Test bank for Nursing Ethics Across the Curriculum and Into Practice 5th Edition Butts
Chapter 01: Intro to Ethics
Multiple Choice
1. A value is
... [Show More] defined as:
A) something of worth or something highly regarded.
B) getting your money’s worth.
C) a moral decision.
D) family relationships.
Ans: A
2. Moral reasoning is best illustrated by making decisions about:
A) bioethical questions.
B) religious training.
C) how human beings ought to be and act.
D) philosophical viewpoints. Ans: B
3. Evaluating ethically related situations in terms of how these situations affect women is called:
A) feminism.
B) feminine ethics. C) women’s rights. D) feminist ethics. Ans: D
4. Narrative ethics can be compared to the:
A) patient’s particular story.
B) nurse’s caseload.
C) doctor’s rounds.
D) patient’s clinical pathway.
Ans: A
5. The excellence of one’s character and what one wants to become are related to:
A) your personal morality.
B) contextual ethics.
C) situational ethics.
D) virtue ethics. Ans: D
6. What philosophy shares a common focus with the healthcare ethical viewpoint of alleviating human suffering?
A) Christian ethics B) Aristotle’s ethics C) Buddhist ethics
D) Greek and Roman ethics
Ans: C
7. Deontology is an ethical theory based on:
A) chance.
B) study of duty.
C) feelings or emotions.
D) professional experience. Ans: B
8. The most influential philosopher associated with the deontological way of thinking is:
A) Jeremy Bentham. B) John Stuart Mill. C) Immanuel Kant.
D) Sir William David Ross.
Ans: C
9. What is the most well-known consequentialist theory of ethics?
A) Narrative ethics
B) Utilitarianism C) Value ethics D) Casuistry
Ans: B
10. A researcher starts work assuming that a system of ethics can be applied universally. This worker would endorse:
A) ethical relativism. B) bioethical studies. C) ethical objectivism. D) moral reasoning. Ans: C
11. A nurse who wants to do the best work needs:
A) extra coursework.
B) mature ethical sensitivity.
C) compassion.
D) to study philosophy.
Ans: B
12. Ethical subjectivism and cultural relativism are:
A) the same thing.
B) mutually exclusive. C) related but distinct. D) opposites.
Ans: C
13. The American Nurses Association has stated that:
A) professional ethics trumps personal ethics.
B) personal ethics are part of professional ethics.
C) personal ethics should be based on professional ethics.
D) professional ethics trumps personal feelings
Ans: D
14. When a nurse is planning a moral course of action, that is an example of:
A) moralizing.
B) ethical negotiation.
C) moral reasoning. D) moral hazard. Ans: C
15. Who was the first figure in Western civilization to work on the issue of ethics?
A) Socrates
B) Aristotle C) Bentham D) Plato
Ans: A
16. If you create a system for examining problems concerning ethical issues impacting the daily duties of nurses and you use a question-and-answer format in your system, then the system will be:
A) Aristotelian.
B) Platonic.
C) Socratic.
D) Benthamic.
Ans: C
17. Which religion falls outside Western ethics?
A) Judaism
B) Islam
C) Christianity D) Buddhism Ans: D
18. A nurse who, through study and self-reflection, continually works for ethical excellence tries to achieve:
A) virtue.
B) professional advancement.
C) 9001 certification.
D) protection from lawsuits. Ans: A
True/False
1. True or False? Virtue is habitual but not routine.
Ans: True
2. True or False? Aristotle divided virtues according to intellect and will.
Ans: False
Chapter 02: Intro to Bioethics and Ethical Decision Making
Multiple Choice
1. Bioethics is a branch of ethics specifically related to moral issues in which domain?
A) Biology
B) Chemistry
C) Case management
D) Health care
Ans: D
2. Ethical principlism is defined as:
A) the use of a decision tree to find the correct path.
B) providing clear-cut answers to moral questions.
C) guidelines for making justified moral decisions and evaluating the morality of actions.
D) the use of a theory or a formal decision-making model. Ans: C
3. The three virtues necessary to cultivate dignity are:
A) patience, cleanliness, and honesty.
B) professionalism, humor, and humility.
C) spirituality, patience, and gentleness.
D) generosity, misericordia, and truthfulness. Ans: D
4. A nurse is an advocate when he or she:
A) moves from the patient to the healthcare system.
B) provides the patient with advice. C) meets with the patient’s family. D) listens to the patient’s problems. Ans: A
5. The Four Topics Method consists of analyses:
A) by the social worker, clinical psychologist, on-call physician, and case manager.
B) of medical indications, patient preferences, quality of life, and contextual features.
C) of the family situation, insurance considerations, moral values of patient, and literacy level of patient.
D) by the nurse, patient’s family, and legal team. Ans: B
6. Which best describes what might happen when the family of a gunshot victim who has just been brought into the emergency room and who is nonresponsive demands an immediate CT scan?
A) Families members want treatment for their loved one.
B) Families want to pursue legal action against the healthcare setting.
C) Nurses may involve lawyers.
D) Nurses push unwanted treatments on family members.
Ans: A
7. A team that reviews cases, as requested, when there are conflicts in basic values, is most likely:
A) a legal team.
B) the leadership team. C) an ethics committee D) a strategy committee. Ans: C
8. Part of the nurse’s role as a patient advocate is to:
A) report to the media when there is a moral issue.
B) seek help and advice from other health professionals when he or she experiences moral uncertainty.
C) ensure that all healthcare professionals comply within their scope of practice.
D) educate the physician on any patient behaviors that appear immoral. Ans: B
9. Nurses must live according to a philosophy of ethics:
A) before they encounter crucial moral situations.
B) after they have experienced their first moral situation.
C) as they encounter their first moral situation.
D) when they make the decision to pursue a nursing career. Ans: A
10. The five Rs that define the ethical approach to nursing practice are:
A) read, revise, render, recognize, respond.
B) read, reflect, recognize, resolve, respond.
C) reflect, recognize, resolve, respond, rearrange. D) ruminate, recognize, reflect, resolve, respond. Ans: B
11. When a nurse goes to give a patient an injection, and the conscious patient who has been communicating with the nurse does not resist this treatment:
A) the patient has grounds for a lawsuit.
B) a doctor should be present.
C) implied consent has been given.
D) a release form should have been filed. Ans: C
12. Which has the least influence on whether malpractice has occurred?
A) Patient age
B) Duty of the nurse
C) Patient harm D) Breach of duty Ans: A
13. The statement "Nonmaleficence is a creature of the 20th century." is:
A) commonly heard.
B) historically inaccurate.
C) originally attributed to Paul and Elder. D) due to legal changes in the last 50 years Ans: B
14. In nursing, negligent conduct:
A) always leads to injury.
B) may result in patient harm.
C) is usually noted by physicians.
D) requires deliberation. Ans: B
15. Beneficence on the part of a nurse would include: A) providing one's own cell phone for professional use. B) good record keeping.
C) having appropriate training for all techniques to be used.
D) providing pro bono care for every fifth patient. Ans: D
16. The fair allocation of resources is:
A) a veil of ignorance.
B) blind justice.
C) social justice.
D) distributive justice. Ans: D
True/False
1. True or False? Wide use of a new antipsychotic drug in 1938 would have been routine.
Ans: False
2. True or False? The work on syphilis at Tuskegee combined the work of a county health service and the United Nations.
Ans: False
3. True or False? If your hospital announced a switch to an ethic of care and virtue ethics, you would not expect to be thinking much about autonomy.
Ans: True
4. True or False? Not all ethical systems distinguish between maleficence and beneficence.
Ans: True
Chapter 03: Ethics in Professional Nursing
Multiple Choice
1. The American Nurses Association (ANA) adopted its first official code in: A) 1950. B) 1973.
C) 1895. D) 1922. Ans: A
2. Nurses and people, nurses and practice, nurses and the profession, and nurses and coworkers serve as an action -based standard of conduct for which code?
A) The Golden Rule
B) International Council of Nurses Code of Ethics C) American Nurses Association Code of Ethics D) American Hospital Association Code of Ethics Ans: B
3. The significant emphasis in both the American Nurses Association (2001) Code of Ethics and the International Council of Nurses
(2000) Code of Ethics is:
A) enacting ethical responsibility to the patient going through a spiritual crisis.
B) alleviating suffering of patients who experience varying degrees of physical, psychological, and spiritual suffering.
C) enforcing privacy guidelines related to patient care.
D) using moral reasoning as a basis for clinical decision making.
Ans: B
4. What means that nurses must first have a basic knowledge of culturally diverse customs and then demonstrate constructive attitudes based on that knowledge?
A) Having an ethical code
B) Giving culturally sensitive care
C) Having power
D) The American Nurses Association Code of Ethics
Ans: B
5. The ability of nurses to influence persons, groups, or communities by controlling the content of their practice, the context of their practice, and their competence in practice is called:
A) the nurse–patient relationship.
B) having control.
C) using power.
D) moral reasoning. Ans: C
6. What are three major reasons for strained relationships between nurses and physicians?
A) (1) The hierarchal way ethical decisions are made, (2) competency and quality-of-care conflicts,(3) lack of communication
B) (1) Lack of training; (2) gender differences; (3) poor social skills
C) (1) The hierarchal manner of interacting with staff, (2) demeaning attitude toward differences, (3) lack of empathy for others
D) (1) Competency and quality-of-care conflict, (2) silos in the clinical environment, (3) lack of accountability
Ans: A
7. Nurses often treat other nurses in hurtful ways through interpersonal conflict, harassment, and intimidation. This is known as:
A) patient advocacy.
B) horizontal violence or workplace bullying.
C) abusing power among colleagues.
D) having control. Ans: B
8. Traumatized nurses who do not manage the effects of workplace bullying will have difficulty in professional and personal relationships with other people, and will function as the:
A) nurse as healer. B) patient advocate. C) walking wounded. D) nameless victim. Ans: C
9. A nurse who is careful in the use of social media shared with other nurses and patients is respecting what?
A) Cultural differences
B) Learning styles
C) Moral space
D) Religious affiliations
Ans: C
10. What is the foremost risk of using social media?
A) Not getting hired for the next job
B) Being the victim of cyber-bullying
C) Unwanted contact from patients and coworkers D) Violation of patient privacy and confidentiality Ans: D
11. If you are a nurse who just received an award from your employer for your communication skills, and a fellow nurse mocks you for being "too communicative," you are being treated as a:
A) workplace aggressor.
B) outsider. C) tall poppy. D) supervisor. Ans: C
12. When a nurse who works in a medical unit in a community hospital finds that a neighbor and personal friend is a patient there, there is a risk of what?
A) Blurred boundaries
B) Cyber-bullying
C) Over-prescription
D) Abuse of social media
Ans: A
13. If you, while working to prepare a patient for surgery, start talking with the patient about your time together in high school, this may be a:
A) boundary violation.
B) boundary setting.
C) boundary incursion. D) boundary crossing. Ans: D
14. Which is least important for moral integrity?
A) Honesty
B) Truthfulness
C) Frugality
D) Benevolence
Ans: C
15. An immediate result of a nurse being faced with moral distress over a dying patient's last wishes might be what?
A) Use of narcotics
B) Attempts to avoid the patient's room
C) Gossiping with other nurses
D) Sleep
Ans: B
16. The digital age has led to much more:
A) ethical training.
B) security in financial transactions.
C) sense of community.
D) public exploitation. Ans: D
True/False
1. True or False? Like ethics applied to the actions of surgeons, nursing ethics is closely bonded to nursing theory.
Ans: False
2. True or False? A nurse running an early empirical study on ethics in the surgical theater would probably have been working during the early 2000s.
Ans: False
3. True or False? When a nurse is praised by a patient for being mindful while working with the patient's distressed family members, that nurse is modeling ideal levels of concern.
Ans: False
4. True or False? Both a nurse's shift work and the nurse's vacation time are part of moral space.
Ans: True [Show Less]