ition4Keatings
Chapter401:4An4Introduction4to4the4Ethics4and4the4Law:4A4Perspective4for4Nurses4Keating
s:4Ethical4&4Legal4Issues4in4Canadian4Nursing,44th4Edition
MULTIPLE4CHOICE
1. Which4of4the4following4mandates4that4nurses4have4a4basic4understanding4of4the4Canadian4legal
4system?
a. Provincial4and4federal4nursing4bodies
b. The4Supreme4Court4of4Canada
c. Provincial4nursing4labor4unions
d. The4Drug4and4Pharmacies4Regulation4Act,41990
ANS:4 A
Feedback
A Correct!4Provincial4and4territorial4regulatory4bodies,4have4certain4requirements4re
lated4to4nurses’4knowledge/skill,4which4includes4knowledge4of4the4legal4system.
B Incorrect—
The4Supreme4Court,4which4is4the4final4court4of4appeal4in4Canada,4is4not4involved4
in4the4regulation4of4health4care4professionals.
C Incorrect—
Labour4unions4do4not4focus4on4nursing4standards4and4knowledge;4rather,4they4repr
esent4the4collective4bargaining4rights4of4nurses.
D Incorrect—
This4Act4is4relevant4to4nursing4in4that4it4regulates4the4prescribing,4dispensing,
4and4handling4of4drugs.4It4does4not4mandate4the4knowledge4nurses4require4ab
out4the4legal4system.
DIF: Cognitive4level:4Comprehension
2. Identify4one4of4the4reasons4why4nurses4need4to4have4an4understanding4of4ethics.
a. Nurses4do4not4share4the4same4perspectives4regarding4health4care4with4other4health
4 care4professionals.
b. Morality4and4care4are4at4the4heart4of4nursing4practice.
c. Ethics4provides4a4clear4answer4to4nurses4regarding4the4correct4course4of4action.
d. Convincing4family4members4of4compassionate4courses4of4action4is4best4done4by
4 nurses.
ANS:4 B
Feedback
A Incorrect—
Professional4values4may4be4shared4across4multiple4professions,4and4perspectives4o
n4issues4may4be4similar.4When4views4on4an4issue4differ,4then
knowledge4of4ethics4assists4in4clarifying4and4defending4one’s4position4to4others.
B Correct!4One4reason4for4nurses4studying4ethics4is4that4morality4and4care4are4at4the4
heart4of4nursing4practice.
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ition4Keatings
C Incorrect—
Ethical4theories4can4provide4a4framework4for4the4exploration4of4the4ethical4questio
ns4and4moral4issues4faced4in4health4care.4These4theories4guide4how4morality4is4und
erstood4within4the4sphere4of4nursing4practice4and4the
nurse–patient4or4nurse–
client4relationship.4Ethical4theories4and4frameworks4can4assist/guide4nurses4as4the
y4consider4multiple4options4to4choose4the4best4or4the
least4wrong4course4of4action.
D Incorrect—
Nurses4as4members4of4the4health4care4team4are4in4a4strong4position4to4support4fami
lies.4They4respect4the4values4and4beliefs4of4clients4and4families4and
support4them4in4decision4making4regarding4the4right4course4of4action.
DIF: Cognitive4level:4Synthesis
3. Why4is4it4advantageous4for4nurses4to4have4knowledge4of4ethical4theories4and4principles?
a. Ethical4theories4encourage4nurses4to4critique4others’4points4of4view.
b. Nurses4are4able4to4justify4and4defend4their4positions4on4a4situation.
c. Ethical4theories4help4nurses4explain4to4the4rest4of4the4team4why4nurses4have4a
4 greater4understanding4of4the4patient’s4perspective.
d. This4knowledge4allows4nurses4to4convince4patients4to4choose4comfort4measures
4 only.
ANS:4 B
Feedback
A Incorrect—
Ethics4encourages4nurses4to4respect4the4values4of4others4and4assists4in4understand
ing4opposing4points4of4view.4Ethics4offers4tools4to4nurses4to4respectfully4argue4in
4favour4of4their4positions4while4respecting4the4perspectives4of4others.
B Correct!4When4views4differ,4ethical4theories4help4clarify4one’s4position4and4make4
arguments4in4support4of4it.4Nurses4ensure4that4all4relevant4information4is4shared4w
ith4the4team4and4the4client.
C Incorrect—
The4perspective4of4all4team4members4is4important4and4is4based4on4the4unique4relati
onships4each4nurse4has4with4the4patient4or4client.
D Incorrect—
This4approach4is4paternalistic.4Nurses4and4the4health4care4team,4while4respecting4a
4person’s4autonomy,4support4him4or4her4in4making4decisions4about
what4is4best4in4a4particular4context.4This4includes4ensuring4that4patients4are4aware4
of4all4the4options4available4to4them.
DIF: Cognitive4level:4Comprehension
4. Why4must4nurses4be4familiar4with4the4legal4system?
a. Some4nursing4actions4are4governed4by4the4law.
b. Nurses’4decisions4may4not4be4supported4by4the4law.
c. Nurses4are4sometimes4at4risk4for4litigation.
d. All4are4correct.
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ition4Keatings
ANS:4 D
Feedback
A Incorrect—
Reserved4or4controlled4acts4and4the4administration4of4narcotics4are4two4examples
4of4nursing4actions4governed4by4the4law.4A4nurse4may4think4an4action4is4“ethical,
”4but4it4may4not4be4legal.4Nurses’4decisions4sometimes4have
untoward4consequences,4and4errors4or4omissions4may4lead4to4negligence4claims.
B Incorrect—
Reserved4or4controlled4acts4and4the4administration4of4narcotics4are4two4examples
4of4nursing4actions4governed4by4the4law.4A4nurse4may4think4an4action4is4“ethical,
”4but4it4may4not4be4legal.4Nurses’4decisions4sometimes4have
untoward4consequences,4and4errors4or4omissions4may4lead4to4negligence4claims.
C Incorrect—
Reserved4or4controlled4acts4and4the4administration4of4narcotics4are4two4examples
4of4nursing4actions4governed4by4the4law.4A4nurse4may4think4an4action4is4“ethical,
”4but4it4may4not4be4legal.4Nurses’4decisions4sometimes4have
untoward4consequences,4and4errors4or4omissions4may4lead4to4negligence4claims.
D Correct!4Reserved4or4controlled4acts4and4the4administration4of4narcotics4are4two4e
xamples4of4nursing4actions4governed4by4the4law.4A4nurse4may4think4an4action4is4“e
thical,”4but4it4may4not4be4legal.4Nurses’4decisions4sometimes4have4untoward
consequences,4and4errors4or4omissions4may4lead4to4negligence4claims.
DIF: Cognitive4level:4Analysis
5. What4existing4legislation4has4been4influenced4by4the4shifting4of4Canadian4values4over4time?
a. The4abolition4of4capital4punishment
b. Privacy
c. Medical4Assistance4in4Dying
d. All4are4correct
ANS:4 D
Feedback
A Incorrect—
One4reason4for4the4abolition4of4capital4punishment4is4based4on4the4belief4in4the4san
ctity4of4life4and4the4concern4that4an4innocent4person4may4be4executed.
B Incorrect—
Respect4for4autonomy4and4privacy4led4to4legislation4in4provinces4across4Canada.
C Incorrect—
Shifting4views4regarding4euthanasia4for4the4terminally4ill4led4the4Supreme4Court4t
o4create4a4law4regarding4assistance4in4dying.4This4resulted4in4the4legislation4“Medi
cal4Assistance4in4Dying,”4which4was4introduced4in42016.
D Correct!4All4of4these4are4examples4of4how4shifting4Canadian4values4have4influenc
ed4legislation.
DIF: Cognitive4level:4Comprehension
TRUE/FALSE
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