Ethics in Nursing

Generally speaking, most businesses and professions have a code of ethics for practitioners because the code:

Is a legal requirement Is a religious requirement Increases the credibility of the profession Decreases the legal fees if a malpractice lawsuit is brought against the organization

Ethics are not based on government laws because:

Ethics are the same as laws All laws may not be ethical at all times Laws cover only legal requirements and have no bearing on the social value of a nurse Professional bodes who govern the field of nursing do not agree with the laws of most countries

None of the following should be used in a code of ethics EXCEPT:

Social norms Personal feelings Religious doctrine Professionally mandated standards

The primary body which regulates and creates ethical guidelines for the field of nursing in America is the:

Nursing Association of America (NAA) Nursing Federation of America (NFA) American Nursing Association (ANA) US Nurses (USN)

There have been many changes and additions made to the code of ethics for nurses but the basics principles have remained the same. All of the following are a part of those basic principles EXCEPT:

Doing no harm Performing beneficial services Remaining loyal to the profession Not switching to a different field of nursing

If a nurse shows a preference for and provides services with more diligence/care to an economically better off person as compare to another who is economically worse off, she is violating the code of ethics by ignorin

Provision 1, which says that a nurse must not do any harm Provision 1, which says that a nurse should not have any biases Provision 6, which says that services must be given equally to all patients Provision 6, which says that no difference in treatment can be maintained between the rich and the poor

An ethical nurse wishes to improve the level of research done in the nursing field and spends a lot of her time on that to the point that her patients begin to suffer. This act would be:

Ethical, because the nurse would be helping a lot more people by active research Ethical, because research is one of the primary duties of the nurse Unethical, because the basic responsibility of that nurse are the patients under her care Unethical, because research is only supposed to be done by doctors

When it comes to the rights of the patient, the most important ethical obligation for a nurse is the patient's right towards:

Privacy and confidentiality Assisted suicide Euthanasia Abortion

In terms of the ethical rights concerning research subjects, a research subject can voluntarily withdraw from the study:

Only at certain preset withdrawal points Only at the beginning of the study At the end of the study At any time

Alfred is suffering from terminal cancer and it is not expected that he will live for more than a few more days. He reports that he is in extreme pain and asks for something which can alleviate the pain symptom. You can give him Drug X to alleviate the pain but you know that Drug X will also hasten the dying process. Is it ethical to give Drug X to Alfred:

No, this would be euthanasia which is unethical No, only doctors can give drugs which can lead to euthanasia Yes, because euthanasia in cases of extreme pain is ethically mandated Yes, because drugs can be given to alleviate pain even if they hasten the dying process

The confidential information given to a nurse by a patient should be shared with legal authorities if the nurse discovers that the patient:

Is harming others through his activities Has had a mental disorder in the past Is a regular underage drinker Has had an illegal abortion

As per the code of ethics, the clinical work environment should be maintained as conducive towards ___________ as possible

Research Medical care Social benefits Nurses salaries

All of the following can be understood as ethical breaches except:

Incompetence in patient care Self administration of controlled drugs Sharing confidential information with unauthorized individuals Reporting unethical activities and practices to higher authorities

If a nurse wishes to make a report of unethical activities, the first party which needs to be informed about the situation is:

Nursing associations at the state level Nursing associations at the national level. The teams of supervisors at the given location Legal authorities like the police and the office of the district attorney

All of the following are ways in which the field of nursing can be advanced in ethical and collaborative ways EXCEPT:

Performing counseling duties Participating in the education of others Removing nurses with low competence from service Improving the rules concerning the delivery of health care services

If you are working as a supervisor for other nurses you are ethically supposed to assign tasks to them based on their:

Level of education Level of competence Willingness to do the job Personal requests for task assignments

If you find one of your fellow nurses working to the point of total and complete exhaustion in his efforts to provide assistance to patients you would tell him that he:

Should continue to work at the same pace since the patients are his ultimate responsibility Might fall sick and violate the ethics of keeping a clean environment Owes the same duty to himself as to others and should rest Is following ethical guidelines exactly

The improvement and further development of the working environment is a particular responsibility of:

Nurses in supervisory/administrative positions Unlicensed medical support staff Licensed doctors alone All nurses

While many ethical issues can be solved with individual effort, some require global collaborative action. Of the following, which is the one issue that would require individual action from a nurse who observes such happenings?

An Increasing level of pollution in the environment An overall decrease in world health standards A rise in world hunger and poverty levels A lack of nursing competence

It could create an ethical conflict of interest for the nurse if the nurse was asked to:

Assist with a life saving abortion Inform a terminal patient about a potentially life saving treatment Join an incentive program to reduce spending on patient care while providing higher levels of service Share relevant information about a patient under her care with a doctor who is conducting research on the patient's disease

Nurse Sarah has observed that her long time friend, Nurse Victoria is often engaged in unethical activities at work. However, Sarah does not discuss the situation with Victoria nor does she inform the relevant authorities. The most likely reason for this is:

Only nurses with supervisory roles or those in administrative positions are able to call up others regarding a breach of ethics Nurse Sarah has a misplaced sense of loyalty due to her long standing friendship with Nurse Victoria Nurses Sarah is not supposed to discuss a breach of ethics unless they are asked about it The Unethical acts of Nurse Victoria can be ignored at will

If a nurse discovers that s/he has a conflict of interest with the duties she is given then the first step s/he should take is:

Inform her immediate supervisors about the conflicting interests Take the matter to law enforcement agencies in the locality Discuss the matter with the patient s/he is assisting Informing the American Nursing Association

Even though a conscientious moral objection can be made to certain commonly accepted medical practices, the moral objection would not protect the nurse from:

A breach of the code of ethics Following the orders given by a medical practitioner Continued inclusion in other procedures of the same nature Disciplinary action including official and unofficial penalties imposed by the workplace

In present times, one of the topics which has raised many ethical concerns for the nursing profession is the subject of:

Unlicensed medical professionals The use of Alternative medical techniques An ethical acceptance of nurses who illegally trade controlled substances Hospitals importing human capital in the shape of qualified nurses from developing countries

In ethical terms, a whistle blower who informs you about unethical practices being conducted in the workplace should be:

Given support and helped Told about their own ethical shortcomings Reminded that s/he should remain loyal to the field of nursing