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Ethical Issues in Nursing

Total questions: 98

Worksheet time: 49mins

Name
Class
Date
1.

Fill in the blank: ______ are personal beliefs about something’s worth.

a)

Values

b)

Opinions

c)

Habits

d)

Skills

2.

Fill in the blank: ______ are the values that influence a person’s decisions and behavior.

a)

Ethics

b)

Wealth

c)

Hobbies

d)

Skills

3.

Fill in the blank: The nurse’s primary concern is the patient’s ______.

a)

welfare

b)

appearance

c)

schedule

d)

diet

4.

Fill in the blank: An ______ is a situation in which a decision must be made between two opposing alternatives.

a)

ethical dilemma

b)

routine task

c)

simple choice

d)

easy answer

5.

According to the slide on 'Providing Ethical Patient Care', patients have the right to be treated with which of the following?

a)

Respect, dignity, honesty, and compassion

b)

Only respect

c)

Only honesty

d)

Only compassion

6.

A good rule for ethical patient care is to treat every patient as you would want to be treated.

a)

True

b)

False

7.

Fill in the blank: Civility means treating others with _______, politeness, and respect, even if you disagree with what they think or believe.

a)

courtesy

b)

anger

c)

indifference

d)

hostility

8.

Fill in the blank: The nurse is an ________ who stands up for what is in the patient’s best interest.

a)

advocate

b)

observer

c)

technician

d)

administrator

9.

What does the Patient Care Partnership (PCP) discuss?

a)

The nurse's salary

b)

The expectations, rights, and responsibilities of the patient during their hospital stay

c)

Hospital policies only

d)

Medical equipment usage

10.

Fill in the blank: The nurse must demonstrate ________ in the care of patients.

a)

empathy

b)

indifference

c)

impatience

d)

negligence

e)

hostility

11.

According to the law, you must initiate cardiopulmonary resuscitation (CPR) unless there is a written order not to do so.

a)

True

b)

False

12.

The DNAR order is used in which stage of a disease?

a)

Early stages

b)

Terminal stages

c)

Middle stages

d)

Recovery stages

13.

Who writes the DNAR order?

a)

The patient

b)

The nurse

c)

The health-care provider

d)

The family

14.

The nurse is a _______ and caregiver to the patient and family in the context of a DNAR order.

a)

support

b)

observer

c)

critic

d)

bystander

15.

Fill in the blank: The committee members serve the health-care facility by developing its policies and procedures for handling ______ issues.

a)

ethical

b)

financial

c)

technical

d)

legal

16.

What do ethics committees focus on?

a)

Hospital finances

b)

Patients and their rights

c)

Medical research only

d)

Staff training

17.

Family members may request that the ethics committee be consulted when difficult decisions must be made or when they disagree with the decisions of medical staff.

a)

True

b)

False

18.

Nurses must understand the state and federal laws, rules, and regulations that govern ________ practice.

a)

nursing

b)

medical

c)

legal

d)

pharmaceutical

19.

Laws and ethics define the boundaries in which nurses may work and still be protected from ________.

a)

lawsuits

b)

promotion

c)

training

d)

vacation

20.

Nurses should treat all patients with respect and ________.

a)

dignity

b)

prejudice

c)

indifference

d)

favoritism

e)

neglect

21.

Nurses should develop a ________ relationship with each patient.

a)

trusting

b)

distant

c)

temporary

d)

competitive

22.

What is the definition of 'Abandonment of patient'?

a)

To desert or forsake a patient in your charge; to leave a patient in your charge without appropriate nursing replacement; wrongful termination of care

b)

To provide continuous care to a patient until discharge

c)

To transfer a patient to another nurse with proper handover

d)

To document all patient care activities accurately

23.

What is the definition of 'Advance directive'?

a)

A written statement indicating a patient’s wishes regarding future medical care in the event the patient becomes unable to voice his or her decisions; it may give consent for certain aspects of care, as well as refusal of specific care

b)

A document that lists all medications a patient is currently taking

c)

A form used to record a patient's insurance information

d)

A written order from a physician for a specific treatment

24.

What is the definition of 'Appeal'?

a)

To challenge the decision of a court to a higher court, where the decision will be either confirmed or reversed

b)

To accept the decision of a court without any objection

c)

To request a new law to be made by the government

d)

To file a complaint with the police about a crime

25.

What is the definition of 'Assault'?

a)

To purposely threaten physical harm to an individual

b)

To accidentally cause damage to property

c)

To provide medical assistance to someone in need

d)

To verbally insult someone without physical threat

26.

Fill in the blank: ________ is to touch an individual without consent.

a)

Battery

b)

Assault

c)

Negligence

d)

Defamation

27.

Fill in the blank: The individual or personal rights guaranteed by federal law, such as the Constitution and the Bill of Rights, are known as ________.

a)

Civil law

b)

Criminal law

c)

Statutory law

d)

Administrative law

28.

Fill in the blank: The legal qualification to make one’s own decisions is called ________.

a)

Competency

b)

Liability

c)

Negligence

d)

Capacity

29.

Fill in the blank: To give permission for, to agree to; the consent generally must be written is called ________.

a)

Consent

b)

Refusal

c)

Objection

d)

Denial

30.

Fill in the blank: Drugs regulated by laws; drugs that have potential for abuse, such as narcotics, are called ________.

a)

Controlled substances

b)

Over-the-counter drugs

c)

Prescription vitamins

d)

Dietary supplements

31.

Fill in the blank: Laws that protect the public or society are known as ________.

a)

Criminal law

b)

Civil law

c)

Contract law

d)

Property law

32.

Fill in the blank: Money awarded to a plaintiff upon proving injury by the defendant is called ________.

a)

Damages

b)

Liabilities

c)

Assets

d)

Deposits

33.

What is the term for the following definition? The one accused of breaking criminal or civil law.

a)

Defendant

b)

Plaintiff

c)

Witness

d)

Judge

34.

What is the term for the following definition? Legal written designation making another person responsible for one’s medical decisions.

a)

Durable medical power of attorney

b)

Living will

c)

Do Not Resuscitate order

d)

Health care proxy

35.

What is the term for the following definition? Legal consideration of one younger than age 18 years as an adult because he or she lives alone and is self-supporting, has joined the military, is married, or is a parent.

a)

Emancipated minor

b)

Dependent minor

c)

Ward of the state

d)

Juvenile delinquent

36.

What is the term for the following definition? One’s responsibility for his or her own actions, such as acts of negligence.

a)

Liability

b)

Immunity

c)

Privilege

d)

Consent

37.

What is the term for the following definition? False written statements about another that are made publicly known, with intent to harm.

a)

Libel

b)

Slander

c)

Perjury

d)

Forgery

38.

What is the term for the following definition? Injury, loss, or damage to a patient because of failure to provide a reasonable standard of care or demonstrate a reasonable level of skill.

a)

Malpractice

b)

Negligence

c)

Consent

d)

Diagnosis

39.

What is the term for the following definition? Failure to provide certain care that another person of the same education and locale would generally provide under the same circumstances.

a)

Negligence

b)

Malpractice

c)

Consent

d)

Battery

40.

What is the term for the following definition? The one accusing another of criminal or civil law violation.

a)

Plaintiff

b)

Defendant

c)

Witness

d)

Bailiff

41.

What is the term for the following definition? A written law.

a)

Statute

b)

Ordinance

c)

Precedent

d)

Custom

42.

What is the term for the following definition? A violation of a civil law; involves a wrong against an individual or his or her property.

a)

Tort

b)

Felony

c)

Contract

d)

Misdemeanor

43.

What type of law protects constitutional rights, such as those found in the Bill of Rights?

a)

Constitutional law

b)

Criminal law

c)

Contract law

d)

Administrative law

44.

Which type of law includes federal, state, and local laws, such as Nurse Practice Acts?

a)

Statutory law

b)

Common law

c)

Criminal law

d)

Civil law

45.

Which type of law is written in response to court cases?

a)

Case or judicial law

b)

Statutory law

c)

Constitutional law

d)

Administrative law

46.

Criminal laws _________.

a)

Involve an individual's personal rights

b)

Protect the public as a whole

c)

Are only for businesses

d)

Are not enforced by the government

47.

Civil laws _________.

a)

Protect the public as a whole

b)

Involve an individual's personal rights

c)

Are only for criminal cases

d)

Are not enforced by the government

48.

What does the Health Insurance Portability and Accountability Act of 1996 (HIPAA) provide for?

a)

Confidential maintenance of protected health information

b)

Public access to health information

c)

Free healthcare for all

d)

Mandatory health insurance

49.

Which rule under HIPAA establishes national standards designed to protect health information?

a)

Security rule

b)

Privacy rule

c)

Confidentiality rule

d)

Access rule

50.

The Security rule under HIPAA requires reasonable safeguards to ensure the confidentiality and security of protected health information to include the electronic health record (HER).

a)

True

b)

False

51.

Fill in the blank: The Privacy rule under HIPAA establishes national standards designed to protect ________ information.

a)

health

b)

financial

c)

educational

d)

employment

52.

What does the Health Information Technology for Economic and Clinical Health (HITECH) Act (2009) stimulate the adoption of?

a)

The EHR (Electronic Health Record)

b)

The Affordable Care Act

c)

The Food and Drug Administration Modernization Act

d)

The Health Insurance Portability and Accountability Act

53.

According to the HITECH Act (2009), what is required of health-care providers not using an EHR by 2015?

a)

They receive incentives

b)

They face established penalties

c)

They are exempt from regulations

d)

They must close their practice

54.

The Breach Notification Rule requires health-care businesses to notify individuals in writing when private health information is known to have been accessed without authorization.

a)

True

b)

False

55.

What does each state's Nurse Practice Act (NPA) define?

a)

The scope of nursing within its state.

b)

The salary of nurses in each state.

c)

The number of hospitals in each state.

d)

The curriculum for medical schools.

56.

Which agency is designated to administer and enforce the Nurse Practice Act (NPA)?

a)

National Council of State Boards of Nursing

b)

Boards on nursing

c)

State legislature

d)

Department of Health

57.

Boards on nursing have the authority to:

a)

License nurses

b)

Take disciplinary measures against nurses who fail to follow the NPA

c)

Regulate the practice of nursing as well as nursing education

d)

All of the above

58.

The National Council of State Boards of Nursing (NCSBN) is responsible for protecting the public’s health, safety, and welfare.

a)

True

b)

False

59.

Licensure for nurses is obtained through which examination?

a)

NCLEX

b)

USMLE

c)

GRE

d)

LSAT

60.

According to the Mandatory Reporting Law, most states require the reporting of certain situations to the proper authorities. Which of the following is NOT typically required to be reported?

a)

Outbreaks of disease or illnesses

b)

Child abuse

c)

Traffic violations

d)

Elder abuse

61.

List one situation that nurses are required to report under the Mandatory Reporting Law.

a)

Child abuse

b)

Late arrival to work

c)

Patient requesting a second opinion

d)

Patient refusing medication

62.

Which of the following is included in the statutes that nurses must report under the Mandatory Reporting Law?

a)

Abuse of disabled individuals

b)

Littering

c)

Jaywalking

d)

Noise complaints

63.

Elder abuse is one of the situations that must be reported by nurses according to the Mandatory Reporting Law.

a)

True

b)

False

64.

According to the Good Samaritan Law, who is provided legal protection at sites of accidents and emergencies?

a)

Only doctors

b)

Voluntary caregivers

c)

Only police officers

d)

Only emergency response workers

65.

The Good Samaritan Law serves to protect a citizen, nurse, or other health-care provider from ______ if they choose to stop and help at an accident or emergency site.

a)

legal liability

b)

financial reward

c)

mandatory reporting

d)

medical training requirements

66.

True or False: The Good Samaritan Law applies to staff in health-care facilities and individuals employed as emergency response workers.

a)

True

b)

False

67.

What is the main purpose of the Good Samaritan Law as it relates to nurses?

a)

To protect nurses and other voluntary caregivers from legal liability when providing assistance at accident or emergency sites.

b)

To require nurses to provide care in all emergency situations regardless of personal risk.

c)

To allow nurses to prescribe medication without a license during emergencies.

d)

To mandate that nurses report all accidents to law enforcement immediately.

68.

Fill in the blank: _______ occurs when a nurse’s action fails to meet professional standards of care and injures a patient.

a)

Malpractice

b)

Negligence

c)

Consent

d)

Confidentiality

69.

Fill in the blank: _______ occurs when a nurse does something that a reasonably prudent person would not do or fails to do something that a reasonably prudent person would do.

a)

Negligence

b)

Advocacy

c)

Confidentiality

d)

Autonomy

70.

Fill in the blank: _______ can occur through the use of restraint devices.

a)

False imprisonment

b)

Informed consent

c)

Medical negligence

d)

Patient autonomy

71.

What is the definition of assault in the context of civil laws affecting nurses?

a)

Intentional physical contact without consent that causes injury or offensive touching

b)

To threaten a patient with harm or to show intent to touch a patient without permission

c)

Unwelcome sexual advances

d)

Continued unwanted or annoying actions

72.

What is battery according to civil laws affecting nurses?

a)

To threaten a patient with harm

b)

Intentional physical contact without consent that causes injury or offensive touching

c)

Unwelcome sexual advances

d)

Continued unwanted or annoying actions

73.

Fill in the blank: Harassment can be defined as continued ______ or annoying actions.

a)

unwanted

b)

welcomed

c)

expected

d)

invited

74.

Sexual harassment includes which of the following?

a)

Intentional physical contact without consent

b)

Unwelcome sexual advances, comments of a sexual nature, or offensive remarks about a person’s sex

c)

To threaten a patient with harm

d)

Continued unwanted or annoying actions

75.

According to the Good Samaritan Law, who receives legal protection?

a)

Health-care staff

b)

Emergency response workers

c)

Voluntary caregivers

d)

All of the above

76.

The Good Samaritan Law applies to emergency situations.

a)

True

b)

False

77.

Fill in the blank: The Good Samaritan Law does not apply to ________ or emergency response workers.

a)

health-care staff

b)

teachers

c)

students

d)

engineers

78.

Which of the following is NOT covered by the Good Samaritan Law?

a)

Voluntary caregivers

b)

Health-care staff

c)

Emergency situations

d)

None of the above

79.

What is the most common area of civil law that affects nurses?

a)

Statutory

b)

Tort

c)

False imprisonment

d)

Criminal

80.

What is the most common area of civil law that affects nurses?

a)

Contract

b)

Tort

c)

Criminal

d)

Administrative

81.

What is a patient health record?

a)

A health record kept on patients who enter the health-care system.

b)

A record of a patient's financial transactions.

c)

A list of hospital staff members.

d)

A schedule of hospital events.

82.

Which of the following is NOT a purpose of a patient health record?

a)

Provides data about the patient’s health status

b)

Communication among health-care providers

c)

Serves as a source of information about the patient’s condition

d)

Provides legal advice to patients

83.

Fill in the blank: Informed consent is a voluntary agreement made by a well-advised, mentally competent patient to be treated by a ________ or institution.

a)

health-care provider

b)

family member

c)

insurance agent

d)

legal advisor

84.

Communication among health-care providers is one of the purposes of a patient health record.

a)

True

b)

False

85.

Fill in the blank: ________ are written documents that provide guidelines for making medical decisions in the event a person becomes incapacitated and unable to make wishes known.

a)

Advance directive

b)

Prescription

c)

Medical history

d)

Insurance policy

86.

Fill in the blank: An ________ is completed in the event of an unusual occurrence or an accident.

a)

Incident report

b)

Expense report

c)

Inventory sheet

d)

Maintenance log

87.

What is the name for the written documents that provide guidelines for making medical decisions in the event a person becomes incapacitated?

a)

Advance directive

b)

Informed consent

c)

Nurse practice acts

d)

DNR orders

88.

Which of the following is recognized by all states as a legal document that allows individuals to outline their preferences for medical care if they become unable to communicate?

a)

Advance directive

b)

Medical order

c)

Health insurance

d)

Physician's note

89.

Which of the following is an example of being accountable as a professional?

a)

Assure assignments are within your ability

b)

Ignore patient assignments

c)

Take on extra shifts even if fatigued

d)

Refuse to secure liability insurance

90.

What should you do if you are fatigued and asked to work an extra shift?

a)

Accept the shift

b)

Refuse the extra shift

c)

Ignore the request

d)

Abandon your current assignment

91.

Fill in the blank: Do not ______ patient assignments.

a)

abandon

b)

accept

c)

review

d)

complete

92.

Securing professional liability insurance is an example of a(n) ______ responsibility.

a)

professional

b)

personal

c)

financial

d)

legal

93.

Which of the following is a professional responsibility?

a)

Establishing professional boundaries

b)

Ignoring liability insurance

c)

Abandoning patient assignments

d)

Taking on tasks beyond your ability

94.

Which of the following is considered inappropriate involvement when establishing professional boundaries?

a)

Seeing a patient socially

b)

Maintaining a professional relationship

c)

Refusing gifts from a patient

d)

Keeping patient information confidential

95.

Is having a physical or sexual relationship with a patient or the patient’s family considered inappropriate involvement when establishing professional boundaries?

a)

True

b)

False

96.

Taking money or gifts from a patient is an example of inappropriate involvement when establishing professional boundaries.

a)

True

b)

False

97.

Fill in the blank: One of the NCSBN five rights of delegation is ________ task.

a)

the right task

b)

the easy task

c)

the urgent task

d)

the complex task

98.

Fill in the blank: One of the NCSBN five rights of delegation is under the ________ circumstances.

a)

right

b)

wrong

c)

difficult

d)

easy

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