NURS 242 EXAM -ETHIC, LEADERSHIP, & MANAGEMENT ACTUAL EXAM QUESTIONS WITH CORRECT ANSWERS GRADED A

NURS 242 EXAM -ETHIC, LEADERSHIP, & MANAGEMENT ACTUAL EXAM QUESTIONS WITH CORRECT ANSWERS GRADED A A nurse-manager who makes decisions based on what will benefit the majority of the nurse manager's subordinates is using what type of theoretical framework for decision making? a) intuitionist b) duty based c) rights based d) utilitarianism d) utilitarianism Which is not an element of ethical decision making? a) beneficence b) utility c) paternalism d) pragmatism d) pragmatism Nancy is a loyal and trustworthy nurse that performs the duties that are expected of her. Which principle of ethical reasoning is Nancy displaying? a) justice b) nonmaleficence c) fidelity d) beneficence c) fidelity The nurse in a unit is caring for several clients. To distribute nursing care the nurse used the principle for triage due to the limited availability resources of resources. The nurse is promoting which ethical principle? a) fidelity b) justice c) confidentiality d) veracity b) justice A nurse witnesses another nurse providing care without proper hand hygiene and reports this to the charge nurse. The charge nurse is friends with the other nurse and refuses to take action. This is an example of: a) moral distress b) moral indifference c) ethical dilemma d) moral conflict a) moral distress *she knows the action is wrong but is still not doing the right thing *occurs when you are unable to act upon what you believe is the morally appropriate action to take or when you otherwise act in a manner contrary to your personal and professional values. You know what to do, but believe you cannot do it due to internal or external barriers What term occurs when you are unable to act upon what you believe is the morally appropriate action to take or when you otherwise act in a manner contrary to your personal and professional values. You know what to do, but believe you cannot do it due to internal or external barriers? *Self-doubt, lack of assertiveness, and the perception of powerlessness are examples of internal barriers. Inadequate staffing, lack of organizational support, poor relationships with colleagues, and policies that conflict with the care needs of patients are examples of external barriers. Moral distress *ex: nurse witnesses another nurse providing care without proper hand hygiene and reports this to the charge nurse. The charge nurse is friends with the other nurse and refuses to take action Nursing ethics providers the standards for professional behavior and is the study of principles of right and wrong for nurses. The standards state the duties and obligations of the nurse should include which of the following? a) individual b) client c) community d) all of the above d) all of the above When does a moral issue become an ethical dilemma? a) Health care does not have ethical dilemmas b) When the values of a person change over time c) There is no acceptable reason for the wrong choice d) When forced to choose between two or more undesirable alternatives d) When forced to choose between two or more undesirable alternatives The nurse manager didn't hire Sally, RN for the assistant manager job. The nurse maager informed Sally that she was a "great fit" but an internal candidate was selected instead. The real reason Sally, RN wasn't hired was because her drug test was positive. Which of the principles of ethical reasoning didn't the nurse manager follow? a) utility b) paternalism c) autonomy d) veracity d) veracity *it is the obligation to tell the truth; "truth telling" What term describes the obligation to the truth? *"truth telling" Veracity A client is advised by the doctor to undergo chemotherapy. An informed consent is not yet signed. This client requests information related to chemotherapy and the drugs that will be given to him. The nurse explained the side effects of the medications. The nurse answered all the questions of the client honestly even though the client choose not to undergo chemotherapy. Then nurse used which principle of ethical reasoning? a) confidentiality b) veracity c) justice d) fidelity b) veracity *it is the obligation to tell the truth; "truth telling" *the nurse is displaying truth telling by explaining the effects of chemo Nurse Bobby avoids deliberate harm and risk of harm during his performance of nursing actions. The nurse is promoting which ethical principle? a) autonomy b) nonmaleficence c) justice d) beneficence b) nonmaleficence *it directs us to act in ways that avoid harm to others, including even the risk of harm What ethical principle directs us to act in ways that avoid harm to others, including even the risk of harm? a) respect for persons b) nonmaleficence c) beneficence d) justice b) nonmaleficence *ex: Nurse Bobby avoids deliberate harm and risk of harm during his performance of nursing actions Which of the following leadership styles are part of the Full-Range Leadership Model? (select all that apply) a) transformational b) democratic c) transactional d) autocratic e) laissez-faire a) transformational c) transactional e) laissez-faire Hospital leadership seeking Magnet™ status implemented a new governance structure, including a clinical nursing council that governs clinical nursing standards and care for the organization. This is an example of which leadership style? a) Shared leadership b) Transformational leadership c) Democratic leadership d) Autocratic leadership c) Democratic leadership *In shared leadership, employees are empowered to make decisions for the organization. In transformational leadership, the leader provides the vision. In democratic leadership, the leader involves the followers in decision making. The leader still makes the final decision. In autocratic leadership, the leader makes all the decisions. What leadership style involves followers in the decision-making processes by using a participatory leadership style. They show more concerns about followers than autocratic leaders. It's useful when the followers are experienced workers, particular when they have professional education and socialization. Democratic leadership -Advantages: helps followers develop technical and emotional security; high productivity; g. Roux commitment -Disadvantages: difficulty coming to conclusion about decisions; time consuming; communication failure What leadership style helps followers develop technical and emotional security & high productivity BUT is time consuming, difficult coming to a conclusion, & communication failure? a) democratic b) autocratic c) laissez-faire d) transactional a) democratic *it involves followers in the decision-making processes by using a participatory leadership style. They show more concerns about followers than autocratic leaders. It's useful when the followers are experienced workers, particular when they have professional education and socialization.