Ch.6

18. Michael a novice nurse has been assigned to four medically ill patients. There is a nursing staff shortage on his unit and more experienced nurses have as highly acute a workload as he does. As the shift progresses he becomes more distraught and unable to provide the type of care he knows his patients need. Michael is experiencing: a. Moral distress. b. Moral fatigue. c. Values conflict. d. Therapeutic relationship.

A

4. Three gravely ill patients are candidates for the only available bed in the intensive care unit. As the supervisor, you assign the bed to the patient with the best chance of recovery. This decision reflects which of the following ethical principles? a. Beneficence. b. Autonomy. c. Veracity. d. Nonmaleficence.

A

1. To perform treatment on a patient not requiring a formal written consent a nurse must conduct which of the following? (Select all that apply.) a. Asking permission to do a treatment. b. Explaining the procedure. c. Stopping the procedure if patient is uncomfortable. d. Confirming understanding of the treatment.

A, B, C, D

2. Nursing management actions and decisions are guided by (Select all that apply.) a. The law. b. Ethical principles. c. Leadership style. d. Professional accountabilities. e. Staff preferences.

A, B, D

3. Which of the following are core elements of relational ethics? (Select all that apply.) a. Mutual respect. b. Justice and beneficence. c. Informed consent. d. Interdependent environment.

A, D

10. Which of the following is a criticism of the principle of autonomy? a. It is not culturally sensitive. b. It can lead to focus on the needs of one person at the expense of the needs of others. c. It is not applicable with entire groups. d. It can be viewed as advancing professional directives rather than patient desires.

B

11. Autonomy is best promoted through which of the following, in taking a relational approach to autonomy? a. Specific roles within the relationship. b. Social change. c. Protecting an individual's freedom of choice. d. The necessity of treating everyone fairly.

B

14. Which element of the Code of Ethics of the International Council of Nurses is reflected when the nurse manager establishes a system for performance appraisals? a. People. b. Practice. c. Profession. d. Coworkers.

B

15. What is reflected when a nurse feels a lack of clarity or is unable to know even what the moral problem is, whereas at the same time feeling uneasy or uncomfortable about the situation? a. Moral distress. b. Moral uncertainty. c. Ethical dilemma. d. Ethical distress.

B

16. A patient's husband asks to speak with the nursing manager. He is visibly upset and tells the nursing manager that while at the corner store, he overheard two nurses discussing his wife's health issues and is certain that others around him also heard the discussion. This is an example of: a. Ethical distress. b. An ethical violation. c. Moral inappropriateness. d. An ethical dilemma.

B

5. Which ethical principle is primarily involved in informed consent? a. Veracity. b. Autonomy. c. Beneficence. d. Nonmaleficence.

B

6. Which of the following is a key area of ethical nursing practice? a. Nursing process. b. Therapeutic relationship. c. Decision-making model. d. Embodied knowledge.

B

7. Which question reflects the essence of relational ethics? a. "What can I do to maintain my professional practice?" b. "What should I do for others?" c. "What techniques can I use to empower my colleagues?" d. "What ethical decision-making model will work best for me?"

B

9. According to relational ethics, what is critical in the development and maintenance of the roles and actions of the nurse manager? a. Time management skills. b. Professional relationships. c. Understanding of biomedical ethics. d. Comprehension of the Quebec Nurses Association's Code of Ethics for nursing.

B

12. Sue, a staff nurse, consistently arrives 15 minute late for her shift, and the nurse manager has talked to her about it several times. Sue does not take the comments seriously because there are two other nurses who also arrive late all the time, and the unit manager does not reprimand them. In this situation, the nurse manager is violating the ethical principle of: a. Beneficence. b. Nonmaleficence. c. Justice. d. Autonomy.

C

13. Which element of the Code of Ethics of the International Council of Nurses is reflected in the following statement: "The nurse manager sets policies and procedures to guide ethical nursing practice?" a. People. b. Practice. c. Profession. d. Coworkers.

C

17. Sally, a fourth year nursing student, was assigned to a maternal child unit. Upon reporting for an assignment she was informed her patient would be having an abortion because of severe medical issues with the unborn child. She approached her preceptor immediately and asked to be reassigned to another patient because Sally was opposed to abortion for any reason. This is an example of: a. Competent nursing care. b. Staffing availability. c. Conflict of conscience. d. Fatigue.

C

19. Mr. and Mrs. Bennett are attending a consult for reproductive assistance. Although there is a positive chance the method will result in a pregnancy, they are not able to cover the cost of the procedure. This situation denies which of the following ethical principles? a. Autonomy. b. Nonmaleficence. c. Justice. d. Beneficence.

C

2. Normative ethics is concerned with the: a. Broader theory and meaning of morality. b. Foundation and scope of moral values, words, and practice. c. Standards that most people use to guide their behaviours. d. Relationship of ethical principles to real-life moral issues.

C

3. A patient refuses a simple procedure that you believe is in the patient's best interest. The two ethical principles that are directly in conflict in such a situation are: a. Fidelity and justice. b. Veracity and fidelity. c. Autonomy and beneficence. d. Paternalism and respect for others.

C

1. The manager in the coronary care unit believes that the most important ethical considerations in performance evaluations are that they include the employee's good qualities and that they give positive direction for professional growth. This belief is an example of: a. Justice. b. Fidelity. c. Beneficence. d. Nonmaleficence.

D

8. The nurse manager organizes interprofessional team meetings on a weekly basis. This action is demonstrating which aspect of relational ethics? a. Embodied knowledge. b. Interdependent environment. c. Engaged interactions. d. Mutual respect.

D