Exam (elaborations)
Chapter 5. Ethical and Legal Issues
- Course
- Psychology
- Institution
- Forest Institute Of Professional Psychology
Chapter 5. Ethical and Legal Issues
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Chapter 5. Ethical and Legal IssuesMULTIPLE CHOICE
1. A nursing student asked the charge nurse on the psychiatric unit why she chose
psychiatric-mental health nursing. The charge nurse replied, “Meanbitrabl.cloymi/ltelsct
lients need special care. If I were in that position, I’d want a caring nurse also.” The
charge nurse’s choice reflects which ethical framework?
1. Kantianism
2. Christian ethics
3. Ethical egoism
4. Utilitarianism
ANS: 2
Chapter: Chapter 5, Ethical and Legal Issues
Objective: Discuss ethical theories including utilitarianism, Kantianism, Christian ethics,
natural law theories, and ethical egoism.
Page: 89
Heading: Theoretical Perspectives > Christian Ethics
Integrated Processes: Caring
Client Need: Safe and Effective Care Environment > Management of Care
Cognitive Level: Analysis [Analyzing]
Concept: Ethics
Difficulty: Moderate
Feedback
1. This is incorrect. Kantianism states that decisions should baebibrba.csoemd/teosnt moral
law and
that actions
2. This are The
is correct. bound by a nurse
charge sense is
ofoperating
moral duty.
from a Christian ethics framework. A
basic principle in Christian ethics is to “do unto others as yaobuirbw.coomu/tledsthave
them do
3. This is incorrect. Ethical egoism promotes the idea that what is right is good for the
individual.
4. This is incorrect. Utilitarianism holds that decisions shouldabbireb.cmoma/teestwith a
focus on
the end result being happiness.
CON: Ethics
2. Which response by a nursing applicant during a hiring
intervieawbirbin.cdomic/taetset s that the applicant operates from an ethical egoism
framework?
,1. “I would want to be treated in a caring manner if I were mentally ill.”
2. “This job will pay the bills, and the workload is light enough for me.”
3. “I will be happy caring for the mentally ill. Lifting clients hurts my back.”
4. “It is my duty in life to be a psychiatric-mental health nurse beacbairbu.scoemi/tt’est the right
thing to do.”
ANS: 2
Chapter: Chapter 5, Ethical and Legal Issues
Objective: Discuss ethical theories including utilitarianism, Kantianism, Christian ethics,
natural law theories, and ethical egoism.
Page: 89
Heading: Theoretical Perspectives > Ethical Egoism
Integrated Processes: Nursing Process: Evaluation
Client Need: Safe and Effective Care Environment > Managemeanbtirob.fcoCma/treest
Cognitive Level: Analysis [Analyzing]
Concept: Ethics
Difficulty: Moderate
Feedback
1. This is incorrect. A basic principle in Christian ethics is to “do unto others as you
would have them do unto you.”
2. This is correct. An ethical egoism 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. This is incorrect. Utilitarianism holds that decisions should be made with a focus on
the end result being happiness.
4. This is incorrect. Kantianism states that decisions should be based on moral law and
that actions are bound by a sense of moral duty.
CON: Ethics
3. Without authorization, a nurse administers an extra dose of narcotic tranquilizer to
an agitated client. The nurse’s coworker observes this action but doeabsirnb.ocothmi/ntegst
for fear of repercussion. What is the ethical interpretation of the coworker’s lack of
involvement?
1. Taking no action is still considered an action by the coworker.
2. Taking no action is releasing the coworker from ethical responasbiirbbi.cliotmy/.test
3. Taking no action is advised when potential adverse consequences are foreseen.
4. Taking no action is acceptable, because the coworker is a bystander.
ANS: 1
Chapter: Chapter 5, Ethical and Legal Issues
Objective: Define ethical dilemma.
Page: 89
Heading: Ethical Dilemmas
, Integrated Processes: Communication and Documentation
Client Need: Safe and Effective Care Environment > Management of Care
Cognitive Level: Analysis [Analyzing]
Concept: Legal
Difficulty: Moderate
Feedback
1. This is correct. The coworker’s lack of involvement can be interpreted as an action
taken.
2. This is incorrect. Taking no action does not release the coworker from ethical
responsibility.
3. This is incorrect. Even when potential adverse consequences are foreseen, taking no
action is not advised.
4. This is incorrect. It is not acceptable, when the coworker isabair b.cyosmta/tnesdt er,
to take no action when ethical principles are neglected.
CON: Legal
4. Group therapy is strongly encouraged, but not mandatory, on aanbiribn.cpoamt/it esnt t
psychiatric unit. The unit manager’s policy is that clients can make a choice about
whether to attend group therapy. Which ethical principle does the unit manager’s policy
preserve?
1. Justice
2. Autonomy
3. Veracity
4. Beneficence
ANS: 2
Chapter: Chapter 5, Ethical and Legal Issues
Objective: Discuss the ethical principles of autonomy,
beneficenacbei,rbn.coomnm/teastleficence, justice, and veracity.
Page: 89
Heading: Ethical Principles > Autonomy
Integrated Processes: Nursing Process: Implementation Client
Need: Safe and Effective Care Environment > Management of Care
Cognitive Level: Application [Applying]
Concept: Ethics
Difficulty: Easy
Feedback
1. This is incorrect. The ethical principle of justice suggests tahbairtb.aclolmr/etessot urces
(including health-care services) ought to be distributed equally to all people.
2. This is correct. The unit manager’s policy represents the ethical principle of
autonomy, which presumes individuals are capable of makaibnirgb.cinomd/etepset ndent
decisions for themselves. All health-care workers must respect such decisions.
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