j j j j j j j j j j j j j
tion Keatings j
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
j j j j j j j j
MULTIPLEjCHOICE
1. WhichjofjthejfollowingjmandatesjthatjnursesjhavejajbasicjunderstandingjofjthejCanadianjlegaljsyste
m?
a. Provincialjandjfederaljnursingjbodies
b. ThejSupremejCourtjofjCanada
c. Provincialjnursingjlaborjunions
d. ThejDrugjandjPharmaciesjRegulationjAct,j1990
ANS:j A
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A Correct!jProvincialjandjterritorialjregulatoryjbodies,jhavejcertainjrequirementsjrelat
edjtojnurses’jknowledge/skill,jwhichjincludesjknowledgejofjthejlegaljsystem.
B Incorrect—
ThejSupremejCourt,jwhichjisjthejfinaljcourtjofjappealjinjCanada,jisjnotjinvolvedjinjth
ejregulationjofjhealthjcarejprofessionals.
C Incorrect—
Labourjunionsjdojnotjfocusjonjnursingjstandardsjandjknowledge;jrather,jtheyjrepresen
tjthejcollectivejbargainingjrightsjofjnurses.
D Incorrect—
ThisjActjisjrelevantjtojnursingjinjthatjitjregulatesjthejprescribing,jdispensing,jand
jhandlingjofjdrugs.jItjdoesjnotjmandatejthejknowledgejnursesjrequirejaboutjthejle
galjsystem.
DIF: Cognitivejlevel:jComprehension
2. Identifyjonejofjthejreasonsjwhyjnursesjneedjtojhavejanjunderstandingjofjethics.
a. Nursesjdojnotjsharejthejsamejperspectivesjregardingjhealthjcarejwithjotherjhealthjcare
professionals.
j
b. Moralityjandjcarejarejatjthejheartjofjnursingjpractice.
c. Ethicsjprovidesjajclearjanswerjtojnursesjregardingjthejcorrectjcoursejofjaction.
d. Convincingjfamilyjmembersjofjcompassionatejcoursesjofjactionjisjbestjdonejbyjnur
ses.
ANS:j B
Feedback
A Incorrect—
Professionaljvaluesjmayjbejsharedjacrossjmultiplejprofessions,jandjperspectivesjonjis
suesjmayjbejsimilar.jWhenjviewsjonjanjissuejdiffer,jthen
knowledgejofjethicsjassistsjinjclarifyingjandjdefendingjone’sjpositionjtojothers.
B Correct!jOnejreasonjforjnursesjstudyingjethicsjisjthatjmoralityjandjcarejarejatjthejheartj
ofjnursingjpractice.
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j j j j j j j j j j j j j
tion Keatings j
C Incorrect—
Ethicaljtheoriesjcanjprovidejajframeworkjforjthejexplorationjofjthejethicaljquestionsja
ndjmoraljissuesjfacedjinjhealthjcare.jThesejtheoriesjguidejhowjmoralityjisjunderstoodj
withinjthejspherejofjnursingjpracticejandjthe
nurse–patientjorjnurse–
clientjrelationship.jEthicaljtheoriesjandjframeworksjcanjassist/guidejnursesjasjtheyjco
nsiderjmultiplejoptionsjtojchoosejthejbestjorjthe
leastjwrongjcoursejofjaction.
D Incorrect—
Nursesjasjmembersjofjthejhealthjcarejteamjarejinjajstrongjpositionjtojsupportjfamilies.j
Theyjrespectjthejvaluesjandjbeliefsjofjclientsjandjfamiliesjand
supportjthemjinjdecisionjmakingjregardingjthejrightjcoursejofjaction.
DIF: Cognitivejlevel:jSynthesis
3. Whyjisjitjadvantageousjforjnursesjtojhavejknowledgejofjethicaljtheoriesjandjprinciples?
a. Ethicaljtheoriesjencouragejnursesjtojcritiquejothers’jpointsjofjview.
b. Nursesjarejablejtojjustifyjandjdefendjtheirjpositionsjonjajsituation.
c. Ethicaljtheoriesjhelpjnursesjexplainjtojthejrestjofjthejteamjwhyjnursesjhavejajgrea
terjunderstandingjofjthejpatient’sjperspective.
d. Thisjknowledgejallowsjnursesjtojconvincejpatientsjtojchoosejcomfortjmeasuresjonl
y.
ANS:j B
Feedback
A Incorrect—
Ethicsjencouragesjnursesjtojrespectjthejvaluesjofjothersjandjassistsjinjunderstandingj
opposingjpointsjofjview.jEthicsjoffersjtoolsjtojnursesjtojrespectfullyjarguejinjfavourj
ofjtheirjpositionsjwhilejrespectingjthejperspectivesjofjothers.
B Correct!jWhenjviewsjdiffer,jethicaljtheoriesjhelpjclarifyjone’sjpositionjandjmakejargu
mentsjinjsupportjofjit.jNursesjensurejthatjalljrelevantjinformationjisjsharedjwithjthejtea
mjandjthejclient.
C Incorrect—
Thejperspectivejofjalljteamjmembersjisjimportantjandjisjbasedjonjthejuniquejrelationsh
ipsjeachjnursejhasjwithjthejpatientjorjclient.
D Incorrect—
Thisjapproachjisjpaternalistic.jNursesjandjthejhealthjcarejteam,jwhilejrespectingjajper
son’sjautonomy,jsupportjhimjorjherjinjmakingjdecisionsjabout
whatjisjbestjinjajparticularjcontext.jThisjincludesjensuringjthatjpatientsjarejawarejofjallj
thejoptionsjavailablejtojthem.
DIF: Cognitivejlevel:jComprehension
4. Whyjmustjnursesjbejfamiliarjwithjthejlegaljsystem?
a. Somejnursingjactionsjarejgovernedjbyjthejlaw.
b. Nurses’jdecisionsjmayjnotjbejsupportedjbyjthejlaw.
c. Nursesjarejsometimesjatjriskjforjlitigation.
d. Alljarejcorrect.
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j j j j j j j j j j j j j
tion Keatings j
ANS:j D
Feedback
A Incorrect—
Reservedjorjcontrolledjactsjandjthejadministrationjofjnarcoticsjarejtwojexamplesjofjn
ursingjactionsjgovernedjbyjthejlaw.jAjnursejmayjthinkjanjactionjisj“ethical,”jbutjitjm
ayjnotjbejlegal.jNurses’jdecisionsjsometimesjhave
untowardjconsequences,jandjerrorsjorjomissionsjmayjleadjtojnegligencejclaims.
B Incorrect—
Reservedjorjcontrolledjactsjandjthejadministrationjofjnarcoticsjarejtwojexamplesjofjn
ursingjactionsjgovernedjbyjthejlaw.jAjnursejmayjthinkjanjactionjisj“ethical,”jbutjitjm
ayjnotjbejlegal.jNurses’jdecisionsjsometimesjhave
untowardjconsequences,jandjerrorsjorjomissionsjmayjleadjtojnegligencejclaims.
C Incorrect—
Reservedjorjcontrolledjactsjandjthejadministrationjofjnarcoticsjarejtwojexamplesjofjn
ursingjactionsjgovernedjbyjthejlaw.jAjnursejmayjthinkjanjactionjisj“ethical,”jbutjitjm
ayjnotjbejlegal.jNurses’jdecisionsjsometimesjhave
untowardjconsequences,jandjerrorsjorjomissionsjmayjleadjtojnegligencejclaims.
D Correct!jReservedjorjcontrolledjactsjandjthejadministrationjofjnarcoticsjarejtwojexam
plesjofjnursingjactionsjgovernedjbyjthejlaw.jAjnursejmayjthinkjanjactionjisj“ethical,”jb
utjitjmayjnotjbejlegal.jNurses’jdecisionsjsometimesjhavejuntoward
consequences,jandjerrorsjorjomissionsjmayjleadjtojnegligencejclaims.
DIF: Cognitivejlevel:jAnalysis
5. WhatjexistingjlegislationjhasjbeenjinfluencedjbyjthejshiftingjofjCanadianjvaluesjoverjtime?
a. Thejabolitionjofjcapitaljpunishment
b. Privacy
c. MedicaljAssistancejinjDying
d. Alljarejcorrect
ANS:j D
Feedback
A Incorrect—
Onejreasonjforjthejabolitionjofjcapitaljpunishmentjisjbasedjonjthejbeliefjinjthejsanctityj
ofjlifejandjthejconcernjthatjanjinnocentjpersonjmayjbejexecuted.
B Incorrect—
RespectjforjautonomyjandjprivacyjledjtojlegislationjinjprovincesjacrossjCanada.
C Incorrect—
ShiftingjviewsjregardingjeuthanasiajforjthejterminallyjilljledjthejSupremejCourtjtojcre
atejajlawjregardingjassistancejinjdying.jThisjresultedjinjthejlegislationj“MedicaljAssis
tancejinjDying,”jwhichjwasjintroducedjinj2016.
D Correct!jAlljofjthesejarejexamplesjofjhowjshiftingjCanadianjvaluesjhavejinfluencedjle
gislation.
DIF: Cognitivejlevel:jComprehension
TRUE/FALSE
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