Part I – Foundations in Theory
o Theory of Healthcare Ethics
o Principles of Healthcare Ethics
Part II – Critical Issues for Individuals
o The Moral Status of Gametes and Embryos: Storage and Surrogacy
o Ethics and Aging in America
Part III – Critical Issues for Healthcare Organizations
o Healthcare Ethics Committees: Roles, Memberships, Structure, and Difficulties
o Ethics in the Management of Health Information Systems
o Technological Advances in Health Care: Blessing or Ethics Nightmare?
o Spirituality and Healthcare Organizations
o A New Era of Health Care: The Ethics of Healthcare Reform
Part IV – Critical Issues for Society’s Health
o Health Inequalities and Health Inequities
o The Ethics of Epidemics, Pandemics, and Endemics
o Ethics of Disasters: Planning and Response
o Intimate Partner and Domestic Violence: Changing Theory, Changing Practice
o Looking Forward to the Future
,PART I: FOUNDATIONS IN THEORY
CHAPTER 1: Theory of Healthcare Ethics
Multiple Choice Questions
Question 1
What is the primary focus of healthcare ethics?
A) Maximizing hospital profits
B) Examining moral principles that guide healthcare decisions and practices
C) Creating legislation for medical professionals
D) Studying the history of medicine
Answer: B
Rationale: Healthcare ethics centers on moral principles and values that guide decision-making
in healthcare settings. It is not concerned with profit maximization, law-making, or medical
history per se, but with what is morally right and wrong in healthcare practice.
Question 2
Which of the following best defines "ethics"?
A) A set of laws governing professional behavior
B) The study of financial management in organizations
C) The systematic study of moral principles, values, and rules governing human conduct
D) A branch of psychology dealing with human emotions
Answer: C
Rationale: Ethics is formally defined as the systematic study of moral principles, values, and
rules that govern human conduct. It is distinct from law (which is codified), finance, or
psychology, although it intersects with these fields.
Question 3
What does meta-ethics primarily study?
A) Which specific actions are right or wrong in clinical practice
B) The meaning of ethical language and the nature of moral concepts
C) The financial costs of ethical violations in hospitals
D) The psychological motivations behind unethical behavior
Answer: B
Rationale: Meta-ethics analyzes the fundamental nature of moral concepts, language, and
judgments—asking what "good" or "right" actually mean. Unlike normative ethics, it does not
prescribe specific actions but examines the underlying structures of moral reasoning.
Question 4
, According to Immanuel Kant's deontology, what is the basis of a moral action?
A) The positive outcomes it produces
B) The amount of happiness it generates for the most people
C) Good will and adherence to moral duty
D) The virtuous character of the person performing it
Answer: C
Rationale: Kantian deontology holds that an action is moral only if it is done from a sense of
duty and good will, regardless of its consequences. It does not judge actions by their results
(utilitarianism) or by character (virtue ethics), but by the intention to follow moral rules.
Question 5
Which ethical theory focuses on developing virtuous character traits and human flourishing?
A) Utilitarianism
B) Deontology
C) Virtue ethics
D) Ethical egoism
Answer: C
Rationale: Virtue ethics shifts the focus from rules and consequences to the character of the
moral agent. It asks "What kind of person should I be?" rather than "What should I do?" and
emphasizes human flourishing through the cultivation of virtues like honesty, compassion, and
integrity.
Question 6
What is the central tenet of utilitarianism?
A) An action is right if it conforms to a moral duty
B) An action is right if it maximizes overall happiness or well-being for the greatest number
C) An action is right if it follows divine commandments
D) An action is right if it protects the individual's self-interest
Answer: B
Rationale: Utilitarianism is a consequentialist theory that judges actions solely by their
outcomes. The morally correct action is the one that produces the greatest balance of happiness
over suffering for the largest number of affected people, making it distinctly different from duty-
based or egoistic frameworks.
Question 7
Why is ethical egoism considered problematic in the context of healthcare?
A) It requires too much self-sacrifice from healthcare providers
B) It does not relate well to patient-centered care because it prioritizes the provider's self-interest
C) It is too difficult to calculate mathematically
D) It has no historical basis in medical literature