EAQ- Ethics Flashcards

1
Q

Which model of ethics considers broad social issues and involves accountability of the overall institution?

Autonomy model

Paternalistic model

Social justice model

Patient-benefit model

A

Social justice model

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1
Q

Which action would the nurse take to comply with the ethic of nonmaleficence in the health care setting?

Focus on doing no harm.

Keep promises made to clients.

Respect the autonomy of clients.

Keep the best interests of the client in mind.

A

Focus on doing no harm.

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2
Q

Which principle did the researcher apply when calculating the risk-benefit ratio and concluding there were no harmful effects associated with a survey of diabetic clients?

Human dignity

Human rights

Beneficence

Utilitarianism

A

Beneficence

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3
Q

Which information is accurate regarding the role of value clarification in the resolution of ethical dilemmas?

Tolerating differences of opinion

Reinforcing or challenging family values

Accepting strong values by individuals as facts

Relating values to facts when dealing with ethical issues

A

Tolerating differences of opinion

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4
Q

Which statement would be appropriate to include in a lecture for nursing students related to ethics and legal principles?

Beneficence emphasizes promoting good, actively seeking benefit, and ensuring the client’s well-being.

After the nurse has delegated a task or activity, the unlicensed assistive personnel (UAP) is accountable for the task or activity.

Social justice is an obligation to protect a client as an advocate when a client is not capable of self-determination.

There is a universal list that all states use that describes tasks that can be safely delegated and assigned to nursing team members.

A

Beneficence emphasizes promoting good, actively seeking benefit, and ensuring the client’s well-being.

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5
Q

Which characteristic indicates that nursing is a profession?

Nurses are trained to perform specific tasks

Nurses are required to follow a code of ethics

Nurses are required to have a collection of specific skills

Nurses have limited autonomy in decision-making and practice

A

Nurses are required to follow a code of ethics

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6
Q

Which principle refers to the professional obligation of the nurse to assume responsibility for actions?

Accountability

Individuality

Responsibility

Bioethics

A

Accountability

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7
Q

Which description does beneficence in health ethics refer to?

The agreement to keep promises

Taking positive actions to help others

The ability to answer for one’s actions

Avoiding harming or hurting an individual

A

Taking positive actions to help others

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8
Q

Which basic health care ethic does the nurse follow when signing the client’s consent form as a witness?

Justice

Autonomy

Beneficence

Nonmaleficence

A

Autonomy

Autonomy refers to the commitment to include clients in decisions about all aspects of care as a way of acknowledging and protecting their independence. In the given situation, the nurse ensures that the client has thoroughly understood the new treatment plan before gaining written consent. This ensures that the client is involved in the decision-making process appropriately. Justice refers to fairness. The given situation does not deal with fairness. Beneficence refers to taking positive actions to help others. This involves keeping the interests of the client before self-interest. Nonmaleficence is the avoidance of harm or hurt. Weighing the pros and cons of the new treatment plan would involve nonmaleficence.

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9
Q

Which component of ethical decision-making refers to the duties and activities the nurse is employed to perform?

Authority

Autonomy

Responsibility

Accountability

A

Responsibility

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10
Q

When explaining ethical principles to a new nurse, which example would the nurse leader use to illustrate the principle of autonomy ?

Informing the client about the details of a surgery

Keeping the result of a client’s acquired immunodeficiency syndrome (AIDS) test confidential

Coming back within the time frame promised to the client

Accepting the client’s wish to donate their organs after death

A

Accepting the client’s wish to donate their organs after death

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11
Q

In which way is the term beneficence in health ethics different from nonmaleficence?

Beneficence refers to fairness, whereas nonmaleficence refers to the agreement to keep promises.

Beneficence involves taking positive actions to help others whereas nonmaleficence is the avoidance of harm or hurt.

Beneficence applies to all health care professionals, whereas nonmaleficence applies only to nursing professionals.

Beneficence refers to the support of a particular cause, whereas nonmaleficence refers to a willingness to respect one’s professional obligations.

A

Beneficence involves taking positive actions to help others whereas nonmaleficence is the avoidance of harm or hurt.

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12
Q

Which point requires correction regarding the characteristics of an ethical issue?

The situation is perplexing, and it is not easy to think logically or make a decision.

It is not possible to resolve solely through a review of scientific data.

The problem aims at the greatest good for the greatest number of people.

The answer to the problem has a profound relevance for areas of human concern.

A

The problem aims at the greatest good for the greatest number of people.

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13
Q

Which ability can be inferred when a professional is said to have ethical sensitivity?

Recognizes ethical dilemmas

Takes a morally correct action

Justifies a well-reasoned action

Thinks critically to rank ethical obligations

A

Recognizes ethical dilemmas

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14
Q

A client in need of a lung transplant tells the nurse, “I will not take the organ of any person belonging to a different religion.” The nurse initiates the process for resolving the ethical dilemma by collaborating with other health care team members. Which action would the team take after agreeing to a statement of the problem?

Interview the family members of the client.

Initiate negotiations for the appropriate course of action.

Assess whether the client is satisfied with the course of action taken.

Determine all the possible courses of action based on available information.

A

Determine all the possible courses of action based on available information.

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15
Q

Which point regarding ethics and values requires further education?

The nurse’s point of view offers a unique voice in the resolution of ethical dilemmas.

Professional nursing promotes accountability, responsibility, advocacy, and confidentiality.

The American Nurses Association (ANA) code of ethics ensures that the code remains constant.

Standards ethics in health care consist of autonomy, beneficence, nonmaleficence, justice, and fidelity.

A

The American Nurses Association (ANA) code of ethics ensures that the code remains constant.

The American Nurses Association (ANA) code of ethics reviews and revises the code regularly to reflect changes in practice. The nurse’s point of view offers a unique voice in the resolution of ethical dilemmas by including knowledge based upon clinical and psychosocial observations. Professional nursing promotes accountability, responsibility, advocacy, and confidentiality. Standards ethics in health care consist of autonomy, beneficence, nonmaleficence, justice, and fidelity.

16
Q

Which ethical principles govern the nurse’s behavior when making difficult decisions about a client’s care at the point of care?

Bioethics

Metaethics

Clinical ethics

Research ethics

A

Clinical ethics

17
Q

Two clients in the same medical facility receive differing levels of care due to the lack of financial resources of the family of one of the clients. The nurse in charge tries to resolve the ethical dilemma at hand. The nurse collects all relevant information regarding the problem from multiple sources. Which action would the nurse take next?

Verbalize the issue by agreeing to a clear statement of the problem at hand.

Analyze the situation at hand to determine whether it is an ethical dilemma.

Examine own values regarding the issue at hand based on the information obtained.

Negotiate the outcome of the possible course of action through proper group discussions.

A

Examine own values regarding the issue at hand based on the information obtained.

18
Q

Which would the nurse consider to be the center of decision-making when providing client care?

Ethics

Nursing skills

Analytical skills

Research-based practice

A

Ethics

19
Q

Which is the difference between the social contract orientation and the universal ethical principle orientation stages?

Social contract orientation involves following laws without question, whereas universal ethical principle orientation involves civil disobedience.

Social contract orientation is a part of conventional reasoning, whereas universal ethical principle orientation is a part of postconventional reasoning.

Social contract orientation focuses on expanded societal concerns in an individual, whereas universal ethical principle orientation focuses on basic rights and laws.

Social contract orientation demonstrates moral decisions based on societal view, whereas universal ethical principle orientation stage outlines an individual’s response based on physical punishment.

A

Social contract orientation involves following laws without question, whereas universal ethical principle orientation involves civil disobedience.

20
Q

Which stage of Kohlberg’s theory explains the influence of moral values on an individual’s thought?

Good boy–nice girl orientation

Society-maintaining orientation

Instrumental relativist orientation

Universal ethical principle orientation

A

Society-maintaining orientation

21
Q

Which best response would the nurse make to a client with antisocial personality disorder who asks, “Can I have your phone number so I can call you for a date”?

“We are not permitted to date clients.”

“It is against my professional ethics to date clients.”

“I’m glad you like me, but I can’t give out my phone number.”

“Our relationship is professional; therefore, I will not see you socially.”

A

“Our relationship is professional; therefore, I will not see you socially.”

22
Q

Which nursing student statement indicates a need for further teaching about moral developmental theory?

“The moral developmental theory encompasses both interpersonal and intrapersonal dimensions.”

“The fifth stage defines ‘right’ by the decision of conscience in accordance with self-chosen ethical principles.”

“During the instrumental relativist orientation stage, the child recognizes that there is more than one right view.”

“During the punishment and obedience orientation stage, a child’s response to a moral dilemma is influenced by authority and rule.”

A

“The fifth stage defines ‘right’ by the decision of conscience in accordance with self-chosen ethical principles.”

23
Q

At which stage of Kohlberg’s theory does an individual want to fulfill the expectations of one’s immediate group?

Good boy–nice girl orientation

Society-maintaining orientation

Instrumental relativist orientation

Universal ethical principle orientation

A

Good boy–nice girl orientation

24
Q

Which factor is known to threaten the nurse’s ability to triage and prioritize client care accurately?

A caring ethic

A biased approach to care

The shift that is being worked

Years of job experience

A

A biased approach to care

25
Q

The registered nurse is educating a nursing student about the process of resolving an ethical dilemma. Which information would the nurse provide regarding negotiation of outcomes?

“The nurse would provide a personal point of view.”

“Negotiations would be held in formal settings only.”

“Negotiation takes place immediately after gathering information.”

“The group agrees to a statement of the problem during the negotiation process.”

A

“The nurse would provide a personal point of view.”

26
Q

Which statement made by the student nurse needs correction regarding the primary characteristics establishing nursing as a profession?

“Nursing has a code of ethics for practice.”

“Nursing has a theoretical body of knowledge.”

“Nurses are simply required to perform specific tasks.”

“Nurses have autonomy in decision-making and practice.”

A

“Nurses are simply required to perform specific tasks.”

27
Q

Which phrase describes the purpose of a health care proxy or durable power of attorney for health care?

Prohibits the purchase or sale of organs

Ensures that the client has the right to refuse medical treatment

Designates a person or persons to make health care decisions on behalf of the client

Directs treatment in accordance with the client’s wishes in case of a terminal illness or condition

A

Designates a person or persons to make health care decisions on behalf of the client

28
Q

The nurse speaking in support of the best interest of a vulnerable client reflects which nursing duty?

Caring

Veracity

Advocacy

Confidentiality

A

Advocacy

29
Q

During orientation for new nurses, the nurse leader discusses client confidentiality and privacy when using the facility’s electronic health record system. Which safeguard would the nurse leader include as the best way to protect client privacy?

System end users

Unique passwords

Policies and procedures

Data security agreements

A

System end users