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Canadian Fundamentals of Nursing 6th Edition Potter Test BankChapter 07: Nursing Values and Ethics
Potter et al: Canadian Fundamentals of Nursing, 6th Edition
MULTIPLE CHOICE
1. Four patients in labour all request epidural analgesia to manage their pain at the same time.
Which ethical principle is compromised when only one nurse anaesthetist is on call?
a. Justice.
b. Nonmaleficence.
c. Beneficence.
d. Fidelity.
ANS: A
Justice refers to fairness and is used frequently in discussion regarding access to health care
resources. In this situation, the just distribution of resources—in this case pain
management—cannot be justly apportioned. Nonmaleficence means “to do no harm,”
beneficence means “to do good,” and fidelity means “to be true to” or “to be honest.” Each of
these principles is partially alluded to in the question; however, justice is the principle most
comprised because not all labouring patients have equal access to pain management owing to
lack of personnel resources.
DIF: Understand REF: 91 | 92
OBJ: Explain the relationship between ethics and professional nursing practice.
TOP: Implementation MSC: CPNRE: Professional, Ethical, and Legal Practice
2. The patient tells the nurse that she is afraid to speak up regarding her desire to end care for
fear of upsetting her husbandNand
URchildren.
SINGTWhichB.COprinciple
M in the nursing code of ethics
ensures that the nurse will promote the patient’s cause?
a. Responsibility.
b. Advocacy.
c. Confidentiality.
d. Accountability.
ANS: B
Nurses advocate for patients by supporting the patient’s cause. A nurse’s ability to advocate
adequately for a patient is based on the unique relationship that develops between nurse and
patient and on the opportunity to better understand the patient’s point of view. Responsibility
refers to respecting one’s professional obligations and following through on promises;
confidentiality deals with privacy issues; and accountability refers to owning one’s actions.
DIF: Understand REF: 89 | 90
OBJ: Explain the relationship between ethics and professional nursing practice.
TOP: Diagnosis MSC: CPNRE: Professional, Ethical, and Legal Practice
3. The patient’s son requests to view the documentation in his mother’s medical record. What is
the nurse’s best response to this request?
a. “I’ll be happy to get that for you.”
b. “You will have to talk to the physician about that.”
c. “You will need your mother’s permission.”
d. “You are not allowed to see it.”
NURSINGTB.COM
, Canadian Fundamentals of Nursing 6th Edition Potter Test Bank
ANS: C
Nurses should protect a patient's right to privacy and confidentiality by helping the patient
access his or her health records (subject to legal requirements), intervening if other members
of the health care team fail to respect the patient's privacy, and following policies that protect
the patient's privacy. Private health information cannot be shared without the patient’s specific
permission. The other three responses either are outright false or use poor communication
techniques.
DIF: Apply REF: 90
OBJ: Explain the relationship between ethics and professional nursing practice.
TOP: Evaluate MSC: CPNRE: Professional, Ethical, and Legal Practice
4. When individuals work together to solve ethical dilemmas, they must examine their own
values. This step is crucial to ensure what?
a. The group identifies the one correct solution.
b. Fact is separated from opinion.
c. Judgmental attitudes are not provoked.
d. Different perspectives are respected.
ANS: D
Values are personal beliefs that influence opinions; to be able to negotiate differences in
opinions, the nurse must first be clear about personal values, which will influence behaviours,
decisions, and actions. Ethical dilemmas are a problem in that no single correct solution
exists.
DIF: Remember REF: 88 OBJ: Discuss how values influence patient care.
TOP: Evaluate MSC: CPNRE:
N R Professional,
I G B.CEthical,
M and Legal Practice
U S N T O
5. Ethical dilemmas are common occurrences when caring for patients. The nurse understands
that dilemmas are a result of which of the following?
a. Presence of conflicting values.
b. Hierarchical systems.
c. Judgemental perceptions of patients.
d. Poor communication with the patient.
ANS: A
The primary underlying reason that ethical dilemmas occur is that there are no clear-cut,
universally accepted solutions to a problem when participating individuals do not share the
same values. Poor communication and the hierarchical systems that exist in health care, such
as reporting structures within the hospital, or the historically unequal relationship between
physicians and nurses, may complicate dilemmas. Without clarification of values, the nurse
may not be able to distinguish fact from opinion or value, and this can lead to judgemental
attitudes.
DIF: Understand REF: 88 OBJ: Discuss the role of values in the study of ethics.
TOP: Assessment MSC: CPNRE: Professional, Ethical, and Legal Practice
6. The nurse questions a physician’s order to administer a placebo to the patient. The nurse’s
action is based on which ethical principle?
a. Autonomy.
b. Beneficence.
NURSINGTB.COM
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