TEST BANK FOR LEADERSHIP ROLES &
MANAGEMENT IN NURSING 9TH EDITION
BESSIE L. MARQUIS CAROL J. HUST
Which statement by a nurse most clearly demonstrates an intuitionist framework for
ethical decision making, duty based?
A. "I've got to look at this situation on the basis of its unique characteristics, not by
comparing it to other situations."
B. "I'm trying to think of as many different options as I can rather than focusing on those
that look most attractive."
C. "I'll make the best decision if I choose the option that comes to mind first rather than
overanalyzing the situation."
D. "It's important that I consider the effect of my decision on the organization, not just
the people who are directly involved." - -ANSWER--A. "I've got to look at this situation
on the basis of its unique characteristics, not by comparing it to other situations."
Feedback: Intuitionist states that each case weighed on a case-by-case basis to
determine
relative goals, duties, and rights. Consequently, there is a focus on the specific
characteristics of a situation, not its commonalities with other situations. Thinking of as
many options as possible is a good practice for ethical decision making, but it is not
specifically aligned with an intuitionist framework. Similarly, considering the effects on
the
organization is not a particular characteristic of this framework. Intuition does not entail
choosing the option that first comes to mind, without any further analysis or
consideration
A nurse has repeatedly witnessed a physician being dismissive of clients' reports of pain
and anxiety. The nurse recognizes that the best action would be to address this
behavior with the physician, but the nurse strongly suspects that these concerns would
be dismissed. What phenomenon is this nurse experiencing?
A. Ethical universalism
B. Moral conflict
C. Moral outrage
D. Ethical relativism - -ANSWER--C. Moral outrage
Feedback: Moral outrage occurs when an individual witnesses the immoral act of
another
, but feels powerless to stop it. Moral uncertainty or moral conflict occurs when an
individual
is unsure which moral principles or values apply and may even include uncertainty as to
what the moral problem is. Ethical relativism suggests that individuals make decisions
based
only on what seems right or reasonable according to their value system or culture.
Ethical
universalism holds that ethical principles are universal and constant and that ethical
decision
making should not vary as a result of individual circumstances or cultural differences.
Which statements concerning autonomy are true? Select all that apply.
A. It is based on a person's right to make a choice.
B. Its legal equivalent is self-determination.
C. It overrides paternalism but not beneficence.
D. It is a form of personal liberty.
E. It supports the process of progressive employee discipline. - -ANSWER--A, B, D, E
Feedback: A form of personal liberty, autonomy is also called freedom of choice or
accepting the responsibility for one's choice. The legal right of self-determination
supports
this moral principle. The use of progressive discipline recognizes the autonomy of the
employee. The employee, in essence, has the choice to meet organizational
expectations or
to be disciplined further. If the employee's continued behavior warrants termination, the
principle of autonomy says that the employee has made the choice to be terminated by
virtue of his or her actions, not by that of the manager. Ethical situations always differ,
so it
is impossible to state that one particular principle always overrides another
Which activity best demonstrates a nursing unit manager's attention to ANA standards
for ethics required of that position?
A. Maintains current licensure
B. Terminates a staff member for absenteeism
C. Refers complex dilemmas to the institution's ethics board
D. Assures staff and patients that unit decisions are ethically sound - -ANSWER--C.
Refers complex dilemmas to the institution's ethics board
Feedback: ANA standards for ethics related to nurse administrators identifies
participants on
multidisciplinary and interdisciplinary teams that address ethical risks, benefits, and
outcomes as a criteria measurement. The remaining options, although addressing
ethical
behaviors on the administrator's part, are not as directly identified by the ANA
A nurse has applied for a management position in a new organization. How can the
manager best prevent intrapersonal conflict related to ethical issues in this role?
A. Determine whether nurses in the organization are required to follow a code of ethics
MANAGEMENT IN NURSING 9TH EDITION
BESSIE L. MARQUIS CAROL J. HUST
Which statement by a nurse most clearly demonstrates an intuitionist framework for
ethical decision making, duty based?
A. "I've got to look at this situation on the basis of its unique characteristics, not by
comparing it to other situations."
B. "I'm trying to think of as many different options as I can rather than focusing on those
that look most attractive."
C. "I'll make the best decision if I choose the option that comes to mind first rather than
overanalyzing the situation."
D. "It's important that I consider the effect of my decision on the organization, not just
the people who are directly involved." - -ANSWER--A. "I've got to look at this situation
on the basis of its unique characteristics, not by comparing it to other situations."
Feedback: Intuitionist states that each case weighed on a case-by-case basis to
determine
relative goals, duties, and rights. Consequently, there is a focus on the specific
characteristics of a situation, not its commonalities with other situations. Thinking of as
many options as possible is a good practice for ethical decision making, but it is not
specifically aligned with an intuitionist framework. Similarly, considering the effects on
the
organization is not a particular characteristic of this framework. Intuition does not entail
choosing the option that first comes to mind, without any further analysis or
consideration
A nurse has repeatedly witnessed a physician being dismissive of clients' reports of pain
and anxiety. The nurse recognizes that the best action would be to address this
behavior with the physician, but the nurse strongly suspects that these concerns would
be dismissed. What phenomenon is this nurse experiencing?
A. Ethical universalism
B. Moral conflict
C. Moral outrage
D. Ethical relativism - -ANSWER--C. Moral outrage
Feedback: Moral outrage occurs when an individual witnesses the immoral act of
another
, but feels powerless to stop it. Moral uncertainty or moral conflict occurs when an
individual
is unsure which moral principles or values apply and may even include uncertainty as to
what the moral problem is. Ethical relativism suggests that individuals make decisions
based
only on what seems right or reasonable according to their value system or culture.
Ethical
universalism holds that ethical principles are universal and constant and that ethical
decision
making should not vary as a result of individual circumstances or cultural differences.
Which statements concerning autonomy are true? Select all that apply.
A. It is based on a person's right to make a choice.
B. Its legal equivalent is self-determination.
C. It overrides paternalism but not beneficence.
D. It is a form of personal liberty.
E. It supports the process of progressive employee discipline. - -ANSWER--A, B, D, E
Feedback: A form of personal liberty, autonomy is also called freedom of choice or
accepting the responsibility for one's choice. The legal right of self-determination
supports
this moral principle. The use of progressive discipline recognizes the autonomy of the
employee. The employee, in essence, has the choice to meet organizational
expectations or
to be disciplined further. If the employee's continued behavior warrants termination, the
principle of autonomy says that the employee has made the choice to be terminated by
virtue of his or her actions, not by that of the manager. Ethical situations always differ,
so it
is impossible to state that one particular principle always overrides another
Which activity best demonstrates a nursing unit manager's attention to ANA standards
for ethics required of that position?
A. Maintains current licensure
B. Terminates a staff member for absenteeism
C. Refers complex dilemmas to the institution's ethics board
D. Assures staff and patients that unit decisions are ethically sound - -ANSWER--C.
Refers complex dilemmas to the institution's ethics board
Feedback: ANA standards for ethics related to nurse administrators identifies
participants on
multidisciplinary and interdisciplinary teams that address ethical risks, benefits, and
outcomes as a criteria measurement. The remaining options, although addressing
ethical
behaviors on the administrator's part, are not as directly identified by the ANA
A nurse has applied for a management position in a new organization. How can the
manager best prevent intrapersonal conflict related to ethical issues in this role?
A. Determine whether nurses in the organization are required to follow a code of ethics
