Leadership Roles &
Management Functions in
Nursing – 10th Edition,
Chapter 4
Page 1
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Which statement by a nurse most clearly demonstrates an intuitionist framework for ethical decision
making, duty based?
A. "I've got to look at this situation on the basis of its unique characteristics, not by comparing it to
other situations."
B. "I'm trying to think of as many different options as I can rather than focusing on those that look
most attractive."
C. "I'll make the best decision if I choose the option that comes to mind first rather than
overanalyzing the situation."
D. "It's important that I consider the effect of my decision on the organization, not just the people
who are directly involved."
A. "I've got to look at this situation on the basis of its unique characteristics, not by comparing it to
other situations."
Feedback: Intuitionist states that each case weighed on a case-by-case basis to determine
relative goals, duties, and rights. Consequently, there is a focus on the specific
characteristics of a situation, not its commonalities with other situations. Thinking of as
many options as possible is a good practice for ethical decision making, but it is not
specifically aligned with an intuitionist framework. Similarly, considering the effects on the
organization is not a particular characteristic of this framework. Intuition does not entail
choosing the option that first comes to mind, without any further analysis or consideration
Page 2 Leadership Roles and Management functions in Nursing theory and application 10th edition Chapter 4.pdf
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Which statement best describes ethics?
A. The conflict, power, and interdependency associated with the way we live
B. How out lives and relationships are lead in day-to-day circumstances
C. What our conduct and actions should be regarding what is right and good
D. How people make decisions that they see as legally and morally appropriate
C. What our conduct and actions should be regarding what is right and good
Feedback: Ethics is the systematic study of what a person's conduct and actions should be
with regard to self, other human beings, and the environment; it is the justification of what is
right or good and the study of what a person's life and relationships should be, not
necessarily what they are. It is not the study of what people actually do in their daily lives or
how they live but rather what they should do. Ethics is related to legality and morality, but it
is not synonymous with these concepts.
Page 3 Leadership Roles and Management functions in Nursing theory and application 10th edition Chapter 4.pdf
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A nurse is facing an ethical dilemma about whether to report a colleague's offensive comment, an
action which is likely to jeopardize their relationship. What is a characteristic of this nurse's ethical
dilemma?
A. The dilemma can be solved by applying empirical data.
B. The dilemma has no realistic solution.
C. The situation involves two or more undesirable alternatives.
D. The situation involves a breach of the law.
C. The situation involves two or more undesirable alternatives.
Feedback: Ethical dilemmas involve being forced to choose between two or more
undesirable alternatives. Ethical dilemmas are often not amenable to being solved with
empirical data; they involve values and beliefs, not only facts. Most ethical dilemmas do not
involve a breach of the law; legal issues often have a more clear and unambiguous response.
Even though ethical dilemmas are difficult to manage, this does not mean that there is no
possibility of a realistic solution.
Page 4 Leadership Roles and Management functions in Nursing theory and application 10th edition Chapter 4.pdf