PDF Test Bank For Ethics and Issues in Contemporary Nursing 2Nd Canadian Edition Burkhardt Online Ebook Full Chapter
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Test Bank for Ethics and Issues in Contemporary Nursing, 2nd Canadian Edition : Burkhardt
MULTIPLE CHOICE
2. The nurse manager asks Martha, a staff nurse, if she will work an additional four hours at the
end of her shift. Martha’s patient is unstable, and there are not enough nurses on the next shift
to care for him adequately. If she works overtime, Martha will have to break a promise she
made to watch her children’s soccer game. What is this situation an example of?
a. moral distress
b. a moral dilemma
c. moral reckoning
d. a practical dilemma
ANS: D PTS: 1 REF: p. 124 BLM: Higher Order
3. A registered nurse witnesses another nurse violating a patient’s autonomy. Even though she
did not participate in the action, the nurse who witnessed the act experiences powerlessness,
frustration, and anger. What does this reaction describe?
a. moral distress
b. moral uncertainty
c. moral outrage
d. moral disengagement
ANS: C PTS: 1 REF: p. 126 BLM: Higher Order
6. The nurse is involving all stakeholders and has identified and proposed new options to
institutional guidelines. Applying the nursing process, what stage would the nurse be using,
according to the College of Nurses Practice Standard for Ethics?
a. Assessing the situation
b. Deciding upon an approach
c. Taking action
d. Evaluation
ANS: D PTS: 1 REF: p. 129 BLM: Higher Order
7. Michael, an ICU nurse, worked with the team as they followed the physician’s order to
discontinue life support on a patient diagnosed with persistent vegetative state. Michael
believes that life is sacred and that he has a duty to do whatever it takes to preserve life.
Nevertheless, he remained silent as the decision was made, and he assisted his coworkers
when they unplugged the respirator. In this situation, what is Michael likely to experience?
a. moral uncertainty
b. moral distress
c. moral outrage
d. moral perplexity
ANS: B PTS: 1 REF: p. 124–125 BLM: Higher Order
9. During which step of the moral decision-making process is it appropriate to determine the key
participants?
a. data gathering
b. problem articulation
c. strategy exploration
d. strategy implementation
ANS: A PTS: 1 REF: p. 133 BLM: Higher Order
10. The nurse and other members of the healthcare team participate with the patient in making a
particularly difficult moral decision. If the CNO Practice Standard for Ethics is properly
implemented, which of the following may occur?
a. The nurse disagrees with the decision.
b. Emotions are active and determine the decision.
c. The patient’s feelings are devalued, as they are too emotional.
d. Support is provided to the healthcare team and the patient.
ANS: D PTS: 1 REF: p. 128–129 BLM: Higher Order
12. What step in the process of ethical decision making involves the nurse examining the situation
for evidence of conflicting obligations, principles, duties, rights, loyalties, values, or beliefs?
a. Identify options.
b. Determine moral perspective.
c. Gather facts in order to clarify issues.
d. Determine desired outcomes.
ANS: C PTS: 1 REF: p. 132 BLM: Remember
13. What step in the process of ethical decision making involves participants excluding results
that are totally unacceptable, along with their potential consequences?
a. Identify options.
b. Determine moral perspective.
c. Gather data and identify conflicting moral claims.
d. Determine desired outcomes.
ANS: D PTS: 1 REF: p. 135 BLM: Remember
14. According to Thomas and Waluchow, which of the following is an example of a pre-reflective
statement in response to a moral question?
a. “Abortion should never happen because it is murder.”
b. “Abortion is a difficult concept to accept for many because of the social values we
place on life.”
c. “I disagree with abortion because it will directly cause death. My spiritual beliefs
prohibit this on the basis of protecting sanctity of life.”
d. “Abortion is morally permissible because the rights of the pregnant woman take
priority over the right of the fetus.”
ANS: C PTS: 1 REF: p. 134 BLM: Higher Order
15. A couple are pregnant with their second child and, during a routine ultrasound, the physician
discovers that the fetus is anencephalic. The life expectancy of an anencephalic baby is only a
few weeks after birth. The couple struggle with the choice of whether to terminate the
pregnancy at this time or to carry to term. The couple decide to terminate the pregnancy. What
stage of the ethical decision making process is this?
a. determining desired outcomes
b. evaluating outcomes of action
c. identifying options
d. acting on the choice
ANS: D PTS: 1 REF: p. 136 BLM: Higher Order
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