Bioethics In Nursing Practice PDF

BIOETHICS IN NURSING PRACTICE INSTRUCTION: Select the correct answer for each of the following questions. Mark only one answer for each item by marking the box corresponding to the letter of your choice on the answer sheet provided. 1. Patient C.G. has brain cancer with poor prognosis. S...

BIOETHICS IN NURSING PRACTICE INSTRUCTION: Select the correct answer for each of the following questions. Mark only one answer for each item by marking the box corresponding to the letter of your choice on the answer sheet provided. 1. Patient C.G. has brain cancer with poor prognosis. She has been admitted to the hospital for over two months now. Her condition is deteriorating. She already meets the brain-death criteria. Which nursing intervention is the most appropriate at this time? a. Make the decision to withdraw the life support. b. Sedate the patient. c. Approach the patient’s family for possible organ donation. d. Talk to the staff about their feelings. 2. Nurse Warren works with a colleague who consistently fails to use standard precautions or wear gloves when caring for patients. Nurse Warren calls the attention of the colleague but the colleague insisted that standard precautions and the use of gloves are not necessary until the patient is known to have tested positive for HIV. What is the most appropriate action Nurse Warren would take? a. Instruct the patients to remind this colleague to wear gloves. b. Document the problem in writing for the manager. c. Discuss the issue with other staff members. d. Ignore the problem; Nurse Warren has done his job in reminding his colleague. 3. Nurse Jenny accidentally administers two capsules of phenytoin (Dilantin) instead of one capsule. The patient exhibits no adverse reactions to that larger dose. What is the appropriate action Nurse Jenny should take? a. Call the hospital’s lawyer. b. Do nothing because the patient’s condition is stable. c. Document that she has given a capsule of phenytoin (Dilantin). d. Accomplish a complete incident report. 4. Nurse Paulo suspects that Nurse Gilbert has been drinking alcohol before their night shift. He smells alcohol on Gilbert’s breath and notes slurred speech. What is the best course of action Nurse Paulo should take? a. Immediately notify the nursing supervisor. b. Cover up for Nurse Gilbert because the profession depends on loyalty from colleagues. c. Tell Nurse Gilbert that he has one last chance, but if he drinks before another shift, he will be reported. d. Call the security and have Nurse Gilbert arrested because he endangers the lives of the patients. 5. During her coffee break, Nurse Abby overheard a group of residents passing by that a celebrity patient with syphilis is admitted at the hospital last night. Having heard this, Nurse Abby went to her friend Nurse Kate who was an avid fan of the celebrity. What ethical principle was violated by Nurse Abby? a. Justice b. Confidentiality c. Informed Consent d. Beneficence 6. Nurse Flor is waiting for the admission orders from the admissions department. After a few minutes the runner of the admissions department handed the order inside a folder. When Nurse Flor opened the folder, she was surprised to see a caricature of their hated hospital director with derogatory statements about her inserted together with the orders. What is her most appropriate nursing action? a. Call the nursing supervisor and report the incident. b. Call the runner back and ask for his name and the name of the person who sent the admission orders. c. Call the security and have the runner arrested. d. Shred the photograph and keep it to her self for fun 7. Dr. Bailey ordered a bronchoscopy for Patient R.S. who has a chronic cough. Nurse Camille brings the informed consent to Patient R.S. for his signature. She then asks Nurse Camille to explain why the informed consent is necessary. Nurse Camille responds properly when she tells him that: a. The patient agrees to the procedure ordered by the physician, even if he does not understand what the outcome will be. b. The physician must give the patient and his significant others enough information to make health-care judgments consistent with their values and goals. c. The family of the patient will make decision against the patient’s will. d. The patient releases the physician from all responsibility for the procedure. 8. Nurse Suzette works in a prenatal clinic. She was informed by her patient who is pregnant that her live-in partner (the father of the infant) has hit her in the past. The patient also told her that he is short tempered and that she is worried about what might happen if the new infant has colic and he gets upset. She begs to Nurse Suzette not to report the problem because she is afraid that he will beat her. Nurse Suzette should: a. Record the incident in the nurse’s notes but do not report for she did not actually witness the beating and she should keep a promise to gain the trust of the patient. b. Record the incident in the nurse’s notes but do not report for she will place the mother and the infant in greater risk of harm. c. Record the incident in the nurse’s notes and report it as reasonable suspicion of child and woman abuse. d. Divert the mother’s attention and teach her to breastfeed her baby to reduce the possibility of colic. 9. Nurse Ryan is assigned to provide postoperative care for Patient F.L. who has diabetes mellitus. During the assessment interview, the patient reports that he is impotent and is much concerned about its effects on his marriage. In planning for his care, the most appropriate nursing intervention would be: a. Encourage the patient to ask questions about personal sexuality. b. Provide time for privacy, the patient needs to examine his thoughts. c. Provide support for the spouse or significant other. d. Suggest referral to sex counselor or appropriate professional. 10. Nurse Lorraine is caring for Mang Tiburcio, a homeless patient who has active tuberculosis. The patient is almost ready for discharge. However, Nurse Lorraine is concerned of Mang Tiburcio’s ability to follow the medical treatment regimen. Which intervention will best ensure that the client complies with treatment? a. Provide highly individualized patient education. b. Refer Mang Tiburcio to a social worker for discharge planning. c. Having the client attend a formal education session. d. Carefully look for a member of Mang Tiburcio’s family and ask for assistance. 11. Patient B.D.L. is admitted to the medical unit with a diagnosis of hepatitis B. Hospitals are mandated by accrediting bodies to demonstrate respect for the patient’s confidentiality. Which of the following is a common violation to patient confidentiality? a. Keeping the medical records in the view and care of healthcare providers directly involved with the patient. b. Placing a sign on the patient’s door stating “Isolation for Hepatitis B” for others’ safety. c. Nurse making sure that the patient’s chart is secured at the rack in the nurses’ station d. Providing the patient a copy of hospital policies and procedures that address patient confidentiality at each unit. 12. Patient R.Q. who was rushed to the emergency room two hours ago is now declared brain dead. Nurse Raffy has been with the patient since admission. Now, he must talk to the family about organ donation. Which of the following should be done by Nurse Raffy? a. Take the family to the chapel. b. Discuss life support systems. c. When discussing organ donation, include as many family members as possible. d. Clarify the family’s understanding and perception about brain death. 13. Nurse Giselle is caring for a woman who is pregnant and is terminally ill with inoperable cancer. The woman has not been informed about her status by the physician. The woman states to Nurse Giselle: “I know I am terribly sick. I think you know what it is. I want you to tell me right now.” Which of the following is the appropriate thing for Nurse Giselle to do? a. Give a detailed explanation on the disease of the patient. The patient needs to know. b. Deny knowledge about the patient’s condition and do not give the patient any further information. c. Make the patient’s chart available to her because after all, she is entitled to see it. d. Discuss the situation with the physician. 14. Leslie is a 27 year-old patient with lower gastrointestinal tract bleeding. She is a Jehovah’s Witness. The physician ordered 2 units of packed RBC to be administered over 2 hours each. Upon knowing this, Leslie strongly refused and tells Nurse Kim she won’t have it. Which of the following is the most appropriate response of Nurse Kim? a. Ma’am the physician’s order overrides your decision. We have to do this. b. Ma’am, are you crazy? You’ll die if you won’t have this c. Kim approaches her supervisor and wishes to change patient assignment d. Ma’am I understand your concern, I’ll inform your physician about this. 15. In an emergency case, wherein the physician consents if the patient is unconscious, which of the following is the belief that is upheld which states that another person knows what is best for another individual? a. Autonomy b. Freedom c. Paternalism d. Concern 16. Cynthia has been the patient assigned to Nurse Jeff for one week now. She reveals to Nurse Jeff that she is planning to commit suicide and asked him to keep this as a secret. Which of the following statements can guide you in making a decision in response to Cynthia’s plead? a. Information may be revealed with the permission of the patient. b. It is improper to reveal this type of information because it will destroy the trust which is important in any nurse-patient relationship c. Confidentiality should never be violated at all times. d. Confidential information may be revealed in serious harm is deemed to happen 17. Nurse Gian carefully assesses his 83 year-old patient. He gently assesses the patient so to prevent injuring or hurting the patient. This practice follows which of the following principles? a. Beneficence b. Non-maleficence c. Confidentiality d. Double Effect 18. Nurse Mabelle works in a health center. She gives a patient placebo drug for a patient. Which of the following principles is being violated by Mabelle? a. Double effect b. Autonomy c. Veracity d. Confidentiality 19. Mary Jane is a 20 year-old patient who is scheduled for exploratory laparotomy tomorrow at 9 in the morning. During the morning of the surgery, which of the following should the nurse do? 1. Assess the patient’s readiness for the surgery 2. Give written and oral preoperative teachings 3. Ask the patient’s relatives to sign the consent if the patient is asleep. 4. Obtain and accomplish the preoperative checklist a. 1,2,3 b. 1,2,4 c. 1,3,4 d. All of the above 20. Nurse Minnie upholds the principle of social justice at all times. Which of the following precepts guide Nurse Minnie in doing this? a. Uphold universal access to healthcare and healthcare facilities b. Collaborate efficiently with the members of the health team c. Defend for the patient’s rights d. Do no harm to the patient. 21. Nurse Paul knows that a well-informed consent does not include coercion. Which of the following statements depicts coercion or manipulation? 1. “Your family needs you with them.” 2. “I’ll give you time to decide.” 3. “Your wife will die without this surgery.” 4. “You’ve waited so long for a donor.” a. 1 and 3 b. 1,2,3 c. 2,3,4 d. 1,3,4 22. Eva was rushed to the hospital after being found lying unconscious in the beach. Evidences show that she was raped. Treatment of rape victims is one of the most ethically challenged because it involves sexuality and life. Eva  may opt to undergo a procedure that could prevent conception but may also be abortifacient if fertilization has already occurred. Which of the following is violated by this? a. Beneficence b. Non-maleficence c. Human Dignity d. Veracity 23. Mrs. Patricia De Castro is brought to the operating room for her scheduled caesarean section because the baby is in breech position. Nurse Laura should remember that which of the following is the most important intervention before Mrs. De Castro receives anesthesia? a. Proper skin preparation of the operative area b. Insertion of the indwelling catheter c. Obtain an informed consent from Mrs. De Castro d. Start and intravenous (IV) line 24. Ashley, 10 years old, is scheduled for tonsillectomy at 7 in the morning. Nurse Gelo is the operating room nurse who will bring Ashley in the operating room. Ashley asks Gelo is she can pray first before they leave the room. Which of the following is the appropriate response of Nurse Gelo? a. “I’m sorry Ashley we might be late for your surgery. We are strictly following the time.” b. “It’s alright. Will I stay here and pray with you or will I go out for a while?” c. “Just pray by yourself on our way to the operating room.” d. “You should have prayed earlier. There are a lot of patient scheduled for operation today.” 25. Proper disclosure of all needed information to the patient about his condition and treatment alternatives is embedded in which of the following principle? a. Double Effect b. Totality c. Autonomy d. Privacy 26. An unconscious 27 year old male patient is rushed in the emergency room after a vehicular accident. He has a closed head injury. Which of the following legal documents will most likely be used to make a medical decision for the patient? a. Special Power of Attorney b. Holographic Will c. Advance Directive d. Durable Power of Attorney 27. Nurse Rupert knows that an informed consent is important because it protects both the patient and the hospital for potential lawsuit. Which of the following are exceptions to informed consent? 1. Compulsory treatment is mandated by a court order 2. If patient relinquishes the right to consent 3. Emergency cases 4. The patient is an emancipated minor a. 1 and 3 b. 1,2,3 c. 2,3,4 d. 1,3,4 28. Which of the following patients are capable of giving an informed consent 1. Married emancipated minor 2. Blind adult 3. A manic-depressive patient 4. 25 year old mute patient a. 1,2,3 b. 1,2,4 c. 1 only d. None of the above. 29. Which of the following situations exhibits the application of the principle of justice?  1. Asking the poor people to become subjects in research for drugs 2. Providing quality health care equally to all patients 3. Delivery of the minimum health care to all according to individual needs 4. Properly disclosing of information regarding the procedure and maintaining anonymity of research subjects on abortion a. 1,2,3 b. 1,2,4 c. 2,3,4 d. All of the above. 30. Nurse Kristine receives an order from Dr. Velasco to give her patient, Sammy Cruz two tablets Ciprofloxacin (Ciprobay) for urinary tract infection. Nurse Kristine knows that Sammy has no urinary tract infection and that the drug should be given to another patient who has urinary tract infection. Which of the following should Nurse Kristine do? a. Give the drug because it is the order of the doctor b. Give the drug to the patient with urinary tract infection c. Call the attending physician and clarify the order. d. Write a report give it to the hospital lawyer. 31. Dr. Paredes ordered a medication to be given intramuscularly on the left deltoid of Mrs. Toledo. Nurse Percy knows that Mrs. Nolasco is post left MRM. Which of the following should Nurse Percy do? a. Give the medication on the right deltoid. b. Give the medication on the right deltoid and document it on the patient’s chart. c. Follow the order. It is not contraindicated. d. Inform Dr. Paredes that Mrs. Toledo is post right MRM and clarify the order. 32. Ms. Tanjuatco is scheduled for proctosigmoidoscopy. She needs to sign an informed consent before the procedure. Which of the following is true about informed consent? 1. The patient has no ability to refuse the procedure after the consent is signed. 2. An informed consent should exclude an explanation of alternative treatments and procedures 3. When a patient refuses to give consent, the husband or any significant other can sign. 4. The doctor will decide what is best for the patient. a. 1,2,3 b. 1,2,4 c. 2,3,4 d. None of the above 33. Before being hired as staff nurses, qualified applicants are subjected to mandatory HIV testing. This practice of hospitals shows which of the following ethical principles? a. Beneficence b. Non-maleficence c. Totality d. Double Effect 34. Nurse Lea has been asked to witness an informed consent for surgery. Nurse Lea understands that what she is witnessing is that the a. Informed consent took place. b. Patient was fully informed about the procedure c. Patient signs the consent form d. Family consented to the procedure. 35. Nurse Mylene works on the postpartum unit and is giving medications at 9:00 am. She enters the room of a patient, calls the patient by name, checks the name band for accuracy and administers an oral vitamin. After the patient swallows the pill, she states that another nurse has also given her this same pill an hour ago. Mylene checks the medication record and finds that another nurse has signed off on the drug entry. The most appropriate action by the nurse is to: a. Do nothing, because the patient was not harmed by the second vitamin. b. Report the first nurse to the nurse manager for not informing the medication nurse that a drug had been given. c. Submit an incident report describing the circumstances of the medication error. d. Notify the patient’s physician and ask for advice. 36. Nurse Francis works in a hospice. Which of the following is a characteristic of hospice care? a. Most of the patients have 6 months or less to live. b. Care ceases when the patient dies. c. Licensed personnel provide all of the care and comfort d. Service is available at specified times 37. Jason Ballesteros, RN, MBA is a nurse manager in St. Isidore Medical Center. Caring for patient with non-medical problems, he calls for the service of a social worker in order to address some of these problems of some patients. Which of the following patients in Jason’s list requires assistance first? a. Gertrudes Salvacion, 61 years old, post stroke, lives alone. b. Danilo Masangkay, 54 years old, with a history of recent myocardial infarction (MI), in a midst of a divorce c. Artemio Romero, 72 years old, with heart failure, no insurance coverage. d. Mayumi Yamsuan, 29 years old, homeless and newly diagnosed with diabetes mellitus 38. Nurse Celine is reviewing the medications in the physician’s order and notes a medication with a dose that is two times greater than the usual dose. Which of the following is the most appropriate nursing action of Nurse Celine? a. Understand that there may be special circumstances in which additional medication is needed and give the medication as ordered. b. Discuss the question about the drug with the physician who ordered it and record the results of the discussion. c. Check with the nurses from the previous shift to see if the medication was given as ordered. d. Ask the patient if he or she has been receiving the dose of medication as ordered. 39. Nurse Gabriel received his patient assignments for the shift. Which of the following patients is Gabriels priority in an acute care situation? a. Delia who is newly admitted with chest pain b. Hope who is complaining of pain following surgery for hip pinning. c. Lulu with diabetes who has a glucose reading of 180. d. Mary who is three (3) days postoperative with left calf pain. 40. Nurse William cares for a patient with Hepatitis B. The patient calls him and says “Come here. There is something I want to tell you but you have to keep it a secret.” The most appropriate reply of William would be: a. “Sure, you can tell me. Our code of ethics prevents me from telling anyone.” b. “Why not. You can tell me anything, you know.” c. “I am responsible for the health of other people as well. I’m sorry but I can’t keep anyone’s secrets.” d. “I will not tell anyone who does not need to know. But if it is important to your health or to someone else’s health, I may have to tell another person.” 41. A nurse is morally opposed to abortion at any time during pregnancy. Which statement best describes the nurse’s responsibility related to this belief? a. The nurse must make this position known before being employed at an agency that provides abortions. b. The nurse may decline to participate in abortions, but must care for women after the procedure. c. The nurse cannot accept employment in any agency that may provide abortion services. d. The nurse must provide the same care for women undergoing abortion procedures as for any other woman. 42. Shortly arriving for the evening shift, the triage nurse evaluates several patients who have come into the emergency department. Which of the following patients should receive highest priority? a. Jeff, a basketball player, limping and complaining of pain and swelling on his right ankle. b. Martin, a middle-aged man, diaphoretic and complaining of severe chest pain radiating to his jaw. c. Celeste, with her 5-year-old son, who has been complaining of nausea and has vomited once since noon. d. Pacita, an elderly who is complaining of a loss of appetite and fatigue for the past week. 43. Nurse Olivia joins a team who will respond in a calamity area. To prevent mass hysteria during a disaster, Nurse Olivia would care first for which of the following patients. a. Manolo who is a drug addict b. Yolly who is depressed. c. Perry who is euphoric d. Sisa who is panicking 44. Nurse Nedy cares for a patient who wishes to donate his liver to his brother. What should be included in Nedy’s response when the patient asks for factual information about becoming an organ donor?  a. A donor can be of any age. b. Verbal consent would be enough. c. Family members must also give their consent. d. There are some contraindications for being an organ donor. 45. It is important to consider the cultural and religious beliefs of patient in providing healthcare. What is the best reason to include favorite or culturally required food in the diets of patients from cultures other than the dominant one? a. To prevent the patient from becoming agitated. b. To prevent malnutrition c. To convey acceptance of the patient’s beliefs and identity d. To ensure the patient’s cooperation with scientifically based treatment 46. Mr. Rajiv Singh is a 48-year-old Hindu with a severe necrotizing ulcer of the lower left leg refuses to undergo surgery because of religious beliefs regarding reincarnation. The physician wants to schedule a below knee amputation of the left leg. What is the role of the nurse in this situation? a. Encourage the patient to have the surgery. b. Discuss the religious beliefs with the physician. c. Call a family meeting. d. Inform the patient of the other options available. 47. Nurse April is a staff at the Newborn unit. On a particular shift, two of the regularly assigned staff members are on sick leave and no new staff is available for assistance. She is with a charge nurse and no other bedside nurse. Which of the following should Nurse April do? a. Bring the infants out to their mothers to take care of them, this is mandated by the law anyway. b. Provide quality nursing care only to those patients regularly assigned to her. c. Coordinate with the charge nurse and prioritize patient care so that all patients receive reasonably safe quality care. d. Refuse the nursing assignment because the increased number of patients makes it unsafe not just to the patients but to the nurse as well. 48. Mr. Ventura is in the final stages of lung cancer. He tells Nurse Judy, “I wish I could just be allowed to die. I’m tired of fighting this illness. I’ve lived a good life. I continue my chemotherapy and radiation treatment only because of my family wants me to.” What is Nurse Judy’s best response? a. “Would you like to talk to a psychologist about your thoughts and feelings?” b. “Would you like to talk to your minister about the significance of death?” c. “Would you like to meet with your family and your physician about this matter?” d. “I know you are tired of fighting this illness, but death will come in due time.” 49. One of the patients is dissatisfied with his hospitalization. He decides to leave against medical advice and refuses to sign the paperwork. Which of the following is the nurse’s next course of action? a. Detain him until he signs the paperwork. b. Detain him until his physician arrives. c. Call the security for assistance d. Let him leave. 50. Mr. Clifford Jones, 92 years old with prostate cancer and multiple metastases, is in respiratory distress and is admitted to a medical unit from a skilled nursing facility. His advance directive states that he doesn’t want to be places on a ventilator or receive cardiopulmonary resuscitation (CPR). Based on the patient’s advance directive, which of the following nursing intervention should the nursing care plan include? a. Check Mr. Jones’ status once per shift. b. Provide mouth and skin care only if Mr. Jones’ family requests it. c. Turn the patient only if he’s uncomfortable. d. Provide emotional support and pain relief. 51. Mrs. David became seriously ill after a nurse gave her the wrong medication. When Mrs. David recovered, she filed a lawsuit. Who is most likely to be held liable? 1. The attending physician 2. The hospital 3. The nurse who administered the wrong medication 4. The chaplain  a. 1,2,3 b. 1 and 2 c. 2 and 3 d. 1 and 3 52. A patient with end-stage liver cancer tells the nurse he doesn’t want extraordinary measures used to prolong his life. He asks what he must do to make these wishes known and legally binding. How should the nurse respond to the patient? a. Discuss documenting his wishes in an advance directive. b. Tell the patient that it is a legal question and is beyond the scope of nursing practice c. Provide a copy of the patient’s bill of rights d. Give information on active euthanasia 53. Max Perido, a 21 year-old call center agent, is admitted to the psychiatric unit because of severe depression. Few days after his admission, the employer of Max calls the nursing station inquiring about the patient’s progress. The nurse doesn’t know if the patient has given consent to allow the staff to give information out to callers on the phone. The best response of the nurse on the line is: a. “I’m sorry he is not here. I’ll just tell him to call you back.” b. “I’m sorry I can not confirm whether your employee is a patient here.” c. “I’m sorry sir. I am not in the position to discuss her progress.” d. “For a while ma’am, his attending physician is Dr. Mallen and his number is +639235932056.” 54. Ms. Lulu Yatco wishes to be discharged from the health care facility against medical advice. What should the nurse do? a. Call the security to help detain Ms. Yatco b. Notify the physician of Ms. Yatco. c. Take measures to prevent the Ms. Yatco from leaving d. Request Ms. Yatco to sign a DAMA form. 55. Nurse Rachelle works in the pediatric unit of a tertiary hospital. As she goes back to the nurses’ station, she hears two family members arguing in a child’s room. They start to hit each other and the child is crying. Which of the following should Nurse Rachelle do? a. Call the security to come and intervene. b. Remove the child from the room c. Ask one of the family members to leave the room d. Try to reason with both family members. 56. Nurse Jerome needed assistance in transferring Lola Carmela who is confused, to bed. Nurse Jerome leaves Lola Carmela to find someone to assist him with the transfer. While Nurse Jerome is gone, Lola Carmela falls and hurts herself. Nurse Jerome is at fault because he hasn’t: a. Restrained Lola Carmela before leaving her alone b. Properly instructed Lola Carmela about the safety measures. c. Arranged for continual care of Lola Carmela. d. Properly documented that he has left Lola Carmela. 57. A nurse in an ambulatory care clinic is performing an admission assessment for a patient scheduled for a cataract removal with an intraocular lens implant. Which of the following questions would be the least important for the nurse to ask on an initial assessment? a. “Do you have frequent episodes of headache?” b. “Do you have any difficulty in breathing?” c. “Do you ever experience chest pain?” d. “Do you have a close relationship with your family?” 58. Mrs. Tanya Manzano is diagnosed with cancer and is told that surgery followed by chemotherapy will be necessary. She tells Nurse Cathy, “I have read a lot about complementary therapies. Do you think I should try it?” Cathy responds by making which most appropriate statement? a. ‘No, because it will interact with the chemotherapy.” b. “You need to ask your physician about it.” c. “I would try anything that I could if I had cancer.” d. “There are many different forms of complementary therapies. Let’s talk about these therapies.” 59. Nurse Amanda hears a patient calling for help. She hurries down the corridor and enters the patient’s room where she found the patient face down on the floor. Nurse Amanda performs a thorough assessment and assists the patient back to bed. The nurse notifies Dr. Olalia, the attending physician of the incident and completes and incident report. Which of the following would Amanda document in the incident report? a. Patient F.R. slipped from his bed. b. Patient J.G. woke up from sleep terror and accidentally jumped from his bed. c. Patient N.J. was found on the floor face down d. Patient M.L. moved three (3) inches from the last seen position and jumped five (5) inches from the bed surface. 60. As Nurse Sheila accurately and legibly in the patient’s chart, she upholds which of the following ethical principle? a. Beneficence b. Double Effect c. Totality d. Veracity 61. As Nurse Glenn takes beneficent actions when he performs oral and skin care to the patient and provide emotional support to those anxious or downed patients, he shows an application of which of the following? a. Beneficence b. Non-maleficence c. Totality d. Double Effect 62. It is emphasized that cautiousness during medication administration is important to avoid errors which results to adverse reactions of the medication. Lack of cautiousness in drug administration violates which of the following ideas? a. “I will be faithful to the patient’s care.” b. “I will be honest in my patient care.” c. “I will avoid doing good to the patient.” d. “I will avoid anything harmful to the patient.” 63. When Nurse Kenny reports to the proper authority that Dr. Ku is practicing drug abuse, he is upholding which of the following? a. Double Effect b. Non-maleficence c. Totality d. Privacy 64. As the nurse face ethical dilemmas, the principle of beneficence should be remembered for it means: a. Do no harm b. Do good c. Be truthful d. Be discreet 65. Which of the following professionals can declare the death of a potential organ donor? a. Transplant Surgeon b. The family lawyer c. Attending Physician d. Medico-legal 66. Which of the following are the qualities of a fully mature and responsible conscience? 1. Free 2. Certain 3. Callous 4. Clear a. 1,2,3 b. 1,2,4 c. 1,3,4 d. All of the above 67. The nurse can augment his or her ethical practice by doing the following, except:  a. Join in ethics committee and their forums b. Elucidate their own sets of values in life c. Be familiar with the Medical Code of Ethics d. Considering the values in life of other members of the health team 68. The Holy Scriptures provides basis for Human Dignity through which of the following? a. Easter b. Pentecost c. Salvation History d. Annunciation 69. Which of the following are the conditions that should be present for the application of the Principle of Totality? 1. That such member, by its deterioration in function, may cause damage to the whole organism or at least pose a serious threat to it. 2. That it is proven that the patient might be exposed to grave medical risks 3. That there is no other way than taking the indicated action against it of obtaining the desired good result. 4. That the damage being avoided to the whole be proportional to that which is caused by the mutilation of the part. a. 1,2,3 b. 1,2,4 c. 1,3,4 d. All of the above 70. If the surgery did not push through as stated in the consent, which of the following should be done? a. Obtain another consent for another day b. Put a line across the date and time of the signed consent of the postponed surgery, right the new date and time and affix your signature c. Report the surgeon to the hospital legal counsel d. Use the same consent form. It lasts until the procedure is done. 71. Mrs. Delgado refuses to take her medications and consume her food. She feels that she has no more reason to live since her husband died last year. This situation is a direct violation to which principle? a. Totality b. Stewardship and Creativity c. Privacy d. Informed Consent 72. Nurse Samantha cares for a male celebrity who is admitted for hemorrhoidectomy tomorrow at 8 am. When she was asked by the staff nurses from the neighboring ward what the actor was in for and she refuses to spill out the information, Nurse Samantha is applying which of the following ethical principles? a. Stewardship and Creativity b. Informed Consent c. Beneficence d. Non-maleficence 73. Mr. Samonte was recently diagnosed to have abdominal aortic aneurysm (AAA) and is recommended for admission and surgery. He refuses to be admitted to a first-class hospital and opts to be admitted in a tertiary hospital due to financial constraints. Which of the following principles should guide Nurse Henry in making a response? a. Justice b. Totality c. Autonomy d. Beneficence 74. Nurse Valerie is working in a surgical unit and is assigned to post-operative patients. One of the responsibilities given to her is to collect post-operative secretions either from the surgical site or from the drainage collection. If one of the patients refuses and Nurse Valerie still continues with the procedure, she is liable with which of the following? a. Battery b. Assault  c. Negligence d. Abandonment 75. Upon returning to the Nurses’ station, Nurse Billy notices that a personnel from the dietary department is looking through the chart of a patient with hepatitis B. Which of the following nursing action would be the most appropriate? a. Inform the supervisor about the incident. b. Shout at the personnel telling him that he is being inappropriate c. Approach the personnel and tell him that it is not allowed for those who are not directly involved in the patient care to browse through the patient’s record. d. Do nothing because the person is part of the interdisciplinary team caring for the patient. 76. Nurse Joshua is a newly hired staff nurse in the surgical wing of a hospital in Connecticut. One of his American co- staff approached him and said: “We white nurses have more superior intellect that you Asian Nurses.” Which of the following is the most appropriate response of Nurse Joshua? a. “Yes, I agree.” So that there would be no commotion. b. “Honestly, I think you are a pathetic racist. But if that’s what you think, there is nothing I can do. It’s your opinion.” c. “I believe that we Asian nurses are far better than you white nurses. Accept the fact that your country needs us because we are skilled and smart.” d. “I really don’t think that intellectual capacity and performance is related to race or color.” 77. Which of the following is the ultimate destiny of human beings? a. Utopia b. Preservation of life at all cost c. Be in union with the Creator d. Attain the self-actualization stage according to Maslow 78. Which of the following is/are violations against the Principle of Stewardship? 1. Habitual induced abortion of sex workers 2. Below knee amputation (BKA) of a gangrenous leg 3. Unauthorized deforestation 4. Fishing with the use of TNT and explosives a. 1,2,3 b. 1,2,4 c. 1,3,4 d. All of the above 79. Nurse Kelly is caring for a comatose patient. One afternoon the patient coded and no relatives were around. The patient does not have any advance directive. Which of the following professionals will decide in behalf? a. Patient’s Lawyer b. Nursing Supervisor c. Hospital Chaplain d. Attending Physician 80. Dr. Vera Cruz requested Nurse Camille to accompany him to secure a written consent from her patient who is for pelvic laparotomy tomorrow afternoon. Which of the following requirement should be present so that written consent can be considered valid and legal? 1. The patient should not be under the influence of alcohol or drugs 2. The consent is secured with duress and coercion. 3. The patient is in the legal age of 18. 4. The patient has received pre-operative medications. a. 1,2,3 b. 1,2,4 c. 1 and 3 d. All of the above 81. Nurse Portia received a call from the operating room and from the surgeon that the hypophysectomy scheduled for the patient tomorrow at 10 am is moved the next day at the same time. Which of the following should Nurse Portia do? a. Put a line across the date written in the consent and replace it with the new date. b. Secure a new written consent from the patient. c. Act as a patient advocate and air complaint against the doctor. d. Do nothing because the consent is good up to seventy-two (72) hours. 82. Mrs. Vergel de Dios is three (3) days post modified radical mastectomy (MRM) of the right breast. Nurse Glen accurately and legibly documents his care given to Mrs. Vergel de Dios. Which of the following is being observed by Nurse Glenn? a. Confidentiality b. Privacy c. Justice d. Veracity 83. One of the patients assigned to Nurse Farah is a terminally ill patient who experiences severe pain. Nurse Farah knows that if she gives the patient analgesics, it may shorten the life of the patient. Which of the following principles apply to this situation? a. Justice b. Double Effect c. Totality d. Autonomy 84. Nurse Rebecca saw Dr. Ho sniffing marijuana in the on-call room of physicians. Nurse Rebecca immediately reported this to the nursing supervisor. This action of Nurse Rebecca shows application of which of the following principles? a. Beneficence b. Non-maleficence c. Privacy d. Double Effect 85. Practicing basic handwashing and aseptic technique in doing procedures to patients shows exhibits which of the following? a. Beneficence b. Confidentiality c. Double Effect d. Non-maleficence 86. When Nurse Lulu arrived for the evening shift, her supervisor informed her that she will be pulled from the ward and will be assigned to the understaffed emergency room. Nurse Lulu has no experience but the special area rotation back in the nursing school. Which of the following is the best action Nurse Lulu would do? a. Politely refuse to relieve in the emergency room. b. Make an incident report and give it to the Chief Nurse. c. Report to the emergency room and identify the tasks she can safely perform. d. Report to the emergency room and perform the tasks that she saw the nurses do back in her rotation in nursing school. 87. Ms. Matilde Coronado, a 91 year old maiden is rushed to the emergency room due to elbow fracture. As Nurse Robert assesses Ms. Coronado, he notes old and new bruises on her arms and back. When asked how she acquired those, Ms. Coronado told Nurse Robert that her nephew hits her whenever she wets her clothes due to incontinence. But then she cried and told her that she has no family and nobody takes care of her other that her nephew. Which of the following is the most appropriate response of Nurse Robert? a. I’ll instruct you with simple ways on how to control your urinary urge so that you won’t wet your clothes. b. I’ll try to look for some other relatives so that you can leave your nephew. c. I would like to talk to your nephew regarding this. d. Ma’am, this is a legal issue so I am telling you that I have to report this. 88. Nurse Norman works in a health center. He entertains a couple who plans to have a child. Nurse Norman knows that having a child is: a. A right that every couple is entitled to b. A right that should be pursued but not government funded c. A basic right that should be subsidized by the government  d. A gift that should be looked upon as a sharing in God’s co-creative work. 89. Nurse Diana is asked by a barren couple regarding in-vitro fertilization. Which of the following is true regarding in- vitro fertilization? a. It is ethically allowed provided only the couple’s gametes are used b. It is ethically allowed provided that there is an informed consent. c. It is ethically questionable because it replace the conjugal act and creates the problems of spare embryos d. It is ethically allowed as long as there is informed consent and all the embryos fertilized are implanted. 90. A couple went to the health center and asked Nurse Jonathan regarding surrogate mothers because the wife is infertile. Which of the following is true regarding the ethical implications of surrogate motherhood? a. It solves the problems of infertile women desirous of having children. b. It is ethically allowed as long as there is adequate remuneration for the surrogate mother c. It is ethically objectionable because a third party breaks the exclusive bond of marriage d. It is ethically objectionable if the husband did not obtain an informed consent from his wife. 91. Ethically and morally speaking, when does the dignity of a human person begin? a. Implantation b. Fertilization c. Delivery d. Person’s awareness of the environment 92. Which of the following is the most important ethical guideline in determining the morality of new reproductive technology techniques? a. Cost of the procedure. b. Informed consent of the person c. Whether the technology has been approved by the specialty society as cost-effective d. Whether the technology assists or replaces the conjugal act. 93. When asked regarding artificial insemination using donor’s sperms, Nurse Rachelle know that: a. It is allowed to help azoospermic males b. It is allowed provided there is informed consent of the couple and the donor is cleared for communicable diseases. c. It is not allowed if there is no informed consent with any of the party involved. d. It is not allowed because it replaces the conjugal act and violates the exclusive bond of marriage 94. According to the Ethical and Religious Directives for Catholic Health Care Services, which techniques of assisted conception are allowed? 1. Those that respect the unitive and procreative aspects of conjugal act. 2. Those that conform to the hospital policies on informed consent of the donor and the recipient couple. 3. Those that do not involve the destruction of the human embryos. 4. Those that do not involve deliberate generation of embryos to maximize implantation a. 1,2,3 b. 1,2,4 c. 1,3,4 d. All of the above. 95. Nursing actions important in the primary prevention of violence and abuse include: a. Helping the participants discuss the problems and develop alternatives for dealing with the tension that could lead to violence. b. Identifying “red flag” behaviors, including isolation and depression c. Emphasizing safety as top priority. d. Teaching patients the importance of respect and caring for family members 96. Mrs. Dizon, 42 years old, is scheduled total abdominal hysterectomy (TAH). Which of the following is the most important nursing intervention before she is given general anesthesia a. The surgeon has talked to Mrs. Dizon b. Obtain the informed consent from Mrs. Dizon c. Maintain Mrs. Dizon on NPO d. Proper preparation of the operative site 97. Which of the following choices is a potential or actual indicator of elder abuse? a. Fear of social interaction b. Fear of the caregiver c. Unexplained paranoia d. Unexplained weight loss 98. Nurse Baby works as a staff nurse in the Pediatric Intensive Care Unit (PICU). Whenever she performs any procedure, she handles the patients with utmost care in order to prevent harming the babies. Which of the following principles is observed by Nurse Baby? a. Autonomy b. Beneficence c. Non-maleficence d. Human Dignity 99. Nurse Jack works in the medical-surgical ward. Every time each of his assigned patients is brought for surgery, he is asked to witness an informed consent for surgery. Jack knows that what he is witnessing is that the: a. Patient signs the consent form b. Patient was fully informed about the procedure c. Informed consent took place. d. Relatives consented the procedure. 100. The use of condoms in patients with HIV/AIDS is morally accepted to avoid transmitting the disease to unaffected sexual partners. This statement is: a. True b. False c. It depends on the circumstance. d. None of the above.