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Which ethical principle associated with an adult child is legally given the right to make
medical decisions for a cognitively impaired parent?
A) Justice
B) Fidelity
C) Paternalism
D) Beneficence
Ans: C
Feedback:
Paternalism is when one individual assumes the right to make decisions for another.
Justice requires that a person seek fairness, treat ìequalsî equally, and treat ìunequalsî
according to their differences. Fidelity involves the need to keep promises. Beneficence
involves actions that are taken in an effort to promote good.
Which term is used to identify a person's feelings of powerlessness to stop unethical
behavior in another person or institution?
A) Moral conflict
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,B) Moral outrage
C) Ethical relativism
D) Ethical universalism
Ans: B
Feedback:
Moral outrage occurs when an individual witnesses the immoral act of another but feels
powerless to stop it. Moral uncertainty or moral conflict occurs when an individual is
unsure which moral principles or values apply and may even include uncertainty as to
what the moral problem is. Ethical relativism suggests that individuals make decisions
based only on what seems right or reasonable according to their value system or culture.
Ethical universalism holds that ethical principles are universal and constant and that
ethical decision making should not vary as a result of individual circumstances or
cultural differences.
Which statement concerning autonomy and the employee is true? Select all that apply.
A) It is a form of personal liberty
B) Its legal equivalent is self determination
C) It is based on a person's right to make a choice
D) It is supported by the process of progressive employee discipline
Ans: A, B, C, D
Feedback:
A form of personal liberty, autonomy is also called freedom of choice or accepting the
responsibility for one's choice. The legal right of self-determination supports this moral
principle. The use of progressive discipline recognizes the autonomy of the employee.
The employee, in essence, has the choice to meet organizational expectations or to be
disciplined further. If the employee's continued behavior warrants termination, the
principle of autonomy says that the employee has made the choice to be terminated by
virtue of his or her actions, not by that of the manager. Therefore, nurse-managers must
be cognizant of the ethical component present whenever an individual's decisional
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,capacity is in question. To take away a person's right to self-determination is a serious
but sometimes necessary action.
Which activity best demonstrates a nursing unit manager's attention to the ethics
standards of practice required of that position?
A) Membership on the institution's ethic board
B) Terminates a staff member for absenteeism
C) Assures staff and patients that unit decisions are ethically sound
D) Holds membership in the local and state American Nurses Association (ANA)
Ans: A
Feedback:
ANA standards for ethics related to nurse administrators identifies participants on
multidisciplinary and interdisciplinary teams that address ethical risks, benefits, and
outcomes as a criteria measurement. The remaining options while addressing ethical
behaviors on the administrator's part are not as directly identified by the ANA.
What defines the legal boundaries of nursing at the state level?
A) The state's Attorney General
B) The Nurse Practice Act
C) The ANA standards of practice
D) The ANA Code for Nurses
Ans: B
Feedback:
The 51 Nurse Practice Acts representing the 50 states and the District of Columbia are
examples of statutes. These Nurse Practice Acts define and limit the practice of nursing,
stating what constitutes authorized practice as well as what exceeds the scope of
authority. Although Nurse Practice Acts may vary among states, all must be consistent
with provisions or statutes established at the federal level. The other options lack the
comprehensiveness and focus of a state's Nurse Practice Act.
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, How is the question of whether a nurse acted with reasonable care generally proven?
A) The expert testimony of nursing witnesses
B) The defendant's explanation of what the nurse did
C) The trial judge, after checking the outcome of prior similar court cases
D) The testimony of expert medical witnesses
Ans: A
Feedback:
The testimony of other nurses in the same specialty as the defendant may be used to
prove breach of duty. The other options are not considered qualified to testify to this
matter.
A doctor orders a medical procedure that the staff nurse has reason to believe will harm
the patient. Which statement accurately states the legal consequences of carrying out, or
refusing to carry out, the procedure?
A) The staff nurse cannot be held legally liable for any harm to the patient if the
procedure is carried out with due care
B) The nurse may lose his or her license by refusing to carry out the procedure
C) The nurse can be held legally liable for any harm if the procedure is carried out
without question
D) The nurse can be held accountable for practicing medicine without a license
Ans: C
Feedback:
All nurses have personal liability, which means that every person is liable for his or her
own conduct. None of the remaining options describes that liability or its outcomes
accurately.
The nurse witnesses a patient sign an operative permit form. Legally, what does the
nurse's signature imply?
A) Observed the client sign the consent form
B) Is certain the client understands the proposed procedure
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