Deck 6: Advocacy, Ethical, and Legal Considerations

Question 1

Why is it important for community health nurse to be aware of social justice and everyday ethical and legal concerns?

A) Because it will assist nurses in gaining the capacity to reflect critically on the multiplicity of ethical and legal dimensions inherent in community health nursing
B) Because they can assist their clients in preparing for legal cases for medical malpractice
C) Because ultimately nursing will be intertwined with the legal system
D) Because it will assist nurses in building resistance to reflect critically on the multiplicity of ethical and legal dimensions inherent in community health nursing

Answer 1

Because it will assist nurses in gaining the capacity to reflect critically on the multiplicity of ethical and legal dimensions inherent in community health nursing

Question 2

Which situation has undergone medicalization?

A) Menopause
B) Breast cancer
C) Hyperactivity
D) Hyperthyroidism

Answer 2

Hyperactivity

Question 3

Which of the following are part of the five justifications for public health programs and policies? Select all that apply.

A) Overall benefit
B) The harm principle
C) Fairness in the distribution of burdens
D) Paternalism
E) None of above

Answer 3

Overall benefit
The harm principle
Fairness in the distribution of burdens
Paternalism

Question 4

When building a professional relationship with a client, what must a nurse recognize?

A) The nurse's attitudes, beliefs, and values regarding health
B) The client's attitudes, beliefs, and values regarding health
C) Using the power in the relationship to meet personal needs
D) Maintaining a distant and clinical boundary

Question 5

Given the current emphasis on obesity in Canadian society, a large body size in women has come to symbolize self-indulgence and moral failure, which in turn may lead women to question their sense of self and right to good healthcare. This is an example of an ethical implication of which community health nurse standard of practice?

A) Health maintenance, restoration, and palliation
B) Capacity building
C) Professional responsibility and accountability
D) Prevention and health protection

Question 6

Which of the following statements about social justice is true?

A) Social justice strives to apply justice to medical groups
B) Social justice is the foundational moral justification for public health as a social institution
C) Social justice work does not require consideration of the socio-environmental context
D) Social justice work involves the perspectives of only medicine and nursing

Question 7

Which statement provides the best definition of ethics?

A) Universally held theory on how the world evolved
B) A set of rules that apply only to health care professionals in the practice setting
C) Values, norms, moral principles, virtues, and traditions that guide human conduct
D) A specialized area of philosophy

Question 8

What term describes the way that nurses approach their practice and reflect on their ethical commitment to their clients and colleagues?

A) Committed ethics
B) Situational autonomy
C) Empowering a community
D) Everyday ethics

Question 9

Jack, 14 years old, presents at the community health nurses office requesting an initial immunization series. His parents have never immunized him because they do not believe in immunization. Jack's parents did not sign the immunization consent form sent home from school. What does this situation present for the nurse?

A) Something that never happens in Canada
B) An issue for feminist decision-making
C) An ethical dilemma
D) A course of action that is easily decided and recognized

Question 10

What nursing action best demonstrates professional responsibility and accountability?

A) Respecting a client's wishes not to inform her boyfriend that she has gonorrhea
B) Keeping a confidential client's repeated statements that she wants to kill her husband
C) Adhering to institutional policies
D) Protecting the identity of a child who reveals that she has been abused

Question 11

Which Canadian Community Health Nursing Standard of Practice is being used when advocating for social justice?

A) Facilitating access and equity
B) Practice setting safety
C) Empowering communities
D) Maintaining professional boundaries

Question 12

What must be considered when nurses assist clients to make informed choices?

A) The benefits of the intervention but not the risks
B) Legally binding paperwork
C) The exchange of information and respect for the individual's autonomy
D) The benefits of the risks, negligence, and autonomy

Question 13

Which of the following statements are true of public health ethics? Select all that apply.

A) Public health ethics focus on the health of populations as opposed to individuals
B) Public health ethics place an emphasis on advocacy activities that involve collective interventions
C) Public health ethics are sensitive to health inequities experienced by marginalized groups
D) Public health ethics focus on individual agency and responsibility

Question 14

What is an example of social control?

A) Smoking cessation program
B) Influenza immunization clinics
C) Request to stay at home when ill with the flu
D) Seatbelt law

Question 15

Anne-Marie, a recent nursing graduate, is really enjoying developing relationships with her clients. Anne-Marie tells her mentor that she works hard to meet the needs of her clients and has been using the strategy of meeting one client for coffee in the afternoons. How should the mentor respond to Anne-Marie?

A) "Tell me more about how this strategy is helping to meet your needs?"
B) "It sounds like the nurse-client relationship has crossed the professional boundary."
C) "I use a more distant and clinical approach with my client relationships."
D) "This is a great nursing strategy that you should share with the rest of the nurses."

Question 16

Which statement reflects the World Health Organization's (2013) definition of empowerment?

A) A professional process in which communities are allowed to become self-directed
B) A static process that provides people with power
C) A nurse-driven process whereby people are given what they need
D) A stance that is in line with the moral goals of public health with a strong social justice orientation

Question 17

Who should develop an advanced directive?

A) A physician working in the palliative care setting
B) A person who is terminally ill and needs one to clearly spell out how his or her estate will be divided
C) An individual who wants to stipulate what medical treatments he or she will accept or reject
D) A nurse working with a client who is incapable of making choices

Question 18

Which of the following criteria must be demonstrated in order to pursue medical assistance in dying? Select all that apply.

A) Must be 18 years or older
B) Has voluntarily made the request
C) Has provided informed consent
D) Has a grievous and irremediable medical condition
E) None of above

Question 19

What statement is congruent with capacity building?

A) Equitable sharing of rights, roles, and responsibilities among institutions and individuals
B) Just or fair treatment of all individuals, including equitable access to meet health needs
C) Democracy and civil rights defining a social state in which all have equal rights
D) Helping individuals and communities to identify relevant health issues and to assess their strengths and resources

Question 20

What does the concept of social justice assume?

A) There is a limit to collective action
B) All societies experience broad, systematic oppression and inequities
C) The individual is valued over the collective
D) It is better to benefit the few than the disadvantaged many

Question 21

Discuss the potential moral harm that community health nurses need to be aware of when planning activities as part of a health promotion program.

Question 22

What term best describes the most common ethical orientation in public health nursing practice that embraces the World Health Organization's perspective on empowerment?

A) Advocacy
B) Capacity building
C) Transparency
D) Reciprocity

Question 23

Discuss the ethical implications of professional relationships when nurses practise in the community

Question 24

Which community health nursing standard of practice is demonstrated when a nurse adheres to regulatory standards, federal and provincial or territorial professional standards, laws, codes of ethics, and institutional policies?

A) Capacity building
B) Professional responsibility and accountability
C) Professional relationships
D) Health maintenance, restoration, and palliation

Question 25

Discuss the harm principle as it pertains to a justification for a public health program or policy.

Question 26

There are four key elements that must be proved to make a finding of negligence. Which of the following is one of the four elements?

A) That the standard of care was breached
B) That the nurse took money from that client
C) That the nurse and the client did not have a professional relationship
D) That there was no harm caused

Question 27

Which of the following is part of the ten defining attributes of social justice?

A) Equality
B) Disabling environments
C) Empowerment
D) Ethical practice

Question 28

What is Medical Assistance in Dying?

Question 29

List the four key elements that must be proven to make a finding of negligence.

Question 30

Which of the following options below correctly describes the cycle of oppression?

A) Stereotype, oppression, biased information, prejudice, discrimination
B) Oppression, stereotype, biased information, prejudice, discrimination
C) Prejudice, biased information, oppression, discrimination, stereotype
D) Biased information, stereotype, prejudice, discrimination, oppression