,TESTBANK FOR Ethical Competence in Nursing
Practice Competencies, Skills, Decision-Making
Robichaux
Notes
1- The file is chapter after chapter.
2- We have shown you few pages sample.
3- The file contains all Appendix and Excel sheet
if it exists.
4- We have all what you need, we make update
at every time. There are many new editions
waiting you.
5- If you think you purchased the wrong file You
can contact us at every time, we can replace it
with true one.
Our email:
, CHAPTER 1
Recognizing Ethical Terms, Theories, and Principles
1. Why is it important to study nursing ethics?
a. Ensure that all people have positive outcomes.
b. Help patients figure out how to do the right thing.
c. Develop tools to ethically navigate the professional environment.
d. Learn how to produce the greatest good for the greatest number of people.
Answer: c. Develop tools to ethically navigate the professional environment.
2. Which term is described as learned and habituated attributes of moral character?
a. Virtues
b. Fidelity
c. Altruism
d. Obligations
Answer: a. Virtues
3. Which statement best defines ethics in nursing?
a. Moral principles that guide conduct
b. Following the legal code that dictates appropriate behaviour
c. Making decisions about right and wrong in specific situations
d. Examination of how people make decisions regarding right and wrong
Answer: c. Making decisions about right and wrong in specific situations
4. Which statement is true about morality?
a. It is a belief.
b. It needs to be defended.
c. It is shared with other people.
d. It is a truth based on evidence.
Answer: a. It is a belief.
5. Which societal force contributed to the development of bioethics?
a. Use of smartphones
b. Abuses in human research
c. Development of the Internet
d. Creation of clinical information systems
Answer: b. Abuses in human research
6. Which organization is responsible for creating the ethical Code for Nurses?
a. National League for Nurses
b. Sigma Theta Tau International
c. American Nurses Association
d. National Councils for State Boards of Nursing
Answer: c. American Nurses Association
Copyright © Springer Publishing Company, LLC. All Rights Reserved. 1
,7. Which component of Rest’s theory of moral competency focuses on willingness to implement the action?
a. Moral character
b. Moral judgment
c. Moral sensitivity
d. Moral motivation
Answer: d. Moral motivation
8. Which ethical theory focuses on autonomy, beneficence, nonmaleficence, and justice?
a. Deontology
b. Principlism
c. Ethics of care
d. Utilitarianism
Answer: b. Principlism
9. What best describes the ethics of care theory?
a. Caring and nurturing
b. The greatest good for the greatest number
c. Moral laws
d. Autonomy, beneficence, nonmaleficence, and justice
Answer: a. Caring and nurturing
10. Which ethical theory hypothesizes that “what is right is always right and what is wrong is always wrong?”
a. Deontology
b. Principlism
c. Ethics of care
d. Utilitarianism
Answer: a. Deontology
11. Which ethical theory is the underlying principle of public health?
a. Deontology
b. Principlism
c. Ethics of care
d. Utilitarianism
Answer: d. Utilitarianism
12. Which tenet for decision making focuses on supporting other nurses in their work?
a. Virtue
b. Caring
c. Veracity
d. Beneficence
Answer: b. Caring
2 Copyright © Springer Publishing Company, LLC. All Rights Reserved.
, CHAPTER 2
Developing Ethical Skills: A Framework
1. Which is considered a terminal value?
a. Love
b. Caring
c. Intelligence
d. Ambition
Answer: a. Love
2. Which is considered an instrumental value?
a. Love
b. Security
c. Ambition
d. Independence
Answer: c. Ambition
3. Which term can be used to describe an ethical issue?
a. Harm
b. Economy
c. Preference
d. Expediency
Answer: a. Harm
4. What can erode ethical sensitivity?
a. Discussing an ethical issue
b. Lacking time to provide care
c. Attending ethics education sessions
d. Studying potential courses of action
Answer: b. Lacking time to provide care
5. What is central to developing ethical sensitivity?
a. Justice
b. Veracity
c. Empathy
d. Autonomy
Answer: c. Empathy
6. Which question can be used to determine the principle of beneficence when using an ethical decision-making
model?
a. Who is the decision maker?
b. What is best for the patient?
c. What are the larger social concerns?
d. What can be done to protect the patient
Answer: b. What is best for the patient?
Copyright © Springer Publishing Company, LLC. All Rights Reserved. 3
,7. Which is an institutional barrier to addressing an ethical issue?
a. Fear of reprisal
b. Lack of education
c. Limited amount of time
d. Change in patient health condition
Answer: a. Fear of reprisal
8. Which term is defined as “risk taking actions, despite fear for self and others with the intent to ensure safe
patient care?”
a. Expression
b. Moral courage
c. Obligation to honor
d. Danger management
Answer: b. Moral courage
9. Which is a component of the CODE mnemonic?
a. Morality
b. Empathy
c. Expression
d. Understanding
Answer: c. Expression
10. Which is an action to take when “making it safe” during a crucial conversation?
a. Control emotions.
b. Avoid ambiguity.
c. Explain conclusions.
d. Maintain free-flowing dialogue.
Answer: b. Avoid ambiguity.
4 Copyright © Springer Publishing Company, LLC. All Rights Reserved.
, CHAPTER 3
Using Ethical Decision Making and
Communication Skills to Minimize Conflict
1. What helps reduce conflict between patients/families and health care providers?
a. Extra time
b. An interpreter
c. A cooling-off period
d. Strong communication skills
Answer: d. Strong communication skills
2. In which setting are health care decisions more complicated?
a. Home care
b. Acute care
c. Outpatient setting
d. Physician office
Answer: b. Acute care
3. What can most effectively help a surrogate faced with making health care decisions for an acutely ill patient?
a. Advance directives
b. Frequent communication
c. Actions to reduce moral distress
d. Ethical decision-making process
Answer: a. Advance directives
4. Which statement best defines advance care planning?
a. Patient-initiated documents that describe future care wishes
b. A document describing care preferences should the patient be terminally ill
c. Written legal designation of a person to make health care decisions for someone else
d. A process of ongoing discussions and legal documents describing one’s wishes for future medical care
Answer: d. A process of ongoing discussions and legal documents describing one’s wishes for future medical
care
5. What helps ensure the provision of high-quality culturally sensitive care?
a. Efforts to resolve conflicts
b. Participation in ethics councils
c. Awareness of own communication style
d. Asking pointed questions to ensure advocacy
Answer: c. Awareness of own communication style
Copyright © Springer Publishing Company, LLC. All Rights Reserved. 5
,6. What is the foremost ethical principle guiding decision making in Western cultures?
a. Caring
b. Veracity
c. Autonomy
d. Beneficence
Answer: c. Autonomy
7. In which role is a health care provider functioning when only providing information about a health care issue?
a. Directive
b. Facilitative
c. Informative
d. Collaborative
Answer: c. Informative
8. When participating in a patient/family discussion about care decisions what must the nurse do?
a. Express individual biases.
b. Suggest the physician’s advice be followed.
c. Distance personal views from those of the patient.
d. Recommend a second opinion before making a decision.
Answer: c. Distance personal views from those of the patient.
9. Why should regular conferences be held about a patient’s prognosis?
a. Plan for upcoming care needs.
b. Control the use of health care resources.
c. Eliminate conflict between health care providers.
d. Eliminate conflicting messages to the patient/family.
Answer: d. Eliminate conflicting messages to the patient/family.
10. Which is a key element when conducting a goals-of-care conference for a seriously ill patient?
a. Disclose the prognosis.
b. Explain the outcomes for planned interventions.
c. Study the patient’s health care insurance coverage.
d. Discuss actions to take when the patient is discharged.
Answer: a. Disclose the prognosis.
11. Which mnemonic is helpful when communicating with patients/families?
a. CODE
b. PQRST
c. VALUE
d. OLD-CART
Answer: c. VALUE
12. The family of a terminally ill patient desires one course of treatment and the patient requests another. Which
type of conflict is occurring?
a. Ethical
b. Decisional
c. Interpersonal
d. Intraprofessional
Answer: b. Decisional
6 Copyright © Springer Publishing Company, LLC. All Rights Reserved.
, CHAPTER 4
Recognizing and Addressing Moral Distress in
Nursing Practice: Personal, Professional,
and Organizational Factors
1. A nurse who knows what action is needed in an ethical situation but is unable to act on that knowledge may
experience:
a. Anxiety
b. Conflict
c. Confusion
d. Moral distress
Answer: d. Moral distress
2. Which term is used to describe painful feelings that remain after experiencing morally distressing situations?
a. Moral distress
b. Moral conflict
c. Moral residue
d. Moral dilemma
Answer: c. Moral residue
3. The situation in which a new graduate’s professional values and identity are not congruent or supported by an
employing organization can lead to:
a. Hostility
b. Ambiguity
c. Reality shock
d. Cognitive dissonance
Answer: c. Reality shock
4. Implementing the decisions of others while lacking authority and experiencing increased responsibility may
contribute to a nurse feeling:
a. Powerless
b. Poor self-image
c. Low self-esteem
d. The inability to cope
Answer: a. Powerless
5. What can contribute to the development of moral residue?
a. Inexperience
b. Inadequate leadership skills
c. Poor time management strategies
d. Unresolved conflicts with other health care providers
Answer: d. Unresolved conflicts with other health care providers
Copyright © Springer Publishing Company, LLC. All Rights Reserved. 7
Practice Competencies, Skills, Decision-Making
Robichaux
Notes
1- The file is chapter after chapter.
2- We have shown you few pages sample.
3- The file contains all Appendix and Excel sheet
if it exists.
4- We have all what you need, we make update
at every time. There are many new editions
waiting you.
5- If you think you purchased the wrong file You
can contact us at every time, we can replace it
with true one.
Our email:
, CHAPTER 1
Recognizing Ethical Terms, Theories, and Principles
1. Why is it important to study nursing ethics?
a. Ensure that all people have positive outcomes.
b. Help patients figure out how to do the right thing.
c. Develop tools to ethically navigate the professional environment.
d. Learn how to produce the greatest good for the greatest number of people.
Answer: c. Develop tools to ethically navigate the professional environment.
2. Which term is described as learned and habituated attributes of moral character?
a. Virtues
b. Fidelity
c. Altruism
d. Obligations
Answer: a. Virtues
3. Which statement best defines ethics in nursing?
a. Moral principles that guide conduct
b. Following the legal code that dictates appropriate behaviour
c. Making decisions about right and wrong in specific situations
d. Examination of how people make decisions regarding right and wrong
Answer: c. Making decisions about right and wrong in specific situations
4. Which statement is true about morality?
a. It is a belief.
b. It needs to be defended.
c. It is shared with other people.
d. It is a truth based on evidence.
Answer: a. It is a belief.
5. Which societal force contributed to the development of bioethics?
a. Use of smartphones
b. Abuses in human research
c. Development of the Internet
d. Creation of clinical information systems
Answer: b. Abuses in human research
6. Which organization is responsible for creating the ethical Code for Nurses?
a. National League for Nurses
b. Sigma Theta Tau International
c. American Nurses Association
d. National Councils for State Boards of Nursing
Answer: c. American Nurses Association
Copyright © Springer Publishing Company, LLC. All Rights Reserved. 1
,7. Which component of Rest’s theory of moral competency focuses on willingness to implement the action?
a. Moral character
b. Moral judgment
c. Moral sensitivity
d. Moral motivation
Answer: d. Moral motivation
8. Which ethical theory focuses on autonomy, beneficence, nonmaleficence, and justice?
a. Deontology
b. Principlism
c. Ethics of care
d. Utilitarianism
Answer: b. Principlism
9. What best describes the ethics of care theory?
a. Caring and nurturing
b. The greatest good for the greatest number
c. Moral laws
d. Autonomy, beneficence, nonmaleficence, and justice
Answer: a. Caring and nurturing
10. Which ethical theory hypothesizes that “what is right is always right and what is wrong is always wrong?”
a. Deontology
b. Principlism
c. Ethics of care
d. Utilitarianism
Answer: a. Deontology
11. Which ethical theory is the underlying principle of public health?
a. Deontology
b. Principlism
c. Ethics of care
d. Utilitarianism
Answer: d. Utilitarianism
12. Which tenet for decision making focuses on supporting other nurses in their work?
a. Virtue
b. Caring
c. Veracity
d. Beneficence
Answer: b. Caring
2 Copyright © Springer Publishing Company, LLC. All Rights Reserved.
, CHAPTER 2
Developing Ethical Skills: A Framework
1. Which is considered a terminal value?
a. Love
b. Caring
c. Intelligence
d. Ambition
Answer: a. Love
2. Which is considered an instrumental value?
a. Love
b. Security
c. Ambition
d. Independence
Answer: c. Ambition
3. Which term can be used to describe an ethical issue?
a. Harm
b. Economy
c. Preference
d. Expediency
Answer: a. Harm
4. What can erode ethical sensitivity?
a. Discussing an ethical issue
b. Lacking time to provide care
c. Attending ethics education sessions
d. Studying potential courses of action
Answer: b. Lacking time to provide care
5. What is central to developing ethical sensitivity?
a. Justice
b. Veracity
c. Empathy
d. Autonomy
Answer: c. Empathy
6. Which question can be used to determine the principle of beneficence when using an ethical decision-making
model?
a. Who is the decision maker?
b. What is best for the patient?
c. What are the larger social concerns?
d. What can be done to protect the patient
Answer: b. What is best for the patient?
Copyright © Springer Publishing Company, LLC. All Rights Reserved. 3
,7. Which is an institutional barrier to addressing an ethical issue?
a. Fear of reprisal
b. Lack of education
c. Limited amount of time
d. Change in patient health condition
Answer: a. Fear of reprisal
8. Which term is defined as “risk taking actions, despite fear for self and others with the intent to ensure safe
patient care?”
a. Expression
b. Moral courage
c. Obligation to honor
d. Danger management
Answer: b. Moral courage
9. Which is a component of the CODE mnemonic?
a. Morality
b. Empathy
c. Expression
d. Understanding
Answer: c. Expression
10. Which is an action to take when “making it safe” during a crucial conversation?
a. Control emotions.
b. Avoid ambiguity.
c. Explain conclusions.
d. Maintain free-flowing dialogue.
Answer: b. Avoid ambiguity.
4 Copyright © Springer Publishing Company, LLC. All Rights Reserved.
, CHAPTER 3
Using Ethical Decision Making and
Communication Skills to Minimize Conflict
1. What helps reduce conflict between patients/families and health care providers?
a. Extra time
b. An interpreter
c. A cooling-off period
d. Strong communication skills
Answer: d. Strong communication skills
2. In which setting are health care decisions more complicated?
a. Home care
b. Acute care
c. Outpatient setting
d. Physician office
Answer: b. Acute care
3. What can most effectively help a surrogate faced with making health care decisions for an acutely ill patient?
a. Advance directives
b. Frequent communication
c. Actions to reduce moral distress
d. Ethical decision-making process
Answer: a. Advance directives
4. Which statement best defines advance care planning?
a. Patient-initiated documents that describe future care wishes
b. A document describing care preferences should the patient be terminally ill
c. Written legal designation of a person to make health care decisions for someone else
d. A process of ongoing discussions and legal documents describing one’s wishes for future medical care
Answer: d. A process of ongoing discussions and legal documents describing one’s wishes for future medical
care
5. What helps ensure the provision of high-quality culturally sensitive care?
a. Efforts to resolve conflicts
b. Participation in ethics councils
c. Awareness of own communication style
d. Asking pointed questions to ensure advocacy
Answer: c. Awareness of own communication style
Copyright © Springer Publishing Company, LLC. All Rights Reserved. 5
,6. What is the foremost ethical principle guiding decision making in Western cultures?
a. Caring
b. Veracity
c. Autonomy
d. Beneficence
Answer: c. Autonomy
7. In which role is a health care provider functioning when only providing information about a health care issue?
a. Directive
b. Facilitative
c. Informative
d. Collaborative
Answer: c. Informative
8. When participating in a patient/family discussion about care decisions what must the nurse do?
a. Express individual biases.
b. Suggest the physician’s advice be followed.
c. Distance personal views from those of the patient.
d. Recommend a second opinion before making a decision.
Answer: c. Distance personal views from those of the patient.
9. Why should regular conferences be held about a patient’s prognosis?
a. Plan for upcoming care needs.
b. Control the use of health care resources.
c. Eliminate conflict between health care providers.
d. Eliminate conflicting messages to the patient/family.
Answer: d. Eliminate conflicting messages to the patient/family.
10. Which is a key element when conducting a goals-of-care conference for a seriously ill patient?
a. Disclose the prognosis.
b. Explain the outcomes for planned interventions.
c. Study the patient’s health care insurance coverage.
d. Discuss actions to take when the patient is discharged.
Answer: a. Disclose the prognosis.
11. Which mnemonic is helpful when communicating with patients/families?
a. CODE
b. PQRST
c. VALUE
d. OLD-CART
Answer: c. VALUE
12. The family of a terminally ill patient desires one course of treatment and the patient requests another. Which
type of conflict is occurring?
a. Ethical
b. Decisional
c. Interpersonal
d. Intraprofessional
Answer: b. Decisional
6 Copyright © Springer Publishing Company, LLC. All Rights Reserved.
, CHAPTER 4
Recognizing and Addressing Moral Distress in
Nursing Practice: Personal, Professional,
and Organizational Factors
1. A nurse who knows what action is needed in an ethical situation but is unable to act on that knowledge may
experience:
a. Anxiety
b. Conflict
c. Confusion
d. Moral distress
Answer: d. Moral distress
2. Which term is used to describe painful feelings that remain after experiencing morally distressing situations?
a. Moral distress
b. Moral conflict
c. Moral residue
d. Moral dilemma
Answer: c. Moral residue
3. The situation in which a new graduate’s professional values and identity are not congruent or supported by an
employing organization can lead to:
a. Hostility
b. Ambiguity
c. Reality shock
d. Cognitive dissonance
Answer: c. Reality shock
4. Implementing the decisions of others while lacking authority and experiencing increased responsibility may
contribute to a nurse feeling:
a. Powerless
b. Poor self-image
c. Low self-esteem
d. The inability to cope
Answer: a. Powerless
5. What can contribute to the development of moral residue?
a. Inexperience
b. Inadequate leadership skills
c. Poor time management strategies
d. Unresolved conflicts with other health care providers
Answer: d. Unresolved conflicts with other health care providers
Copyright © Springer Publishing Company, LLC. All Rights Reserved. 7
