,TableofContents
Ethicaland Legal Issuesin Canadian Nursing4th Edition Keatings Test Bank ............................................. 3
b9 jl jl b9 jl b9 b9 jl b9 b9 b9
Chapter 01:An Introduction to theEthics and the Law: APerspective for Nurses .............................................. 3
b9 jl b9 jl b9 jl b9 b9 jl b9
Chapter 02: Ethical Theories: Their Meaning for Nursing ......................................................................... 8
b9 b9 b9 b9 b9 b9 b9
Chapter 03: Guiding Ethical Decision Making: Resources forNurses ......................................................... 18
b9 b9 b9 b9 b9 b9 b9
Chapter 04: The Canadian Legal System .......................................................................................27
b9 b9 b9 b9 b9
Chapter 05: Regulation of the Nursing Profession ............................................................................ 34
b9 b9 b9 b9 b9 b9
Chapter 06: Informed Consent: Rights and Obligations .................................................................... 41
b9 b9 b 9 b9 b9 b9
Chapter 07: The Nurse’s Legal Accountabilities: Professional Competence, ................................................ 47
b9 b9 b9 b9 jl b9 b9
Chapter 08:Complexityatthe EndofLife: The Ethical andLegal Challenges ................................................ 53
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Chapter 09: Ethical and LegalIssues Related to Advancing Science and Technology ....................................... 60
b9 b9 b9 b9 b9 b9 jl b9 jl b9
Chapter 10: Safeguarding Patient Rights .................................................................................... 67
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Chapter 11: Perspectives on the Rights of Nurses ............................................................................ 74
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Chapter 12:Ethical Issuesin Leadership, theOrganization,andApproaches to the Deliveryof Care ..................... 81
b9 jl b9 b9 b9 jl jl b9
,Ethical and Legal Issues in Canadian Nursing 4th Edition Keatings Test Bank
jl b9 b9 b9 b9 b9 b9 b9 b9 b9 jl
Chapter01:AnIntroductiontotheEthicsandtheLaw:APerspectiveforNurses jl
MULTIPLE CHOICE jl
1. Which ofthefollowingmandates that nurses h ave a basic understanding ofthe Canadian legal system?
9b jl jl b9 b9 jl b9 9b b9 b9
a. Provincial and federal nursingbodies b9 jl jl
b. The Supreme Court ofCanada
b9 jl jl
c. Provincialnursinglabor unions b9
d. TheDrug andPharmaciesRegulation Act,1990 jl jl
CORRECT ANS:A b9
Elaboration
A Correct! Provincial andterritorial regulatory bodies, havecertain requirements related
b9 b9 b9 b9 b9 b9 b9 b 9 to nurses’ jl
knowledge/skill,whichincludes knowledgeofthe legalsystem. jl 9b jl
B Incorrect—
The Supreme Court, whichis thefinal court ofappeal in Canada, is not involvedinthe r egulation of
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 jl b 9 jl
healthcareprofessionals.
C Incorrect—
Labour unions do not focus on nursing standards and knowledge; rather, theyreprese
b9 b9 b9 jl b9 b9 b9 b9 b9 b9 b9 b
9nt thecollectivebargaining rightsofnurses.
jl 9b jl 9b
D Incorrect—
This Act is relevant to nursing in that it regulates the prescribing, dispensing, and handlingof d rug
jl b9 jl b9 b9 b9 b9 b9 jl jl b9 b9 b9 jl b9 b 9
s.Itdoes not mandate theknowledge nurses
9b jl jl jl jl
requireabout thelegalsystem. jl
DIF: b 9 Cognitive level:Comprehension jl
2. Identifyoneofthereasonswhynursesneedto have anunderstandingofethics. jl b 9 b 9
a. Nurses do not sharethe same perspectives regarding health care with other health care prof e
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
ssionals.
b. Moralityand careare at the heart of nursing practice. jl b9 jl jl jl jl b9
c. Ethicsprovides a clearanswertonurses regardingthe correct course ofaction. jl jl jl jl jl b 9 b 9
d. Convincingfamilymembers ofcompassionate coursesofaction is best done by nurses. jl jl jl jl jl jl b 9 b 9
CORRECT ANS:B b9
Elaboration
A Incorrect—Professional values may beshared across multiple professions, and b 9 jl b9 b9 jl jl b 9
perspectives on issues may be similar. When views on an issue differ, then knowledge of ethics a s
b9 b9 b9 b9 jl b9 b9 jl b9 b9 b9 b9 b9 b9 b9 jl b9
sists inclarifyinganddefending one’spositionto others.
jl 9b jl jl
B Correct! One reason for nurses studying ethics is that morality and care are at the heart ofnursing
b9 b9 b9 b9 jl b9 b9 jl jl b9 b9 b9 b9 jl jl jlb 9 jl
practice.
C Incorrect—
Ethicaltheories can provideaframework forthe explorationof the ethical questions andmoral jl b9 jl b9 b9 jl b9 jl jlb 9
issues facedin health care.Thesetheories guide how moralityisunderstood within the sphere o
jl jl jl jl jl b9 b9 b9 b9 b9 b
f nursing practice and the nurse– patient or nurse–
9 b9 b9 b9 b9 b9 b9 jl b9
client relationship.Ethical theories andframeworkscan assist/guidenurses asthe
jl 9b jl jl b9 jl
y consider multiple optionsto choosethebestorthe
b9 b9 jl jl
leastwrongcourse ofaction. b9
D Incorrect—
Nurses as members of the health care team are in a strong position to support families. They re
jl b9 jl b9 b9 b9 jl b9 b9 b9 b9 b9 b9 b9 jl b9 b9
spect the values and beliefs of clients and families and support them in decisionmaking regar din
b9 b9 jl b9 b9 b9 b9 b9 b9 b9 b9 jl jl b9 b9
gtheright courseofaction. 9b 9b
, DIF: b 9 Cognitive level:Synthesis jl
3. Whyisitadvantageousfornurses tohaveknowledge ofethicaltheories andprinciples? jl b 9 b 9 jl
a. Ethical theories encourage nurses tocritique others’ points ofview.
b 9 jl jl jl jl b 9 jl
b. Nurses are able tojustifyand defend theirpositions on asituation.
jl jl jl jl jl jl jl
c. Ethical theories help nurses explain to the restofthe team why nurseshavea gr
b9 jl b9 jl b9 jl jl jl jl b9 b 9
eater understanding of the patient’s perspective.
b9 b9 b9 jl b9
d. This knowledgeallows nurses toconvince patients to choose comfort measures
jl jl jl b 9 jl jl jl jl b 9 b 9 only.
CORRECT ANS:B b9
Elaboration
A Incorrect—
Ethics encouragesnursestorespect thevalues ofothers andassistsin understanding opposi n
jl jl jl jl jl b9 b9
g points of view. Ethics offers tools to nurses to respectfully argue infavouroftheirpositions w
b9 b9 b9 b9 jl jl b9 b9 b9 jl b9 b 9 b9
hilerespecting theperspectives jl
of others. b9
B Correct!When views differ, ethicaltheories helpclarifyone’s position andmakearguments in s up jl jl jl jl jl jl 9b jl b9 b9
port ofit. Nurses ensure that all relevant information is shared with the
jl b9 jl b9 b9 b9 jl b9 b9 b9 b9
teamand the client. jl jl
C Incorrect—
The perspective ofall team members is important and is based on the unique relations
b9 jl b9 b9 b9 b9 jl b9 b9 b9 b9 jl jl b
9hips each nurse has with the client. b9 b9 b9 b9 jl b9
D Incorrect—
Thisapproachis paternalistic.Nursesand thehealthcare team,while respecting a per jl b9 jl b 9 b9 b9
son’sautonomy, support him orher inmaking decisions about b9 jl jl b9 b9 jl
what is best inaparticularcontext. This includes ensuring that patients are aware of all the option
jl jl jl b9 b9 b9 b9 jl b9 b9 b9 b9 b9 b9 b 9
s available tothem.
jl jl
DIF: b 9 Cognitive level:Comprehension jl
4. Whymust nurses be familiarwith thelegal system? jl jl jl jl b9
a. Some nursing actions aregovernedbythelaw. jl jl jl
b. Nurses’decisionsmaynot besupportedbythelaw. jl
c. Nurses are sometimesat risk forlitigation. jl jl jl jl
d. All are correct.
jl jl
CORRECT ANS:D b9
Elaboration
A Incorrect—
Reserved or controlled acts and the administrationof narcotics are two examples ofnu rsingactio
b9 b9 b9 jl b9 jl b9 b9 b9 b9 jl b 9
nsgovernedbythe law.A nursemaythink an jl jl jl
actionis“ethical,” butit may not belegal. Nurses’decisionssometimes have untoward b9 jl b9 jl b9 b9 b9
consequences,anderrors oromissions mayleadtonegligenceclaims. jl b 9 b 9
B Incorrect—
Reserved or controlled acts and the administrationof narcotics are two examples of nur si
b9 b9 b9 jl b9 jl b9 b9 b9 b9 jl b9 b9
ng actions governedbythelaw. A nursemaythink anaction is
b9 jl b9 jl jl b9
“ethical,”but it maynot belegal.Nurses’decisionssometimes have jl jl jl jl
untowardconsequences, anderrorsoromissionsmaylead tonegligenceclaims. b 9 jl
Ethicaland Legal Issuesin Canadian Nursing4th Edition Keatings Test Bank ............................................. 3
b9 jl jl b9 jl b9 b9 jl b9 b9 b9
Chapter 01:An Introduction to theEthics and the Law: APerspective for Nurses .............................................. 3
b9 jl b9 jl b9 jl b9 b9 jl b9
Chapter 02: Ethical Theories: Their Meaning for Nursing ......................................................................... 8
b9 b9 b9 b9 b9 b9 b9
Chapter 03: Guiding Ethical Decision Making: Resources forNurses ......................................................... 18
b9 b9 b9 b9 b9 b9 b9
Chapter 04: The Canadian Legal System .......................................................................................27
b9 b9 b9 b9 b9
Chapter 05: Regulation of the Nursing Profession ............................................................................ 34
b9 b9 b9 b9 b9 b9
Chapter 06: Informed Consent: Rights and Obligations .................................................................... 41
b9 b9 b 9 b9 b9 b9
Chapter 07: The Nurse’s Legal Accountabilities: Professional Competence, ................................................ 47
b9 b9 b9 b9 jl b9 b9
Chapter 08:Complexityatthe EndofLife: The Ethical andLegal Challenges ................................................ 53
b 9 jl b 9 jl b 9 jl
Chapter 09: Ethical and LegalIssues Related to Advancing Science and Technology ....................................... 60
b9 b9 b9 b9 b9 b9 jl b9 jl b9
Chapter 10: Safeguarding Patient Rights .................................................................................... 67
b9 b9 b9 jb9lb9
Chapter 11: Perspectives on the Rights of Nurses ............................................................................ 74
b9 b9 b9 b9 b9 b9 b9
Chapter 12:Ethical Issuesin Leadership, theOrganization,andApproaches to the Deliveryof Care ..................... 81
b9 jl b9 b9 b9 jl jl b9
,Ethical and Legal Issues in Canadian Nursing 4th Edition Keatings Test Bank
jl b9 b9 b9 b9 b9 b9 b9 b9 b9 jl
Chapter01:AnIntroductiontotheEthicsandtheLaw:APerspectiveforNurses jl
MULTIPLE CHOICE jl
1. Which ofthefollowingmandates that nurses h ave a basic understanding ofthe Canadian legal system?
9b jl jl b9 b9 jl b9 9b b9 b9
a. Provincial and federal nursingbodies b9 jl jl
b. The Supreme Court ofCanada
b9 jl jl
c. Provincialnursinglabor unions b9
d. TheDrug andPharmaciesRegulation Act,1990 jl jl
CORRECT ANS:A b9
Elaboration
A Correct! Provincial andterritorial regulatory bodies, havecertain requirements related
b9 b9 b9 b9 b9 b9 b9 b 9 to nurses’ jl
knowledge/skill,whichincludes knowledgeofthe legalsystem. jl 9b jl
B Incorrect—
The Supreme Court, whichis thefinal court ofappeal in Canada, is not involvedinthe r egulation of
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 jl b 9 jl
healthcareprofessionals.
C Incorrect—
Labour unions do not focus on nursing standards and knowledge; rather, theyreprese
b9 b9 b9 jl b9 b9 b9 b9 b9 b9 b9 b
9nt thecollectivebargaining rightsofnurses.
jl 9b jl 9b
D Incorrect—
This Act is relevant to nursing in that it regulates the prescribing, dispensing, and handlingof d rug
jl b9 jl b9 b9 b9 b9 b9 jl jl b9 b9 b9 jl b9 b 9
s.Itdoes not mandate theknowledge nurses
9b jl jl jl jl
requireabout thelegalsystem. jl
DIF: b 9 Cognitive level:Comprehension jl
2. Identifyoneofthereasonswhynursesneedto have anunderstandingofethics. jl b 9 b 9
a. Nurses do not sharethe same perspectives regarding health care with other health care prof e
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
ssionals.
b. Moralityand careare at the heart of nursing practice. jl b9 jl jl jl jl b9
c. Ethicsprovides a clearanswertonurses regardingthe correct course ofaction. jl jl jl jl jl b 9 b 9
d. Convincingfamilymembers ofcompassionate coursesofaction is best done by nurses. jl jl jl jl jl jl b 9 b 9
CORRECT ANS:B b9
Elaboration
A Incorrect—Professional values may beshared across multiple professions, and b 9 jl b9 b9 jl jl b 9
perspectives on issues may be similar. When views on an issue differ, then knowledge of ethics a s
b9 b9 b9 b9 jl b9 b9 jl b9 b9 b9 b9 b9 b9 b9 jl b9
sists inclarifyinganddefending one’spositionto others.
jl 9b jl jl
B Correct! One reason for nurses studying ethics is that morality and care are at the heart ofnursing
b9 b9 b9 b9 jl b9 b9 jl jl b9 b9 b9 b9 jl jl jlb 9 jl
practice.
C Incorrect—
Ethicaltheories can provideaframework forthe explorationof the ethical questions andmoral jl b9 jl b9 b9 jl b9 jl jlb 9
issues facedin health care.Thesetheories guide how moralityisunderstood within the sphere o
jl jl jl jl jl b9 b9 b9 b9 b9 b
f nursing practice and the nurse– patient or nurse–
9 b9 b9 b9 b9 b9 b9 jl b9
client relationship.Ethical theories andframeworkscan assist/guidenurses asthe
jl 9b jl jl b9 jl
y consider multiple optionsto choosethebestorthe
b9 b9 jl jl
leastwrongcourse ofaction. b9
D Incorrect—
Nurses as members of the health care team are in a strong position to support families. They re
jl b9 jl b9 b9 b9 jl b9 b9 b9 b9 b9 b9 b9 jl b9 b9
spect the values and beliefs of clients and families and support them in decisionmaking regar din
b9 b9 jl b9 b9 b9 b9 b9 b9 b9 b9 jl jl b9 b9
gtheright courseofaction. 9b 9b
, DIF: b 9 Cognitive level:Synthesis jl
3. Whyisitadvantageousfornurses tohaveknowledge ofethicaltheories andprinciples? jl b 9 b 9 jl
a. Ethical theories encourage nurses tocritique others’ points ofview.
b 9 jl jl jl jl b 9 jl
b. Nurses are able tojustifyand defend theirpositions on asituation.
jl jl jl jl jl jl jl
c. Ethical theories help nurses explain to the restofthe team why nurseshavea gr
b9 jl b9 jl b9 jl jl jl jl b9 b 9
eater understanding of the patient’s perspective.
b9 b9 b9 jl b9
d. This knowledgeallows nurses toconvince patients to choose comfort measures
jl jl jl b 9 jl jl jl jl b 9 b 9 only.
CORRECT ANS:B b9
Elaboration
A Incorrect—
Ethics encouragesnursestorespect thevalues ofothers andassistsin understanding opposi n
jl jl jl jl jl b9 b9
g points of view. Ethics offers tools to nurses to respectfully argue infavouroftheirpositions w
b9 b9 b9 b9 jl jl b9 b9 b9 jl b9 b 9 b9
hilerespecting theperspectives jl
of others. b9
B Correct!When views differ, ethicaltheories helpclarifyone’s position andmakearguments in s up jl jl jl jl jl jl 9b jl b9 b9
port ofit. Nurses ensure that all relevant information is shared with the
jl b9 jl b9 b9 b9 jl b9 b9 b9 b9
teamand the client. jl jl
C Incorrect—
The perspective ofall team members is important and is based on the unique relations
b9 jl b9 b9 b9 b9 jl b9 b9 b9 b9 jl jl b
9hips each nurse has with the client. b9 b9 b9 b9 jl b9
D Incorrect—
Thisapproachis paternalistic.Nursesand thehealthcare team,while respecting a per jl b9 jl b 9 b9 b9
son’sautonomy, support him orher inmaking decisions about b9 jl jl b9 b9 jl
what is best inaparticularcontext. This includes ensuring that patients are aware of all the option
jl jl jl b9 b9 b9 b9 jl b9 b9 b9 b9 b9 b9 b 9
s available tothem.
jl jl
DIF: b 9 Cognitive level:Comprehension jl
4. Whymust nurses be familiarwith thelegal system? jl jl jl jl b9
a. Some nursing actions aregovernedbythelaw. jl jl jl
b. Nurses’decisionsmaynot besupportedbythelaw. jl
c. Nurses are sometimesat risk forlitigation. jl jl jl jl
d. All are correct.
jl jl
CORRECT ANS:D b9
Elaboration
A Incorrect—
Reserved or controlled acts and the administrationof narcotics are two examples ofnu rsingactio
b9 b9 b9 jl b9 jl b9 b9 b9 b9 jl b 9
nsgovernedbythe law.A nursemaythink an jl jl jl
actionis“ethical,” butit may not belegal. Nurses’decisionssometimes have untoward b9 jl b9 jl b9 b9 b9
consequences,anderrors oromissions mayleadtonegligenceclaims. jl b 9 b 9
B Incorrect—
Reserved or controlled acts and the administrationof narcotics are two examples of nur si
b9 b9 b9 jl b9 jl b9 b9 b9 b9 jl b9 b9
ng actions governedbythelaw. A nursemaythink anaction is
b9 jl b9 jl jl b9
“ethical,”but it maynot belegal.Nurses’decisionssometimes have jl jl jl jl
untowardconsequences, anderrorsoromissionsmaylead tonegligenceclaims. b 9 jl
