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