Ethics And Issues in Contemporary Nursing 4th Edition by Burkhardt, Margaret A. – Test Bank

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Ethics And Issues in Contemporary Nursing 4th Edition by Burkhardt, Margaret A. – Test Bank

 

 

Sample  Questions

 

Chapter 6  Ethics and Professional Nursing

 

MULTIPLE CHOICE

 

  1. Who authored the first ethics textbook, Nursing Ethics for Hospital and Private Use?
a. Florence Nightingale c. Isabel Hampton Robb
b. Lillian Wald d. Abraham Flexner

 

 

ANS:  C                    PTS:   1

 

  1. The roles of the state boards of nursing can include:
a. overseeing schools of nursing within the states.
b. enforcing the individual state’s nurse practice acts.
c. disciplining nurses.
d. all of the above.

 

 

ANS:  D                    PTS:   1

 

  1. The minimum expectations for safe nursing care can be defined as:
a. accountability. c. expertise.
b. standards of nursing practice. d. authority.

 

 

ANS:  B                    PTS:   1

 

  1. Who was the first nursing theorist to write about caring?
a. Martha Rogers c. Madeleine Leninger
b. Jean Watson d. Margaret Newman

 

 

ANS:  C                    PTS:   1

 

  1. Standards of nursing practice are developed within the profession to describe practice and establish the minimum level of safe practice.  The purpose of standards of nursing practice can include:
a. helping to ensure that nurses are competent and safe to practice.
b. serving as a guide for nurses providing care.
c. determining whether the actions of nurses accused of malpractice are consistent with reasonable expectations.
d. all of the above.

 

 

ANS:  D                    PTS:   1

 

  1. A complex, organized occupation preceded by a long training program is a(n):
a. profession. c. autonomy.
b. expert. d. nurse.

 

 

ANS:  A                    PTS:   1

 

  1. Flexner listed some of the following traits utilized to identify professions:
a. Intellectual operations.
b. Educationally communicable technique.
c. Self-organization.
d. Raw materials from science and learning.
e. All of the above.

 

 

ANS:  E                    PTS:   1

 

  1. ____ relates to the characteristic of having a high level of specialized skill and knowledge.
a. Profession c. Wisdom
b. Expertise d. Skill

 

 

ANS:  B                    PTS:   1

 

  1. “Self-governing” is another word or definition for:
a. expertise. c. autonomy.
b. profession. d. accountability.

 

 

ANS:  C                    PTS:   1

 

  1. ____ refers to a person who has an obligation to accept responsibility and to account for actions.
a. Autonomy c. Authority
b. Expertise d. Accountability

 

 

ANS:  D                    PTS:   1

 

  1. An explicit declaration of primary goals and values of the profession that indicates the “profession’s acceptance of the responsibility and trust with which it has been invested by society” is:
a. a code of nursing ethics. c. autonomy.
b. a standards of nursing practice. d. constitution.

 

 

ANS:  A                    PTS:   1

 

  1. The foremost legal statute regulating nursing is:
a. State Board of Nursing. c. Nurse Practice Act.
b. Code of Nursing Ethics. d. Standards of Nursing Practice.

 

 

ANS:  C                    PTS:   1

 

  1. Because society allows professionals a monopoly over the services they provide, ethics demands that those services must be provided with expertise.
a. True b. False

 

 

ANS:  A                    PTS:   1

 

MULTIPLE RESPONSE

 

  1. Professions have many distinguishing attributes that have been proposed over the years, including (select all that apply):
a. expertise. d. low income.
b. absence of systematic theory. e. licensure.
c. a scope of practice. f. ethical codes.

 

 

ANS:  A, C, E, F       PTS:   1

 

  1. Which of the following is a function of nurse practice acts? Select all that apply.
a. Defines nursing practice
b. Protects practicing nurses
c. Describes the boundaries of nursing practice
d. Establishes standards for nursing
e. Protects the domain of nursing

 

 

Chapter 7  Ethical Decision Making

 

MULTIPLE CHOICE

 

  1. Which term is described as a personal consciousness of the moral importance that guides personal action in a particular situation?
a. Dilemma c. Ethic
b. Problem d. Moral integrity

 

 

ANS:  C                    PTS:   1

 

  1. The first step in the ethical decision-making process is:
a. implementing the strategy. c. evaluating outcomes of an action.
b. gathering data. d. articulating the problem.

 

 

ANS:  D                    PTS:   1

 

  1. ____________ occurs when we sense that there is a moral problem but are not sure of the morally correct action.
a. Moral distress c. Moral dilemma
b. Moral uncertainty d. Practical dilemma

 

 

ANS:  B                    PTS:   1

 

  1. When a person is aware of a moral problem, acknowledges moral responsibility, and makes a moral judgment about the correct action, yet is constrained from the self-determined morally correct action, the person is experiencing:
a. moral distress. c. moral outrage.
b. moral uncertainty. d. moral reckoning.

 

 

ANS:  A                    PTS:   1

 

  1. Moral dilemmas occur when:
a. the nurse is unsure of the morally correct action.
b. there are conflicting moral claims.
c. moral claims conflict with practical claims.
d. participants disagree on the appropriate course of action.

 

 

ANS:  B                    PTS:   1

 

  1. The nurse manager asks Martha, a staff nurse, if she will work an additional 4 hours at the end of her shift. Martha’s patient is unstable, and there is insufficient staff on the next shift to care for her adequately. If she works overtime, Martha will break a promise she made to take her children to the circus. This situation is an example of:
a. moral distress. c. moral reckoning.
b. a moral dilemma. d. a practical dilemma.

 

 

ANS:  A                    PTS:   1

 

  1. A registered nurse witnesses another nurse violating a patient’s autonomy. Even though she did not participate in the action, the nurse who witnessed the act experiences powerlessness, frustration, and anger. This reaction describes which of the following?
a. Moral distress c. Moral outrage
b. Moral uncertainty d. Moral dilemma

 

 

ANS:  C                    PTS:   1

 

  1. Physicians sometimes make unilateral decisions in morally important situations because:
a. moral decision making is reserved for physicians.
b. nurses are seldom aware of the patient’s wishes and life context.
c. there is, sometimes, power imbalance in the health care setting.
d. it is illegal for nurses to participate in moral decision making.

 

 

ANS:  C                    PTS:   1

 

  1. Moral integrity is defined as:
a. the likelihood that someone will make the same decision repeatedly over time.
b. soundness, reliability, wholeness, and integration of moral character.
c. self-knowledge combined with decision-making skill.
d. the ability to make cogent moral decisions.

 

 

ANS:  B                    PTS:   1

 

  1. A problem consists of:
a. uncertainties and unintended consequences.
b. disagreements among participants as to the best course of action.
c. moral claims that conflict with practical claims.
d. a discrepancy between the current situation and a desired state.

 

 

ANS:  D                    PTS:   1

 

  1. George, an ICU nurse, worked with the team as they followed the physician’s order to discontinue life support on a patient diagnosed with persistent vegetative state. George believes that life is sacred and that he has a duty to do whatever it takes to preserve life. Nevertheless, he remained silent as the decision was made, and he assisted his coworkers when they unplugged the respirator. George is likely to experience which of the following?
a. Moral uncertainty c. Moral outrage
b. Moral distress d. Moral perplexity

 

 

ANS:  B                    PTS:   1

 

  1. Which of the following is an example of a moral dilemma?
a. A nurse who is accustomed to working on the prenatal unit floats to the ER.
b. A nurse who has strong religious beliefs opposing abortion is assigned to assist with an elective abortion.
c. A terminally ill patient on life support suffers from severe, intractable pain.
d. A patient has a cardiopulmonary arrest when the suction apparatus fails.

 

 

ANS:  C                    PTS:   1

 

  1. Determining key participants is appropriate during which step of the moral decision-making process?
a. Data gathering c. Strategy exploration
b. Problem articulation d. Strategy implementation

 

 

ANS:  A                    PTS:   1

 

  1. The physician and nurse participate with a patient in making a particularly difficult moral decision. If the decision-making process is properly implemented, which of the following may occur?
a. The goal will be reached. c. Other actions may be required.
b. Other dilemmas emerge. d. All of the above

 

 

ANS:  D                    PTS:   1

 

MULTIPLE RESPONSE

 

  1. Several types of moral problems exist and are discussed in chapter 7.  Which of the following are examples of a moral problem? Select all that apply.
a. Moral uncertainty d. Practical dilemma
b. Moral dilemma e. Moral distress
c. Routine problem

 

 

ANS:  A, B, E           PTS:   1