Test Bank Ethical and Legal Issues in Canadian Nursing 4th Edition Keati
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e 0
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ngs Chapter 1 - 12 latest questions and correct answers.
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Graded A+. e0
,Table of Contents
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Ethical and Legal Issues in Canadian Nursing 4th Edition Keatings Test Bank.................................. 3
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Chapter 01: An Introduction to the 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
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
,Ethical and Legal Issues in Canadian Nursing 4th Edition Keatings Test Bank
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
Chapter 01: An Introduction to the Ethics and the Law: A Perspective for Nurses
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
MULTIPLE CHOICE
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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 e0 e0 e0 e0
b. The Supreme Court of Canada
e0 e0 e0 e0
c. Provincial nursing labor unions e0 e0 e0
d. The Drug and Pharmacies Regulation Act, 1990
e0 e0 e0 e0 e0 e0
CORRECT ANS:A e0
Elaboration
A Correct! Provincial and territorial regulatory bodies, have certain requirements r
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elated to nurses’ knowledge/skill, which includes knowledge of the legal syst
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em.
B Incorrect—
The Supreme Court, which is the final court of appeal in Canada, is not involv
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ed in the regulation of health care professionals.
e0 e0 e0 e0 e0 e0 e0
C Incorrect—
Labour unions do not focus on nursing standards and knowledge; rather, they
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represent the collective bargaining rights of nurses.
e0 e0 e0 e0 e0 e0
D Incorrect—
This Act is relevant to nursing in that it regulates the prescribing, dispensing, and han
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dling of drugs. It does not mandate the knowledge nurses
e0 e0 e0 e0 e0 e0 e0 e0 e0
require about the legal system.
e0 e0 e0 e0
DIF: e 0 Cognitive level: Comprehension e0 e0
2. Identify one of the reasons why nurses need to have an understanding of ethics.
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a. Nurses do not share the same perspectives regarding health care with other health c
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are professionals.
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b. Morality and care are at the heart of nursing practice.
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c. Ethics provides a clear answer to nurses regarding the correct course of action.
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d. Convincing family members of compassionate courses of action is best done by nurses.
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CORRECT ANS:B e0
Elaboration
A Incorrect—Professional values may be shared across multiple professions, and e0 e0 e0 e0 e0 e0 e0 e0
perspectives on issues may be similar. When views on an issue differ, then knowledge
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of ethics assists in clarifying and defending one’s position to others.
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B Correct! One reason for nurses studying ethics is that morality and care are at
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
the heart of nursing practice.
e0 e0 e0 e0
C Incorrect—
Ethical theories can provide a framework for the exploration of the ethical questions a
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nd moral issues faced in health care. These theories guide how morality is understood
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within the sphere of nursing practice and the nurse– patient or nurse–
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
client relationship. Ethical theories and frameworks can
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assist/guide nurses as they consider multiple options to choose the best or the
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
least wrong course of action.
e0 e0 e0 e0
D Incorrect—
Nurses as members of the health care team are in a strong position to support familie
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
s. They respect the values and beliefs of clients and families and support them in deci
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
sion making regarding the right course of action.
e0 e0 e0 e0 e0 e0 e0
, DIF:e 0 Cognitive level: Synthesis e0 e0
3. Why is 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.
e0 e0 e0 e0 e0 e0 e0 e0 e0
b. Nurses are able to justify and defend their positions on a situation.
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
c. Ethical theories help nurses explain to the rest of the team why nurses have a
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
greater understanding of the patient’s perspective.
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d. This knowledge allows nurses to convince patients to choose comfort measures only.
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
CORRECT ANS:B e0
Elaboration
A Incorrect—
Ethics encourages nurses to respect the values of others and assists in understandin
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g opposing points of view. Ethics offers tools to nurses to respectfully argue in favou
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e 0 e0
r of their positions while respecting the perspectives
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of others.
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B Correct! When views differ, ethical theories help clarify one’s position and make argum
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
ents in support of it. Nurses ensure that all relevant information is shared with the
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
team and the client.e0 e0 e0
C Incorrect—
The perspective of all team members is important and is based on the unique
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
relationships each nurse has with the client. e0 e0 e0 e0 e0 e0
D Incorrect—This approach is paternalistic. Nurses and the health care team, while
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
respecting a person’s autonomy, support him or her in making decisions about
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
what is best in a particular context. This includes ensuring that patients are aware of all
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e
0the options available to them.
e0 e0 e0 e0
DIF:e 0 Cognitive level: Comprehension e0 e0
4. Why must nurses be familiar with the legal system?
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a. Some nursing actions are governed by the law.
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b. Nurses’ decisions may not be supported by the law.
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c. Nurses are sometimes at risk for litigation.
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d. All are correct.
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CORRECT ANS:D e0
Elaboration
A Incorrect—
Reserved or controlled acts and the administration of narcotics are two exampl
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
es of nursing actions governed by the law. A nurse may think an
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
action is ―ethical,‖ but it may not be legal. Nurses’ decisions sometimes have untoward
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
consequences, and errors or omissions may lead to negligence claims. e0 e0 e0 e0 e0 e0 e0 e0 e0
B Incorrect—
Reserved or controlled acts and the administration of narcotics are two exampl
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
es of nursing actions governed by the law. A nurse may think an action is
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
―ethical,‖ but it may not be legal. Nurses’ decisions sometimes have
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
untoward consequences, and errors or omissions may lead to negligence claims.
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
e0 e0 e0 e0 e0 e0 e0 e0 e0
e 0
e0
ngs Chapter 1 - 12 latest questions and correct answers.
e0 e0 e0 e0 e0 e0 e0 e0 e0
Graded A+. e0
,Table of Contents
e0 e0
Ethical and Legal Issues in Canadian Nursing 4th Edition Keatings Test Bank.................................. 3
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
Chapter 01: An Introduction to the Ethics and the Law: A Perspective for Nurses................................. 3
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
Chapter 02: Ethical Theories: Their Meaning for Nursing ................................................................ 8
e0 e0 e0 e0 e0 e0 e0
Chapter 03: Guiding Ethical Decision Making: Resources for Nurses ............................................... 18
e0 e0 e0 e0 e0 e0 e0 e0
Chapter 04: The Canadian Legal System ................................................................................. 27
e0 e0 e0 e0 e0
Chapter 05: Regulation of the Nursing Profession ...................................................................... 34
e0 e0 e0 e0 e0 e0
Chapter 06: Informed Consent: Rights and Obligations ............................................................... 41
e0 e0 e0 e0 e0 e0
Chapter 07: The Nurse’s Legal Accountabilities: Professional Competence, ............................................. 47
e0 e0 e0 e0 e0 e0 e0
Chapter 08: Complexity at the End of Life: The Ethical and Legal Challenges.................................... 53
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
Chapter 09: Ethical and Legal Issues Related to Advancing Science and Technology.......................... 60
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
Chapter 10: Safeguarding Patient Rights ................................................................................. 67
e0 e0 e0 e0
Chapter 11: Perspectives on the Rights of Nurses .................................................................... 74
e0 e0 e0 e0 e0 e0 e0
Chapter 12: Ethical Issues in Leadership, the Organization, and Approaches to the Delivery of Care...... 81
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
,Ethical and Legal Issues in Canadian Nursing 4th Edition Keatings Test Bank
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
Chapter 01: An Introduction to the Ethics and the Law: A Perspective for Nurses
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
MULTIPLE CHOICE
e0
1. Which of the following mandates that nurses have a basic understanding of the Canadian legal system?
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
a. Provincial and federal nursing bodies e0 e0 e0 e0
b. The Supreme Court of Canada
e0 e0 e0 e0
c. Provincial nursing labor unions e0 e0 e0
d. The Drug and Pharmacies Regulation Act, 1990
e0 e0 e0 e0 e0 e0
CORRECT ANS:A e0
Elaboration
A Correct! Provincial and territorial regulatory bodies, have certain requirements r
e0 e0 e0 e0 e0 e0 e0 e0 e0
elated to nurses’ knowledge/skill, which includes knowledge of the legal syst
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
em.
B Incorrect—
The Supreme Court, which is the final court of appeal in Canada, is not involv
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
ed in the regulation of health care professionals.
e0 e0 e0 e0 e0 e0 e0
C Incorrect—
Labour unions do not focus on nursing standards and knowledge; rather, they
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
represent the collective bargaining rights of nurses.
e0 e0 e0 e0 e0 e0
D Incorrect—
This Act is relevant to nursing in that it regulates the prescribing, dispensing, and han
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
dling of drugs. It does not mandate the knowledge nurses
e0 e0 e0 e0 e0 e0 e0 e0 e0
require about the legal system.
e0 e0 e0 e0
DIF: e 0 Cognitive level: Comprehension e0 e0
2. Identify one of the reasons why nurses need to have an understanding of ethics.
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
a. Nurses do not share the same perspectives regarding health care with other health c
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
are professionals.
e0
b. Morality and care are at the heart of nursing practice.
e0 e0 e0 e0 e0 e0 e0 e0 e0
c. Ethics provides a clear answer to nurses regarding the correct course of action.
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
d. Convincing family members of compassionate courses of action is best done by nurses.
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
CORRECT ANS:B e0
Elaboration
A Incorrect—Professional values may be shared across multiple professions, and e0 e0 e0 e0 e0 e0 e0 e0
perspectives on issues may be similar. When views on an issue differ, then knowledge
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
of ethics assists in clarifying and defending one’s position to others.
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
B Correct! One reason for nurses studying ethics is that morality and care are at
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
the heart of nursing practice.
e0 e0 e0 e0
C Incorrect—
Ethical theories can provide a framework for the exploration of the ethical questions a
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
nd moral issues faced in health care. These theories guide how morality is understood
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
within the sphere of nursing practice and the nurse– patient or nurse–
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
client relationship. Ethical theories and frameworks can
e0 e0 e0 e0 e0 e0
assist/guide nurses as they consider multiple options to choose the best or the
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
least wrong course of action.
e0 e0 e0 e0
D Incorrect—
Nurses as members of the health care team are in a strong position to support familie
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
s. They respect the values and beliefs of clients and families and support them in deci
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
sion making regarding the right course of action.
e0 e0 e0 e0 e0 e0 e0
, DIF:e 0 Cognitive level: Synthesis e0 e0
3. Why is it advantageous for nurses to have knowledge of ethical theories and principles?
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
a. Ethical theories encourage nurses to critique others’ points of view.
e0 e0 e0 e0 e0 e0 e0 e0 e0
b. Nurses are able to justify and defend their positions on a situation.
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
c. Ethical theories help nurses explain to the rest of the team why nurses have a
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
greater understanding of the patient’s perspective.
e0 e0 e0 e0 e0
d. This knowledge allows nurses to convince patients to choose comfort measures only.
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
CORRECT ANS:B e0
Elaboration
A Incorrect—
Ethics encourages nurses to respect the values of others and assists in understandin
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
g opposing points of view. Ethics offers tools to nurses to respectfully argue in favou
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e 0 e0
r of their positions while respecting the perspectives
e0 e0 e0 e0 e0 e0 e0
of others.
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B Correct! When views differ, ethical theories help clarify one’s position and make argum
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
ents in support of it. Nurses ensure that all relevant information is shared with the
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
team and the client.e0 e0 e0
C Incorrect—
The perspective of all team members is important and is based on the unique
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
relationships each nurse has with the client. e0 e0 e0 e0 e0 e0
D Incorrect—This approach is paternalistic. Nurses and the health care team, while
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
respecting a person’s autonomy, support him or her in making decisions about
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
what is best in a particular context. This includes ensuring that patients are aware of all
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e
0the options available to them.
e0 e0 e0 e0
DIF:e 0 Cognitive level: Comprehension e0 e0
4. Why must nurses be familiar with the legal system?
e0 e0 e0 e0 e0 e0 e0 e0
a. Some nursing actions are governed by the law.
e0 e0 e0 e0 e0 e0 e0
b. Nurses’ decisions may not be supported by the law.
e0 e0 e0 e0 e0 e0 e0 e0
c. Nurses are sometimes at risk for litigation.
e0 e0 e0 e0 e0 e0
d. All are correct.
e0 e0
CORRECT ANS:D e0
Elaboration
A Incorrect—
Reserved or controlled acts and the administration of narcotics are two exampl
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
es of nursing actions governed by the law. A nurse may think an
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
action is ―ethical,‖ but it may not be legal. Nurses’ decisions sometimes have untoward
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
consequences, and errors or omissions may lead to negligence claims. e0 e0 e0 e0 e0 e0 e0 e0 e0
B Incorrect—
Reserved or controlled acts and the administration of narcotics are two exampl
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
es of nursing actions governed by the law. A nurse may think an action is
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
―ethical,‖ but it may not be legal. Nurses’ decisions sometimes have
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
untoward consequences, and errors or omissions may lead to negligence claims.
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
