You have just assumed command at the MHS Community Hospital and you notice that an ethics
program is not in place. The only component in evidence is consultation: When an ethical issue
arises, a member of your pastoral care office responds to the provider of family member. You
would like to see a comprehensive program established at MHS. Of the following, what is the
first thing you would do? - CORRECT ANSWER - Appoint an Ethics Officer
You have put a structure in place at MHS, appointing both an Ethics Officer and establishing an
Ethics Committee. Of the following, what would be the most logical next step? - CORRECT
ANSWER - Conduct an ethics climate survey
You have taken the actions recommended in Questions 1 and 2. What is your next course of
action? - CORRECT ANSWER - Review and develop policies
You are still the Commander of MHS Community Hospital, having survived the trying first six
months of command. During this time, you successfully implemented an ethics program. You
now face the ethical dilemma of whether or not to eliminate orthopedic care for family members
and retirees. The dilemma has arisen following the transfer of one of your two orthopedic
surgeons. The remaining orthopedic physician is expected to continue for at least another year
due to the large number of military deployments. There is no money in the budget to hire a
civilian replacement.
Prior to the transfer, you were able to provide care to family members and retirees (although
backlogs were approximately three months for these groups). You are now concerned about the
ethical implications of any decision you make. Of the options below, which tool would be most
helpful at this point? - CORRECT ANSWER - Nash's 12 Questions
Using Nash's 12 Questions, you have identified the key questions and principles involved in the
case. You are now considering various options (for example, providing care only to active duty,
limiting care to active duty and family members, etc.). Which tool would be most appropriate
given this situation just described? - CORRECT ANSWER - Decision Matrix
What ethical principle would best apply as you prepare to make a decision about limiting
orthopedic care? - CORRECT ANSWER - Justice
As the Chair of the Ethics Committee, in which of the following circumstances would you
consider an audit or evaluation of the healthcare organization's ethics program? - CORRECT
ANSWER - Sudden increase in problems and conflicts with vendors and suppliers