Catalano Chapter 6
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Which form of ethics is a bottom-up approach to ethics that starts with what society is already doing ethically and develops ethical principles based on the observed actions of people rather than starting with ethical principles and applying them to society?

  • Metaethics
  • Normative ethics
  • Applied ethics
  • Descriptive ethics (correct)
  • . Which of the following are fundamental standards of right and wrong that an individual learns and internalizes, usually in the early stages of childhood development?

  • Ethics
  • Values
  • Morals (correct)
  • Laws
  • Which ethical principle is the right of self-determination, independence, and freedom and refers to the client’s right to make health-care decisions for himself or herself even if the healthcare provider does not agree with those decisions?

  • Autonomy (correct)
  • Fidelity
  • Veracity
  • Beneficence
  • Which ethical principle underlies the first statement in the American Nursing practitioners Association Code of Ethics for Nurses: ―The nursing practitioner in all professional relationships practices with compassion and respect for the inherent dignity, worth, and uniqueness of each individual, unrestricted by consideration of social or economic status, personal attributes, or the nature of health problems?

    <p>Justice</p> Signup and view all the answers

    . In health care, which ethical principle includes the professional’s faithfulness or loyalty to agreements and responsibilities accepted as part of the practice of the profession?

    <p>Fidelity</p> Signup and view all the answers

    Which ethical principle is one of the oldest requirements for health-care providers and views the primary goal of health care doing good for clients under their care?

    <p>Beneficence</p> Signup and view all the answers

    Which ethical principle requires that health-care providers protect from harm those who cannot protect themselves?

    <p>Nonmaleficence</p> Signup and view all the answers

    The primary limitation of which ethical principle occurs when telling the client the truth would seriously harm the client’s ability to recover or would produce greater illness?

    <p>Veracity</p> Signup and view all the answers

    Which legislative act made it mandatory for all health-care facilities, such as hospitals, nursing homes, and home health-care agencies, to provide information to clients about the living will and durable power of attorney for health care?

    <p>Omnibus Budget Reconciliation Act</p> Signup and view all the answers

    Health-care providers making unilateral decisions that disregard clients’ wishes implies that providers alone know what is best for clients. This practice is known as which of the following?

    <p>Paternalism</p> Signup and view all the answers

    Citizens of the United States having the right to equal access to housing regardless of race, gender, sexual orientation, or religion is an example of which type of right?

    <p>Welfare rights</p> Signup and view all the answers

    The belief in universal access to health care in the United States is an example of which type of right?

    <p>Ethical rights</p> Signup and view all the answers

    Because social media is primarily a means of communication, the standard of care that is most applicable is found in which legislative act that deals with breaches of patient privacy and confidentiality?

    <p>Health Insurance Portability and Accountability Act</p> Signup and view all the answers

    Health-care providers often leave instructions for the nursing staff indicating that the nurses should not resuscitate the client but should instead merely go through the motions to make the family feel better, which is sometimes referred to as which of the following?

    <p>Slow-code order</p> Signup and view all the answers

    A follower of a pure form of which system of ethical decision-making believes in the ethical absoluteness of principles regardless of the consequences of the decision?

    <p>Deontology</p> Signup and view all the answers

    Which action is the most common violation of criminal law made by nurses?

    <p>Failure to renew nursing licenses</p> Signup and view all the answers

    It is under which type of law that most nurses become involved with the legal system?

    <p>Tort law</p> Signup and view all the answers

    Which of the following is the most common intentional tort seen in the practice of nursing?

    <p>Battery</p> Signup and view all the answers

    The issue of abandonment falls under the umbrella of which ethical principle?

    <p>Beneficence</p> Signup and view all the answers

    . Because of which legislative act, health-care providers have become more aware than ever of the issue of confidentiality in the health-care setting?

    <p>Health Insurance Portability and Accountability Act</p> Signup and view all the answers

    Which type of damage allows the judge, in certain instances, to triple the actual damage award amount?

    <p>Treble damages</p> Signup and view all the answers

    . Which legislative act is a federal law that requires all federally funded institutions to inform clients of their right to prepare advance directives?

    <p>Patient Self-Determination Act</p> Signup and view all the answers

    Which legislative act provides a framework on which the court must base decisions when determining whether a nurse has breached a standard of care?

    <p>Nurse Practice Act</p> Signup and view all the answers

    Which of the following requires the existence of a professional standard of care and a clear deviation from that standard of care?

    <p>Malpractice</p> Signup and view all the answers

    Because of the ongoing nursing shortage, which of the following has become an important legal and ethical issue for health-care providers?

    <p>Abandonment</p> Signup and view all the answers

    Medical record documentation is a primary source of which quasi-intentional tort?

    <p>Defamation of character</p> Signup and view all the answers

    In cases involving children, the statute of limitations extends until the person reaches what age?

    <p>21 years</p> Signup and view all the answers

    Some state legislatures have recently passed new tort reform laws that severely limit or completely eliminate which type of awards?

    <p>General damages</p> <p>General damages</p> Signup and view all the answers

    Which type of awards are almost always extremely large and quickly gain the attention of other health-care providers to avoid the same types of actions?

    <p>Punitive damages</p> Signup and view all the answers

    Which of the following is based on the claim that actions of the nurse followed the standards of care or that, even if the actions were in violation of the standards of care, the actions themselves were not the direct cause of the injury?

    <p>Defense of the fact</p> Signup and view all the answers

    Which leadership style works best when the members of the group have the same level of education as the leader and the leader performs the same tasks as the group members?

    <p>Laissez-faire</p> Signup and view all the answers

    Which leadership style works best with groups whose members have a relatively equal status and who know each other well because they have worked together for an extended period?

    <p>Democratic</p> Signup and view all the answers

    People who work under which leadership style usually harbor hostile feelings that they are fearful to express, use passive-aggressive techniques to try to even the playing field, and feel oppressed and unable to use their full potential as a worker?

    <p>Authoritarian</p> Signup and view all the answers

    Which type of leader often allows the group to make its own decisions without regard to the task at hand and ultimately may not achieve the goals the group was organized for in the first place?

    <p>High relationship–low task</p> Signup and view all the answers

    Various forms of punishment, ranging from verbal putdowns to poor performance evaluations that are used to determine pay raises, are used by which type of leader?

    <p>High task–low relationship</p> Signup and view all the answers

    Which theory recognizes that multiple intangibles exist whenever people interact and that factors such as sense of meaning, creativity, inspiration, and vision are involved in creating a sense of mission that exceeds good interpersonal relationships and rewards?

    <p>Transformational theory</p> Signup and view all the answers

    The American Nurses Association (ANA) Code of Ethics for Nurses is directed toward promoting and maintaining which quality of the nursing profession?

    <p>Integrity</p> Signup and view all the answers

    In which approach is it expected that providing the right incentives, primarily money, will increase employee productivity?

    <p>Time–motion theory</p> Signup and view all the answers

    Managers who favored which theory were required to develop a different set of management skills, including counseling effectively, boosting motivation, using effective leadership skills, and maintaining productive communication?

    <p>Human interaction theory</p> Signup and view all the answers

    In the health-care delivery setting, which of the following can be defined as the process of decision-making at the top levels of an organization that ensures the organization achieves its goals and produces high-quality outcomes by defining expectations, delegating power to key personnel, and overseeing the administrative process?

    <p>Governance</p> Signup and view all the answers

    Which type of budgeting is built on the belief that traditional methods of budgeting are too simple to account for all the variations in the budgeting process and cannot be adapted to NURSINGTB.COM ongoing changes?

    <p>Performance-based budget</p> Signup and view all the answers

    Many home health-care agencies use which model for assigning an RN to work with an individual or family for the duration of services rendered?

    <p>Primary care Nursing</p> Signup and view all the answers

    Important aspects of which nursing model include relying on unlicensed assistive personnel for the provision of direct care, grouping clients with similar needs, developing relative intensity measures, and emphasizing team concepts in small groups that remain constant?

    <p>Modular nursing</p> Signup and view all the answers

    Which legislative act is a federal law that is being written to improve nurse–patient ratios in hospitals that receive Medicare funds?

    <p>Registered Nurse Safe Staffing Act</p> Signup and view all the answers

    With its emphasis on access to care, which legislative act is projected to inject some 22 million newly insured clients into the health-care system between 2019 and 2024?

    <p>Affordable Care Act</p> Signup and view all the answers

    The process whereby a nurse directs another health-care team member to perform specific nursing tasks, procedures, and activities that are beyond the person’s traditional role and are not routinely performed by that person is referred to as which of the following?

    <p>Delegation</p> Signup and view all the answers

    The allocation of tasks that each staff member is already authorized to perform during a given shift is referred to as which of the following?

    <p>Assignment</p> Signup and view all the answers

    The obligation or willingness to be answerable for one’s own actions and/or the actions of another, particularly when there is assignment or delegation of tasks, is referred to as which of the following?

    <p>Accountability</p> Signup and view all the answers

    The consensus among many experts is that which of the following is really a form of covert institutional licensure?

    <p>Indirect delegation</p> Signup and view all the answers

    Which of the following refers to the duty of a person, as a reasonable and prudent member of a particular group by training or licensure, to complete tasks and assignments that are within his or her power, control, and authority?

    <p>Responsibility</p> Signup and view all the answers

    Which legislative act began a major movement in the United States away from a disease-based health-care system and toward a health and wellness model of care?

    <p>Affordable Care Act</p> Signup and view all the answers

    Which of the following is a skill that may be performed by LPNs and LVNs?

    <p>Take care of clients with chronic conditions Act</p> Signup and view all the answers

    Which of the following actions can never be delegated?

    <p>Accountability</p> Signup and view all the answers

    Reviewing the medication sheet to make sure the LPN was giving medications on time is an example of which process?

    <p>Indirect observation</p> Signup and view all the answers

    Ensuring that an LPN is changing a dressing properly is an example of which process?

    <p>Direct observation</p> Signup and view all the answers

    Which process takes away almost all the authority of the RN to delegate personnel tasks yet holds the RN still accountable for the safe completion of the task under the doctrines of respondeat superior and vicarious liability?

    <p>Indirect delegation</p> Signup and view all the answers

    A specific decision made by the RN about who can perform what tasks is referred to as which of the following?

    <p>Direct delegation</p> Signup and view all the answers

    Which health-care professionals are held to the same standards as RNs when it comes to delegating and making assignments?

    <p>Advanced practice nurses (APRNs)</p> Signup and view all the answers

    . Which process includes the concept of a person being able to or authorized to take actions or make decisions independently, particularly when he or she is in charge of other individuals, by assuring that what the other individuals are doing is correct and safe?

    <p>Responsibility</p> Signup and view all the answers

    Which legislative act began a major movement in the United States away from a disease-based health-care system and toward a health and wellness model of care?

    <p>Affordable Care Act</p> Signup and view all the answers

    Study Notes

    Descriptive Ethics

    • Descriptive ethics is a bottom-up approach that observes societal behavior to identify ethical principles.

    Moral Development

    • Fundamental standards of right and wrong are typically learned and internalized during childhood development.

    Autonomy

    • Autonomy is the ethical principle that emphasizes self-determination, independence, and freedom in healthcare decisions.

    Human Dignity

    • The ethical principle of human dignity emphasizes respecting the inherent worth and individuality of each person regardless of social or economic status, personal attributes, or health conditions.

    Fidelity

    • In healthcare, fidelity refers to faithfulness and loyalty to agreements and responsibilities inherent to the profession.

    Beneficence

    • Beneficence is a fundamental ethical principle that prioritizes doing good for clients.

    Nonmaleficence

    • Nonmaleficence is the ethical principle that requires healthcare providers to protect those who cannot protect themselves from harm.

    Veracity

    • Veracity is limited when disclosing the truth would negatively impact a client's recovery or cause further illness.

    Patient Self-Determination Act

    • The Patient Self-Determination Act mandates healthcare facilities to provide information about living wills and durable power of attorney for healthcare.

    Paternalism

    • Healthcare providers making unilateral decisions without considering client wishes, assuming they know what's best, is known as paternalism.
    • The right to equal access to housing regardless of race, gender, sexual orientation, or religion is a legal right.

    Moral Rights

    • The belief in universal access to healthcare in the United States is an example of a moral right.

    Health Insurance Portability and Accountability Act (HIPAA)

    • HIPAA governs patient privacy and confidentiality, particularly relevant to social media communication.

    Futile Care

    • Futile care involves healthcare providers providing seemingly beneficial actions but only to appease families.

    Deontology

    • Deontology is a system of ethical decision-making that strictly adheres to ethical principles regardless of consequences.

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    Explore the bottom-up approach to ethics that emphasizes developing ethical principles from observed societal actions. This quiz focuses on understanding how practical behaviors influence ethical standards rather than enforcing pre-established principles. Test your knowledge and insights into this unique ethical perspective.

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