,TableofContents
Ethical and Legal Issuesin Canadian Nursing4thEdition Keatings Test Bank ............................................... 3
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Chapter 01: An Introduction tothe 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: AnIntroduction tothe Ethics and theLaw: A Perspectivefor Nurses
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MULTIPLE CHOICE t j
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 t j tj tj tj
b. The Supreme Court of Canada tj tj tj tj
c. Provincial nursing labor unions tj tj t j
d. The Drugand Pharmacies Regulation Act, 1990
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CORRECT ANS:A t j
Elaboration
A Correct! Provincial and territorial regulatory bodies, have certain requirements relat e dto
tj tj tj tj tj tj tj tj tj t j tj p
nurses’knowledge/skill,whichincludesknowledge ofthe legalsystem.
f tj pf pf tj
B Incorrect—
The Supreme Court, which is the final court of appeal in Canada, is not involved in t he regul
tj tj tj tj tj tj tj td tj tj tj tj tj tj tj tj pf t j
ation of health care professionals. tj tj tj tj
C Incorrect—
Labour unions do not focus on nursing standards and knowledge; rather, they repre s ent t
tj tj tj tj tj tj tj tj tj tj tj tj tj t j tj
he collective bargaining rights of nurses.
tj tj tj tj tj
D Incorrect—
This Act is relevant to nursing in that it regulates the prescribing, dispensing, and handling of drugs.
tj tj tj pf tj tj tj pf tj tj tj t j tj tj tj tj tj
It does not mandatetheknowledge nurses
tj tj tj tj tj tj
require about the legal system. tj pf pf tj
DIF: Cognitive level:Comprehension
t j tj tj
2. Identify one of the reasons why nurses need to have an understanding of ethics.
tj tj tj tj tj tj pf tj tj pf tj tj tj
a. Nurses do not share the same perspectives regarding health care with other health care p rof ess
tj tj tj tj tj tj tj tj tj tj tj tj tj tj t j tj
ionals.
b. Morality and careare at the heart of nursing practice. tj tj tj tj tj tj tj tj tj
c. Ethics provides a clear answer to nurses regarding the correct course of action.
tj tj pf tj tj tj tj tj tj tj t j tj
d. Convincing family members of compassionate courses of action is best done by nurses. pf tj tj tj t j tj tj tj tj pf tj tjtj
CORRECT ANS:B t j
Elaboration
A Incorrect—Professional values may be shared across multiple professions, and tj tj tj tj tj tj tj tj
perspectives on issues may be similar. When views on an issue differ, then knowledge of ethi cs assist tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj
s inclarifying and defendingone’spositionto others.
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B Correct! One reason for nurses studying ethics is that morality and care are at the h e art o
tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj t j tj tj
f nursing practice.
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C Incorrect—
Ethical theories can provide a framework for the exploration of the ethical questions and m or alissu
tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj
es faced in health care. These theories guide how morality is understood within the sphe re of nurs
pf tj pf tj tj tj tj tj tj tj tj tj tj tj tj tj tj
ing practice and the nurse– patient or nurse–
tj tj tj tj tj pf tj
client relationship. Ethical theories and frameworks can
tj tj tj tj tj tj
assist/guide nurses as they consider multiple options to choose the best or the tj tj td t j t j tj tj tj pf tj pf tj
least wrong course of action. pf tj tj tj
D Incorrect—
Nurses as members of the health care team are in a strong position to support families. The
tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj
y respect the values and beliefs of clients and families and support them in decision makin g regar
tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj t j tj
ding the right course of action. tj tj tj tj tj
, DIF: Cognitive level: Synthesis
t j tj tj
3. Whyis 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.
tj tj tj t j pf pf t j tj tj
b. Nurses are able to justify and defend their positions on a situation.
tj tj pf td tj tj tj tj tj tj tj
c. Ethical theories help nurses explain to the rest of the team why nurses have a gr eat
tj tj pf tj tj tj tj tj tj tj tj tj tj tj pf t j
er understanding of the patient’s perspective.
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d. This knowledge allows nurses to convince patients to choosecomfort measures only.
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CORRECT ANS:B t j
Elaboration
A Incorrect—
Ethics encourages nurses torespect the values ofothers and assists in understanding op posi ng p
tj tj tj tj pf tj tj tj tj tj tj tj t j tj
oints of view. Ethics offers tools to nurses to respectfully argue infavouroftheirp ositions while re
tj tj tj pf tj pf tj tj tj tj t j t j tj tj tj
specting the perspectives tj tj
of others. tj
B Correct! Whenviewsdiffer,ethical theories help clarify one’s position andmake arguments i n suppo
tj tj tj tj tj pf tj tj tj tj tj
rt ofit. Nurses ensure that all relevant information is shared with the
pf tj tj pf tj tj tj tj tj tj tj tj
team and the client. tj tj tj
C Incorrect—
The perspective of all team members is important and is based on the unique relati on ship
tj tj tj tj tj tj tj tj tj tj tj tj tj tj t j tj
s each nurse has with the client.
tj tj tj tj tj tj
D Incorrect—
This approach is paternalistic. Nurses and the health care team, while respecting a per son’s
tj tj tj tj tj tj tj tj tj tj pf tj tj tj tj
autonomy, support him or her in making decisions about tj td tj tj tj tj tj tj
what is best in a particular context. This includes ensuring that patients are aware of all the op tion
td tj tj tj tj tj tj tj pf tj pf tj tj tj tj tj tj tj
s availableto them.
tj tj
DIF: Cognitivelevel: Comprehension
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4. Why must nurses be familiarwith the legal system? tj tj tj tj tj tj tj tj
a. Some nursing actions are governed by the law. tj tj tj tj tj tj pf
b. Nurses’ decisions may not be supported by the law. tj tj tj pf tj tj tj tj
c. Nurses are sometimes at risk for litigation. tj tj pf tj td tj
d. Allare correct.
tj tj
CORRECT ANS:D t j
Elaboration
A Incorrect—
Reserved or controlled acts and the administration of narcotics are two examples o f
tj tj tj tj tj tj tj tj tj t j td tj tj tj
nursing actions governed bythe law. Anurse maythink an tj tj tj pf tj tj tj tj
action is “ethical,” but it may not be legal. Nurses’ decisions sometimes have untoward consequences
tj tj tj tj tj tj tj tj tj tj tj tj td tj
, and errors or omissions maylead to negligence claims.
tj tj tj tj tj tj tj tj tj
B Incorrect—
Reserved or controlled acts and the administration of narcotics are two examples of n ursi
tj tj tj tj tj tj tj tj tj tj pf pf t j t j
ng actions governed by the law. A nurse may think an action is
tj tj tj tj tj tj td tj tj pf tj tj
“ethical,” but it may not be legal. Nurses’ decisions sometimes havetj tj tj tj pf tj tj tj tj tj
untoward consequences, and errors or omissions may lead to negligence claims.
tj t j t j tj tj tj tj tj tj tj
Ethical and Legal Issuesin Canadian Nursing4thEdition Keatings Test Bank ............................................... 3
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Chapter 01: An Introduction tothe Ethics and the Law: A Perspective for Nurses ..................................................3
tj tj tj tj tj tj tj tj tj tj tj tj tj
Chapter 02: Ethical Theories: Their Meaning for Nursing..........................................................................8
tj tj tj tj tj tj tj
Chapter 03: Guiding Ethical Decision Making: Resources for Nurses ......................................................... 18
tj tj tj tj tj tj tj tj
Chapter 04: The Canadian Legal System ........................................................................................27
tj tj tj t j tj
Chapter 05: Regulation of the Nursing Profession .............................................................................. 34
tj tj tj tj tj tj
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
tj pf tj pf tj tj tj tj tj tj tj
Chapter 01: AnIntroduction tothe Ethics and theLaw: A Perspectivefor Nurses
tj tj pf tj tj tj
MULTIPLE CHOICE t j
1. Which of the following mandates that nurses have a basic understanding of the Canadian legal system?
tj tj tj tj tj tj t j t j tj tj t j tj tj tj t j
a. Provincial and federal nursing bodies t j tj tj tj
b. The Supreme Court of Canada tj tj tj tj
c. Provincial nursing labor unions tj tj t j
d. The Drugand Pharmacies Regulation Act, 1990
tj tj tj t j tj tj
CORRECT ANS:A t j
Elaboration
A Correct! Provincial and territorial regulatory bodies, have certain requirements relat e dto
tj tj tj tj tj tj tj tj tj t j tj p
nurses’knowledge/skill,whichincludesknowledge ofthe legalsystem.
f tj pf pf tj
B Incorrect—
The Supreme Court, which is the final court of appeal in Canada, is not involved in t he regul
tj tj tj tj tj tj tj td tj tj tj tj tj tj tj tj pf t j
ation of health care professionals. tj tj tj tj
C Incorrect—
Labour unions do not focus on nursing standards and knowledge; rather, they repre s ent t
tj tj tj tj tj tj tj tj tj tj tj tj tj t j tj
he collective bargaining rights of nurses.
tj tj tj tj tj
D Incorrect—
This Act is relevant to nursing in that it regulates the prescribing, dispensing, and handling of drugs.
tj tj tj pf tj tj tj pf tj tj tj t j tj tj tj tj tj
It does not mandatetheknowledge nurses
tj tj tj tj tj tj
require about the legal system. tj pf pf tj
DIF: Cognitive level:Comprehension
t j tj tj
2. Identify one of the reasons why nurses need to have an understanding of ethics.
tj tj tj tj tj tj pf tj tj pf tj tj tj
a. Nurses do not share the same perspectives regarding health care with other health care p rof ess
tj tj tj tj tj tj tj tj tj tj tj tj tj tj t j tj
ionals.
b. Morality and careare at the heart of nursing practice. tj tj tj tj tj tj tj tj tj
c. Ethics provides a clear answer to nurses regarding the correct course of action.
tj tj pf tj tj tj tj tj tj tj t j tj
d. Convincing family members of compassionate courses of action is best done by nurses. pf tj tj tj t j tj tj tj tj pf tj tjtj
CORRECT ANS:B t j
Elaboration
A Incorrect—Professional values may be shared across multiple professions, and tj tj tj tj tj tj tj tj
perspectives on issues may be similar. When views on an issue differ, then knowledge of ethi cs assist tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj
s inclarifying and defendingone’spositionto others.
tj tj pf tj
B Correct! One reason for nurses studying ethics is that morality and care are at the h e art o
tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj t j tj tj
f nursing practice.
pf pf
C Incorrect—
Ethical theories can provide a framework for the exploration of the ethical questions and m or alissu
tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj
es faced in health care. These theories guide how morality is understood within the sphe re of nurs
pf tj pf tj tj tj tj tj tj tj tj tj tj tj tj tj tj
ing practice and the nurse– patient or nurse–
tj tj tj tj tj pf tj
client relationship. Ethical theories and frameworks can
tj tj tj tj tj tj
assist/guide nurses as they consider multiple options to choose the best or the tj tj td t j t j tj tj tj pf tj pf tj
least wrong course of action. pf tj tj tj
D Incorrect—
Nurses as members of the health care team are in a strong position to support families. The
tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj
y respect the values and beliefs of clients and families and support them in decision makin g regar
tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj t j tj
ding the right course of action. tj tj tj tj tj
, DIF: Cognitive level: Synthesis
t j tj tj
3. Whyis it advantageous for nurses to have knowledge of ethical theories and principles?
t j td tj tj tj tj pf t j tj tj tj tj
a. Ethical theories encourage nurses to critique others’ points of view.
tj tj tj t j pf pf t j tj tj
b. Nurses are able to justify and defend their positions on a situation.
tj tj pf td tj tj tj tj tj tj tj
c. Ethical theories help nurses explain to the rest of the team why nurses have a gr eat
tj tj pf tj tj tj tj tj tj tj tj tj tj tj pf t j
er understanding of the patient’s perspective.
tj tj tj tj tj
d. This knowledge allows nurses to convince patients to choosecomfort measures only.
tj tj td tj tj tj tj tj tj pftj t j
CORRECT ANS:B t j
Elaboration
A Incorrect—
Ethics encourages nurses torespect the values ofothers and assists in understanding op posi ng p
tj tj tj tj pf tj tj tj tj tj tj tj t j tj
oints of view. Ethics offers tools to nurses to respectfully argue infavouroftheirp ositions while re
tj tj tj pf tj pf tj tj tj tj t j t j tj tj tj
specting the perspectives tj tj
of others. tj
B Correct! Whenviewsdiffer,ethical theories help clarify one’s position andmake arguments i n suppo
tj tj tj tj tj pf tj tj tj tj tj
rt ofit. Nurses ensure that all relevant information is shared with the
pf tj tj pf tj tj tj tj tj tj tj tj
team and the client. tj tj tj
C Incorrect—
The perspective of all team members is important and is based on the unique relati on ship
tj tj tj tj tj tj tj tj tj tj tj tj tj tj t j tj
s each nurse has with the client.
tj tj tj tj tj tj
D Incorrect—
This approach is paternalistic. Nurses and the health care team, while respecting a per son’s
tj tj tj tj tj tj tj tj tj tj pf tj tj tj tj
autonomy, support him or her in making decisions about tj td tj tj tj tj tj tj
what is best in a particular context. This includes ensuring that patients are aware of all the op tion
td tj tj tj tj tj tj tj pf tj pf tj tj tj tj tj tj tj
s availableto them.
tj tj
DIF: Cognitivelevel: Comprehension
t j tj tj
4. Why must nurses be familiarwith the legal system? tj tj tj tj tj tj tj tj
a. Some nursing actions are governed by the law. tj tj tj tj tj tj pf
b. Nurses’ decisions may not be supported by the law. tj tj tj pf tj tj tj tj
c. Nurses are sometimes at risk for litigation. tj tj pf tj td tj
d. Allare correct.
tj tj
CORRECT ANS:D t j
Elaboration
A Incorrect—
Reserved or controlled acts and the administration of narcotics are two examples o f
tj tj tj tj tj tj tj tj tj t j td tj tj tj
nursing actions governed bythe law. Anurse maythink an tj tj tj pf tj tj tj tj
action is “ethical,” but it may not be legal. Nurses’ decisions sometimes have untoward consequences
tj tj tj tj tj tj tj tj tj tj tj tj td tj
, and errors or omissions maylead to negligence claims.
tj tj tj tj tj tj tj tj tj
B Incorrect—
Reserved or controlled acts and the administration of narcotics are two examples of n ursi
tj tj tj tj tj tj tj tj tj tj pf pf t j t j
ng actions governed by the law. A nurse may think an action is
tj tj tj tj tj tj td tj tj pf tj tj
“ethical,” but it may not be legal. Nurses’ decisions sometimes havetj tj tj tj pf tj tj tj tj tj
untoward consequences, and errors or omissions may lead to negligence claims.
tj t j t j tj tj tj tj tj tj tj
