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Nursing Ethics explores the moral principles, professional guidelines, and legal standards that inform ethical decision-making in nursing practice. The course examines foundational ethical theories and applies them to practical scenarios encountered by nurses, including issues related to patient autonomy, confidentiality, informed consent, end-of-life care, and professional boundaries. Students will analyze complex case studies, reflect on personal and societal values, and develop the critical thinking skills necessary to navigate ethical dilemmas in diverse healthcare settings. The course also emphasizes cultural competence, advocacy, and the importance of ethical leadership in promoting patient welfare and professional integrity.
Recommended Textbook
Ethics and Issues in Contemporary Nursing 4th Edition by Margaret A. Burkhardt
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313 Verified Questions
313 Flashcards
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Q1) Who is recognized as the father of Western medicine?
A) Plato
B) Hippocrates
C) Aristotle
D) St. Paul
Answer: B
Q2) Helping professionals find their origin in:
A) inhumane actions.
B) perceived social need.
C) accepted moral needs.
D) individual values.
E) All except a.
Answer: E
Q3) Which of the following events that changed nursing occurred during the 20th century?
A) Women became more politically active.
B) The nursing profession gained acceptance as a legitimate force.
C) Nurses began to provide independent health care services.
D) All of the above
Answer: D

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Q1) What theory is based on the rationalist view that the rightness or wrongness of an act depends upon the nature of the act, rather than its consequence?
A) Deontology
B) Formalism
C) Kantianism
D) Act utilitarianism
Answer: A
Q2) Abortion, even to save the life of the mother, would most likely be considered morally wrong by a person rigidly applying which type of moral theory?
A) Deontology
B) Virtue ethics
C) Naturalism
D) Utilitarianism
Answer: A
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Q1) Informed consent is a procedure designed to assure which of the following ethical principles?
A) Beneficence
B) Autonomy
C) Fidelity
D) Nonmaleficence
Answer: B
Q2) The ethical principle that implies that others are worthy of high regard is:
A) beneficence.
B) fidelity.
C) respect for persons.
D) distributive justice.
Answer: C
Q3) The act of speaking or pleading on another's behalf is the ethical principle of: A) autonomy.
B) paternalism.
C) fidelity.
D) advocacy.
Answer: D
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Sample Questions
Q1) 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.
Q2) Axiology is a branch of philosophy that studies:
A) ethics.
B) mathematics.
C) awareness.
D) values.
Q3) The valuing process includes which of the following? Select all that apply.
A) Promoting beliefs
B) Prizing beliefs
C) Choosing behaviors
D) Acting on beliefs
E) Cherishing behaviors
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Q1) Nurses can avoid making inappropriate judgments about another's moral capabilities by:
A) understanding that all people have the same ethical, moral, and cultural values; they are just called by different names.
B) keeping strict adherence to hospital and unit guidelines while caring for the patient and patient's family.
C) understanding varying perspectives from which moral decisions are made by both the nurse and the patient.
D) all of the above.
Q2) Which of the following statements are true regarding Gilligan's study of the psychosocial development of women? Select all that apply.
A) Progression through each of the three stages reflects greater depth in understanding the relationship of self and others.
B) Phase 3 focuses on the concern for survival.
C) Gilligan suggests a linear progression moving from one phase to the next.
D) Phase 2, focusing on good, includes a sense of goodness as self-sacrifice.
E) Gilligan's model is considered an ethic of care.
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Q1) "Self-governing" is another word or definition for:
A) expertise.
B) profession.
C) autonomy.
D) accountability.
Q2) ____ refers to a person who has an obligation to accept responsibility and to account for actions.
A) Autonomy
B) Expertise
C) Authority
D) Accountability
Q3) A complex, organized occupation preceded by a long training program is a(n): A) profession.
B) expert.
C) autonomy.
D) nurse.
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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) Which of the following is an example of a moral dilemma?
A) A nurse who is accustomed to working on the prenatal unit floats to the ER.
B) A nurse who has strong religious beliefs opposing abortion is assigned to assist with an elective abortion.
C) A terminally ill patient on life support suffers from severe, intractable pain.
D) A patient has a cardiopulmonary arrest when the suction apparatus fails.
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Q1) A wrong or injury that a person suffers because of someone else's action, either intentional or unintentional, is a:
A) negligence.
B) tort.
C) private law.
D) breach.
Q2) A set of rules and principles that describes the powers of a government and the rights of the people refers to:
A) constitutional law.
B) statutory/legislative law.
C) common law.
D) administrative law.
Q3) Willful acts that violate another person's rights or property are:
A) intentional torts.
B) fraud.
C) assault.
D) battery.
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Q1) Racism is prohibited by which of the following?
A) The Civil Rights Act of 1964
B) The ICN Code of Ethics for Nurses
C) The ANA Code of Ethics for Nurses
D) All of the above
Q2) Sexual harassment is a form of sex discrimination that violates the Civil Rights Act of 1964. Which statements are true regarding sexual harassment? Select all that apply.
A) The two categories of sexual harassment include quid pro quo and hostile work environment.
B) Hostile-work-environment sexual harassment occurs when submission to or a rejection of the sexual conduct of an individual is used as a basis for employment.
C) Majority of sexual harassment claims are filed by women.
D) Sexual harassment entails emotional costs such as anger, humiliation, and fear.
E) Direct costs of sexual harassment may include counseling and lawyers fees.
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Q1) In assessing a patient's quality of life (QOL), the nurse needs to understand that QOL:
A) is an objective measure of comfort and factors that make life worth living.
B) is only considered good if the patient feels fulfilled and can be independent.
C) generally means the same thing to most patients, families, and nurses.
D) includes subjective ideas about conditions of life and functional ability.
Q2) Ethical dilemmas that arise from use of life-sustaining technologies may be associated with all of the following except:
A) attitudes and beliefs about when life begins.
B) attitudes about what constitutes death.
C) unreasonable expectations of medical interventions.
D) similar opinions regarding use of technology.
Q3) Appropriate utilization of health care technology requires that health care providers, patients, and families understand its:
A) purpose, benefits, limitations.
B) cost, availability, usefulness.
C) outcomes, benefits, cost.
D) risks, availability, purpose.
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Q1) Which of the following elements must be present when evaluating a patient's decision-making capacity? Select all that apply.
A) The ability to understand the information provided
B) The ability to communicate understanding
C) The ability to indicate personal choices and decisions
D) The ability to understand medical terminology
E) The ability to demonstrate values guiding the decision
Q2) The nurse's role and responsibilities in informed consent include all the following except:
A) verifying that the patient is aware of options and implications of each.
B) advocating to ensure that criteria for autonomous decision making is met.
C) explaining the procedure to the patient when the doctor cannot do so.
D) signing as a witness attesting that the patient is giving consent willingly.
Q3) If a patient is not given the opportunity to ask questions about a procedure prior to the start of the procedure, which patient right is being violated?
A) Autonomy
B) Justice
C) Advance directives
D) Informed consent

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Q1) A nurse researcher who decides to discontinue a research project because the findings indicate that the risks of the study outweigh the benefits is applying the principle of:
A) beneficence.
B) justice.
C) trustworthiness.
D) confidentiality.
Q2) A nurse researcher would address protection of human rights by assuring that the research protocol includes all the following except:
A) right to freedom from injury.
B) right to privacy.
C) right to autonomy.
D) right to free medical care.
Q3) Which of the following documents was developed to set forth principles for the ethical conduct of research in response to human rights violations during World War II?
A) Belmont Report
B) ANA Code of Ethics
C) Nuremberg Code
D) Declaration of Helsinki
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Q1) Which of the following is an assumption of the Western worldview that contributes to lack of consideration of Earth ethics?
A) Understanding that humans are intricately connected with the natural world
B) Appreciating that all species have core value and an intrinsic right to exist
C) Recognizing that human health is dependent on the health of the Earth
D) Believing that humans have a right to do anything they want with nature
Q2) Ethically prioritizing health care treatment and management of victims during a disaster includes all of the following except:
A) separating victims into groups based on medical needs and intervention capabilities.
B) focusing on the technical needs of victims, leaving emotional concerns for others.
C) providing impartial assistance to each victim without waiting to be asked.
D) making decisions solely on a person's emergency status, not on nonmedical criteria.
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Q1) A nursing professor is actively involved in lobbying for health policy issues. The professor tells the class that these activities are moral duties. What is the best explanation for this statement?
A) The nursing professor likely learned the sense of duty from her upbringing.
B) The nursing professor has a deontological ethical perspective.
C) The ANA and ICN codes of ethics for nurses direct the nurse to promote efforts to meet the health needs of society.
D) The nursing professor is attempting to influence the students to become politically active.
Q2) Which of the following is a health policy issue of concern to the profession of nursing?
A) Abortion
B) Third-party reimbursement
C) Air pollution control
D) Gun control
E) All of the above
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Q1) 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
Q2) Which of the following health care financing systems has a strong focus on the principle of autonomy?
A) Fee for service
B) Managed care
C) Universal health insurance
D) Single payer systems
Q3) Which of the following ethical theories of justice are based upon the rule that it is good to maximize the greatest good for the greatest number of people?
A) Libertarian theories
B) Utilitarian theories
C) Deontological theories
D) Communitarian theories
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Q1) Refusing to discharge an abused child to her home when there is a possibility of further injury is an example of which ethical principle?
A) Nonmaleficence
B) Justice
C) Beneficence
D) Autonomy
Q2) Nursing care and policy need to address which of the following issues? Select all that apply.
A) Poverty
B) Homelessness
C) Domestic violence
D) Lack of insurance
E) Racism
F) None of the above
Q3) Nursing responsibilities related to victims of human trafficking may include:
A) recognizing signs of this form of violence.
B) providing appropriate interventions and support.
C) working toward prevention of this form of violence
D) all of the above.
E) a and b only.
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Q1) A female nurse manager is overly friendly to a young male colleague. She makes sexually explicit remarks and often corners him in the medication room, standing uncomfortably close. This behavior is consistent with which of the following?
A) Sexual assault
B) Sexual deviancy
C) Sexual harassment
D) Hostile work environment
Q2) 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
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Q1) Cultural assessment includes exploration of cultural phenomena that are evident in all groups. These cultural phenomena may include which of the following? Select all that apply.
A) Communication
B) Time
C) Healthy living
D) Social organization
E) Environmental control
F) Biological variation
Q2) Transcultural issues and conflicts are more likely to arise when nurses:
A) are aware of their own bias and judgments of others.
B) judge another's behavior by their own cultural values.
C) understand their own cultural beliefs and values.
D) avoid judging others based on preconceived ideas.
Q3) 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.
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Q1) 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.
Q2) Professional empowerment in nursing is influenced by which of the following factors? Select all that apply.
A) Personal attitudes and accountability
B) Support of professional colleagues
C) Economic, political, and social forces
D) Structure of health care system
E) Interactions with patients
F) None of the above
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Q1) Nurses can enhance patient decision-making capacity by supporting all of the following except:
A) opportunities for choice.
B) reliance on authority.
C) experiences of connection.
D) deepening self-awareness.
Q2) Individuals who believe that they are able to influence or control things that happen to them are considered to have a/an:
A) negative locus of control.
B) external locus of control.
C) internal locus of control.
D) positive locus of control.
Q3) Patient empowerment flows from nursing's focus on:
A) advocacy.
B) patient care.
C) paternalism.
D) locus of control.
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