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