disability, injury, and premature death C) To share medical news with the nearby community D) To teach people about the dangers of teen smoking

D. compliance program.

10. A risk management program, designed to prevent unlawful conduct and to promote conformity with externally imposed regulations, is also known as a(n): A. probationary program. B. externship program. C. health insurance exchange. D. compliance program.

B) or patient exceeds the limits of the nurse-patient relationship.

10. Boundary violations occur in psychiatric nursing when a nurse: A) loses her certification. B) or patient exceeds the limits of the nurse-patient relationship. C) does not follow the doctor's orders. D) administers the wrong dose of psychotropic medication

B) Comfort care measures instead of aggressive medical treatments

10. What is palliative care? A) End-of-life medical treatment involving state-of-the-art medications and therapies B) Comfort care measures instead of aggressive medical treatments C) Cardiopulmonary resuscitation (CPR) D) Artificial feeding and hydration

A) moral choice.

10. When people decide how they choose to distribute societal benefits and burdens among the members of the community, it is known as: A) moral choice. B) coincidence. C) legal obligation. D) random outcome.

C) power, choice, and trust.

11. Concepts underlying nurse-patient boundaries are: A) faith, hope, and love. B) peace and harmony. C) power, choice, and trust. D) caring and consideration.

A. 1

11. If you are told that you will enter an organization within your company, with at least how many other people will you be working? A. 1 B. 2 C. 3 D. 4

A) Always

11. What limit in place or time exists on a competent patient who refuses medical treatment? A) Always B) Never C) Only in Oregon D) Only in Florida

D) Prioritize psychological issues last.

11. Which falls outside the principles listed by the American Nurses Association (ANA) for public health nursing? A) The unit of care is the population. B) Primary prevention gets first priority. C) Optimize use of available resources. D) Prioritize psychological issues last.

A. Organizational ethics

12. As a nurse works more frequently in a medical unit, the nurse will learn more pieces of what? A. Organizational ethics B. Ethic of the organization C. Organizational culture D. Organizational skills

A) moral community.

12. If most people who live near you care about improving health in the town and alleviating suffering, you form a: A) moral community. B) community. C) population. D) tribe.

B) physical, decisional, proprietary, and informational.

12. The four types of privacy that address limited personal access are: A) physical, mental, emotional, and financial. B) physical, decisional, proprietary, and informational. C) medical, ethical, informational, and physical. D) physical, emotional, decisional, and proprietary.

C) Giving high doses of pain medication to reduce the pain of terminally ill patients, even if this hastens death

12. What is an example of the rule of double effect? A) Giving a patient a placebo in place of prescribed medication B) Giving a patient a double dose of pain medication C) Giving high doses of pain medication to reduce the pain of terminally ill patients, even if this hastens death D) Giving the patient experimental drugs in end-of-life situations, even if this hastens death

C. complex adaptive system.

13 Doing continuous quality improvement will make a hospital a(n): A. organizational culture. B. ethical organization. C. complex adaptive system. D. success

A) eliminate health disparities.

13. Healthy People 2020 seeks to: A) eliminate health disparities. B) reduce smoking. C) make immigrants healthier. D) change diets.

A) sedating a suffering patient to unconsciousness, as all other life-sustaining interventions are withheld.

13. Terminal sedation (Quill, 2001) is defined as: A) sedating a suffering patient to unconsciousness, as all other life-sustaining interventions are withheld. B) removing artificial hydration or nutrition. C) removing a patient from a mechanical ventilator. D) providing the patient with enough medication to commit suicide.

D) Confidentiality

13. What is one of the oldest moral commitments when it comes to healthcare ethics? A) Chastity B) Privacy C) Honesty D) Confidentiality

C. integrity.

14. A hospital that has a mindful culture and follows its own stated mission statement and five goals for future improvement has: A. ethics. B. organization. C. integrity. D. happy workers.

A) advocate.

14. A mental health nurse who acts as a go-between for a patient estranged from his or her family is being an: A) advocate. B) authority figure. C) advisor. D) ally.

B) relating to her fear of death and by alleviating pain and suffering.

14. The most important aspect of providing compassionate nursing care to a dying patient is to offer support by: A) assuring him that there is an afterlife. B) relating to her fear of death and by alleviating pain and suffering. C) administering medications that provide heavy sedation. D) calling friends and family with frequent updates on the patient's health status.

B) Visceral nociceptive

15. Blunt trauma to the kidney would cause what kind of pain? A) Neuropathic B) Visceral nociceptive C) Neuropathic nociceptive D) Somatic nociceptive

B) Judge

15. If a mental health nurse can help to decide on capacity, the nurse still needs whom to decide on competence? A) Police B) Judge C) Relatives D) Physician

A. Fiduciary relationship

15. If your hospital has a pledge to provide 25% of all care free to those under the poverty level, it has what with the poor? A. Fiduciary relationship B. Ethical connection C. History of nonmaleficence D. Poor business plan

D) Germany.

15. The precautionary principle is based on a concept from: A) Australia. B) China. C) France. D) Germany.

D) need someone else to make decisions about medications.

16. A competent, incapacitated patient would: A) need hospitalization. B) be able to refuse treatment. C) require sedation. D) need someone else to make decisions about medications.

D) World Health Organization (WHO).

16. A useful tool for measuring somatic nociceptive pain can be obtained from the: A) Occupational Safety and Health Administration (OSHA). B) Department of Health and Human Services (HHS). C) American Medical Association (AMA). D) World Health Organization (WHO).

D) nonmaleficence.

16. The Precautionary Principle is aligned with: A) beneficence. B) maleficence. C) benefaction. D) nonmaleficence.

B. Increases it

16. What does trust do for economic value in an organization? A. Reduces it B. Increases it C. Does not affect it D. Changes it in unpredictable ways

B) psychiatric nursing involves subjective experiences rather than objective diseases.

2. An emphasis on values and morality is even more important in psychiatric nursing because: A) people with psychiatric problems need moral guidance in order to be cured. B) psychiatric nursing involves subjective experiences rather than objective diseases. C) it is important for the nurse to share her religious beliefs with psychiatric patients. D) psychiatric illnesses can be cured with proper morality.

C. the ethic of an organization.

2. An organization's attempt to define its mission and values, recognize values that could cause tension, seek best solutions to these tensions, and manage the operations to maintain its values is: A. the culture of an organization. B. organizational ethics. C. the ethic of an organization. D. organizational relationship.

D) populations and community.

2. In communitarian ethics, the focus is on: A) care of the individuals. B) care of the family. C) ethicists and healthcare professionals. D) populations and community.

True

2. True or False? Pandemic influenza is a disease threat today.

C) Immortality projects and dependence on a rescuer

2. What are the two ways that individuals avoid facing their own mortality, according to Yalom (1980)? A) Good health care and a consistent exercise regimen B) Immunizations and regular checkups C) Immortality projects and dependence on a rescuer D) Living wills and durable powers of attorney

C) Nonjudgmental

3. Ethically, it is important that psychiatric nurses keep what kind of attitude when treating patients? A) Positive B) Serious C) Nonjudgmental D) Friendly

A) role modeling.

3. Nurses and other leaders often educate communities through: A) role modeling. B) seminars. C) the school setting. D) patient handouts.

A) Active and passive

3. What are the two major types of euthanasia? A) Active and passive B) Doctor-assisted and family-assisted C) Inpatient and outpatient D) Lethal injections and DNR orders

B. Occupational fraud and abuse

3. What has occurred when the CEO of a hospital uses hospital assets to pay for personal travel and a beach home? A. Noncompliance B. Occupational fraud and abuse C. Citizenship D. Fiduciary relationship

c) Honesty and Truth-telling

4) A nurse is providing education to a patient prior to beginning hormonal treatment for infertility. Based on Thiroux's universal ethical principles. Informing patients of all the risks associated with the therapy reflects which principle a) Nonmaleficence and Beneficence b) Autonomy c) Honesty and Truth-telling d) Justice

B) new psychotropic medicines to manage symptoms.

4. In the 1960s and 1970s, there was a wide-scale release of patients from psychiatric institutions because of: A) violations of their civil rights. B) new psychotropic medicines to manage symptoms. C) lack of health insurance. D) new counseling techniques that provided cures.

B. Bureaucratic leadership

4. What is essential in an organization largely because of the past leadership failures that have occurred in big business and healthcare organizations? A. Autocratic leadership B. Bureaucratic leadership C. Ethical leadership D. Cross-cultural leadership

A) Academic experiences in which students engage both in social action and in reflection on their experiences in performing the action

4. What is service learning? A) Academic experiences in which students engage both in social action and in reflection on their experiences in performing the action B) A type of learning that allows the nurse to serve her colleagues and peers in an educational setting C) Nurses providing free care in the community as part of their degree program D) Learning to triage health care based on access to necessary services

B) He claimed that it was mercy killing when a patient is in a terminal state of dying.

4. What was Dr. Jack Kevorkian's argument for euthanasia? A) It should be avoided under any circumstances. B) He claimed that it was mercy killing when a patient is in a terminal state of dying. C) The option should ultimately be decided by an experienced physician. D) It should only be done in sudden accidents rather than serious illnesses.

A) homeless.

5. Many of the people released from psychiatric institutions became: A) homeless. B) famous. C) newly integrated into society. D) wage earners.

B) human connections.

5. The idea of "just generosity" focuses on: A) separateness. B) human connections. C) giving to your enemies. D) moral theories.

B. collaboration, quality, leadership succession planning.

5. Three ways leaders can use power positively to promote success are: A. communication, rewards, advancement. B. collaboration, quality, leadership succession planning. C. expertise, pragmatism, communication. D. organization, social justice, listening

D) being buried alive.

5. When it came to death in the 18th and 19th centuries, people worried about: A) catching the plague. B) having no health care. C) having to suffer. D) being buried alive.

D. normative leadership theories.

6. Servant leadership, transformative leadership, and authentic leadership are examples of: A. autocratic leadership theories. B. group-based leadership theories. C. descriptive leadership theories. D. normative leadership theories.

A) how to protect the public while respecting individual rights and privacy.

6. The primary ethical issue regarding testing for HIV is: A) how to protect the public while respecting individual rights and privacy. B) communicating the importance of morality. C) asking patients to surrender their autonomy. D) autonomy vs. paternalism

B) Stethoscope

6. What 1819 invention greatly reduced the fear of being buried alive? A) EKG B) Stethoscope C) X-ray D) Lethal injection

A) DSM-III

6. What manual radically changed how psychiatric diagnoses were categorized? A) DSM-III B) DSM-IV C) ICN Code of Ethics D) ANA Code of Ethics

A. ethics as praxis.

7. A leader that clarifies, reflects on, makes sense of, and embodies a leadership theory is demonstrating: A. ethics as praxis. B. qui tam lawsuit. C. unbundling. D. a fraud prevention program.

C) Biological or observed data

7. The DSM-IV emphasized using what to diagnose psychiatric disorders? A) Theoretical or subjective data B) Self-reported data C) Biological or observed data D) Ethical data

D) air.

7. Tuberculosis is transmitted through: A) unprotected sex. B) water. C) body fluids. D) air.

C) EEG

7. Which device measures electrical activity of the brain? A) EKG B) MRI C) EEG D) X-ray

A) a written expression of a person's wishes about medical care, especially during a terminal or critical illness.

8. An advance directive is defined as: A) a written expression of a person's wishes about medical care, especially during a terminal or critical illness. B) a written expression detailing how to dispose of a person's worldly goods. C) a written document providing trust funds for minor children. D) written instructions regarding how a person wishes his or her remains to be disposed.

B) Military

8. In terrorism and natural disasters, what type of triage is used? A) Medical B) Military C) Community D) Socialist

A) shameful.

8. Psychiatric stigma means viewing the person with a mental illness as: A) shameful. B) marked by God. C) morally bankrupt. D) sacrilegious.

B. Pressure to maintain numbers

8. What is the first and earliest sign that an organization is in trouble? A. Stealing B. Pressure to maintain numbers C. Unqualified CEO D. Overpaid board of directors

D) moral careers

9. Goffman (1963) describes the common experiences of stigmatized people as: A) ethical virtues. B) moral values. C) moral compasses. D) moral careers

C) Discrimination

9. What is one of the major risks of genetic testing? A) Depression B) Shock C) Discrimination D) Anger

C. Compliance officer

9. What is the title of the person who oversees and monitors regulatory requirements and internal policies? A. Legal counselor B. Human resource director C. Compliance officer D. Project manager

C) When a healthcare provider cannot have reasonable hope that a treatment will benefit a terminally ill person

9. When is a treatment considered medically futile? A) When a healthcare provider determines it won't cure a patient B) When a patient is very old C) When a healthcare provider cannot have reasonable hope that a treatment will benefit a terminally ill person D) When it is not cost-effective

Making sure the client has accurate information and understands the

A client with cancer has decided against further treatment. Which action by the nurse would be most appropriate?

d) Examine their own feelings around conception and fertility

A new graduate nurse just started a job in a fertility clinical. In order to ensure culturally competent care is provided they should. a) Ask their friends their opinions on IVF b) Interview people who have difficulty conceiving c) Look up patient demographics in that area and provide care based on dominant cultural beliefs to every patient d) Examine their own feelings around conception and fertility

a) Speak to the nursing manager about the incident

A nurse is taking care of a couple undergoing IVF and they declined preimplantation genetic testing. The nurse finds out the physician did genetic screening despite the parents request and marked embryos with extra chromosomes as non viable for implantation. What should the nurse do? a) Speak to the nursing manager about the incident b) Document her findings in the EMR c) Contact a lawyer d) Confront the doctor

False

True or False? Jennings listed five signs of ethical trouble in an organizatio

True

True or False? Palliative care can be as simple as hydration, nutrition, and spending time with caregivers.

True

True or False? Power, choice, and trust form key parts of boundaries for mental health nurses.

The nurse will act with the thought of doing good for their patient.

The ethical principle of beneficence can arise for a nurse while the debating of sterilization of people with intellectual disabilities. What does this principle mean for the nurse in the context of this ethical dilemma?

Collecting all available information about the situation

The nurse is working with parents of a seriously ill newborn. Surgery has been proposed for the infant, but the chances of success are unclear. In helping the parents resolve this ethical conflict, the nurse knows that the first step is:

True

True or False? Some think that the concept of limited resources in health care is a smokescreen for changes in availability for some.

Be aware of one's values and beliefs.

The nurse who is against sterilization is assigned to a patient who is intellectually disabled scheduled to be sterilized. How should the nurses ensure the best career for the patient?

Whether the quality of life will improve after the procedure is done.

The patient is attempting to make an informed decision about whether to have a life-extending treatment done. The essential piece of information that is significant in the decision is:

True

True or False? A successful leader is an ethical leader.

False

True or False? According to Couden, nurses are often divorced from the pain of dying patients.

True

True or False? An H1N1 pandemic was declared by the World Health Organization (WHO) in 2009.

True

True or False? Bostrum stated that the need to manage the environment helped to distinguish the work of psychiatric nurses from that of other nurses.

False

True or False? Boundaries in nursing are specifically defined by the American Medical Association (AMA) and by Occupational Safety and Health Administration (OSHA).

True

True or False? Having a weak board can cause an ethical disaster in a hospital, if not corrected.

b) A patient that is unable to understand the situation is euthanized after stating they wanted to be

Which of the following is an example of involuntary euthanasia? a) A patient willingly signs a consent form after speaking with the resources available b) A patient that is unable to understand the situation is euthanized after stating they wanted to be c) A patient who is in hospice care decides that it would be best to end their suffering after speaking with theirfamily d) A patient who fully understands the medical terminology agrees to the procedure.

a) It provides a relief of suffering for the patient

Which of the following is true pertaining to euthanasia? a) It provides a relief of suffering for the patient b) It will not lead to a slippery slope argument c) It is morally acceptable regardless of how the nurse feels d) The nurse makes the decision on when to perform euthanasia

a. The patient is wearing a diaper that looks like it hasn't been changed since the night before. b. The patient has a number of pressure sores on their buttocks c. The patient has been losing weight for several weeks

You have been on an unit and notice that a patient is showing signs of neglect. What evidence does the nurse observe that the patient is being neglected? (Select all that apply). a. The patient is wearing a diaper that looks like it hasn't been changed since the night before. b. The patient has a number of pressure sores on their buttocks c. The patient has been losing weight for several weeks d. The patient has been gaining weight in the past week

c. Intervene immediately and take action by reporting the event to the authority responsible for the HCP.

You observe another nurse neglecting a client. What should your first action be? a. Continue to observe the situation b. Call the police c. Intervene immediately and take action by reporting the event to the authority responsible for the HCP. d. Speak directly to the nurse about neglecting the patient