g g g g g g g g g g g g g
tion Keatings g
Chapter 01: An Introduction to the Ethics and the Law: A Perspective for Nurses Keating
g g g g g g g g g g g g g g
s: Ethical & Legal Issues in Canadian Nursing, 4th Edition
g g g g g g g g g
MULTIPLEgCHOICE
1. WhichgofgthegfollowinggmandatesgthatgnursesghavegagbasicgunderstandinggofgthegCanadianglegalgs
ystem?
a. Provincialgandgfederalgnursinggbodies
b. ThegSupremegCourtgofgCanada
c. Provincialgnursingglaborgunions
d. ThegDruggandgPharmaciesgRegulationgAct,g1990
ANS:g A
Feedback
A Correct!gProvincialgandgterritorialgregulatorygbodies,ghavegcertaingrequirementsgrel
atedgtognurses’gknowledge/skill,gwhichgincludesgknowledgegofgtheglegalgsystem.
B Incorrect—
ThegSupremegCourt,gwhichgisgthegfinalgcourtgofgappealgingCanada,gisgnotginvolvedgi
ngthegregulationgofghealthgcaregprofessionals.
C Incorrect—
Labourgunionsgdognotgfocusgongnursinggstandardsgandgknowledge;grather,gtheygrepre
sentgthegcollectivegbargaininggrightsgofgnurses.
D Incorrect—
ThisgActgisgrelevantgtognursinggingthatgitgregulatesgthegprescribing,gdispensing,g
andghandlinggofgdrugs.gItgdoesgnotgmandategthegknowledgegnursesgrequiregabou
tgtheglegalgsystem.
DIF: Cognitiveglevel:gComprehension
2. Identifygonegofgthegreasonsgwhygnursesgneedgtoghavegangunderstandinggofgethics.
a. Nursesgdognotgsharegthegsamegperspectivesgregardingghealthgcaregwithgotherghealthgc
aregprofessionals.
b. Moralitygandgcaregaregatgthegheartgofgnursinggpractice.
c. Ethicsgprovidesgagclearganswergtognursesgregardinggthegcorrectgcoursegofgaction.
d. Convincinggfamilygmembersgofgcompassionategcoursesgofgactiongisgbestgdonegbyg
nurses.
ANS:g B
Feedback
A Incorrect—
Professionalgvaluesgmaygbegsharedgacrossgmultiplegprofessions,gandgperspectivesgon
gissuesgmaygbegsimilar.gWhengviewsgongangissuegdiffer,gthen
knowledgegofgethicsgassistsgingclarifyinggandgdefendinggone’sgpositiongtogothers.
B Correct!gOnegreasongforgnursesgstudyinggethicsgisgthatgmoralitygandgcaregaregatgtheghe
artgofgnursinggpractice.
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g g g g g g g g g g g g g
tion Keatings g
C Incorrect—
Ethicalgtheoriesgcangprovidegagframeworkgforgthegexplorationgofgthegethicalgquestion
sgandgmoralgissuesgfacedginghealthgcare.gThesegtheoriesgguideghowgmoralitygisgunders
toodgwithingthegspheregofgnursinggpracticegandgthe
nurse–patientgorgnurse–
clientgrelationship.gEthicalgtheoriesgandgframeworksgcangassist/guidegnursesgasgtheyg
considergmultiplegoptionsgtogchoosegthegbestgorgthe
leastgwronggcoursegofgaction.
D Incorrect—
Nursesgasgmembersgofgtheghealthgcaregteamgaregingagstronggpositiongtogsupportgfamili
es.gTheygrespectgthegvaluesgandgbeliefsgofgclientsgandgfamiliesgand
supportgthemgingdecisiongmakinggregardinggthegrightgcoursegofgaction.
DIF: Cognitiveglevel:gSynthesis
3. Whygisgitgadvantageousgforgnursesgtoghavegknowledgegofgethicalgtheoriesgandgprinciples?
a. Ethicalgtheoriesgencouragegnursesgtogcritiquegothers’gpointsgofgview.
b. Nursesgaregablegtogjustifygandgdefendgtheirgpositionsgongagsituation.
c. Ethicalgtheoriesghelpgnursesgexplaingtogthegrestgofgthegteamgwhygnursesghavegagg
reatergunderstandinggofgthegpatient’sgperspective.
d. Thisgknowledgegallowsgnursesgtogconvincegpatientsgtogchoosegcomfortgmeasuresg
only.
ANS:g B
Feedback
A Incorrect—
Ethicsgencouragesgnursesgtogrespectgthegvaluesgofgothersgandgassistsgingunderstandi
nggopposinggpointsgofgview.gEthicsgoffersgtoolsgtognursesgtogrespectfullygarguegingf
avourgofgtheirgpositionsgwhilegrespectinggthegperspectivesgofgothers.
B Correct!gWhengviewsgdiffer,gethicalgtheoriesghelpgclarifygone’sgpositiongandgmakegar
gumentsgingsupportgofgit.gNursesgensuregthatgallgrelevantginformationgisgsharedgwithg
thegteamgandgthegclient.
C Incorrect—
Thegperspectivegofgallgteamgmembersgisgimportantgandgisgbasedgongtheguniquegrelatio
nshipsgeachgnurseghasgwithgthegpatientgorgclient.
D Incorrect—
Thisgapproachgisgpaternalistic.gNursesgandgtheghealthgcaregteam,gwhilegrespectinggag
person’sgautonomy,gsupportghimgorghergingmakinggdecisionsgabout
whatgisgbestgingagparticulargcontext.gThisgincludesgensuringgthatgpatientsgaregawaregof
gallgthegoptionsgavailablegtogthem.
DIF: Cognitiveglevel:gComprehension
4. Whygmustgnursesgbegfamiliargwithgtheglegalgsystem?
a. Somegnursinggactionsgareggovernedgbygtheglaw.
b. Nurses’gdecisionsgmaygnotgbegsupportedgbygtheglaw.
c. Nursesgaregsometimesgatgriskgforglitigation.
d. Allgaregcorrect.
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g g g g g g g g g g g g g
tion Keatings g
ANS:g D
Feedback
A Incorrect—
Reservedgorgcontrolledgactsgandgthegadministrationgofgnarcoticsgaregtwogexamplesg
ofgnursinggactionsggovernedgbygtheglaw.gAgnursegmaygthinkgangactiongisg“ethical,”g
butgitgmaygnotgbeglegal.gNurses’gdecisionsgsometimesghave
untowardgconsequences,gandgerrorsgorgomissionsgmaygleadgtognegligencegclaims.
B Incorrect—
Reservedgorgcontrolledgactsgandgthegadministrationgofgnarcoticsgaregtwogexamplesg
ofgnursinggactionsggovernedgbygtheglaw.gAgnursegmaygthinkgangactiongisg“ethical,”g
butgitgmaygnotgbeglegal.gNurses’gdecisionsgsometimesghave
untowardgconsequences,gandgerrorsgorgomissionsgmaygleadgtognegligencegclaims.
C Incorrect—
Reservedgorgcontrolledgactsgandgthegadministrationgofgnarcoticsgaregtwogexamplesg
ofgnursinggactionsggovernedgbygtheglaw.gAgnursegmaygthinkgangactiongisg“ethical,”g
butgitgmaygnotgbeglegal.gNurses’gdecisionsgsometimesghave
untowardgconsequences,gandgerrorsgorgomissionsgmaygleadgtognegligencegclaims.
D Correct!gReservedgorgcontrolledgactsgandgthegadministrationgofgnarcoticsgaregtwogex
amplesgofgnursinggactionsggovernedgbygtheglaw.gAgnursegmaygthinkgangactiongisg“ethi
cal,”gbutgitgmaygnotgbeglegal.gNurses’gdecisionsgsometimesghaveguntoward
consequences,gandgerrorsgorgomissionsgmaygleadgtognegligencegclaims.
DIF: Cognitiveglevel:gAnalysis
5. WhatgexistingglegislationghasgbeenginfluencedgbygthegshiftinggofgCanadiangvaluesgovergtime?
a. Thegabolitiongofgcapitalgpunishment
b. Privacy
c. MedicalgAssistancegingDying
d. Allgaregcorrect
ANS:g D
Feedback
A Incorrect—
Onegreasongforgthegabolitiongofgcapitalgpunishmentgisgbasedgongthegbeliefgingthegsanct
itygofglifegandgthegconcerngthatganginnocentgpersongmaygbegexecuted.
B Incorrect—
RespectgforgautonomygandgprivacygledgtoglegislationgingprovincesgacrossgCanada.
C Incorrect—
ShiftinggviewsgregardinggeuthanasiagforgthegterminallygillgledgthegSupremegCourtgtog
creategaglawgregardinggassistancegingdying.gThisgresultedgingtheglegislationg“Medicalg
AssistancegingDying,”gwhichgwasgintroducedging2016.
D Correct!gAllgofgthesegaregexamplesgofghowgshiftinggCanadiangvaluesghaveginfluence
dglegislation.
DIF: Cognitiveglevel:gComprehension
TRUE/FALSE
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