LPN to RN Transitions 3rd Edition by Lora Claywell – Test Bank

LPN to RN Transitions 3rd Edition by Lora Claywell – Test Bank

Chapter 08: Upholding Legal and Ethical Principles
Test Bank

MULTIPLE CHOICE

1. The nurse who fails to remove a patient from an unsafe situation has violated which bioethical principle?
a. Justice
b. Fidelity
c. Veracity
d. Beneficence

ANS: D
The nurse who fails to remove a patient from an unsafe situation violates the bioethical principle of beneficence, which means to prevent harm, or promote good. Justice refers to fairness, and fidelity is the principle of faithfulness. Veracity refers to truth-telling.

DIF: Cognitive Level: Application REF: Page 122
OBJ: Apply the seven universal biomedical ethical principles discussed in this chapter to the clinical setting. TOP: Nursing Ethics
MSC: NCLEX: Safe, Effective Care Environment: Management of Care

2. The nurse who respects the patient’s right to refuse treatment is following which bioethical principle?
a. Justice
b. Beneficence
c. Autonomy
d. Fidelity

ANS: C
Autonomy refers to the patient’s right to refuse treatment and to make one’s own decisions regarding health care. Justice, beneficence, and fidelity refer to fairness, doing no harm, and truth-telling.

DIF: Cognitive Level: Application REF: Page 124
OBJ: Apply the seven universal biomedical ethical principles discussed in this chapter to the clinical setting. TOP: Nursing Ethics
MSC: NCLEX: Psychosocial Integrity

3. The student understands the bioethical decision-making theory of utilitarianism when she makes which statement?
a. “Utilitarianism is concerned only with duty.”
b. “Utilitarianism is also called Kantian ethics.”
c. “Utilitarianism judges actions based on possible consequences.”
d. “Utilitarianism judges actions based on intent.”

ANS: C
Utilitarianism uses potential consequences to judge whether actions produce the greatest good. Kantian ethics judge actions based on intent and possible consequences. Deontology is a duty-oriented theory.

DIF: Cognitive Level: Application REF: Page 126
OBJ: Apply an ethical framework or model for ethical decision-making.
TOP: Nursing Ethics
MSC: NCLEX: Safe, Effective Care Environment: Management of Care

4. Which statement made by the nursing student indicates an accurate understanding of culturally competent care?
a. “It means having knowledge of the health-related beliefs and practices of all cultures.”
b. “It is the ability to care only for individuals from one’s own culture.”
c. “It means working within the cultural context of individuals, families, and communities.”
d. “It means avoiding discussing the patient’s practices or beliefs because they may not agree with your own.”

ANS: C
Working within the cultural context of individuals, families, and communities is the definition of culturally competent nursing care. Knowing the health-related beliefs and practices of all cultures is unrealistic. The ability to care only for those from one’s own culture or avoiding discussing the patient’s beliefs is not within the definition of culturally competent care.

DIF: Cognitive Level: Application REF: Page 123
OBJ: Explain the role of culture in biomedical ethics. TOP: Nursing Ethics
MSC: NCLEX: Psychosocial Integrity

5. The student understands the ANA Code of Ethics for Nurses when she identifies which statement as incorrect? The Code of Ethics for Nurses:
a. provides a framework for ethical decision-making.
b. is non-negotiable.
c. is applicable to most practice settings.
d. helps with professional self-regulation.

ANS: C
The ANA Code of Ethics is applicable to all practice settings. The Code is also provides a framework for ethical decision-making, is non-negotiable, and helps with professional self-regulation.

DIF: Cognitive Level: Application REF: Page 127
OBJ: Explain the role of the Code of Ethics for Nurses to the practice of nursing.
TOP: Nursing Ethics
MSC: NCLEX: Safe, Effective Care Environment: Management of Care

6. Which statement is correct about the bioethical decision-making theory of deontology?
a. It is concerned only with consequences.
b. It judges actions based on motive or intent.
c. It emphasizes treating others as a means to an end.
d. It cannot be applied to research.

ANS: B
Deontology judges actions based on motive or intent and is especially applicable to the field of research. Deontology is not solely concerned with consequences and does not emphasize treating others as a means to an end.

DIF: Cognitive Level: Application REF: Page 126
OBJ: Apply an ethical framework or model for ethical decision-making.
TOP: Nursing Ethics
MSC: NCLEX: Safe, Effective Care Environment: Management of Care

7. The RN student has been studying ethics in health care. Based on what she has learned, how would she explain the bioethical principle of autonomy?
a. It states that the physician knows what is best for the patient.
b. It does not apply to informed consent.
c. It refers to patient self-determination.
d. It states that every patient has a right to health care.

ANS: C
Self-determination, or the right to make one’s own health care decisions, and informed consent are grounded in the principle of autonomy. The belief that a physician knows what is best for the patient is known as paternalism, and the belief that every patient has a right to health care, as well as informed consent, is the principle of justice.

DIF: Cognitive Level: Evaluation REF: Page 122
OBJ: Define the seven universal biomedical ethical principles discussed in this chapter.
TOP: Nursing Ethics
MSC: NCLEX: Safe, Effective Care Environment: Management of Care