Test Bank
Ethical and Legal Issues in Canadian Nursing, 4th Edition
By Margaret Keatings, Pamela Adams
Chapter 1 – 12| Latest Edition| Original Copy
C
LE
ST
BE
BESTLEC
,Chapter 01: An Introduction to the Ethics and the Law: A Perspective for Nurses
Keatings: Ethical & Legal Issues in Canadian Nursing, 4th Edition
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
ANS: A
Feedback
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
C
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.
LE
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
ST
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.
BE
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.
ANS: B
Feedback
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.
BESTLEC
, 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. Why is 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.
ANS: B
Feedback
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
C
of others.
B Correct! When views differ, ethical theories help clarify one’s position and make
C
with the team and the client.
LE
arguments in support of it. Nurses ensure that all relevant information is shared
Incorrect—The perspective of all team members is important and is based on the
unique relationships each nurse has with the patient or client.
D Incorrect—This approach is paternalistic. Nurses and the health care team, while
ST
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
BE
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.
ANS: D
Feedback
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.
BESTLEC
, C 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.
D Correct! 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.
DIF: Cognitive level: Analysis
5. What existing legislation has been influenced by the shifting of Canadian values over time?
a. The abolition of capital punishment
b. Privacy
c. Medical Assistance in Dying
d. All are correct
ANS: D
Feedback
C
A Incorrect—One reason for the abolition of capital punishment is based on the
belief in the sanctity of life and the concern that an innocent person may be
B
executed. LE
Incorrect—Respect for autonomy and privacy led to legislation in provinces
across Canada.
C Incorrect—Shifting views regarding euthanasia for the terminally ill led the
Supreme Court to create a law regarding assistance in dying. This resulted in the
legislation “Medical Assistance in Dying,” which was introduced in 2016.
ST
D Correct! All of these are examples of how shifting Canadian values have
influenced legislation.
DIF: Cognitive level: Comprehension
BE
TRUE/FALSE
1. In addition to having obligations to clients, nurses also have rights regarding what they can
expect as professionals.
ANS: T
Feedback
Correct Like all Canadians, nurses have rights under the Charter of Rights and
Freedoms. Nurses consider these rights in the context of their
responsibilities and obligations to clients.
Incorrect Like all Canadians, nurses have rights under the Charter of Rights and
Freedoms. Nurses must consider these rights in the context of their
responsibilities and obligations to clients.
DIF: Cognitive level: Comprehension
BESTLEC
Ethical and Legal Issues in Canadian Nursing, 4th Edition
By Margaret Keatings, Pamela Adams
Chapter 1 – 12| Latest Edition| Original Copy
C
LE
ST
BE
BESTLEC
,Chapter 01: An Introduction to the Ethics and the Law: A Perspective for Nurses
Keatings: Ethical & Legal Issues in Canadian Nursing, 4th Edition
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
ANS: A
Feedback
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
C
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.
LE
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
ST
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.
BE
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.
ANS: B
Feedback
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.
BESTLEC
, 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. Why is 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.
ANS: B
Feedback
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
C
of others.
B Correct! When views differ, ethical theories help clarify one’s position and make
C
with the team and the client.
LE
arguments in support of it. Nurses ensure that all relevant information is shared
Incorrect—The perspective of all team members is important and is based on the
unique relationships each nurse has with the patient or client.
D Incorrect—This approach is paternalistic. Nurses and the health care team, while
ST
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
BE
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.
ANS: D
Feedback
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.
BESTLEC
, C 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.
D Correct! 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.
DIF: Cognitive level: Analysis
5. What existing legislation has been influenced by the shifting of Canadian values over time?
a. The abolition of capital punishment
b. Privacy
c. Medical Assistance in Dying
d. All are correct
ANS: D
Feedback
C
A Incorrect—One reason for the abolition of capital punishment is based on the
belief in the sanctity of life and the concern that an innocent person may be
B
executed. LE
Incorrect—Respect for autonomy and privacy led to legislation in provinces
across Canada.
C Incorrect—Shifting views regarding euthanasia for the terminally ill led the
Supreme Court to create a law regarding assistance in dying. This resulted in the
legislation “Medical Assistance in Dying,” which was introduced in 2016.
ST
D Correct! All of these are examples of how shifting Canadian values have
influenced legislation.
DIF: Cognitive level: Comprehension
BE
TRUE/FALSE
1. In addition to having obligations to clients, nurses also have rights regarding what they can
expect as professionals.
ANS: T
Feedback
Correct Like all Canadians, nurses have rights under the Charter of Rights and
Freedoms. Nurses consider these rights in the context of their
responsibilities and obligations to clients.
Incorrect Like all Canadians, nurses have rights under the Charter of Rights and
Freedoms. Nurses must consider these rights in the context of their
responsibilities and obligations to clients.
DIF: Cognitive level: Comprehension
BESTLEC
