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ition Keatings zl
Chapter 01: An Introduction to the Ethics and the Law: A Perspective for Nurses Keatings:
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Ethical & Legal Issues in Canadian Nursing, 4th Edition
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MULTIPLE CHOICE zl
1. Which of the following mandates that nurses have a basic understanding of the Canadian legal sy
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stem?
a. Provincial and federal nursing bodies zl zl zl zl
b. The Supreme Court of Canada zl zl zl zl
c. Provincial nursing labor unions zl zl zl
d. The Drug and Pharmacies Regulation Act, 1990
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ANS: A z l
Feedback
A Correct! Provincial and territorial regulatory bodies, have certain requirements rela
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ted to nurses’ knowledge/skill, which includes knowledge of the legal system.
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B Incorrect—
The Supreme Court, which is the final court of appeal in Canada, is not involved in t
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he regulation of health care professionals.
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C Incorrect—
Labour unions do not focus on nursing standards and knowledge; rather, they repres
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ent the collective bargaining rights of nurses.
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D Incorrect—
This Act is relevant to nursing in that it regulates the prescribing, dispensing, a
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nd handling of drugs. It does not mandate the knowledge nurses require about t
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he legal system.
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DIF: Cognitive level: Comprehension zl zl
2. Identify one of the reasons why nurses need to have an understanding of ethics.
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a. Nurses do not share the same perspectives regarding health care with other health ca
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re professionals.
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b. Morality and care are at the heart of nursing practice. zl zl zl zl zl zl zl zl zl
c. Ethics provides a clear answer to nurses regarding the correct course of action.
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d. Convincing family members of compassionate courses of action is best done by n zl zl zl zl zl zl zl zl zl zl zl zl
urses.
ANS: B z l
Feedback
A Incorrect—
Professional values may be shared across multiple professions, and perspectives on i zl zl zl zl zl zl zl zl zl zl zl
ssues may be similar. When views on an issue differ, then
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knowledge of ethics assists in clarifying and defending one’s position to others.zl zl zl zl zl zl zl zl zl zl zl
B Correct! One reason for nurses studying ethics is that morality and care are at the hea
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rt of nursing practice.
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,DOWNLOAD THE Test Bank for Ethical and Legal Issues in Canadian Nursing 4th Ed
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ition Keatings zl
C Incorrect—
Ethical theories can provide a framework for the exploration of the ethical question
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s and moral issues faced in health care. These theories guide how morality is underst
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ood within the sphere of nursing practice and the
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nurse–patient or nurse– zl zl
client relationship. Ethical theories and frameworks can assist/guide nurses as they c
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onsider multiple options to choose the best or the zl zl zl zl zl zl zl zl
least wrong course of action. zl zl zl zl
D Incorrect—
Nurses as members of the health care team are in a strong position to support familie
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s. They respect the values and beliefs of clients and families and
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support them in decision making regarding the right course of action.
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DIF: Cognitive level: Synthesis zl zl
3. Why is it advantageous for nurses to have knowledge of ethical theories and principles?
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a. Ethical theories encourage nurses to critique others’ points of view.
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b. Nurses are able to justify and defend their positions on a situation.
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c. Ethical theories help nurses explain to the rest of the team why nurses have a gr
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eater understanding of the patient’s perspective.
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d. This knowledge allows nurses to convince patients to choose comfort measures o
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nly.
ANS: B z l
Feedback
A Incorrect—
Ethics encourages nurses to respect the values of others and assists in understandin
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g opposing points of view. Ethics offers tools to nurses to respectfully argue in fav
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our of their positions while respecting the perspectives of others.
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B Correct! When views differ, ethical theories help clarify one’s position and make arg
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uments in support of it. Nurses ensure that all relevant information is shared with th
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e team and the client.
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C Incorrect—
The perspective of all team members is important and is based on the unique relation
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ships each nurse has with the patient or client.
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D Incorrect—
This approach is paternalistic. Nurses and the health care team, while respecting a p
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erson’s autonomy, support him or her in making decisions about
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what is best in a particular context. This includes ensuring that patients are aware of a
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ll the options available to them.
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DIF: Cognitive level: Comprehension zl zl
4. Why must nurses be familiar with the legal system?
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a. Some nursing actions are governed by the law.
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b. Nurses’ decisions may not be supported by the law. zl zl zl zl zl zl zl zl
c. Nurses are sometimes at risk for litigation. zl zl zl zl zl zl
d. All are correct. zl zl
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, DOWNLOAD THE Test Bank for Ethical and Legal Issues in Canadian Nursing 4th Ed
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ition Keatings zl
ANS: D z l
Feedback
A Incorrect—
Reserved or controlled acts and the administration of narcotics are two examples of
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nursing actions governed by the law. A nurse may think an action is “ethical,” but i
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t may not be legal. Nurses’ decisions sometimes have
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untoward consequences, and errors or omissions may lead to negligence claims.
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B Incorrect—
Reserved or controlled acts and the administration of narcotics are two examples of
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nursing actions governed by the law. A nurse may think an action is “ethical,” but i
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t may not be legal. Nurses’ decisions sometimes have
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untoward consequences, and errors or omissions may lead to negligence claims.
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C Incorrect—
Reserved or controlled acts and the administration of narcotics are two examples of
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nursing actions governed by the law. A nurse may think an action is “ethical,” but i
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t may not be legal. Nurses’ decisions sometimes have
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untoward consequences, and errors or omissions may lead to negligence claims.
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D Correct! Reserved or controlled acts and the administration of narcotics are two exa
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mples of nursing actions governed by the law. A nurse may think an action is “ethica
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l,” but it may not be legal. Nurses’ decisions sometimes have untoward
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consequences, and errors or omissions may lead to negligence claims. zl zl zl zl zl zl zl zl zl
DIF: Cognitive level: Analysis zl zl
5. What existing legislation has been influenced by the shifting of Canadian values over time?
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a. The abolition of capital punishment
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b. Privacy
c. Medical Assistance in Dying zl zl zl
d. All are correct zl zl
ANS: D z l
Feedback
A Incorrect—
One reason for the abolition of capital punishment is based on the belief in the sanctit
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y of life and the concern that an innocent person may be executed.
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B Incorrect—
Respect for autonomy and privacy led to legislation in provinces across Canada.
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C Incorrect—
Shifting views regarding euthanasia for the terminally ill led the Supreme Court to c
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reate a law regarding assistance in dying. This resulted in the legislation “Medical A
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ssistance in Dying,” which was introduced in 2016. zl zl zl zl zl zl zl
D Correct! All of these are examples of how shifting Canadian values have influenced l
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egislation.
DIF: Cognitive level: Comprehension zl zl
TRUE/FALSE
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