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Chapter 12 Upholding Legal and Ethical Principles
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Chapter 12: Upholding Legal and Ethical PrinciplesClaywell: LPN to RN Transitions
MULTIPLE CHOICE
1. The nurse who fails to remove a patient from an unsafe situation has violated which bioethical
principle?
a. Justice b.
Fidelity c.
Veracity
d. Beneficence
ANS: D
The nurse who fails to remove a patient from an unsafe situation violates the bioethical
principle of beneficence, which means to prevent harm, or promote good. Justice refers to
fairness, and fidelity is the principle of faithfulness. Veracity refers to truth-telling.
DIF: Cognitive Level: Application
OBJ: Apply the seven universal biomedical ethical principles discussed in this chapter to the clinical
setting. TOP: Nursing Ethics
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
2. The nurse who respects the patient’s right to refuse treatment is following which bioethical
principle?
a. Justice
b. Beneficence
c. Autonomy N
d. Fidelity
ANS: C
Autonomy refers to the patient’s right to refuse treatment and to make one’s own decisions
regarding health care. Justice, beneficence, and fidelity refer to fairness, doing no harm, and
truth-telling.
DIF: Cognitive Level: Application
OBJ: Apply the seven universal biomedical ethical principles discussed in this chapter to the clinical
setting. TOP: Nursing Ethics
MSC: NCLEX: Psychosocial Integrity
3. The student understands the bioethical decision-making theory of utilitarianism when she
makes which statement?
a. “Utilitarianism is concerned only with duty.”
b. “Utilitarianism is also called Kantian ethics.”
c. “Utilitarianism judges actions based on possible consequences.”
d. “Utilitarianism judges actions based on intent.”
ANS: C
Utilitarianism uses potential consequences to judge whether actions produce the greatest
good. Kantian ethics judge actions based on intent and possible consequences. Deontology is
a duty-oriented theory.
, DIF: Cognitive Level: Application
OBJ: Apply an ethical framework or model for ethical decision-making.
TOP: Nursing Ethics
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
4. Which statement made by the nursing student indicates an accurate understanding of
culturally competent care?
a. “It means having knowledge of the health-related beliefs and practices of all
cultures.”
b. “It is the ability to care only for individuals from one’s own culture.”
c. “It means working within the cultural context of individuals, families, and
communities.”
d. “It means avoiding discussing the patient’s practices or beliefs because they may
not agree with your own.”
ANS: C
Working within the cultural context of individuals, families, and communities is the definition
of culturally competent nursing care. Knowing the health-related beliefs and practices of all
cultures is unrealistic. The ability to care only for those from one’s own culture or avoiding
discussing the patient’s beliefs is not within the definition of culturally competent care.
DIF: Cognitive Level: Application OBJ: Explain the role of culture in biomedical ethics.
TOP: Nursing Ethics MSC: NCLEX: Psychosocial Integrity
5. The student understands the American Nurses Association (ANA) Code of Ethics for Nurses
when she identifies which statement as incorrect? The Code of Ethics for Nurses
a. provides a framework for ethical decision-making.
b. is non-negotiable. N
c. is applicable to most practice settings.
d. helps with professional self-regulation.
ANS: C
The ANA Code of Ethics is applicable to all practice settings. The Code also provides a
framework for ethical decision-making, is non-negotiable, and helps with professional
self-regulation.
DIF: Cognitive Level: Application
OBJ: Explain the role of the Code of Ethics for Nurses to the practice of nursing.
TOP: Nursing Ethics
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
6. Which statement is correct about the bioethical decision-making theory of deontology?
a. It is concerned only with consequences.
b. It judges actions based on motive or intent.
c. It emphasizes treating others as a means to an end.
d. It cannot be applied to research.
ANS: B
Deontology judges actions based on motive or intent and is especially applicable to the field
of research. Deontology is not solely concerned with consequences and does not emphasize
treating others as a means to an end.
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