bioethics-in-nursing-practice.pdf

lOMoARcPSD|11983906 Bioethics in Nursing Practice Health Care Ethics (Cagayan de Oro College) Scan to open on Studocu Studocu is not sponsored or endorsed by any college or university Downloaded by jomari macasaet (jomariowen92@gm...

lOMoARcPSD|11983906 Bioethics in Nursing Practice Health Care Ethics (Cagayan de Oro College) Scan to open on Studocu Studocu is not sponsored or endorsed by any college or university Downloaded by jomari macasaet ([email protected])  lOMoARcPSD|11983906 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. It is the branch of philosophy that concerns the distinction between right and wrong based on a body of knowledge, not just based on opinions. A. Morality B. Values C. Bioethics D. Ethics 2. It is the behaviour in accordance with customs or traditions, usually reflecting personal or religious beliefs. A. Morality B. Values C. Bioethics D. Ethics 3. These are beliefs and attitudes that may influence behaviour and the process of decision making. A. Morality B. Values C. Bioethics D. Ethics 4. It is the systematic study of the morals, visions, decisions, conduct and policies- of the life sciences and health care employing a variety of ethical methodologies in an interdisciplinary setting. A. Teleology B. Values C. Bioethics D. Ethics 5. As a professional nurse and a member of the health care team, it is important for the nurse to know the reasons why we study ethics, EXCEPT: A. Moral conduct and ethical systems, both of the past and present, must be intelligently appraised and criticized. B. Point out to men the true value of life C. Ethics should make clear to us why an immoral act can be justified. D. Attempts to stimulate the moral sense, discover the true values of life, and inspire men to join in the quest for these values. 6. The following are the responsibilities of a nurse: 1) Promotion of Health 2) Prevention of Illness 3) Alleviation of Suffering 4) Restoration of Health A. 1 and 2 B. 2, 3, 4 C. 1, 2, 4 D. All of the above 7. It is considered the most fundamental human right. A. Respect for Person B. Well-formed Conscience C. Totality D. Stewardship 8. All of the following are the contents and properties of the Natural Law, EXCEPT: A. Universal B. Changeable C. Obligatory D. Recognizable 9. This ethical theory is based on the outcome of the action. As long as the end or the outcome is good, it is considered good. A. Deontological Approach B. Teleological Approach C. Totalitarian Approach D. Egalitarian Approach CELTECH November 6-7, 2008 Downloaded by jomari macasaet ([email protected])  lOMoARcPSD|11983906 10. David is a nurse in the medical-surgical ward. He makes sure that all his actions conform to RA 9173. This approach is called: A. Deontological Approach B. Teleological Approach C. Totalitarian Approach D. Utilitarian Approach 11. Ethical Principles are codes that direct or govern nursing actions. So it is very important for a nurse to be able to identify the different ethical principles. It is the respect for an individual's right to self-determination. A. Principle of Justice B. Principle of Veracity C. Principle of Autonomy D. Principle of Fidelity 12. Nurse Gian accurately notes everything that happened to his patient during his shift. Nurse Gian uses the principle of: A. Principle of Justice B. Principle of Veracity C. Principle of Autonomy D. Principle of Fidelity 13. It is the study to do what one has promised. A. Principle of Justice B. Principle of Veracity C. Principle of Double Effect D. Principle of Fidelity 14. It is the equitable distribution of potential benefits and tasks, and determining the order in which client's should be cared for. This principle is called: A. Principle of Justice B. Principle of Veracity C. Principle of Subsidiarity D. Principle of Fidelity 15. When an individual is unable to help himself, a stronger or higher entity in the society is called to assist him. What principle is being depicted in this situation? A. Principle of Justice B. Principle of Veracity C. Principle of Subsidiarity D. Principle of Double Effect 16. The belief that another person knows what is best and can make decisions for another individual. A. Beneficence B. Autonomy C. Paternalism D. Informed Consent 17. It refers to a person's right to choose and the ability to act on that choice. A. Autonomy B. Freedom C. Personhood D. Human Dignity 18. If it is an emergency case, who will decide for the comatose patient if there are no relatives around? A. Doctor B. Lawyer C. Nurse D. Nurse supervisor 19. If it is an emergency case, somebody will decide for the comatose patient when there are no relatives around. What principle is being used in the situation? A. Totality B. Loco-Parentis C. Stewardship D. Double Effect 20. The administration of narcotics to a dying patient is morally justified based on the following conditions: 1) The opportunity for receiving the sacrament has been given Downloaded by jomari macasaet ([email protected])  lOMoARcPSD|11983906 2) There is severe pain to be relieved 3) Dose is at a therapeutic level 4) Life is prolonged by its use A. 1 and 2 only B. 2 and 3 only C. 1, 2, 3 D. All of the above 21. Written consent is legal when: A. the person is 18 years old B. the consent is secured without force, duress or coercion C. the person is not under the influence of alcohol or drugs D. All of the above 22. Written consent is valid for 24 hours only. If a procedure is postponed, secure another consent. A. TRUE B. FALSE 23. The patient is considered the most important person in the hospital. A. TRUE B. FALSE 24. The principle of Totality is applicable to moral organisms. A. TRUE B. FALSE 25. Imminent danger of death means that death probably will occur in the ordinary course of events within 2 weeks. A. TRUE B. FALSE 26. ‘Doing good’ should take precedence over autonomy except for religious beliefs. A. TRUE B. FALSE 27. The nurse hears a client calling for help. The nurse hurries down the hallway to the client's room and found a client lying on the floor. The nurse performs a thorough assessment and assists the client back on bed. The nurse notifies the physician of the incident and completes an incident report. Which of the following would the nurse document on the incident report? A. The client was found lying on the floor B. The client climbed of the side rails C. The client fell out of the bed D. The client became restless and tried to get out of bed 28. The nurse hears a client calling for help. The nurse hurries down the hallway to the client's room and found a client lying on the floor. The nurse performs a thorough assessment and assists the client back on bed. The nurse notifies the physician of the incident and completes an incident report. What principle is being applied? A. Paternalism B. Fidelity C. Cooperation D. Veracity 29. A patient became seriously ill after a nurse gave him a wrong medication. After his recovery, he files a lawsuit. Who is likely to be held liable? A. No one because it was an accident B. The nurse C. The hospital D. The nurse and the hospital 30. A patient became seriously ill after a nurse gave him a wrong medication. After his recovery, he files a lawsuit against the nurse and the hospital. What principle/s is /are being talked about? A. Force Majure B. Res Ipsa Loquitor C. Res Ipsa Loquitor and Respondeat Superior D. Respondeat Superior and Force Majure 31. ______ is also called The Code of Ethics for Filipino Nurses. A. BON Resolution No. 425 Downloaded by jomari macasaet ([email protected])  lOMoARcPSD|11983906 B. BON Resolution No. 220 C. BON Resolution No. 112 D. BON Resolution No. 459 32. Marcella just passed the licensure examination and was accepted as a staff nurse in a tertiary hospital. One area of competency that she must develop is on ethical responsibility. Which of the following ethical responsibilities is the primary responsibility of Marcella? A. Promote health at all cost B. Respect the individuality of patients C. Promote the image of the profession D. Maintain a healthy environment 33. A nurse needs assistance transferring a confused elderly patient to bed. The nurse leaves the patient to find someone to assist her with the transfer. While the nurse is gone, the patient falls and hurt herself. The nurse is at fault because she hasn't: A. properly educate the patient about safety measures B. restrained the patient C. documented that she left the patient D. arranged for continual care of the patient 34. When nurses accurately, promptly and legibly document their care given to patients, what ethical principle is the nurse observing? A. Fidelity B. Justice C. Veracity D. Confidentiality 35. When facing an ethical dilemma, the nurse must remember the principle of non-maleficence, which means: A. Be fair to everyone B. Act in the best interest of the patient C. Tell the truth D. Do no harm 36. The following are elements of informed consent except: A. Disclosure B. Voluntariness C. Coercion D. Affordability 37. A registered nurse committed to the principle of autonomy would be careful to: A. Provide the information and support that the patient needs to make decisions to advance his own interests B. Treat each patient fairly, trying to give everyone his or her due C. Keep any promises made to a patient or another professional caregiver D. Avoid causing harm to the patient 38. Being a patient advocate means: A. Representing the client's viewpoint to others B. Tell the truth C. Do no harm D. Do what one has promised 39. A mentally competent adult may legally refuse treatment if: A. He's fully informed about his medical condition B. He's aware about the likely consequences of his action C. It is based on the grounds of freedom of religion D. All of the above 40. Nurse Ralph takes beneficial actions when they perform wound dressing changes to patients and provide emotional support to those who are anxious or depressed. This is an application of: A. Principle of Non-maleficence B. Principle of Fidelity C. Principle of Beneficence D. Principle of Autonomy 41. Nurse Gian Carlo is aware that giving sedatives and analgesics to alleviate pain in a dying patient even when these may also shorten the life of the patient is an application of the: A. Principle of Justice B. Principle of Subsidiarity C. Principle of Double Effect Downloaded by jomari macasaet ([email protected])  lOMoARcPSD|11983906 D. Principle of Stewardship 42. Nurse Rachel Ray is aware of her ethical and legal responsibilities as a professional nurse. She sees to it that she complies with the ethical principles in the care of her patients. Which of the following principles applies to the action of Rachel to refrain from discussing the disease condition of the patient with those who are not involved in his care? A. Beneficence B. Non-maleficence C. Justice D. Autonomy 43. Mr. Bloom is diagnosed to have acute myocardial infarction and is recommended for admission. He refuses to be admitted and asks to be transferred to a tertiary hospital instead. Which of the following principles should Rachel use as a guide for her action? A. Autonomy B. Justice C. Non-maleficence D. Beneficence 44. She saw the security guard reading the chart of a meningococcemia suspect. Which of the following actions of Rachel would be appropriate? A. Tell him that this is not allowed for those not directly involved in the care of the patient. B. Reprimand the guard for breach of hospital protocol. C. Inform the supervisor about what she saw. D. Ignore this as this is not against hospital rules. 45. One of the patients confided that his companion is not the legal wife. What liability will Rachel be exposed when she divulge the information to others? A. Libel B. Slander C. Breach of Confidentiality D. Assault 46. In the human person, the part does not exist for the whole and therefore, the good of the part is unsubordinated to the good of the whole. A. TRUE B. FALSE 47. Transplanting organs from one living person to another is ethically acceptable provided the following criteria are met: 1) There is a serious need on the part of the recipient that cannot be fulfilled in any other way; 2) The donor's consent is free and informed; 3) The risk taken by the donor as an act of charity is not proportionate to the good resulting for the recipient; 4) The functional integrity of the donor as a human person will not be impaired; 5) The recipients for the scarce organs are selected justly. A. 1, 2, 3 & 4 B. 1, 2, 3 & 5 C. 1, 2, 3 & 5 D. All of the above 48. Organ donation could be made to donors who are already brain dead. A. TRUE B. FALSE 49. The criteria for Cessation of Brain Function include: 1) Irreversible coma; 2) No spontaneous respiration and no response to apnea test for 6 min; 3) Absence of the following brain stem reflexes: pupillary, corneal, gag and caloric test; 4) No movement A. 1 only B. 1, 2, 3 C. 1, 2, 4 D. All of the above 50. Ethics comes from the Greek word, "moralis" which means moral duty. A. TRUE B. FALSE Downloaded by jomari macasaet ([email protected])