Exam Questions and CORRECT Answers
When the nurse describes a client as that nasty old man in 354, the nurse is exhibiting which of
the following? - CORRECT ANSWER - Gender bias and ageism
A client needs a liver transplant but has been out of work for several months and does not have
insurance or enough cash. A discussion about the ethics of this situation would predominantly
involve which principle? - CORRECT ANSWER - Justice
Which of the following represents utilitarian allocation of scarce resources? - CORRECT
ANSWER - Distribution of resources to achieve the greater good of the larger group.
The distribution of nurses to areas of greatest need when there is a nursing shortage represents
the application of which principle or theory? - CORRECT ANSWER - Justice
(think fairness in distribution of resources)
Which of the following is an example of a violation of the provisions of the Health Insurance
Portability and Accountability Act (HIPAA)? - CORRECT ANSWER - Nurses discussing
a client over dinner at the hospital cafeteria.
After researching the scientific literature and confirming that an issue is an ethical dilemma,
which of the following should a nurse do next? - CORRECT ANSWER - Perform a values
clarification
Nurses agree to be advocates for their clients. The practice of advocacy calls for the nurse to do
which of the following? - CORRECT ANSWER - Assess a client's point of view and
prepare to articulate this point of view.
When many people share the same values, it may be possible to identify a philosophy of
utilitarianism. Which of the following statements is a principle of utilitarianism? - CORRECT
ANSWER - The value of something is determined by its usefulness to society
, The guidelines of the Health Insurance Portability and Accountability Act (HIPAA) support
which of the following? - CORRECT ANSWER - Privacy for all health care issues
If a nurse assesses a client for pain and then offers a plan to manage the pain, which principle
encourages the nurse to monitor the client's response to the pain management plan? - CORRECT
ANSWER - Fidelity
To distinguish an ethical problem from other types of problems encountered, the nurse should be
aware that an ethical problem is one for which - CORRECT ANSWER - the answer is not
determined by logical deduction.
In most ethical dilemmas, the solution to the dilemma requires negotiation among members of
the health care team. Why is the nurse's point of view valuable? - CORRECT ANSWER -
Nurses develop a relationship with the client that is unique among all professional health care
providers.
A child's immunization may cause discomfort during administration, but the benefits of
protection from disease outweigh the temporary discomforts. Which principle applies to this
situation? - CORRECT ANSWER - Nonmaleficence
Ethical dilemmas often involve a conflict of opinion. Once the nurse has determined that the
dilemma is ethical, which of the following would be a critical first step in negotiating the
difference of opinion? - CORRECT ANSWER - Gather all relevant information regarding
the clinical, social, and spiritual aspects of the dilemma.
Which of the following sets forth ethical principles for professional nursing practice in a clinical
setting? - CORRECT ANSWER - Code of Ethics of the American Nurses Association
(ANA)
It may seem redundant that health care providers pledge to do no harm to clients. The purpose of
this oath is to reassure the public that the health care team will work to heal clients with as little
pain and harm as possible. Which principle underlies this pledge? - CORRECT
ANSWER - Nonmaleficence