Test Bank For Nursing Ethics Across the Curriculum and Into
Practice 5th Edition By Janie B. Butts; Karen L. Rich
A frail 90-year-old resident of a long-term care facility refuses to sign an advanced
directive and tells the nurse she "wants everything done" to save her life if she
should go into cardiopulmonary arrest. What action by the nurse is ethically and
legally indicated?
1. Discuss the situation with the resident's family and plan to follow their wishes.
2. Tell the resident that end of life interventions are generally up to the physician.
3. Tell the resident that everything will be done, but make a do not resuscitation
note on the medical record.
4. Support the patient in her wishes but continue education about end-of-life care. -
ANSWER: 4
A nurse is frequently tardy to work causing other nurses to have to change their
plans to cover the unit. The nurse never thanks those who cover for her and often
criticizes the work they did in her absence. If another nurse is tardy, she refuses to
stay over to cover. Which ethical theories is this nurse violating?
Note: Credit will be given only if all correct choices and no incorrect choices are
selected.
Standard Text: Select all that apply.
1. Fidelity
2. Autonomy
3. Beneficence
4. Veracity
5. Paternalism - ANSWER: 1, 3
A nurse is preparing information to be distributed at a national conference on AIDS.
What should be included regarding mandatory disclosure of AIDS status?
Note: Credit will be given only if all correct choices and no incorrect choices are
selected.
Standard Text: Select all that apply.
1. Every state requires that all sexual contacts of a person diagnosed with AIDS be
contacted and treated.
2. AIDS status must be disclosed to any health care provider who has cared for the
patient within the last 18 months and to any future health care provider.
3. In general AIDS status is considered confidential.
4. All AIDS cases must be reported to the Centers for Disease Control and Prevention
or to the state health department.
5. All babies born in the United States are tested for presence of HIV at birth. -
ANSWER: 3,4
A nurse manager has started a dialogue regarding the American Nurses Association
(ANA) Code of Ethics for Nurses with Interpretive Statements among staff nurses.
,Which staff nurse statements would the manager evaluate as indicating poor
understanding of this document?
Note: Credit will be given only if all correct choices and no incorrect choices are
selected.
Standard Text: Select all that apply.
1. "This document describes nursing's own understanding of its commitments to
society."
2. "This document is so out of date, they never revise it."
3. "At least the ANA understood that professional ethics are different in different
regions of the country."
4. "It is interesting that the ANA first addressed this code over 50 years ago."
5. "This document has established standards by which we should practice." -
ANSWER: 2,3
Rationale 1: The ANA's Code of Ethics for Nurses with Interpretive Statements is an
expression of nursing's own understanding of its commitments to society.
Rationale 2: The document has been revised, most recently in 2001.
Rationale 3: The statements in the document are inclusive of all nurses and do not
change according to region.
Rationale 4: This document was first published in 1950, well over 50 years ago.
Rationale 5: This document gives direction for those entering the nursing profession
about their ethical accountability, sets a nursing standard for ethical practice, and
informs the consumer about nursing's ethical standards.
A nurse strongly believes that all newborns should be screened for HIV at birth.
Which ethical principle would the nurse cite to support this argument?
1. Informed consent
2. Confidentiality
3. Beneficence
4. Autonomy - ANSWER: 3
A patient requests that records of her hospitalization for treatment of an infection
following an abortion be destroyed as soon as she is discharged. What is the likely
outcome of this request?
1. The record will be sealed.
2. The record will be destroyed.
3. The request will be denied.
4. The record will be given to the patient's attorney. - ANSWER: 1
Access to medical records - ANSWER: Clients have a right to read their own records.
-helps dispel feelings that the physician was lying about the severity of the illness
-helps reassure pts that their care was based on actual medical findings.
Advocacy - ANSWER: pleading in favor of or supporting a case, person, group, or
cause.
-safeguarding patients' autonomy
-acting on behalf of patients
-championing social justice in the provision of healthcare.
, -embrace the promotion of well being and uphold the rights and interests of their
patients
ANA Code of Ethics - ANSWER: The nurse, in all professional relationships, practices
with compassion and respect for the inherent dignity, worth, and uniqueness of
every individual, unrestricted by considerations of social or economic status,
personal attributes, or the nature of health problems.
Nine provisions of the Code describe
-ethical values,
-obligations,
-duties,
-professional ideals of nurses: individually, collectively
As a result of shared medical decision making, a patient undergoes a surgical
procedure that results in paralysis. What must the patient prove to bring a successful
malpractice suit based on informed consent?
Note: Credit will be given only if all correct choices and no incorrect choices are
selected.
Standard Text: Select all that apply.
1. The patient had no part in the decision to operate.
2. The procedure's known risk of paralysis was not explained to the patient.
3. Since the decision making was shared, no malpractice suit is possible.
4. It was the procedure that caused the harm.
5. That the amount of damage to the patient cannot be determined. - ANSWER: 2,4
Beneficence - ANSWER: to do good.
-performing deeds of mercy,kindness,friendship,charity
-people take actions to benefit and promote the welfare of other people.
protect and defend the rights of others, prevent harm from occuring to others,
remove conditions that will cause harm to others, help persons with disablities,
rescue persons in danger.
-Provision 2.1 code of ethics- to have theri patients' interests and well being as their
primary concern.
Categorical Imperative (Kant) - ANSWER: - We should always act in such a way that
our moral decisions could be used as a guide for everyone's moral behaviour
-follow a unconditional framework of rules , as a guide to know the rightness of
actions and ones mora; duties.
-ex: if i perform this action, could i will that it should become a universal law for
everyone to act in the same way?
-ex: For example, any oncology nurse who wishes to perform a procedure on cancer
patients without their knowledge must be happy for all other nurses to perform
procedures on her (the oncology nurse) without her consent.
child abuse - ANSWER: physical, mental,sexual assaults, physical, emotional, and
medical neglect.
- nurses are mandatory reporters of child abuse
Practice 5th Edition By Janie B. Butts; Karen L. Rich
A frail 90-year-old resident of a long-term care facility refuses to sign an advanced
directive and tells the nurse she "wants everything done" to save her life if she
should go into cardiopulmonary arrest. What action by the nurse is ethically and
legally indicated?
1. Discuss the situation with the resident's family and plan to follow their wishes.
2. Tell the resident that end of life interventions are generally up to the physician.
3. Tell the resident that everything will be done, but make a do not resuscitation
note on the medical record.
4. Support the patient in her wishes but continue education about end-of-life care. -
ANSWER: 4
A nurse is frequently tardy to work causing other nurses to have to change their
plans to cover the unit. The nurse never thanks those who cover for her and often
criticizes the work they did in her absence. If another nurse is tardy, she refuses to
stay over to cover. Which ethical theories is this nurse violating?
Note: Credit will be given only if all correct choices and no incorrect choices are
selected.
Standard Text: Select all that apply.
1. Fidelity
2. Autonomy
3. Beneficence
4. Veracity
5. Paternalism - ANSWER: 1, 3
A nurse is preparing information to be distributed at a national conference on AIDS.
What should be included regarding mandatory disclosure of AIDS status?
Note: Credit will be given only if all correct choices and no incorrect choices are
selected.
Standard Text: Select all that apply.
1. Every state requires that all sexual contacts of a person diagnosed with AIDS be
contacted and treated.
2. AIDS status must be disclosed to any health care provider who has cared for the
patient within the last 18 months and to any future health care provider.
3. In general AIDS status is considered confidential.
4. All AIDS cases must be reported to the Centers for Disease Control and Prevention
or to the state health department.
5. All babies born in the United States are tested for presence of HIV at birth. -
ANSWER: 3,4
A nurse manager has started a dialogue regarding the American Nurses Association
(ANA) Code of Ethics for Nurses with Interpretive Statements among staff nurses.
,Which staff nurse statements would the manager evaluate as indicating poor
understanding of this document?
Note: Credit will be given only if all correct choices and no incorrect choices are
selected.
Standard Text: Select all that apply.
1. "This document describes nursing's own understanding of its commitments to
society."
2. "This document is so out of date, they never revise it."
3. "At least the ANA understood that professional ethics are different in different
regions of the country."
4. "It is interesting that the ANA first addressed this code over 50 years ago."
5. "This document has established standards by which we should practice." -
ANSWER: 2,3
Rationale 1: The ANA's Code of Ethics for Nurses with Interpretive Statements is an
expression of nursing's own understanding of its commitments to society.
Rationale 2: The document has been revised, most recently in 2001.
Rationale 3: The statements in the document are inclusive of all nurses and do not
change according to region.
Rationale 4: This document was first published in 1950, well over 50 years ago.
Rationale 5: This document gives direction for those entering the nursing profession
about their ethical accountability, sets a nursing standard for ethical practice, and
informs the consumer about nursing's ethical standards.
A nurse strongly believes that all newborns should be screened for HIV at birth.
Which ethical principle would the nurse cite to support this argument?
1. Informed consent
2. Confidentiality
3. Beneficence
4. Autonomy - ANSWER: 3
A patient requests that records of her hospitalization for treatment of an infection
following an abortion be destroyed as soon as she is discharged. What is the likely
outcome of this request?
1. The record will be sealed.
2. The record will be destroyed.
3. The request will be denied.
4. The record will be given to the patient's attorney. - ANSWER: 1
Access to medical records - ANSWER: Clients have a right to read their own records.
-helps dispel feelings that the physician was lying about the severity of the illness
-helps reassure pts that their care was based on actual medical findings.
Advocacy - ANSWER: pleading in favor of or supporting a case, person, group, or
cause.
-safeguarding patients' autonomy
-acting on behalf of patients
-championing social justice in the provision of healthcare.
, -embrace the promotion of well being and uphold the rights and interests of their
patients
ANA Code of Ethics - ANSWER: The nurse, in all professional relationships, practices
with compassion and respect for the inherent dignity, worth, and uniqueness of
every individual, unrestricted by considerations of social or economic status,
personal attributes, or the nature of health problems.
Nine provisions of the Code describe
-ethical values,
-obligations,
-duties,
-professional ideals of nurses: individually, collectively
As a result of shared medical decision making, a patient undergoes a surgical
procedure that results in paralysis. What must the patient prove to bring a successful
malpractice suit based on informed consent?
Note: Credit will be given only if all correct choices and no incorrect choices are
selected.
Standard Text: Select all that apply.
1. The patient had no part in the decision to operate.
2. The procedure's known risk of paralysis was not explained to the patient.
3. Since the decision making was shared, no malpractice suit is possible.
4. It was the procedure that caused the harm.
5. That the amount of damage to the patient cannot be determined. - ANSWER: 2,4
Beneficence - ANSWER: to do good.
-performing deeds of mercy,kindness,friendship,charity
-people take actions to benefit and promote the welfare of other people.
protect and defend the rights of others, prevent harm from occuring to others,
remove conditions that will cause harm to others, help persons with disablities,
rescue persons in danger.
-Provision 2.1 code of ethics- to have theri patients' interests and well being as their
primary concern.
Categorical Imperative (Kant) - ANSWER: - We should always act in such a way that
our moral decisions could be used as a guide for everyone's moral behaviour
-follow a unconditional framework of rules , as a guide to know the rightness of
actions and ones mora; duties.
-ex: if i perform this action, could i will that it should become a universal law for
everyone to act in the same way?
-ex: For example, any oncology nurse who wishes to perform a procedure on cancer
patients without their knowledge must be happy for all other nurses to perform
procedures on her (the oncology nurse) without her consent.
child abuse - ANSWER: physical, mental,sexual assaults, physical, emotional, and
medical neglect.
- nurses are mandatory reporters of child abuse
