t t t t t t t t t t t t t
tion Keatings t
Chapter 01: An Introduction to the Ethics and the Law: A Perspective for Nurses Keating s: E
t t t t t t t t t t t t t t t t
thical & Legal Issues in Canadian Nursing, 4th Edition
t t t t t t t t
MULTIPLEtCHOICE
1. WhichtoftthetfollowingtmandatestthattnursesthavetatbasictunderstandingtoftthetCanadiantlegaltsyst
em?
a. Provincialtandtfederaltnursingtbodies
b. ThetSupremetCourttoftCanada
c. Provincialtnursingtlabortunions
d. ThetDrugtandtPharmaciestRegulationtAct,t1990
ANS: A
Feedback
A Correct!tProvincialtandtterritorialtregulatorytbodies,thavetcertaintrequirementstretlate
dttotnurses’tknowledge/skill,twhichtincludestknowledgetoftthetlegaltsystem.
B Incorrect—
ThetSupremetCourt,twhichtistthetfinaltcourttoftappealtintCanada,tistnottinvolvedtintth
etregulationtofthealthtcaretprofessionals.
C Incorrect—
Labourtunionstdotnottfocustontnursingtstandardstandtknowledge;trather,ttheytreprtesen
ttthetcollectivetbargainingtrightstoftnurses.
D Incorrect—
ThistActtistrelevantttotnursingtintthattittregulatestthetprescribing,tdispensing
,tandthandlingtoftdrugs.tIttdoestnottmandatetthetknowledgetnursestrequiretabtouttthet
legaltsystem.
DIF: Cognitivetlevel:tComprehension
2. Identifytonetoftthetreasonstwhytnursestneedttothavetantunderstandingtoftethics.
a. Nursestdotnottsharetthetsametperspectivestregardingthealthtcaretwithtotherthealthtcare
t professionals.
b. Moralitytandtcaretaretattthethearttoftnursingtpractice.
c. Ethicstprovidestatcleartanswerttotnursestregardingtthetcorrecttcoursetoftaction.
d. Convincingtfamilytmemberstoftcompassionatetcoursestoftactiontistbesttdonetbytnur
ses.
ANS: B
Feedback
A Incorrect—
Professionaltvaluestmaytbetsharedtacrosstmultipletprofessions,tandtperspectivestotntis
suestmaytbetsimilar.tWhentviewstontantissuetdiffer,tthen
knowledgetoftethicstassiststintclarifyingtandtdefendingtone’stpositionttotothers.
B Correct!tOnetreasontfortnurseststudyingtethicstistthattmoralitytandtcaretaretattthe
hearttoftnursingtpractice.
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tion Keatings t
C Incorrect—
Ethicalttheoriestcantprovidetatframeworktfortthetexplorationtoftthetethicaltquestitonst
andtmoraltissuestfacedtinthealthtcare.tThesettheoriestguidethowtmoralitytistuntderstoo
dtwithintthetspheretoftnursingtpracticetandtthe
nurse–patienttortnurse–
clienttrelationship.tEthicalttheoriestandtframeworkstcantassist/guidetnursestastthetytc
onsidertmultipletoptionsttotchoosetthetbesttortthe
leasttwrongtcoursetoftaction.
D Incorrect—
Nursestastmemberstoftthethealthtcaretteamtaretintatstrong positionttotsupporttfamitlies.t
gi
Theytrespecttthetvaluestandtbeliefstoftclientstandtfamiliestand
supporttthemtintdecisiontmakingtregardingtthetrighttcoursetoftaction.
DIF: Cognitivetlevel:tSynthesis
3. Whytistittadvantageoustfortnursesttothavetknowledgetoftethicalttheoriestandtprinciples?
a. Ethicalttheoriestencouragetnursesttotcritiquetothers’tpointstoftview.
b. Nursestaretablettotjustifytandtdefendttheirtpositionstontatsituation.
c. Ethicalttheoriesthelptnursestexplainttotthetresttoftthetteamtwhytnursesthavetatgrea
tertunderstandingtoftthetpatient’stperspective.
d. Thistknowledgetallowstnursesttotconvincetpatientsttotchoosetcomforttmeasurestonl
y.
ANS: B
Feedback
A Incorrect—
Ethicstencouragestnursesttotrespecttthetvaluestoftotherstandtassiststintunderstand
ingtopposingtpointstoftview.tEthicstoffersttoolsttotnursesttotrespectfullytarguetitntfav
ourtofttheirtpositionstwhiletrespectingtthetperspectivestoftothers.
B Correct!tWhentviewstdiffer,tethicalttheoriesthelptclarifytone’stpositiontandtmaketarg
umentstintsupporttoftit.tNursestensuretthattalltrelevanttinformationtistsharedtw
ithtthetteamtandtthetclient.
C Incorrect—
Thetperspectivetoftalltteamtmemberstistimportanttandtistbasedtontthetuniquetrelatitonsh
ipsteachtnursethastwithtthetpatienttortclient.
D Incorrect—
Thistapproachtistpaternalistic.tNursestandtthethealthtcaretteam,twhiletrespectingtatpers
on’stautonomy,tsupportthimtorthertintmakingtdecisionstabout
whattistbesttintatparticulartcontext.tThistincludestensuringtthattpatientstaretawaretoftalltt
hetoptionstavailablettotthem.
DIF: Cognitivetlevel:tComprehension
4. Whytmusttnursestbetfamiliartwithtthetlegaltsystem?
a. Sometnursingtactionstaretgovernedtbytthetlaw.
b. Nurses’tdecisionstmaytnottbetsupportedtbytthetlaw.
c. Nursestaretsometimestattrisktfortlitigation.
d. Alltaretcorrect.
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tion Keatings t
ANS: D
Feedback
A Incorrect—
Reservedtortcontrolledtactstandtthetadministrationtoftnarcoticstarettwotexamplestoftn
ursingtactionstgovernedtbytthetlaw.tAtnursetmaytthinktantactiontist―ethical,
‖tbutt itt maytnottbetlegal.t Nurses’tdecisionst sometimesthave
untowardtconsequences,t andterrorstortomissionstmaytleadttotnegligencetclaims.
B Incorrect—
Reservedtortcontrolledtactstandtthetadministrationtoftnarcoticstarettwotexamplestoftn
ursingtactionstgovernedtbytthetlaw.tAtnursetmaytthinktantactiontist―ethical,
‖tbutt itt maytnottbetlegal.t Nurses’tdecisionst sometimesthave
untowardtconsequences,t andterrorstortomissionstmaytleadttotnegligencetclaims.
C Incorrect—
Reservedtortcontrolledtactstandtthetadministrationtoftnarcoticstarettwotexamplestoftn
ursingtactionstgovernedtbytthetlaw.tAtnursetmaytthinktantactiontist―ethical,
‖tbutt itt maytnottbetlegal.t Nurses’tdecisionst sometimesthave
untowardtconsequences,t andterrorstortomissionstmaytleadttotnegligencetclaims.
D Correct!tReservedtortcontrolledtactstandtthetadministrationtoftnarcoticstarettwotetxam
plestoftnursingtactionstgovernedtbytthetlaw.tAtnursetmaytthinktantactiontist―e
thical,‖tbuttittmaytnottbetlegal.tNurses’tdecisionstsometimesthavetuntowardtconseque
nces,tandterrorstortomissionstmaytleadttotnegligencetclaims.
DIF: Cognitivetlevel:tAnalysis
5. WhattexistingtlegislationthastbeentinfluencedtbytthetshiftingtoftCanadiantvaluestoverttime?
a. Thetabolitiontoftcapitaltpunishment
b. Privacy
c. MedicaltAssistancetintDying
d. Alltaretcorrect
ANS: D
Feedback
A Incorrect—
Onetreasontfortthetabolitiontoftcapitaltpunishmenttistbasedtontthetbelieftintthetsantctityt
oftlifetandtthetconcerntthattantinnocenttpersontmaytbetexecuted.
B Incorrect—
RespecttfortautonomytandtprivacytledttotlegislationtintprovincestacrosstCanada.
C Incorrect—
ShiftingtviewstregardingteuthanasiatfortthetterminallytilltledtthetSupremetCourttttotcr
eatetatlawtregardingtassistancetintdying.tThistresultedtintthetlegislationt―MeditcaltAss
istancetintDying,‖twhichtwastintroducedtint2016.
D Correct!tAlltoftthesetaretexamplestofthowtshiftingtCanadiantvaluesthavetinfluence
dtlegislation.
DIF: Cognitivetlevel:tComprehension
TRUE/FALSE
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