NURS4803 TESTBANK Exam 1 new Leading, Managing, and Following Yoder-Wise:
Leading and Managing in Nursing, 7th Edition(2021/2022 REVISED EXAM PRACTICE
GUIDE) (CONTAINS COMPLETE QUESTIONS WITH ANSWERS)
Chapter 01:
Legal and Ethical Issues
Yoder-Wise: Leading and Managing in Nursing, 7th Edition
MULTIPLE
CHOICE
1. The manager in the coronary care unit believes an important ethical
consideration in performance evaluations is to include the employee’s
good qualities and give positive direction for professional growth. What
ethical principle does this represent?
a. Justice
b. Fidelity
c. Beneficence
d. Nonmaleficence
ANS: D
Nonmaleficence refers to “doing no harm.” For a nurse manager following
this principle, performance evaluation should emphasize an employee’s good
qualities and give positive direction for growth. Destroying the employee’s
self-esteem and self-worth would be considered doing harm under this
principle.
TOP: AONE competency: Professionalism
2. A staff nurse in the area that you manage has excelled in the delivery of patient
, education. You are considering implementing a new job description that would
broaden her opportunity to teach patients and orient new staff members to the
value of patient education. What ethical principle is being reinforced?
a. Justice
b. Fidelity
c. Paternalism
d. Respect for
others
ANS: C
The principle of paternalism allows one person to make partial decisions for
another and is most frequently deemed to be a negative or undesirable principle.
Paternalism, however, may be used to assist persons to make decisions when they
do not have sufficient data or expertise.Paternalism becomes undesirable when
the entire decision is taken away from the employee.
TOP: AONE competency: Professionalism
3. A patient refuses a simple procedure that you believe is in the patient’s best
interest. What two
ethical principles are in conflict in this situation?
a. Fidelity and justice
b. Veracity and fidelity
c. Autonomy and beneficence
d. Paternalism and respect for others
ANS: C
Autonomy refers to the freedom to make a choice (e.g., refuse a procedure), and
beneficence to doing good (performing a procedure that will benefit the patient).
TOP: AONE competency: Professionalism
,4. An individual in a wheelchair is applying for the position of receptionist in an
outpatient clinic. What does the nurse manager understand based on The
Americans with DisabilitiesAct of 1990 requirements for employers?
a. Make reasonable accommodations for persons who are disabled.
b. Allow modified job expectations for persons recovering from alcoholism.
c. Hire disabled individuals before hiring other qualified, non-disabled persons.
d. Treat, for purposes of employment, homosexuals and bisexuals as disabled.
ANS: A
The purposes of the ADA are to eliminate discrimination against persons with
disabilities and to provide consistent, enforceable standards to address
discrimination in the workplace.
TOP: AONE competency: Business Skills
5. A staff nurse, who was fired for reporting patient abuse to the appropriate state
agency, files awhistleblower lawsuit against the former employer. What reason
would the court provide to uphold a valid whistleblower suit claiming retaliation
by the nurse?
a. Previously reported the complaint, in writing, to hospital administration.
b. Threatened to give full details of the patient abuse to local media sources.
c. Was discharged after three unsuccessful attempts at progressive
discipline hadfailed.
d. Had organized, before filing the complaint, a work stoppage action
by fellow employees.
ANS: A
An employer is unable to fire an employee who, in good faith, reports what is
believed to be aviolation of a law, rule, or staNteUoRr feI
S deNraGlT w. COM
laB
TOP: AONE competency: Knowledge of the Health Care Environment
, 6. In keeping with standards of The Joint Commission (TJC), the nurse manager
organizes an orientation for new staff members. As part of the orientation, the
nurse manager reviews theemployee handbook. What is the basis that binds
employers to statements in the employee handbook?
a. Under the doctrine of apparent agency
b. Under the doctrine of respondent agency
c. Based on the employee’s or the employer’s expectations
d. Based on the theory that the handbook creates an explicit contract
ANS: C
The handbook is an implied contract and frames the employment contract. This
contract bindsthe employer to meeting the handbook statements.
TOP: AONE competency: Knowledge of the Health Care Environment
7. To reduce the incidence of falls in a skilled nursing unit, the nurse manager
contacts the risk manager. Risk management is a process that attempts to
identify potential hazards and:
a. compensate for previous injuries.
b. eliminate these risks before anyone else is harmed.
c. supersede the need for staff members to file incident reports.
Leading and Managing in Nursing, 7th Edition(2021/2022 REVISED EXAM PRACTICE
GUIDE) (CONTAINS COMPLETE QUESTIONS WITH ANSWERS)
Chapter 01:
Legal and Ethical Issues
Yoder-Wise: Leading and Managing in Nursing, 7th Edition
MULTIPLE
CHOICE
1. The manager in the coronary care unit believes an important ethical
consideration in performance evaluations is to include the employee’s
good qualities and give positive direction for professional growth. What
ethical principle does this represent?
a. Justice
b. Fidelity
c. Beneficence
d. Nonmaleficence
ANS: D
Nonmaleficence refers to “doing no harm.” For a nurse manager following
this principle, performance evaluation should emphasize an employee’s good
qualities and give positive direction for growth. Destroying the employee’s
self-esteem and self-worth would be considered doing harm under this
principle.
TOP: AONE competency: Professionalism
2. A staff nurse in the area that you manage has excelled in the delivery of patient
, education. You are considering implementing a new job description that would
broaden her opportunity to teach patients and orient new staff members to the
value of patient education. What ethical principle is being reinforced?
a. Justice
b. Fidelity
c. Paternalism
d. Respect for
others
ANS: C
The principle of paternalism allows one person to make partial decisions for
another and is most frequently deemed to be a negative or undesirable principle.
Paternalism, however, may be used to assist persons to make decisions when they
do not have sufficient data or expertise.Paternalism becomes undesirable when
the entire decision is taken away from the employee.
TOP: AONE competency: Professionalism
3. A patient refuses a simple procedure that you believe is in the patient’s best
interest. What two
ethical principles are in conflict in this situation?
a. Fidelity and justice
b. Veracity and fidelity
c. Autonomy and beneficence
d. Paternalism and respect for others
ANS: C
Autonomy refers to the freedom to make a choice (e.g., refuse a procedure), and
beneficence to doing good (performing a procedure that will benefit the patient).
TOP: AONE competency: Professionalism
,4. An individual in a wheelchair is applying for the position of receptionist in an
outpatient clinic. What does the nurse manager understand based on The
Americans with DisabilitiesAct of 1990 requirements for employers?
a. Make reasonable accommodations for persons who are disabled.
b. Allow modified job expectations for persons recovering from alcoholism.
c. Hire disabled individuals before hiring other qualified, non-disabled persons.
d. Treat, for purposes of employment, homosexuals and bisexuals as disabled.
ANS: A
The purposes of the ADA are to eliminate discrimination against persons with
disabilities and to provide consistent, enforceable standards to address
discrimination in the workplace.
TOP: AONE competency: Business Skills
5. A staff nurse, who was fired for reporting patient abuse to the appropriate state
agency, files awhistleblower lawsuit against the former employer. What reason
would the court provide to uphold a valid whistleblower suit claiming retaliation
by the nurse?
a. Previously reported the complaint, in writing, to hospital administration.
b. Threatened to give full details of the patient abuse to local media sources.
c. Was discharged after three unsuccessful attempts at progressive
discipline hadfailed.
d. Had organized, before filing the complaint, a work stoppage action
by fellow employees.
ANS: A
An employer is unable to fire an employee who, in good faith, reports what is
believed to be aviolation of a law, rule, or staNteUoRr feI
S deNraGlT w. COM
laB
TOP: AONE competency: Knowledge of the Health Care Environment
, 6. In keeping with standards of The Joint Commission (TJC), the nurse manager
organizes an orientation for new staff members. As part of the orientation, the
nurse manager reviews theemployee handbook. What is the basis that binds
employers to statements in the employee handbook?
a. Under the doctrine of apparent agency
b. Under the doctrine of respondent agency
c. Based on the employee’s or the employer’s expectations
d. Based on the theory that the handbook creates an explicit contract
ANS: C
The handbook is an implied contract and frames the employment contract. This
contract bindsthe employer to meeting the handbook statements.
TOP: AONE competency: Knowledge of the Health Care Environment
7. To reduce the incidence of falls in a skilled nursing unit, the nurse manager
contacts the risk manager. Risk management is a process that attempts to
identify potential hazards and:
a. compensate for previous injuries.
b. eliminate these risks before anyone else is harmed.
c. supersede the need for staff members to file incident reports.
