Ethics Ch 16/17/18/19 + weekly quiz questio

Which type of justice issue is present when women are paid less than men in nursing? A - Commutative justice issue B - Distributive justice issue C - Legal justice issue D - Social justice issue

B - Distributive justice issue

How can nurses attend to the spirituality of patients? A - Ask themselves if they believe the patient's authenticity towards spirits B - First attend to their own spirits C - Inform patients of their own beliefs D - Practice autonomy in regard to religion

B - First attend to their own spirits

What is the most common but least reported crime in the United States? A - Child abuse B - Intimate partner violence C - LGBTQ violence D - Older adult abuse

B - Intimate partner violence

practical dilemma

non-moral claims, or claims of self-interest

What is a reason some households experience food insecurity? A - Inadequate food resources in their area B - Lack of transportation to shop C - Limited financial resources D - Unknowledgeable of health foods

A - Inadequate food resources in their area

Homeless health problems include problems that result from: A - Limited access to care B - Societal judgments C - Complementary medicine D - Refusal of care upon presentation

A - Limited access to care

Which therapy is considered complementary? A - Surgery B - Biofeedback C - Radiotherapy D - Chemotherapy

B - Biofeedback

What is considered a last resort when advocating for patients' safety? A. Informing another coworker B. Reporting to the institution C. Telling a supervisor D. Whistle-blowing

D. Whistle-blowing

Cultural sensitivity starts with: A - Acknowledging that values, beliefs, behaviors of another culture are legitimate. B - Assuring that health care services are provided in the language best understood by the patient. C - Believing that nursing care should be provided in a manner helps the patient feel safe in discussing and incorporating their cultural values into care. D - Recognizing that another person's culture is different from one's own.

A - Acknowledging that values, beliefs, behaviors of another culture are legitimate.

What is the responsibility of the nurse when facing a patient from a vulnerable population? A - Analyze personally held values B - Realize that the healthcare system is unable to help all affected people C - Recognize that patients must suffer consequences of poor choices D - Understand that patient autonomy may create violence

A - Analyze personally held values

In which nursing specialization are more men employed? A - Anesthesia B - Neonatal C - Research D - Trauma

A - Anesthesia

What should nurses do when caring for an LGBT+ patient? A - Ask each patient their sexual orientation B - Be aware of a biased environment C - Focus on potential domestic violence D - Refer patients to specialty clinics

A - Ask each patient their sexual orientation

Which ethical standard is applied when a nurse honors an abused woman's choice to return home? A - Autonomy B - Beneficence C - Justice D - Nonmaleficence

A - Autonomy

What is victim blaming? A - People burdened by social conditions are accountable for their own situation. B - People on the lower socioeconomic ladder are responsible for finding their own healthcare. C - People who are unable to think through situations are more likely to experience violence. D - Perpetrators of violence make their targets believe it is their choice to receive harm.

A - People burdened by social conditions are accountable for their own situation.

For children, lack of sufficient healthy food intake is associated with: A - A health-conscious home environment B - Greater incidence of cognitive, educational, and developmental delays C - Hypertension D - Limitations in activities of daily living

A health-conscious home environment

moral reckoning

A large process that consists of moral distress and moral outrage and spans many nurses' careers. It's a 3-stage process

Children living in poverty: (Select all that apply) A. Are more likely to experience inadequate exercise B. Are more likely to experience poor nutrition. C. Have a higher incidence of conditions associated with trauma. D. Are less likely to grow up with chronic illnesses.

A. Are more likely to experience inadequate exercise B. Are more likely to experience poor nutrition. C. Have a higher incidence of conditions associated with trauma.

Workplace empowerment is associated with the following: (SELECT ALL THAT APPLY) A. Job satisfaction B. Nurse retention C. Organizational commitment D. Increased incivility and burnout E. Better patient care

A. Job satisfaction B. Nurse retention C. Organizational commitment E. Better patient care

Empowerment requires: (Select all that apply.) A. Respect for an individual's personal beliefs and goals B. Trust in the person's ability to make decisions C. Emotional and social support D. Permission from your supervisor

A. Respect for an individual's personal beliefs and goals B. Trust in the person's ability to make decisions C. Emotional and social support

When a physician snaps at Nurse Deborah for questioning a medication dosage, Deborah becomes distracted. Which of the following is true about rudeness in clinical situations? A. Rudeness can result in poorer patient treatment with potentially catastrophic clinical outcomes. B. Very few nurses have encountered negative comments about colleagues. C. A study has shown that rudeness accounts for very few cognitive and procedural performance errors. D. A small percentage of nurses have experienced demeaning comments or insults.

A. Rudeness can result in poorer patient treatment with potentially catastrophic clinical outcomes.

Which of the following is true regarding the Civil Rights Act of 1964? (Select all that apply.) A. The Civil Rights Act made it unlawful for an employer to discriminate against any individual because of the person's race. B. The Civil Rights Act It made it unlawful for an employer to discriminate against any individual because of the person's color. C. The Civil Rights Act primarily protects the rights of Caucasians and other minorities. D. The Civil Rights Act made it unlawful for an employer to discriminate against any individual because of the person's religion. E. The Civil Rights Act It made it unlawful for an employer to discriminate against any individual because of the person's national origin.

A. The Civil Rights Act made it unlawful for an employer to discriminate against any individual because of the person's race. B. The Civil Rights Act It made it unlawful for an employer to discriminate against any individual because of the person's color. D. The Civil Rights Act made it unlawful for an employer to discriminate against any individual because of the person's religion.

The vision you hold of your role in health care influences your ability to practice in a holistic, patient-focused way. Awareness of various factors that influence ____________ empowers nurses to work to counter negative influences. A. self-image B. how others see you C. how others see nurses D. how nurses see you

A. self-image

What is food insecurity? A. when a household lacks consistent access to adequate food B. When a household lacks adequate information about nutrition C. when people are afraid food contains toxins D .when organic food costs less than non-organic

A. when a household lacks consistent access to adequate food

What does stereotype mean? A - A persistent idea about a person's characteristics that is always right B - A persistent idea about a person's characteristics that is preconceived, oversimplified, and often wrong. C - A proven belief that women are better than men D - The belief that one population negatively affects another population

B - A persistent idea about a person's characteristics that is preconceived,

When talking about sexual relationships with LGBT+ patients, nurses should: A - Ask about their first encounter B - Ask specific questions about practices C - Ask what kind of bias they experience D - Ask why they chose the lifestyle they lead

B - Ask specific questions about practices

A patient presents whose first language is not English. When determining this patient's linguistic competency, we must determine: A - The consent by the patient to proceed with the plan of care B - The extent to which the patient understands our language C - The patient's knowledge of Western medicine D - The patient's understanding of the interpretation provided

B - The extent to which the patient understands our language

Which metaphor is now claimed by nurses? A. Absolving the nurse from guilt B. Advocacy for patients C. Depersonalization of health care D. Obedience of a higher authority

B. Advocacy for patients

Empowerment for nurses involves: A. Blaming B. Commitment and risk C. Hope D. Righteousness

B. Commitment and risk

Which term is related to the ability to do or act? A. Hope B. Power C. Spirit D. Trust

B. Power

Nurses' first obligation is to: A. the institution B. patients C. coworkers D. a supervisor

B. patients

What is religion? A - A gathering of people with like values B - Admiration for a particular person or thing C - Codification of beliefs and practices concerning the Divine shared by a group of people D - Codification of values regarding life that a group of people share

C - Codification of beliefs and practices concerning the Divine shared by a group of people

Which of these is a key element of FICA? A - Family B - Intelligence C - Community D - Absolution

C - Community

What does the term health disparities refer to? A - Clinics that only serve a specific group of people B - Denial of care to those who cannot afford health care C - Discrimination or perceived discrimination that leads to a delay in seeking health care D - Favoritism in health care towards those who have medical insurance

C - Discrimination or perceived discrimination that leads to a delay in seeking health care

What is it called when we have a tendency to judge beliefs and behaviors of someone from another culture by the standards of our own culture? A - Communitarianism B - Consequentialism C - Ethnocentrism D - Internationalism

C - Ethnocentrism

Who may have set the stage for only women to be nurses in her writings? A - Clara Barton B - Dorthea Dix C - Florence Nightingale D - Margaret Sanger

C - Florence Nightingale

In what way does collegial rudeness hurt the nursing profession? A - Causes hard feelings between genders B - Creates animosity between the nurse and patient C - Interferes with the performance of manual skills, work sharing, and helping D - Reduces the cognitive development of nurses

C - Interferes with the performance of manual skills, work sharing, and helping

In which aspect of health care have men often been overlooked? A - Mental health B - Occupational health C - Reproductive health D - Sports medicine

C - Reproductive health

The most basic way of integrating spiritual care into nursing is through: A - Expressing one's own belief B - Offering to hang a cross in the patient's room C - Showing compassion D - Telling the patient to pray with the nurse

C - Showing compassion

Josie started work last week in a new department. She was surprised to overhear Nurse Layla spreading a rumor about a coworker. What is the term for Layla's behavior? A. Bullying B. Compassion C. Incivility D. Libel

C. Incivility

When nurses view health care as a basic human need and a right for each person, the nurse's primary responsibility is to the: A. Community B. Institution C. Patient D. Physician

C. Patient

What plays a key role in empowerment? A. Ability to collaborate B. Institutional policy and procedures C. Personal values and perceptions D. Promotion of healthcare outcomes

C. Personal values and perceptions

Nurse Charday feels like she understands the structures of information, support, and resources available at work. She rates her workplace empowerment favorably. Workplace empowerment relates to which of the following: A. increased burnout B. increased incivility C. job satisfaction D. low levels of professional commitment.

C. job satisfaction

In regard to healthcare, justice implies: A - An enhanced financial burden on the wealthiest citizens B.- Care will be provided only to those with the financial resources C - Children should receive better care than adults when there are limited resources D - Equal treatment to all or to those most in need

D - Equal treatment to all or to those most in need

Which ethical standard is applied when a nurse does not discharge an abused women to her home when there is a possibility of further injury? A - Autonomy B - Beneficence C - Justice D - Nonmaleficence

D - Nonmaleficence

What benefit does cultural assessment bring to patient care? A - Assists nurses to determine whether they want to continue providing care to a patient of a different culture B - Empowers people of a different culture to demand only the use of their cultural norms when receiving care C - Enables physicians to encourage patients of different cultures to accept their recommendations in care D - Provides insight into the congruence, or lack thereof, between patients' and nurses' values and understandings of health.

D - Provides insight into the congruence, or lack thereof, between patients' and nurses' values and understandings of health.

What does patriarchy mean? A - The belief that men are physically stronger than women and are therefore able to enforce their decisions. B - The current societal norm where men have absolute authority over women. C - The idea that all men and women instinctively seek approval from their fathers. D - The predominance of men in positions of power in society, with cultural values and norms favoring men

D - The predominance of men in positions of power in society, with cultural values and norms favoring men

Men are more likely than women to die from: A - Alzheimer's disease B - Kidney disease C - Septicemia D - Toxic occupational exposure

D - Toxic occupational exposure

Language that supports violence can lead to: A - Anti-violence advocates becoming violent B - Societal acceptance of violence C - The creation of an overly cautious society D - Victim blaming

D - Victim blaming

Which of the following enhances the effectiveness of delegation? A. Delegation to workers untrained in tasks B. Delegation of assessment tasks C. Chastisement in front of coworkers D. Clear communication

D. Clear communication

Which of the following is true concerning the elderly population? A. Very few are in need of work to survive. B. Economic hardship among them is rare. C. The majority are socially active. D. Many live on limited incomes close to or below the poverty level.

D. Many live on limited incomes close to or below the poverty level.

Which of the following type of study is at the top of the evidence based pyramid? A. Systematic reviews B. Randomized control trials C. Cohort studies D. Meta analysis of randomized control studies

D. Meta analysis of randomized control studies

What contributes to the feeling of powerlessness by nurses? A. Care for self B. Lack of self-control C. Listening to trusted others D. Moral distress

D. Moral distress

The military metaphor for nursing that was common from the late nineteenth into the mid-twentieth century is associated with: A. Absolving the nurse from guilt B. Advocacy for patients C. Depersonalization of health care D. Obedience of a higher authority

D. Obedience of a higher authority

Which is a foundational aspect of professional empowerment in nursing? A. Authority delegation B. Collegial animosity C. Congruence between the nurse and employer D. Personal accountability

D. Personal accountability

Why do nurses sometimes refuse to speak up when a moral injustice occurs? A. Collegial disagreement B. Institutional refusal to change C. Nursing burnout D. Potential ostracization

D. Potential ostracization

Male nurses do not experience stereotyping.

False

True or False. As you move up the evidence based practice pyramid, the chance for bias increases.

False

What levels belong to Benner's Novice=Expert a. Advanced Beginner b. Total Newbie c. Competent d. Novice e. Proficient f. Expert

a. Advanced Beginner c. Competent d. Novice e. Proficient f. Expert

True or False: As one moves from novice to expert, practitioners typically find themselves answering more foreground questions in their day to day practice.

True

True/False: Lateral violence is when a person is uncivil or bullies another person who is otherwise an equal

True

Which of the following is a potential source of malpractice claims against nurses? a. Failure to properly assess and monitor b. Ability to act c. Ability to communicate d. Failure to administer medications improperly

a. Failure to properly assess and monitor

Place the steps of Evidence Based Practice in order. a. Acquire the evidence from a credible resource. b. Apply what you have learned and integrate the evidence to your patient c. Appraise the evidence for validity and applicability. _ d. Ask a well built question derived from the case. e. Assess the patient and the knowledge gaps

__3__Acquire the evidence from a credible resource. __5__Apply what you have learned and integrate the evidence to your patient. __4__Appraise the evidence for validity and applicability. __2__Ask a well built question derived from the case. __1__Assess the patient and the knowledge gaps

In the competent stage, nurses have usually worked for how many years? a. 1-2 b. 0-1 c. 3-5 d. 10-15

a. 1-2

According to Benner, advanced beginners have: a. 6 months or less of experience b. learned everything they need to know from Greys Anatomy. c. 6 days of experience d. One month or less of experience

a. 6 months or less of experience

What are the components of nursing malpractice? (Select all that apply.) a. The nurse had a duty to the patient b. The harm or damage was caused by the breach of duty. c. There was a breach of that duty d. Injury, harm, or damage might have occurred to the patient e. Injury, harm, or damage did occur to the patient f. There was no breach of that duty

a. The nurse had a duty to the patient b. The harm or damage was caused by the breach of duty. c. There was a breach of that duty e. Injury, harm, or damage did occur to the patient

Novices usually have a. limited to no experience in caring for patients as a nurse. b. a medium amount of experience. c. no questions about being a nurse. d. a lot of experience in all aspects of nursing.

a. limited to no experience in caring for patients as a nurse.

Evidence based practice includes the following: SELECT ALL THAT APPLY a. Family expectations b. Clinical expertise c. Best research evidence d. Administrative policies e. Patient values and preferences

b. Clinical expertise c. Best research evidence e. Patient values and preferences

What must proficient level nurses still do, despite having roughly 3 years of experience. a. Be monitored by a more experienced nurse. b. Refresh their knowledge via reading journals, attending medical conferences, and participating in research. c. make decisions automatically because 3 years is enough to know everything.

b. Refresh their knowledge via reading journals, attending medical conferences, and participating in research.

Moral/Ethical dilemma

being forced to choose between two or more undesirable alternatives

Which of these is an instance where a nurse could be accused of a criminal offense under public law? a. Libel b. False imprisonment c. Falsifying narcotic records d. Invasion of privacy

c. Falsifying narcotic records

Two types of unintentional torts are a. negligence and plaintiffs b. negligence and defendants c. negligence and malpractice d. malpractice and plaintiffs

c. negligence and malpractice

Formal laws that are written and enacted by federal, state, or local legislatures are called a. administrative laws b. common laws c. statutory laws d. nursing laws

c. statutory laws

moral outrage

occurs when an individual witnesses the immoral act of another but feels powerless to stop it

moral distress

occurs when the individual knows the right thing to do but organizational constraints make it difficult to take the right course of action

Moral Uncertainty

sense a moral problem but are not sure of the morally correct action