Legal and Ethical Issues in Nursing Practice Questions
Course Introduction
This course examines the foundational legal and ethical principles that govern nursing practice within various healthcare settings. Students will explore topics such as patient rights, informed consent, confidentiality, professional boundaries, negligence, and liability, as well as the ethical frameworks that guide clinical decision-making. Emphasis is placed on understanding the role of laws, professional codes of ethics, and institutional policies in addressing complex situations common in nursing. The course equips students with the skills to analyze and resolve dilemmas, advocate for patients, and uphold ethical standards while navigating the challenges of contemporary nursing practice.
Recommended Textbook
Ethics and Issues in Contemporary Nursing 4th Edition by Margaret A. Burkhardt
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20 Chapters
313 Verified Questions
313 Flashcards
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Chapter 1: Social, Philosophical, and Other Historical Forces
Influencing the Development of Nursing
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/21802
Sample Questions
Q1) The overarching belief system of a culture that deals with the culture's beliefs about the nature of the universe is termed:
A) cosmology.
B) religion.
C) values.
D) astrology.
Answer: A
Q2) Who is recognized as the father of Western medicine?
A) Plato
B) Hippocrates
C) Aristotle
D) St. Paul
Answer: B
Q3) Florence Nightingale was a:
A) model for all nurses.
B) nurse.
C) statistician.
D) social reformer.
E) all of the above.
Answer: E
Page 3
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Chapter 2: Ethical Theory
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/21803
Sample Questions
Q1) A form of moral theory that embraces the uniqueness of cases, the culturally significant ethical features, and ethical judgement in each particular case is called:
A) virtue ethics.
B) naturalism.
C) moral particularism.
D) utilitarianism.
Answer: C
Q2) Beauchamp and Childress propose focal virtues that are more pivotal than others in characterizing a virtuous person. These focal virtues include (select all that apply):
A) compassion.
B) discernment.
C) temperance.
D) trustworthiness.
E) integrity.
Answer: A, B, D, E
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Chapter 3: Ethical Principles
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) A nursing student is completing her community health clinical rotation at a local hospice. During her clinical day, she learns that a member of her community is being cared for by the hospice team. Later that evening, she requests prayer on her social media site for the hospice patient. What ethical principle has the student violated?
A) Veracity
B) Confidentiality
C) Fidelity
D) Autonomy
Answer: B
Q2) The principle of beneficence requires the nurse to:
A) promote harm or evil and do good.
B) prevent or remove harm and do good.
C) ask the patient to sign a survey indicating the nurse has been beneficial to his or her care.
D) avoid harm as a consequence of doing good.
Answer: B
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5
Chapter 4: Values Clarification
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/21805
Sample Questions
Q1) A nurse who used to love her job and now frequently exhibits anger, dissatisfaction, frustration, and poor work performance may be experiencing:
A) moral awareness.
B) moral thought.
C) moral distress.
D) moral values.
Q2) Values that are implicit in expectations of an institution, but not in writing, are termed:
A) formal values.
B) covert values.
C) integral values.
D) overt values.
Q3) The process of becoming more conscious of and naming what we value or consider worthy is:
A) journaling.
B) values clarification.
C) overt values.
D) values conflict.
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Chapter 5: Values Development
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/21806
Sample Questions
Q1) The moral imperative grounded in relationship with and responsibility for one another is called:
A) ethic of justice.
B) ethic of care.
C) faith development.
D) cognitive development.
Q2) In Kohlberg's theory of moral development, the preconventional level includes two stages. They are:
A) punishment and obedience.
B) individual instrumental purpose and exchange.
C) rights and social utility.
D) a and b.
Q3) The development of intellectual capacities through the time of childhood from birth to around age 15 years refers to:
A) Kohlberg's theory of moral development.
B) Piaget's stages of cognitive development.
C) Lao Tsu's theory of development.
D) Fowler's stages of faith development.
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7
Chapter 6: Ethics and Professional Nursing
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/21807
Sample Questions
Q1) A complex, organized occupation preceded by a long training program is a(n):
A) profession.
B) expert.
C) autonomy.
D) nurse.
Q2) Who authored the first ethics textbook, Nursing Ethics for Hospital and Private Use?
A) Florence Nightingale
B) Lillian Wald
C) Isabel Hampton Robb
D) Abraham Flexner
Q3) The minimum expectations for safe nursing care can be defined as:
A) accountability.
B) standards of nursing practice.
C) expertise.
D) authority.
Q4) Because society allows professionals a monopoly over the services they provide, ethics demands that those services must be provided with expertise.
A)True
B)False
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Chapter 7: Ethical Decision Making
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/21808
Sample Questions
Q1) The nurse manager asks Martha, a staff nurse, if she will work an additional 4 hours at the end of her shift. Martha's patient is unstable, and there is insufficient staff on the next shift to care for her adequately. If she works overtime, Martha will break a promise she made to take her children to the circus. This situation is an example of:
A) moral distress.
B) a moral dilemma.
C) moral reckoning.
D) a practical dilemma.
Q2) ____________ occurs when we sense that there is a moral problem but are not sure of the morally correct action.
A) Moral distress
B) Moral uncertainty
C) Moral dilemma
D) Practical dilemma
Q3) The first step in the ethical decision-making process is:
A) implementing the strategy.
B) gathering data.
C) evaluating outcomes of an action.
D) articulating the problem.
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Page 9
Chapter 8: Legal Issues
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/21809
Sample Questions
Q1) The omission to do something that a reasonable person would do, guided by those ordinary considerations which ordinarily regulate human affairs, refers to:
A) negligence.
B) unintentional tort.
C) malpractice.
D) common law.
Q2) Defamation by written words or images is an example of:
A) slander.
B) libel.
C) criminalization.
D) fraud.
Q3) Changes in Medicare and Medicaid laws and statutory recognition of nursing in advanced practice (including prescriptive authority) are examples of what type of law?
A) Legislative law
B) Constitutional law
C) Administrative law
D) Common law
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Chapter 9: Professional Relationship Issues
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/21810
Sample Questions
Q1) _____________ occurs when one directs hostile or aggressive behavior toward another member of the same group.
A) Discrimination
B) Lateral violence
C) Sexual harassment
D) Disparate impact
Q2) The Americans with Disabilities Act (ADA) has several positions including which of the following? Select all that apply.
A) It ensures people with disabilities are not excluded from job opportunities.
B) It allows the practice of requiring medical examinations before employment.
C) Prospective employers may ask questions about disabilities, past medical history, or previous workers' compensation claims.
D) Employers may question individuals about educational qualifications, experience, and their ability to perform the job safely with or without accommodations.
E) Upon request from disabled employees, employers must make necessary physical accommodations to the workplace.
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Chapter 10: Practice Issues Related to Technology
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/21811
Sample Questions
Q1) Since a prime nursing focus is to relieve suffering, nurses must understand that health care technologies:
A) are good because they always support a patient's health and well-being.
B) may cause conflict between doing good and avoiding harm to patients.
C) are necessary interventions even if they cause patients to suffer.
D) may cause nurses to do harmful things to patients against their wishes.
Q2) Which of the following disciplines generally make up an ethics committee? Select all that apply.
A) Nursing
B) Medicine
C) Social work
D) Chaplains
E) Client's family
Q3) The ability to alter organisms genetically for a variety of purposes is:
A) eugenics
B) genetic screening
C) genetic diagnosis
D) genetic engineering
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12
Chapter 11: Practice Issues Related to Patient Self
Determination
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/21812
Sample Questions
Q1) The information that needs to be included in an informed consent document include which of the following?
A) A description of all treatment options, even those that the health care provider does not favor or cannot provide
B) The benefits, risks, and consequences of the various treatment alternatives including nonintervention
C) The nature of the health concern and prognosis if nothing is done
D) All of the above
E) a and b
Q2) A nurse who discusses a patient's condition and treatment with family members who were not authorized to have medical information disclosed to them is breaching: A) autonomy.
B) paternalism.
C) competence.
D) confidentiality.
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Chapter 12: Scholarship Issues
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/21813
Sample Questions
Q1) The _____________ was issued by the World Medical Assembly in 1964 and revised in 1975 and 2008 to guide clinical research.
A) Belmont Report
B) ANA Code of Ethics
C) Declaration of Helsinki
D) Nuremberg Code
Q2) The process of obtaining consent from children ages 7 to 18 years old is called:
A) full disclosure.
B) assent.
C) right to treatment.
D) trustworthiness.
Q3) Two core values basic to academic integrity and to ethical treatment of research data are:
A) plagiarism and cheating.
B) cheating and forgery.
C) beneficence and integrity.
D) veracity and integrity.
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Chapter 13: Global Consciousness in the Twenty First Century
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/21814
Sample Questions
Q1) The precautionary principle affirms that, when there is reasonable suspicion of harm of a new product, process, intervention, or technology and scientific uncertainty regarding cause and effect of this harm, people:
A) should rely on the developer to assure product safety.
B) have few legal rights related to preventing harm.
C) have a duty to take action to prevent harm.
D) have to prove cause and effect before taking action.
Q2) The International Council of Nurses (ICN) suggests a number of action areas for nursing involvement with issues of displaced persons. These actions areas may include which of the following? Select all that apply.
A) Identifying nursing and health needs of displaced persons and mobilizing resources to address these needs
B) Assisting with emergency and resettlement programs
C) Planning for provision and evaluation of health services provided for displaced persons
D) Implementing educational programs for refugees
E) Assisting nurse refugees
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Chapter 14: Health Policy Issues
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/21815
Sample Questions
Q1) Organized groups with distinct ideologies that seek to control government are called:
A) partisan parties.
B) community groups.
C) political parties.
D) municipal groups.
Q2) Which branch of government is involved in the operation of government agencies, such as state boards of nursing and medicine?
A) Judicial branch
B) Administrative branch
C) Executive branch
D) Legislative branch
Q3) Issues that are created, affected, or regulated by any of the government branches are:
A) political issues
B) partisan issues
C) health policy issues
D) regulatory issues
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Page 16
Chapter 15: Economic Issues
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/21816
Sample Questions
Q1) The economics of Country A support the rights of property and liberty for each person and allow each citizen to improve life circumstances by his or her own effort. Health care can be purchased or given freely in Country A, but there is no entitlement program to ensure basic health care to vulnerable people. This type of economic structure best describes which of the following?
A) Marxism
B) Communitarianism
C) Democracy
D) Libertarianism
Q2) Which of the following ethical theories place the community, rather than the individual, the state, the nation, or any other entity, at the center of the value system?
A) Libertarian theories
B) Deontological theories
C) Utilitarian theories
D) Communitarian theories
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17
Chapter 16: Social Issues
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/21817
Sample Questions
Q1) The acquisition, harboring, and trade of persons through force, threat, deception, or other forms of coercion with the aim of exploiting them is called:
A) racism.
B) human trafficking.
C) domestic violence.
D) poverty.
Q2) If two patients need the same resources in the same medical situation, it is justifiable, when resources are scarce, to limit them to patients having insurance and showing an ability to pay for the resources.
A)True
B)False
Q3) ____ and ____ continue to be prevalent in the United States as a consequence of the overall economy and changes in government assistance programs and taxes.
A) Uninsured; racism
B) Racism; homelessness
C) Elderly population; poverty
D) Poverty; homelessness
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Chapter 17: Gender Issues
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/21818
Sample Questions
Q1) Salaries in nursing remain relatively low compared with other professions that require high skill levels, education, and responsibility. Which of the following may be responsible for an increase in nursing salaries?
A) Nursing shortage
B) Lack of men in nursing
C) Fair labor legislation
D) Collective bargaining
E) All of the above
F) A, C, and D
Q2) Indicators of sexual harassment may include which of the following? Select all that apply.
A) Invasion of space
B) Overtly friendly behavior
C) Respectful behavior
D) Planned or intentional sexually suggestive behavior
E) Lack of physical or organizational power
F) Sexualized workplace
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Chapter 18: Transcultural and Spiritual Issues
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/21819
Sample Questions
Q1) All of the following are important for nurses in providing spiritual care except:
A) understanding that all spirituality is part of every patient encounter.
B) sharing the same religious beliefs and values as the patient.
C) creating an environment open to many beliefs and expressions.
D) appreciating that religious perspective may influence health choices.
Q2) A key factor in dealing with transcultural issues is:
A) ethnocentrism.
B) culture.
C) diversity.
D) self-awareness.
Q3) Beliefs and practices that are the expressive aspects of religion are referred to as: A) spirituality.
B) religiosity.
C) culture.
D) values.
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Chapter 19: Empowerment for Nurses
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/21820
Sample Questions
Q1) Emphasis on a nurse's role in terms of responsibility to the institution reflects the mind-set that views health care as:
A) medical cases.
B) basic human need.
C) basic human right.
D) commodity.
Q2) An individual who attempts to expose wrongdoing within an organization through warning the public about negligence, professional misconduct or incompetence, or other factors that may endanger patients or staff is called:
A) moral courage.
B) whistle blowing.
C) beneficence
D) empowerment.
Q3) Nursing empowerment that derives from the perspective of power with or power to:
A) is given to or delegated to the nurse.
B) is a directive process regarding change.
C) is more focused on outcome than process.
D) is based on mutual love and respect.
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21
Chapter 20: Facilitating Patient Enpowerment
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/21821
Sample Questions
Q1) Patient empowerment flows from nursing's focus on:
A) advocacy.
B) patient care.
C) paternalism.
D) locus of control.
Q2) Empowerment is fostered through which of the following? Select all that apply.
A) Self-discovery
B) Sense of connectedness
C) Support
D) Opportunities for choice
E) Decreased self-esteem
F) Having needed resources, knowledge, and skills
Q3) The concept of empowerment relates to the ethical principle of:
A) beneficence.
B) justice.
C) autonomy.
D) nonmaleficence.
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