Deck 12: Ethical Issues in Leadership, the Organization, and Approaches to the Delivery of Care

Question 1

Which of the following best describes the expectations of a nurse caring for a patient with a different cultural background?

A) The nurse should ask another nurse with the same cultural background as that of the patient to care for the patient.
B) Nurses must be knowledgeable about all cultures and customs.
C) The nurse can identify the patient's unique cultural practices during assessment and then plan the implementation of care and interventions accordingly.
D) Nurses should avoid discussion of unusual customs.

Answer 1

The nurse can identify the patient's unique cultural practices during assessment and then plan the implementation of care and interventions accordingly.

Question 2

Patients' family members are an important aspect of care, and family-centred care is an important model of care. Which of the following is an example of inappropriate family involvement in the care of a patient involving a language barrier?

A) Translation by family members during decisions about cancer treatment
B) Translation by family members to assist the patient to eat
C) Translation by family members when culturally appropriate comfort measures are being provided
D) Translation by family members to help identify subtle signs of discomfort in the patient

Answer 2

Translation by family members during decisions about cancer treatment

Question 3

Open visiting for families includes parents, spouses, and children.

Answer 3

False

Question 4

Which of the following elements best describe family- and patient-centred care?

A) Respecting the racial, ethnic, cultural, and socioeconomic diversity of clients and families
B) Designing health care that is flexible, culturally competent, and responsive to the needs and wish of the client and family
C) Listening to family members because they may note important changes in the patient's condition that may not be readily apparent to the team
D) All are correct

Question 5

Organizational ethics deals with those values that establish standards and influence how the organization is perceived both internally and externally.

Question 6

It is best practice when the nursing team explores ethical issues related to the patient/client and determines the best course of action.

Question 7

During the night-shift report, the nurse notes that a colleague does not seem to be able to stay awake. Despite prompting, the colleague remains drowsy, and the nurse suspects substance abuse. The nurse reports this to the charge nurse. Which of the following describes the charge nurse's responsibility?

A) The charge nurse should fire the employee immediately.
B) The charge nurse should send the employee home immediately.
C) The charge nurse should send the employee for drug testing immediately.
D) The charge nurse should suspend the employee with pay immediately.

Question 8

Which of the following organizational activities should be guided by ethical standards?

A) Recruitment practices
B) Leadership practices
C) Resource allocation
D) All are correct

Question 9

Which of the following factor has an impact on nursing shortages?

A) An aging population creates a growing demand on health resources.
B) An aging population means more young people are contemplating entering the nursing profession.
C) Advances in technology call for increased generalization of practice for new nurses.
D) All are correct.

Question 10

What does the term "multidisciplinarity" mean with respect to the levels of team functioning?

A) Feeling competent and confident in one's own discipline
B) Being willing and able to work with others in the joint evaluation, planning, and care of the patient
C) Believing that oneself and fellow professionals in one's discipline can make an important contribution to care
D) Recognizing that other disciplines also have important contributions to make

Question 11

Nursing leaders are solely responsible for ensuring sound ethical practice and a healthy work environment.

Question 12

Why are patients and clients from diverse cultural backgrounds at risk?

A) Language barriers always interfere with care.
B) Patients' food preferences result in less than optimal nutrition.
C) Patients' reluctance to disclose their feelings is an issue.
D) There may not be a shared understanding of what is meaningful to these patients and their families.

Question 13

Which of the following is the most ethical method for recruiting internationally educated nurses?

A) Recruiting nurses from developing countries and offering them a better way of life in Canada
B) Booking a table at an international job fair for nurses and discussing opportunities with nurses who attend the fair
C) Offering large financial and transition incentives for internationally educated nurses to come to Canada
D) Hiring internationally educated nurses through international recruitment agencies

Question 14

A nurse on a rehabilitation unit does rounds at the beginning of a night shift and discovers that the daughter of an older gentleman, who is recovering from hip surgery, is sleeping on a vacant bed in his room. What should she do as it is not hospital policy to allow visitors during the night?

A) Wake the daughter up, let her know it was inappropriate of her to sleep on the bed as now it will have to be remade. Because it is late, permit her to sleep on the chair beside her father's bed.
B) Wake the daughter up, and tell her she has to go home because visitors are not allowed during the night.
C) Let the daughter sleep, and inform the staff that the bed linen needs to be changed in the morning.
D) Let the daughter sleep, and meet with the manager in the morning about changing the rules to be more family centred and patient centred.

Question 15

Distributive justice refers to the perception that processes have been fair and inclusive regardless of the outcome.