BARBRA L YOOST: CHAPTER 11 - ETHICAL
AND LEGAL CONSIDERATIONS
The student nurse learning about ethics expresses good knowledge when making which
appropriate statement?
a. "Ethics are internal values developed outside the influence of societal norms."
b. "Ethics are influenced by many variables including family and friends."
c. "Ethics are societal in nature and do not involve personal influences."
d. "Ethics are totally independent from a person's character." - CORRECT ANSWER
✅✅✅ANS: B
Family, friends, beliefs, education, culture, and socioeconomic status influence the
development of ethical behaviour. The study of ethics considers the standards of moral
conduct
in a society. Personal ethics are influenced by values, societal norms, and practices.
Behaviours
that are judged as ethical or unethical, right or wrong, reflect a person's character.
The nurse is providing patient care and pays special attention to meeting the needs of the
patient while maintaining the patient's right to privacy, confidentiality, autonomy, and
dignity. This nurse is applying what ethical theory?
a. Deontology
b. Utilitarianism
c. Autonomy
d. Accountability - CORRECT ANSWER ✅✅✅ANS: A
Deontology is an ethical theory that stresses the rightness or wrongness of individual
behaviors, duties, and obligations without concern for the consequences of specific actions.
Meeting the needs of patients while maintaining their right to privacy, confidentiality,
,autonomy, and dignity is consistent with the tenets of deontology. Compared with
deontology,
utilitarianism is on the opposite end of the ethical theory continuum. Utilitarianism
maintains
that behaviors are determined to be right or wrong solely based on their consequences.
Autonomy, or self-determination, is the freedom to make decisions supported by
knowledge
and self-confidence. Accountability is the willingness to accept responsibility for one's
actions.
The nurse is caring for a patient recently diagnosed with cancer that is being asked to
participate in a new chemotherapy trial. How would the nurse respond if working under the
ethical principle of utilitarianism?
a. "The patient should be allowed to decide."
b. "As your nurse, I'll support your right to refuse."
c. "You should do this because many could benefit from it."
d. "If this is against your beliefs, you should not do it." - CORRECT ANSWER ✅✅✅ANS: C
Compared with deontology, utilitarianism is on the opposite end of the ethical theory
continuum. Utilitarianism maintains that behaviors are determined to be right or wrong
solely
based on their consequences. Deontology is an ethical theory that stresses the rightness or
wrongness of individual behaviors, duties, and obligations without concern for the
consequences of specific actions. Meeting the needs of patients while maintaining their
right
to privacy, confidentiality, autonomy, and dignity is consistent with the tenets of
deontology.
Autonomy, or self-determination, is the freedom to make decisions supported by
knowledge
and self-confidence. The remaining responses are examples of either deontology or
autonomy.
, The nurse realizes that a medication error has been made. The nurse then reports the error
and
takes responsibility to ensure patient safety despite personal consequences. This nurse has
exhibited what ethical concept?
a. Autonomy
b. Accountability
c. Justice
d. Advocacy - CORRECT ANSWER ✅✅✅ANS: B
Accountability is the willingness to accept responsibility for one's actions. Autonomy, or
self-determination, is the freedom to make decisions supported by knowledge and
self-confidence. Supporting or promoting the interests of others or doing so for a cause
greater
than oneself defines advocacy. To do justice is to act fairly and equitably.
The nurse is providing care for a patient who has had a stroke recently and has multiple
self-care deficits. The nurse is coordinating care with in-home agencies and arranging for the
delivery of needed equipment. Which ethical concept is the nurse applying?
a. Advocacy
b. Confidentiality
c. Autonomy
d. Accountability - CORRECT ANSWER ✅✅✅ANS: A
Supporting or promoting the interests of others or doing so for a cause greater than
ourselves
defines advocacy. Confidentiality is the ethical concept that limits sharing private patient
information. Autonomy, or self-determination, is the freedom to make decisions supported
by
knowledge and self-confidence. Accountability is the willingness to accept responsibility for
one's actions.
A nurse has been asked to care for a patient who is an inmate from a nearby prison. During