Deck 6: Application of Ethics in the Community

Question 1

A nurse who was working in the 1960s used the code of ethics to guide making an ethical decision.Which code of ethics would have been used?

A) Nightingale Pledge
B) Code for Professional Nurses
C) Code of Ethics for Nurses with Interpretive Statements
D) International Council of Nurses (ICN) Code of Ethics for Nurses

Answer 1

Code for Professional Nurses

Question 2

A nurse has used the steps of the ethical decision-making process when making a decision.Which of the following is most similar to this process?

A) Healthy People 2010
B) Deontology
C) The nursing process
D) Advocacy

Answer 2

The nursing process

Question 3

A nurse believes everyone is entitled to equal rights and equal treatment in society.Which of the following principles is being applied?

A) Distributive or social justice
B) Egalitarianism
C) Libertarian view of justice
D) Communitarianism

Answer 3

Egalitarianism

Question 4

Which statement is discussed in the Code of Ethics for Nurses with Interpretive Statements?

A) The profession of nursing is responsible for making political statements and supporting nurse-friendly candidates for office.
B) The nurse's primary focus is on acute bedside nursing, followed by community health care to promote seamless care.
C) The nurse owes duty primarily to the physician to strive to protect health, safety, and the rights of the patient.
D) The profession of nursing is responsible for articulating nursing values, for maintaining the integrity of the profession, and for shaping social policy.

Question 5

A public health nurse is examining several issues within daily practice.Which of the following issues would be considered an ethical dilemma?

A) Whether or not to establish a community health center in a rural area
B) Allocating resources in a natural disaster
C) Deciding to withdraw care on a hospice patient
D) Applying the principles of Florence Nightingale in Bangladesh

Question 6

Public health administrators in a community provide a health department to serve an indigent population of immigrants providing translators on certain days of the week.Which of the following best describes what is being done?

A) Policy development
B) Quality
C) Assurance
D) Libertarian philosophy

Question 7

A nurse is applying the principle of distributive justice.Which of the following describes the benefits that will occur through application of this principle?

A) Basic needs, material and social goods, liberties, rights, and entitlements
B) Taxes, military service, location of incinerators or power plants
C) Entitlement to equal rights and equal treatment
D) The right to private property and personal assets

Question 8

According to Leininger and Watson,the moral ideal of nursing is:

A) caring.
B) advocacy.
C) responsibility.
D) accountability.

Question 9

There are two medically indigent clients in the clinic who have come to get their monthly supply of free insulin.There is only enough for one client.Which of the following actions would the nurse take first?

A) Identify all options
B) Make a decision
C) Gather additional information
D) Act and assess decisions made

Question 10

A nurse is applying the knowledge and processes of ethics to the examination of ethical problems in health care.Which of the following describes the actions of the nurse?

A) Values
B) Morality
C) Ethics
D) Bioethics

Question 11

Which statement about feminist ethics is correct?

A) Feminists include only women in their worldview.
B) Persons who ascribe to feminist ethics are passive and wish to pursue their ideals through the legislative process.
C) Feminists believe that men should not be nurses.
D) Women's thinking and moral experiences are important and should be taken into account.

Question 12

A nurse is using the principles of virtue ethics in decision making.Which of the following describes the action that the nurse would take?

A) Provide efficient and effective nursing care
B) Identify the meaningful facts in the situation
C) Seek ethical community support to enhance character development
D) Plan ways to restructure the social practices that oppress women

Question 13

A nurse is providing care using the idea of "servicing citizens,not customers." Which of the following ideas is being applied by the nurse?

A) Ethical tenets of policy development
B) Basic concepts of the feminist theory
C) Underlying premise of virtue ethics
D) Components of distributive justice

Question 14

A nurse is applying the ethical principle of non-maleficence.Which of the following describes the action that the nurse is taking?

A) Administering medications using the "five rights"
B) Allowing clients to be active participants in their care
C) Providing patient privacy when delivering care
D) Referring a client to a physical therapist

Question 15

The growing multiculturalism of American society can contribute to ethnicity conflicts when:

A) providing care to different cultural groups.
B) individual values align with the cultural norms.
C) ethnic groups overburden the health care system.
D) the greater community's values are jeopardized by specific ethnic values.

Question 16

Which statement fits the Liberal Democratic Theory of John Rawls?

A) One should reject any idea that societies, states, or collectives of any form can be the bearers of rights or can owe duties.
B) Inequalities result from birth, natural endowment, and historic circumstances.
C) Everyone has a right to private property.
D) Government should be limited.

Question 17

A nurse believes that all Americans should receive basic health care services.Which of the following core functions supports this belief?

A) Assessment
B) Assurance
C) Policy development
D) Advocacy

Question 18

An orderly process that considers ethical principles,client values,and professional obligations is:

A) moral distress.
B) ethical decision making.
C) a value.
D) a code of ethics.

Question 19

Which ethical principle requires "doing no harm?"

A) Respect for autonomy
B) Non-maleficence
C) Beneficence
D) Distributive justice

Question 20

Which statement regarding Florence Nightingale's ideas about ethics is correct?

A) Nursing is a call to service, and the moral character of persons entering nursing is important.
B) Ethical principles are based on the values of the individual nurse.
C) Society will dictate the ethical principles to which nurses must adhere.
D) Ethics are very important in times of war, such as in the Crimean War, when she set up public health centers.

Question 21

The community leaders in a lesser-developed country decide not to tell the citizens of a small village about a chemical spill at a major industrial facility that could produce harmful effects.Which of the following principles is being violated?

A) Morality
B) Advocacy
C) Caring
D) Virtue

Question 22

A nurse is demonstrating advocacy in his nursing practice.Which of the following actions best demonstrates this principle?

A) Offering a smoking cessation program
B) Screening for hypertension
C) Lobbying for health care reform
D) Conducting home visits

Question 23

Which of the following are ethical tenets that underlie the core function of assessment? (Select all that apply.)

A) Competency: the persons assigned to develop community knowledge are prepared to collect data on groups and populations
B) Moral character: the persons selected to develop, assess, and disseminate community knowledge possess integrity
C) Service to others over self: a necessary condition of what is "good" or "right" policy
D) "Do no harm": disseminating appropriate information about groups and populations is morally necessary and sufficient
E) Providers of public health services should be competent and available

Question 24

A community health nurse is applying the Ethical Principles for Effective Advocacy.Which of the following best describes the action(s)of the nurse? (Select all that apply.)

A) Act in the health care provider's best interest
B) Keep the client (group, community) properly informed
C) Maintain client confidentiality
D) Carry out instructions with diligence and competence
E) Provide advice to all members of the community

Question 25

A nurse refers to the Code of Ethics for Nurses or the Public Health Code of Ethics.Which of the following describes why the nurse has referred to this document?

A) To provide answers for ethical dilemmas
B) To guide professional practice related to ethics
C) To increase moral leadership in ethics
D) To find a framework for ethical decision making