This document contains a compilation of practice test for the NURSING board exam. This prep exam questions will improve your knowledge and understanding on NURSING topics.
TEST BANK FOR LEADERSHIP ROLES AND
MANAGEMENT FUNCTIONS IN NURSING THEORY
AND APPLICATION 10TH EDITION CHAPTER 4 ;
100% SOLVED GUARANTEED TO PASS
Which statement by a nurse most clearly demonstrates an intuitionist framework for ethical decision
making, duty based?
A. "I've got to look at this situation on the basis of its unique characteristics, not by comparing it to other
situations."
B. "I'm trying to think of as many different options as I can rather than focusing on those that look most
attractive."
C. "I'll make the best decision if I choose the option that comes to mind first rather than overanalyzing
the situation."
D. "It's important that I consider the effect of my decision on the organization, not just the people who
are directly involved." - ANS-A. "I've got to look at this situation on the basis of its unique characteristics,
not by comparing it to other situations."
Feedback: Intuitionist states that each case weighed on a case-by-case basis to determine
relative goals, duties, and rights. Consequently, there is a focus on the specific
characteristics of a situation, not its commonalities with other situations. Thinking of as
many options as possible is a good practice for ethical decision making, but it is not
specifically aligned with an intuitionist framework. Similarly, considering the effects on the
organization is not a particular characteristic of this framework. Intuition does not entail
choosing the option that first comes to mind, without any further analysis or consideration
Which statement best describes ethics?
A. The conflict, power, and interdependency associated with the way we live
B. How out lives and relationships are lead in day-to-day circumstances
C. What our conduct and actions should be regarding what is right and good
D. How people make decisions that they see as legally and morally appropriate - ANS-C. What our
conduct and actions should be regarding what is right and good
Feedback: Ethics is the systematic study of what a person's conduct and actions should be
with regard to self, other human beings, and the environment; it is the justification of what is
right or good and the study of what a person's life and relationships should be, not
necessarily what they are. It is not the study of what people actually do in their daily lives or
how they live but rather what they should do. Ethics is related to legality and morality, but it
is not synonymous with these concepts.
A nurse is facing an ethical dilemma about whether to report a colleague's offensive comment, an action
which is likely to jeopardize their relationship. What is a characteristic of this nurse's ethical dilemma?
, A. The dilemma can be solved by applying empirical data.
B. The dilemma has no realistic solution.
C. The situation involves two or more undesirable alternatives.
D. The situation involves a breach of the law. - ANS-C. The situation involves two or more undesirable
alternatives.
Feedback: Ethical dilemmas involve being forced to choose between two or more
undesirable alternatives. Ethical dilemmas are often not amenable to being solved with
empirical data; they involve values and beliefs, not only facts. Most ethical dilemmas do not
involve a breach of the law; legal issues often have a more clear and unambiguous response.
Even though ethical dilemmas are difficult to manage, this does not mean that there is no
possibility of a realistic solution.
The A nurse is applying the ethical principle of justice when providing care for clients. What action best
exemplifies this principle?
A. Prioritizing actions that will benefit the largest number of clients
B. Meeting continuing education requirements for license renewal
C. Respecting clients' rights to make decisions about their care
D. Ensuring that time and resources are distributed equitably to clients - ANS-D. Ensuring that time and
resources are distributed equitably to clients
Feedback: The principle of justice states that equals should be treated equally and that
unequals should be treated according to their differences; this is the principle of equity.
Justice is frequently applied when there are scarcities or competition for resources or
benefits. Meeting requirements for licensure is a legal issue, not a principle of ethics. The
principle of utility involves prioritizing actions that will benefit the largest number of
clients. Respecting clients' rights to make decisions demonstrates autonomy.
The only treatment alternative left for a client diagnosed with advanced cancer is a rare, highly
experimental bone marrow transfusion with a 10% success rate. Some individuals are arguing that the
high cost of the procedure could be better spent providing well-baby screening for 2,000 residents in the
service area. What ethical principle is most directly involved in this situation?
A. Paternalism
B. Utility
C. Unethical conduct
D. Maleficence - ANS-B. Utility
Feedback: The principle of utility states that what is best for the common good outweighs
what is best for the individual. There is no indication of unethical or maleficent (harmful)
behavior. Paternalism would be characterized by decisions being made without the client
having input
A nurse is applying the MORAL decision-making model to a dilemma involving a colleague's possible
dishonesty in documentation. What is the nurse's initial action?
A. Think of as many alternatives as possible.
B. Gather as much information about the situation as possible.
C. Engage the colleague in the decision-making process.
D. Perform a critical self-reflection of the nurse's own morals and values. - ANS-B. Gather as much
information about the situation as possible.
Feedback: The first step of the MORAL decision-making model is to "massage the
dilemma." This involves collecting data about the ethical problem and who should be
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