,Table of Contents
8
% 8
%
Ethical and Legal Issues in Canadian Nursing 4th Edition Keatings Test Bank...................................... 3
8% 8% 8% 8% td 8% 8% 8% 8% 8% td
Chapter 01: An Introduction to the Ethics and the Law: A Perspective for Nurses ..................................... 3
8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8%
Chapter 02: Ethical Theories: Their Meaning for Nursing .................................................................. 8
8% 8% 8% 8% 8% 8% 8%
Chapter 03: Guiding Ethical Decision Making: Resources for Nurses ................................................. 18
8% 8% 8% 8% 8% 8% 8% 8%
Chapter 04: The Canadian Legal System ...................................................................................27
8% 8% 8% 8% 8%
Chapter 05: Regulation of the Nursing Profession ........................................................................ 34
8% 8% 8% 8% 8% 8%
Chapter 06: Informed Consent: Rights and Obligations ................................................................ 41
8% 8% 8% 8% 8% 8%
Chapter 07: The Nurse’s Legal Accountabilities: Professional Competence, ........................................ 47
8% 8% 8% 8 % 8% 8 % 8%
Chapter 08: Complexity at the End of Life: The Ethical and Legal Challenges ........................................ 53
8% 8% 8% td 8% 8% 8% 8% 8% 8% 8% 8%
Chapter 09: Ethical and Legal Issues Related to Advancing Science and Technology ............................. 60
8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8%
Chapter 10: Safeguarding Patient Rights ..................................................................................67
8% 8% 8% 8%
Chapter 11: Perspectives on the Rights of Nurses ....................................................................... 74
8% 8% 8% 8% 8% 8% 8%
Chapter 12: Ethical Issues in Leadership, the Organization, and Approaches to the Delivery of Care ......... 81
8% 8% 8% td 8% 8% 8% 8% 8% 8% 8% td 8% 8%
,Ethical and Legal Issues in Canadian Nursing 4th Edition Keatings Test Bank
td 8% 8% 8% td 8% 8% 8% 8% 8% 8%
Chapter 01: An Introduction to the Ethics and the Law: A Perspective for Nurses
8% 8% 8% 8% 8% 8% 8% 8% 8% 8% td 8% 8%
MULTIPLE CHOICE
8 %
1. Which of the following mandates that nurses have a basic understanding of the Canadian legal system?
8% 8% 8% 8% td td 8% 8% 8% td 8% 8% 8% 8% 8%
a. Provincial and federal nursing bodies 8% 8% 8% 8%
b. The Supreme Court of Canada
8% 8% td 8%
c. Provincial nursing labor unions 8% 8% 8%
d. The Drug and Pharmacies Regulation Act, 1990
8% 8% 8% 8% 8% 8%
CORRECT ANS:A
8 %
Elaboration
A Correct! Provincial and territorial regulatory bodies, have certain requirements relat
8% 8% 8% 8% 8% 8% td 8% 8%
8 %ed to nurses’ knowledge/skill, which includes knowledge of the legal syste
8% 8% 8% 8% 8% 8% 8% 8% 8% 8%
m.
B Incorrect—
The Supreme Court, which is the final court of appeal in Canada, is not involved
8% 8% 8% 8% 8% 8% 8% td 8% 8% 8% 8% 8% 8% 8%
in t he regulation of health care professionals.
8% 8% 8% 8% 8% 8% 8%
C Incorrect—
Labour unions do not focus on nursing standards and knowledge; rather, they rep
8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8%
re sent the collective bargaining rights of nurses.
8% 8% 8% 8% 8% td 8%
D Incorrect—
This Act is relevant to nursing in that it regulates the prescribing, dispensing, and handl
td 8% td 8% 8% 8% 8% 8% 8% 8% 8% 8 % 8% 8%
ing of drugs. It does not mandate the knowledge nurses
8% 8% 8% td 8% 8% 8% 8% td
require about the legal system. 8% 8% 8% 8%
DIF: Cognitive level: Comprehension td 8%
2. Identify one of the reasons why nurses need to have an understanding of ethics.
8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8%
a. Nurses do not share the same perspectives regarding health care with other health care
8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8%
p rofessionals.
8 %
b. Morality and care are at the heart of nursing practice.
8% 8% 8% 8% td 8% td 8% 8%
c. Ethics provides a clear answer to nurses regarding the correct course of action.
8% td 8% 8% 8% td 8% 8% td 8% 8% 8%
d. Convincing family members of compassionate courses of action is best done by nurses.
8% 8% 8% 8% 8% td 8% 8% 8% 8% 8% 8 %
CORRECT ANS:B
8 %
Elaboration
A Incorrect—Professional values may be shared across multiple professions, and 8 % 8% 8% 8% 8 % td 8% 8 %
perspectives on issues may be similar. When views on an issue differ, then knowledge of
8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8%
ethi cs assists in clarifying and defending one’s position to others.
8% 8% td 8% 8% 8% 8% 8% 8% td
B Correct! One reason for nurses studying ethics is that morality and care are at the
8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% td 8%
h eart of nursing practice.
8 % td 8% 8%
C Incorrect—
Ethical theories can provide a framework for the exploration of the ethical questions and
8% td 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% td
m oral issues faced in health care. These theories guide how morality is understood within
8% 8% 8% 8% 8% 8% 8% td 8% 8% 8% 8% td 8% 8
%the sphere of nursing practice and the nurse– patient or nurse–
8% 8% 8% 8% 8% 8% 8% 8% 8% 8%
client relationship. Ethical theories and frameworks can
td 8% 8% 8% 8% 8%
assist/guide nurses as they consider multiple options to choose the best or the
8% 8% td 8% 8% 8% 8% td 8% 8% 8% 8%
least wrong course of action.
8% 8% 8% 8%
D Incorrect—
Nurses as members of the health care team are in a strong position to support families. T
8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% td 8% 8%
he
y respect the values and beliefs of clients and families and support them in decision m
8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8%
akin g regarding the right course of action.
8 % 8% 8% 8% 8% 8% 8%
, DIF: Cognitive level: Synthesis td 8%
3. Why is it advantageous for nurses to have knowledge of ethical theories and principles?
8% 8% td 8% 8% 8% td 8% 8% 8% 8% td 8%
a. Ethical theories encourage nurses to critique others’ points of view.
8% 8% 8% 8% 8% 8% 8% 8% 8%
b. Nurses are able to justify and defend their positions on a situation.
8% 8% 8% td 8% 8% 8% 8% 8% 8% 8%
c. Ethical theories help nurses explain to the rest of the team why nurses have
8% td 8% 8% 8% 8% 8% td 8% 8% 8% 8% 8% 8%
a greater understanding of the patient’s perspective.
8% 8% 8% 8% 8% 8%
d. This knowledge allows nurses to convince patients to choose comfort measures only.
8% 8% td td td 8% 8% 8% 8% 8% 8 %
CORRECT ANS:B 8 %
Elaboration
A Incorrect—
Ethics encourages nurses to respect the values of others and assists in understanding op
td 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8%
posing points of view. Ethics offers tools to nurses to respectfully argue in favour of their
8% 8% 8% 8% 8% td 8% 8% 8% 8% 8% 8 % 8% 8% 8% 8%
p ositions while respecting the perspectives
8% 8% 8% 8% 8%
of others.8%
B Correct! When views differ, ethical theories help clarify one’s position and make arguments
8% 8% 8% 8% 8% td 8% 8% 8% 8% 8% 8%
i n support of it. Nurses ensure that all relevant information is shared with the
8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8%
team and the client. 8% 8% 8%
C Incorrect—
The perspective of all team members is important and is based on the unique rela
8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8%
ti onships each nurse has with the client.
8 % 8% 8% 8% 8% 8% 8%
D Incorrect—
This approach is paternalistic. Nurses and the health care team, while respecting
8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8%
a person’s autonomy, support him or her in making decisions about
8% 8% 8% td 8% 8% 8% 8% 8% td
what is best in a particular context. This includes ensuring that patients are aware of all the o
td 8% td 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8%
p tions available to them.
8% td 8% td
DIF: Cognitive level: Comprehension 8% 8%
4. Why must nurses be familiar with the legal system?
8% td 8% 8% 8% td 8% 8%
a. Some nursing actions are governed by the law.
8% 8% 8% 8% 8% 8% 8%
b. Nurses’ decisions may not be supported by the law.
8% 8% 8% 8% 8% 8% 8% 8%
c. Nurses are sometimes at risk for litigation.
8% 8% 8% 8% td 8%
d. All are correct.
8% 8%
CORRECT ANS:D 8 %
Elaboration
A Incorrect—
Reserved or controlled acts and the administration of narcotics are two examp
8% 8% 8 % 8% 8% 8% 8% 8% td 8 % td
les o f nursing actions governed by the law. A nurse may think an
8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% td
action is “ethical,” but it may not be legal. Nurses’ decisions sometimes have untoward
8% td 8% td 8% 8% 8% 8% 8% 8% 8% 8% td
consequences, and errors or omissions may lead to negligence claims. 8% 8% 8% 8% 8% 8% 8% 8% 8%
B Incorrect—
Reserved or controlled acts and the administration of narcotics are two examples o
8% 8% 8% 8% 8% 8% 8% 8% td 8% 8% 8%
f nursing actions governed by the law. A nurse may think an action is
8 % 8% 8% 8% 8% 8% 8% td 8% 8% 8% 8% 8%
“ethical,” but it may not be legal. Nurses’ decisions sometimes have
8% 8% 8% 8% 8% 8% 8% 8% 8% 8%
untoward consequences, and errors or omissions may lead to negligence claims.
8% 8% 8% td 8% 8% 8% 8% 8% 8%
8
% 8
%
Ethical and Legal Issues in Canadian Nursing 4th Edition Keatings Test Bank...................................... 3
8% 8% 8% 8% td 8% 8% 8% 8% 8% td
Chapter 01: An Introduction to the Ethics and the Law: A Perspective for Nurses ..................................... 3
8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8%
Chapter 02: Ethical Theories: Their Meaning for Nursing .................................................................. 8
8% 8% 8% 8% 8% 8% 8%
Chapter 03: Guiding Ethical Decision Making: Resources for Nurses ................................................. 18
8% 8% 8% 8% 8% 8% 8% 8%
Chapter 04: The Canadian Legal System ...................................................................................27
8% 8% 8% 8% 8%
Chapter 05: Regulation of the Nursing Profession ........................................................................ 34
8% 8% 8% 8% 8% 8%
Chapter 06: Informed Consent: Rights and Obligations ................................................................ 41
8% 8% 8% 8% 8% 8%
Chapter 07: The Nurse’s Legal Accountabilities: Professional Competence, ........................................ 47
8% 8% 8% 8 % 8% 8 % 8%
Chapter 08: Complexity at the End of Life: The Ethical and Legal Challenges ........................................ 53
8% 8% 8% td 8% 8% 8% 8% 8% 8% 8% 8%
Chapter 09: Ethical and Legal Issues Related to Advancing Science and Technology ............................. 60
8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8%
Chapter 10: Safeguarding Patient Rights ..................................................................................67
8% 8% 8% 8%
Chapter 11: Perspectives on the Rights of Nurses ....................................................................... 74
8% 8% 8% 8% 8% 8% 8%
Chapter 12: Ethical Issues in Leadership, the Organization, and Approaches to the Delivery of Care ......... 81
8% 8% 8% td 8% 8% 8% 8% 8% 8% 8% td 8% 8%
,Ethical and Legal Issues in Canadian Nursing 4th Edition Keatings Test Bank
td 8% 8% 8% td 8% 8% 8% 8% 8% 8%
Chapter 01: An Introduction to the Ethics and the Law: A Perspective for Nurses
8% 8% 8% 8% 8% 8% 8% 8% 8% 8% td 8% 8%
MULTIPLE CHOICE
8 %
1. Which of the following mandates that nurses have a basic understanding of the Canadian legal system?
8% 8% 8% 8% td td 8% 8% 8% td 8% 8% 8% 8% 8%
a. Provincial and federal nursing bodies 8% 8% 8% 8%
b. The Supreme Court of Canada
8% 8% td 8%
c. Provincial nursing labor unions 8% 8% 8%
d. The Drug and Pharmacies Regulation Act, 1990
8% 8% 8% 8% 8% 8%
CORRECT ANS:A
8 %
Elaboration
A Correct! Provincial and territorial regulatory bodies, have certain requirements relat
8% 8% 8% 8% 8% 8% td 8% 8%
8 %ed to nurses’ knowledge/skill, which includes knowledge of the legal syste
8% 8% 8% 8% 8% 8% 8% 8% 8% 8%
m.
B Incorrect—
The Supreme Court, which is the final court of appeal in Canada, is not involved
8% 8% 8% 8% 8% 8% 8% td 8% 8% 8% 8% 8% 8% 8%
in t he regulation of health care professionals.
8% 8% 8% 8% 8% 8% 8%
C Incorrect—
Labour unions do not focus on nursing standards and knowledge; rather, they rep
8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8%
re sent the collective bargaining rights of nurses.
8% 8% 8% 8% 8% td 8%
D Incorrect—
This Act is relevant to nursing in that it regulates the prescribing, dispensing, and handl
td 8% td 8% 8% 8% 8% 8% 8% 8% 8% 8 % 8% 8%
ing of drugs. It does not mandate the knowledge nurses
8% 8% 8% td 8% 8% 8% 8% td
require about the legal system. 8% 8% 8% 8%
DIF: Cognitive level: Comprehension td 8%
2. Identify one of the reasons why nurses need to have an understanding of ethics.
8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8%
a. Nurses do not share the same perspectives regarding health care with other health care
8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8%
p rofessionals.
8 %
b. Morality and care are at the heart of nursing practice.
8% 8% 8% 8% td 8% td 8% 8%
c. Ethics provides a clear answer to nurses regarding the correct course of action.
8% td 8% 8% 8% td 8% 8% td 8% 8% 8%
d. Convincing family members of compassionate courses of action is best done by nurses.
8% 8% 8% 8% 8% td 8% 8% 8% 8% 8% 8 %
CORRECT ANS:B
8 %
Elaboration
A Incorrect—Professional values may be shared across multiple professions, and 8 % 8% 8% 8% 8 % td 8% 8 %
perspectives on issues may be similar. When views on an issue differ, then knowledge of
8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8%
ethi cs assists in clarifying and defending one’s position to others.
8% 8% td 8% 8% 8% 8% 8% 8% td
B Correct! One reason for nurses studying ethics is that morality and care are at the
8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% td 8%
h eart of nursing practice.
8 % td 8% 8%
C Incorrect—
Ethical theories can provide a framework for the exploration of the ethical questions and
8% td 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% td
m oral issues faced in health care. These theories guide how morality is understood within
8% 8% 8% 8% 8% 8% 8% td 8% 8% 8% 8% td 8% 8
%the sphere of nursing practice and the nurse– patient or nurse–
8% 8% 8% 8% 8% 8% 8% 8% 8% 8%
client relationship. Ethical theories and frameworks can
td 8% 8% 8% 8% 8%
assist/guide nurses as they consider multiple options to choose the best or the
8% 8% td 8% 8% 8% 8% td 8% 8% 8% 8%
least wrong course of action.
8% 8% 8% 8%
D Incorrect—
Nurses as members of the health care team are in a strong position to support families. T
8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% td 8% 8%
he
y respect the values and beliefs of clients and families and support them in decision m
8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8%
akin g regarding the right course of action.
8 % 8% 8% 8% 8% 8% 8%
, DIF: Cognitive level: Synthesis td 8%
3. Why is it advantageous for nurses to have knowledge of ethical theories and principles?
8% 8% td 8% 8% 8% td 8% 8% 8% 8% td 8%
a. Ethical theories encourage nurses to critique others’ points of view.
8% 8% 8% 8% 8% 8% 8% 8% 8%
b. Nurses are able to justify and defend their positions on a situation.
8% 8% 8% td 8% 8% 8% 8% 8% 8% 8%
c. Ethical theories help nurses explain to the rest of the team why nurses have
8% td 8% 8% 8% 8% 8% td 8% 8% 8% 8% 8% 8%
a greater understanding of the patient’s perspective.
8% 8% 8% 8% 8% 8%
d. This knowledge allows nurses to convince patients to choose comfort measures only.
8% 8% td td td 8% 8% 8% 8% 8% 8 %
CORRECT ANS:B 8 %
Elaboration
A Incorrect—
Ethics encourages nurses to respect the values of others and assists in understanding op
td 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8%
posing points of view. Ethics offers tools to nurses to respectfully argue in favour of their
8% 8% 8% 8% 8% td 8% 8% 8% 8% 8% 8 % 8% 8% 8% 8%
p ositions while respecting the perspectives
8% 8% 8% 8% 8%
of others.8%
B Correct! When views differ, ethical theories help clarify one’s position and make arguments
8% 8% 8% 8% 8% td 8% 8% 8% 8% 8% 8%
i n support of it. Nurses ensure that all relevant information is shared with the
8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8%
team and the client. 8% 8% 8%
C Incorrect—
The perspective of all team members is important and is based on the unique rela
8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8%
ti onships each nurse has with the client.
8 % 8% 8% 8% 8% 8% 8%
D Incorrect—
This approach is paternalistic. Nurses and the health care team, while respecting
8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8%
a person’s autonomy, support him or her in making decisions about
8% 8% 8% td 8% 8% 8% 8% 8% td
what is best in a particular context. This includes ensuring that patients are aware of all the o
td 8% td 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8%
p tions available to them.
8% td 8% td
DIF: Cognitive level: Comprehension 8% 8%
4. Why must nurses be familiar with the legal system?
8% td 8% 8% 8% td 8% 8%
a. Some nursing actions are governed by the law.
8% 8% 8% 8% 8% 8% 8%
b. Nurses’ decisions may not be supported by the law.
8% 8% 8% 8% 8% 8% 8% 8%
c. Nurses are sometimes at risk for litigation.
8% 8% 8% 8% td 8%
d. All are correct.
8% 8%
CORRECT ANS:D 8 %
Elaboration
A Incorrect—
Reserved or controlled acts and the administration of narcotics are two examp
8% 8% 8 % 8% 8% 8% 8% 8% td 8 % td
les o f nursing actions governed by the law. A nurse may think an
8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% 8% td
action is “ethical,” but it may not be legal. Nurses’ decisions sometimes have untoward
8% td 8% td 8% 8% 8% 8% 8% 8% 8% 8% td
consequences, and errors or omissions may lead to negligence claims. 8% 8% 8% 8% 8% 8% 8% 8% 8%
B Incorrect—
Reserved or controlled acts and the administration of narcotics are two examples o
8% 8% 8% 8% 8% 8% 8% 8% td 8% 8% 8%
f nursing actions governed by the law. A nurse may think an action is
8 % 8% 8% 8% 8% 8% 8% td 8% 8% 8% 8% 8%
“ethical,” but it may not be legal. Nurses’ decisions sometimes have
8% 8% 8% 8% 8% 8% 8% 8% 8% 8%
untoward consequences, and errors or omissions may lead to negligence claims.
8% 8% 8% td 8% 8% 8% 8% 8% 8%