Chapter 5: Ethics & Legal Issues Questions and Correct Answers
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Module
Ethics & Legal Issues
Institution
Ethics & Legal Issues
An operating room nurse asks a psychiatric nurse, "How can you work with the mentally
ill day in and day out?" The psychiatric nurse replies, "It's just the right things to do." The
psychiatric nurse is operating from which ethical framework?
A. Kantianism
B. Christian ethics
C. Ethical egoism...
a client diagnosed with schizophrenia refuses to t
which situation contradicts the ethical principle
a geriatric client is confused and wandering in an
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Chapter 5: Ethics & Legal Issues
Questions and Correct Answers
An operating room nurse asks a psychiatric nurse, "How can you work with the mentally
ill day in and day out?" The psychiatric nurse replies, "It's just the right things to do." The
psychiatric nurse is operating from which ethical framework?
A. Kantianism
B. Christian ethics
C. Ethical egoism
D. Utilitarianism - ANSWER: A
Focuses on morality of actions
As a last resort, an agitated, physically aggressive client is placed in four point
restraints. The client yells , " I'll sue you for assault and battery". The unit manager
determines that the nurses are protected under which condition?
A. The client is voluntarily committed and poses a danger to others on the unit
B. the client is voluntarily committed and has a history of being a danger to others
C. the client is involuntarily committed because of a history of violent behavior
D. the client is involuntarily committed and is refusing treatment - Answer: A
A nurse gives a client 5 mg of haloperidol (Haldol) for agitation. The client's chart was
clearly stamped "Allergic HALDOL." The client suffered anaphylactic shock and died.
How would the nurse's actions be labeled?
A. Intentional tort
B. Negligence
C. Battery
D. Assault - ANSWER: B
1. In response to a students question regarding choosing a psychiatric specialty, a
charge nurse states, Mentally ill clients need special care. If I were in that position, Id
want a caring nurse also. From which ethical framework is the charge nurse operating?
A. Kantianism
B. Christian ethics
C. Ethical egoism
D. Utilitarianism - ANS: B
The charge nurse is operating from a Christian ethics framework. A basic principle in
Christian ethics is to do unto others as you would have them do unto you. Kantianism
states that decisions should be based on moral law and that actions are bound by a
, sense of moral duty. Utilitarianism holds that decisions should be made with a focus on
the end result being happiness. Ethical egoism promotes the idea that what is right is
good for the individual.
2. During a hiring interview, which response by a nursing applicant should indicate that
the applicant operates from an ethical egoism framework?
A. I would want to be treated in a caring manner if I were mentally ill.
B. This job will pay the bills, and the workload is light enough for me.
C. I will be happy caring for the mentally ill. Working in Med/Surg kills my back.
D. It is my duty in life to be a psychiatric nurse. It is the right thing to do. - ANS: B
The applicants comment reflects an ethical egoism framework. This framework
promotes the idea that
decisions are based on what is good for the individual and may not take the needs of
others into account.
3. Without authorization, a nurse administers an extra dose of narcotic tranquilizer to an
agitated client. The nurses coworker observes this action but does nothing for fear of
repercussion. What is the ethical
interpretation of the coworkers lack of involvement?
A. Taking no action is still considered an action by the coworker.
B. Taking no action releases the coworker from ethical responsibility.
C. Taking no action is advised when potential adverse consequences are foreseen.
D. Taking no action is acceptable, because the coworker is only a bystander. - ANS: A
The coworkers lack of involvement can be interpreted as an action taken. The coworker
is experiencing an ethical dilemma in which a decision needs to be made between two
unfavorable alternatives. Although the coworker may be struggling with ethical decision
making, he or she has witnessed another nurse dispensing medication outside of the
scope of practice; therefore, from a legal perspective, this should be reported.
4. Group therapy is strongly encouraged, but not mandatory, on an inpatient psychiatric
unit. The unit
managers policy is that clients can make a choice about whether or not to attend group
therapy. Which ethical principle does the unit managers policy preserve?
A. Justice
B. Autonomy
C. Veracity
D. Beneficence - ANS: B
The unit managers policy regarding voluntary client participation in group therapy
preserves the ethical
principle of autonomy. The principle of autonomy presumes that individuals are capable
of making
independent decisions for themselves and that health-care workers must respect these
decisions.
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