Chapter 5 Ethical Issues Related to Health Promotion Flashcards

1
Q

Which statement supports the principle of beneficence that overrides a person’s autonomy?

a. The nurse presses the button to administer pain medication through a patient-controlled analgesia (PCA) infusion.
b. The nurse maintains confidentiality to an HIV-positive husband who does not want his wife informed of his HIV status.
c. The nurse instructs parents that their newborn must be placed in a car seat that faces the back of the seat in the back seat of the car.
d. The nurse counsels a 21-year-old woman delivering her third child that she should request a tubal ligation.

A

c. The nurse instructs parents that their newborn must be placed in a car seat that faces the back of the seat in the back seat of the car.

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2
Q

Which of the following statements best supports the ethical principle of justice?

a. Access to health care should be provided for all people.
b. Dialysis should be available for clients who adhere to their prescribed dietary regimes.
c. Transplant organs should be allocated based on ability to pay for hospital costs.
d. Health-promotion interventions should be provided to those who agree to pay more for health services.

A

a. Access to health care should be provided for all people.

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3
Q

The nurse participates in the process of ethical inquiry in health promotion to:
a. facilitate in-depth data gathering.

b. resolve all ethical problems related to health promotion.
c. understand what is expected of the health-promotion agent viewed as a moral agent.
d. gain clarity on actual or potential issues regarding health-promotion endeavors.
e. foresee all possible consequences of ethical issues related to health promotion.
f. permit the uncovering of hidden agendas and interests.
g. focus on salient aspects of problems, thus enhancing professional judgment.

A

a. facilitate in-depth data gathering.
c. understand what is expected of the health-promotion agent viewed as a moral agent.
d. gain clarity on actual or potential issues regarding health-promotion endeavors.
f. permit the uncovering of hidden agendas and interests.
g. focus on salient aspects of problems, thus enhancing professional judgment.

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4
Q

What are some of the definitions that support using the term profession to denote the status of nursing?

a. Nursing is considered a profession because it provides a service to society.
b. Nursing is considered a profession because of the stable employment opportunities.
c. Nursing is self-governing.
d. Members of the nursing profession are accountable for their actions.
e. Members of a profession abide by a code of ethics.

A

a. Nursing is considered a profession because it provides a service to society
c. Nursing is self-governing.
d. Members of the nursing profession are accountable for their actions.
e. Members of a profession abide by a code of ethics.

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5
Q

Which nursing intervention would be based upon utilitarian theory?

a. Initiating resuscitation of a 20-week gestation newborn
b. Preparing a 52-year-old woman with uterine cancer for a hysterectomy
c. Placing a 92-year-old client with terminal congestive heart failure on a ventilator
d. Administering chemotherapy to a 17-year-old with leukemia who states that he wants everything terminated

A

b. Preparing a 52-year-old woman with uterine cancer for a hysterectomy

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6
Q

In health-promotion activities, which of the following statements is accurate regarding respect for autonomy?

a. Individuals must be given the information they need to make choices.
b. Choices are autonomous when public policy dictates the action.
c. Choices are made when the person can understand the risks and benefits of the choices.
d. Choices are acceptable even when mental capacity is impaired.
e. Choices are considered autonomous in the absence of coercive influence.

A

a. Individuals must be given the information they need to make choices.
c. Choices are made when the person can understand the risks and benefits of the choices.

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7
Q

In health-promotion settings, individual autonomy may be limited by:

a. freedom of action
b. freedom of speech
c. the duty of protecting the health and safety of society
d. public policy

A

c. the duty of protecting the health and safety of society

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8
Q

In health-promotion activities, which of the following statements is accurate regarding respect for autonomy?

a. Individuals must be given the information they need to make choices.
b. Choices are autonomous when public policy dictates the action.
c. Choices are made when the person can understand the risks and benefits of the choices.
d. Choices are acceptable even when mental capacity is impaired.
e. Choices are considered autonomous in the absence of coercive influence.

A

a. Individuals must be given the information they need to make choices.
c. Choices are made when the person can understand the risks and benefits of the choices.
e. Choices are considered autonomous in the absence of coercive influence.

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9
Q

Which of the following statements accurately describe ethical theories?

a. Normative theories are concerned with ensuring good actions.
b. Descriptive theories tell us what actions to take.
c. Consequentialist theories hold that decisions should take into account all knowable potential consequences.
d. Religions and duty-based theories assert that certain duties will produce good outcomes.
e. Descriptive theories are directive.

A

a. Normative theories are concerned with ensuring good actions.
c. Consequentialist theories hold that decisions should take into account all knowable potential consequences.
d. Religions and duty-based theories assert that certain duties will produce good outcomes.

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10
Q

Which of the following statements best supports the ethical principle of justice?

a. Access to health care should be provided for all people
b. Dialysis should be available for client who adhere to their prescribed dietary regimes
c. Transplant organs should be allocated based on ability to pay for hospital costs
d. Health-promotion interventions should be provided to those who agree to pay more for health services

A

a. Access to health care should be provided for all people

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