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Integumentary System LaFleur: Exploring Medical Language, 10th Edition

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: Legal and Ethical Issues Yoder-Wise: Leading and Managing in Nursing, 7th Edition MULTIPLE CHOICE 1. The manager in the coronary care unit believes an important ethical consideration in performance evaluations is to include the employee’s good qualities and give positive direction for pr...

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  • March 20, 2022
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  • 2021/2022
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Leading and Managing in Nursing 7th Edition Yoder-Wise Test Bank


Chapter 03: Legal and Ethical Issues
Yoder-Wise: Leading and Managing in Nursing, 7th Edition


MULTIPLE CHOICE

1. The manager in the coronary care unit believes an important ethical consideration in
performance evaluations is to include the employee’s good qualities and give positive
direction for professional growth. What ethical principle does this represent?
a. Justice
b. Fidelity
c. Beneficence
d. Nonmaleficence
ANS: D
Nonmaleficence refers to “doing no harm.” For a nurse manager following this principle,
performance evaluation should emphasize an employee’s good qualities and give positive
direction for growth. Destroying the employee’s self-esteem and self-worth would be
considered doing harm under this principle.

TOP: AONE competency: Professionalism

2. A staff nurse in the area that you manage has excelled in the delivery of patient education.
You are considering implementing a new job description that would broaden her opportunity
to teach patients and orient new staff members to the value of patient education. What ethical
principle is being reinforced?
a. Justice
b. Fidelity
NURSINGTB.COM
c. Paternalism
d. Respect for others
ANS: C
The principle of paternalism allows one person to make partial decisions for another and is
most frequently deemed to be a negative or undesirable principle. Paternalism, however, may
be used to assist persons to make decisions when they do not have sufficient data or expertise.
Paternalism becomes undesirable when the entire decision is taken away from the employee.

TOP: AONE competency: Professionalism

3. A patient refuses a simple procedure that you believe is in the patient’s best interest. What two
ethical principles are in conflict in this situation?
a. Fidelity and justice
b. Veracity and fidelity
c. Autonomy and beneficence
d. Paternalism and respect for others
ANS: C
Autonomy refers to the freedom to make a choice (e.g., refuse a procedure), and beneficence
to doing good (performing a procedure that will benefit the patient).

TOP: AONE competency: Professionalism



This study source was downloaded by 100000836386117 from CourseHero.com on 12-23-2021 22:42:58 GMT -06:00


https://www.coursehero.com/file/54768997/03pdf/ NURSINGTB.COM

, Leading and Managing in Nursing 7th Edition Yoder-Wise Test Bank



4. An individual in a wheelchair is applying for the position of receptionist in an outpatient
clinic. What does the nurse manager understand based on The Americans with Disabilities
Act of 1990 requirements for employers?
a. Make reasonable accommodations for persons who are disabled.
b. Allow modified job expectations for persons recovering from alcoholism.
c. Hire disabled individuals before hiring other qualified, non-disabled persons.
d. Treat, for purposes of employment, homosexuals and bisexuals as disabled.
ANS: A
The purposes of the ADA are to eliminate discrimination against persons with disabilities and
to provide consistent, enforceable standards to address discrimination in the workplace.

TOP: AONE competency: Business Skills

5. A staff nurse, who was fired for reporting patient abuse to the appropriate state agency, files a
whistleblower lawsuit against the former employer. What reason would the court provide to
uphold a valid whistleblower suit claiming retaliation by the nurse?
a. Previously reported the complaint, in writing, to hospital administration.
b. Threatened to give full details of the patient abuse to local media sources.
c. Was discharged after three unsuccessful attempts at progressive discipline had
failed.
d. Had organized, before filing the complaint, a work stoppage action by fellow
employees.
ANS: A
An employer is unable to fire an employee who, in good faith, reports what is believed to be a
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violation of a law, rule, or state INGTlaw.
federal B.COM
TOP: AONE competency: Knowledge of the Health Care Environment

6. In keeping with standards of The Joint Commission (TJC), the nurse manager organizes an
orientation for new staff members. As part of the orientation, the nurse manager reviews the
employee handbook. What is the basis that binds employers to statements in the employee
handbook?
a. Under the doctrine of apparent agency
b. Under the doctrine of respondent agency
c. Based on the employee’s or the employer’s expectations
d. Based on the theory that the handbook creates an explicit contract
ANS: C
The handbook is an implied contract and frames the employment contract. This contract binds
the employer to meeting the handbook statements.

TOP: AONE competency: Knowledge of the Health Care Environment

7. To reduce the incidence of falls in a skilled nursing unit, the nurse manager contacts the risk
manager. Risk management is a process that attempts to identify potential hazards and:
a. compensate for previous injuries.
b. eliminate these risks before anyone else is harmed.
c. supersede the need for staff members to file incident reports.



This study source was downloaded by 100000836386117 from CourseHero.com on 12-23-2021 22:42:58 GMT -06:00


https://www.coursehero.com/file/54768997/03pdf/ NURSINGTB.COM

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