Name:___________________________________________________________________ Date:____________ 1. A nurse knows that this part of philosophy which deals with systematic approaches to questions of morality is: A. nursing morals C. nursing ethics morals D. ethics B. 2. Nurses understanding of ethico-legal ethico-legal responsibility responsibility will guide his/her nursing nursing practice. The principle that that governs right and proper conducts of a person regarding life, biology and health profession is referred to as: A. morality B. religion C. values D. bioethics
A. B. C. D.
3. The final decision on your your ethical actions are most most influenced by your: Ethical knowledge Conscience Norms of society Religious beliefs 4. The best course course of action action when faced faced with ethical ethical difficulties: difficulties: B. Discus Discusss with with your your lawye lawyer r C. Assess Assess ethi ethica call proble problem m in quest question ion D. Reflec Reflectt on your your consc conscien ience ce E. Refer Refer to a spirit spiritual ual counse counselor lor 5. Health care issues often become an ethical dilemma because because of which of the following? A. decision decision must must be made made quickly quickly often often under under a stressful stressful condit condition ion B. decision decision must must be made based on individ individual ual syste systems ms C. the choices choices involve involved d do not appear appear to be be clearly clearly right right or wrong wrong D. a client’s client’s legal legal rights rights co-exis co-existt with with health health profession profession 6. As the nurse in the prenatal clinic, you are able to protect patients’ right to every consideration consideration of his privacy by observing which of the following? A. in doing physical examination, the nurse provides by applying the needed legging or drape and a room of enclosed area B. the nurse nurse accepts accepts the patient’s patient’s desire desire not to to take experime experimental ntal drugs drugs and a regimen regimen C. the nurse nurse encourage encouragess patients patients to partic participat ipatee planning planning her care care D. the drug drug does not impose impose any any treatme treatment nt if the clien clientt refuses refuses to 7. Informed consent is necessary for the treatment for involuntary involuntary clients. When this cannot be obtained, permission may be taken from the: B. doctor C. next kin or guardian D. chief nurse A. social worker 8. A nurse who supports a patient and family’s need to make decisions that is right for them is practicing which of the following ethical principles: A. autonomy B. confidentiality C. privacy D. Truthfulness 9. In anticipation that a mother mother might refuse breathing breathing treatment, one of her children children signed the consent in her behalf. behalf. The nurse explains that his mother is rational in her thinking and which of the following clients’ rights must be regarded? C. right to informed consent A. right to refuse treatment D. right of habeas consent B. right to privacy 10. It is unethical to tell one’s friends and family members data about the patient because doing so is a violation of patient’s rights to: A. Least restrictive environment C. co confidentiality informed consent D. civil liberty B. 11. You informed the patient about his right which include the following EXCEPT: EXCEPT: A. Right to expect reasonable continuity of care B. Right to consent to or decline to participate in research studies or experiments C. Right to obtain information about another patient D. Right to expect that the the records about his care will be treated treated as confidential. confidential. 12. A mother who is pregnant and has has ovarian cancer has to undergo surgery surgery to treat the cancer. cancer. In the process the fetus died. The doctrine that justifies justifies the death of the fetus fetus is: A. justice B. autonomy C. exception of the rule D. double effect 13. Bioethics Bioethics in caring for children children capitalizes capitalizes on some important important principle principles. s. You are expected expected to know these by heart because nurses care for children as well as adults. What is the principle to hold on when caring for children who have been abandoned and abused?
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A. Res Respect
B. constant assurance
C. autonomy
D. allocation of resources
14. In choosing sharp intramuscular needles for injections, injections, you are practicing this principle: A. beneficence B. respect C. justice D. non-maleficence 15. The right to autonomy by the patient is made possible if: A. patient’s patient’s health health condition condition and and medical medical treatment treatment is is provided provided B. patien patientt has the the freedo freedom m to decide decide on his his own own C. patient patient has has the the freed freedom om to to choose choose hospital hospital D. all all of of the the abov abovee 16. A registered nurse believes that a patient should be treated treated as individual. This ethical principle that that the patient referred to: A. be beneficence B. nonmaleficence C. respect for person D. autonomy 17 When patients cannot make decision for themselves, themselves, the nurse advocate relies on the ethical principle of C. beneficence and nonmaleficence A. justice and beneficence D. fidelity and justice B. fidelity and nonmaleficence 18. A patient refuses surgery and states “I don’t need surgery, let my condition heal by itself” what principle is applied? A. beneficence B. justice C. autonomy D. Advocacy 19. When a nurse is providing care to her/his patient, she/he must remember remember that she is duty bound not to do any action that will cause the patient patient harm. This is the meaning meaning of the ethical principle: A. non-maleficence C. Justice B. beneficence D. Solidarity 20. When a nurse is asked to testify testify in court, she/he must must abide by the ethical principle of: A. pr privileged communication C. Solidarity B. informed consent D. Autonomy 21. A nurse would be correct if he or she identifies that one of the following is a characteristic of the principle of Nonmaleficence: A. A nurse must always always prevent prevent evil or harm for for his patient B. A nurse must always always remove evil or harm for for his client C. A nurse must not not allow to give give a wrong medication medication for the client client D. A nurse must must always promote good for his client client 22. This principle deals with fairness and entitlements in the distribution of goods and services. A. Stewardship C. Confidentiality Confidentiality B. Autonomy D. Justice 23. A thumb mark of a comatose comatose patient in the informed consent consent is considered: A. misrepresen sentation B. “nothing” C. not valid signature D. a valid signature
A. B.
24. The patient has a right right to information information regarding the operation or other invasive invasive procedure, procedure, and potential effects. effects. This right is achieved through: informed consent C. charting preoperative visit
D. doctor’s rounds
25. All of the following are basic elements of informed consent, which one is not: A. disclosure C. silence B. understanding D. voluntariness 26. Bioethical issues issues confronting nurses usually involves birth and death. Active or positive euthanasia euthanasia is a deliberate deliberate act to end a person’s life. Which of the following following is passive or negative? A. administer a criminal criminal substance to hasten death death B. not doing CPR nor administering oxygen oxygen after a reported cardiac arrest C. removing life support support system to alleviate alleviate prolonged suffering D. prescribing an agent agent that would result result to death
One of the realities that we are are confronted with is morality. morality. It is important for us nurses to be aware aware of how we view suffering, pain, illness and even our death as well as its meaning, that way we can help our patients cope with death and dying. Situation:
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27. Irma is terminally ill; she speaks speaks to you in confidence. You now fell that Irma’s family could be helpful helpful if they knew what Irma has told you. you. What should you do first? first? A. tell the physician physician who in turn could tell the family family B. obtain Irma’s permission permission to share the information information with the family C. tell Irma that she has to tell tell her family what what she told you D. make an appointment to discuss the situation with the family 28. Ruby who has been told she has terminal cancer turns away and refuses to respond to you. You can best help her by: A. coming back periodically and indicating yours availability if she would like you to sit with her B. insisting that Ruby should talk with you because because it is not good to keep everything inside C. learning her atone because because she is uncooperative and unpleasant unpleasant to be with D. encourage her to be physically physically active as possible 29. Leo who is terminally ill and recognize that he is in the process of losing everything, everybody he loves, is depressed. Which of the following would best help him during depression? A. arrange for visitors visitors who might cheer him B. sit down and talk talk with him for a while C. encourage him to look at the bright side of things D. sit silently with him 30. Maria, 90 years old has planned ahead for her death – Philosophically, socially, socially, financially, and emotionally. This is recognized as: A. acceptance that death is inevitable C. denial with planning for continued life B. avoidance of the true sedation D. awareness that death will soon occur 31. Which of the following students would best indicate that Ruffy, who is dying has accepted this impending death? A. “I’m ready to die” C. “What’s the use?” B. “I have resigned myself to dying” D. “I “ I am giving up” 32. One of the major ethical principles in research is beneficence that includes: A. Right to protection protection from physical /psychological /psychological harm B. Right to full disclosure disclosure C. Right to performance performance of good sources sources D. Right to protection protection of participants from exploitation exploitation 33. The belief that euthanasia euthanasia is absolutely wrong wrong in any scenario, it is a: a: A. moral belief C. personal belief B. ethical issue D. ethical principle 34. Euthanasia is an ethical dilemma which which confronts nurses on the intensive care unit because: A. the choices choices involve involved d do not appear appear to be clear clearly ly right right or wrong wrong B. a client’s client’s legal legal right co-exis co-existt with the nurse’ nurse’ss profession professional al obligation obligation C. decisions decisions has to to be made based on social social norms norms D. decisions decisions has has to be made quickly, quickly, often often under under stressful stressful conditio conditions ns 35. A patient is terminally ill and experiencing experiencing severe pain. She has liver and bone metastasis and under morphine for several months. The patient knows they are financially incapable incapable to settle hospital accounts. She decided to sign a DNR form. What principle is used as the basis of allowing her? a. justice b. b. autonomy c. beneficence d. advocacy 36. One bioethical issue that has surfaced in the country is the case of organ transplant. An organ such as the kidney which is to be used as transplant maybe removed from the donor only: a. within 24 hours after death b. when an EEG shows no evidence of brain activity c. after respiration and pulse cease d. only after permission is obtained 37. Currently, there there is a proposed bill to legalize legalize abortion. Which of the following following statement about abortion abortion is currently true? a. abortion is acceptable if done for therapeutic reason b. nurses are legally obliged to assist abortion c. abortion is legally permissible before the end of the mid month d. abortion is absolutely illegal in the Philippines 38. Which of the following statements statements is TRUE of abortion in the Philippines? A. Induced abortion is allowed allowed in cases of rape and incest B. Induced abortion is both a criminal criminal act and an unethical act act for the nurse
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C. Abortion maybe considered considered acceptable if the mother is unprepared for the pregnancy D. A nurse who performs induced abortion will have no legal accountability accountability if the mother requested that abortion done on her 39. Which of the following factors have increased increased ethical decision-making problems for nurses? A. changing religious views C. changing moral standards B. changing technology D. changing career opportunities 40. It is best for a nurse whose personal philosophy contradictory to birth control control measures to do which of the following? a. recognize the rights of other individuals not to hold the same beliefs as hers b. explain the personal belief prior to discussing birth control measures measures with the client c. ask the client to consider her desire for birth control information d. request for another nurse to do birth control counselling 41. A patient has been in the ICU for 2 weeks, the relatives have consented to a “DNR” order when the patient develops a cardiac arrest, the nurse will carry out which of the following actions? a. only medicines will be given b. all ordered measures will will be stopped c. basic and advanced life support will not be given d. mechanical ventilation and NGT will be stopped 42. You are taking care of critically ill client and the doctor in charge calls to order a DNR for the client. Which of the following is the appropriate action when getting DNR order on the phone? A. have the registered nurse, family spokesperson, nurse supervisor and doctor sign B. have 2 nurses validate the phone order, both nurses sign the order and the doctor should sign his order within 24 hours C. have the registered nurse, family, and doctor sign the order D. have 1 nurse take the order and sign it and have the doctor sign it within 24 hrs Nurses oftentimes encounter various ethical dilemmas in the care of their patients in special areas of the hospital like ICU and the Operating Room.
Situation:
43. One time, a nurse in the ICU was told by the hospital administrator to omit the blood transmission ordered by the doctor because the patient is going to die eventually anyway. What must the nurse do? A. Obey the the order of the hospital administrator B. Report the incident incident to the doctor doctor and risk her job defending upon the the doctor’s decision decision C. Resign from from the job as pressured by the administration administration D. Follow the the doctor’s order order and be silent about it 44. A patient with terminal cancer has reached reached the staged of acceptance. She told the nurse to discontinue all efforts to prolong her life. Which of the following should the nurse do? A. Tell the patient that it will be a sin because life is holy and dignified B. Interact with the patient and continue the care and support for the patient C. Disregard that the patient’s wish and continue all efforts to maintain patient’s life D. Seek further advice from other nurses before taking any further drastic decision 45. The dying patient was visited by his spiritual spiritual adviser. The private nurse was with the patient all the time during the chaplain’s visit. When an elderly brother came to visit, he asked the nurse what the sick brother and the chaplain was talking about. What would be the right time for the nurses to do? A. She should reveal some information that concerns the elder brother of the patient B. Tell the elder brother that relatives should keep out of the spiritual affairs of the patient C. She should not reveal anything to the visitor because it is a privilege communication D. Ask the relative to look for another nurse who may tell him even it 46. A new OR nurse finds that she is to assists in bilateral salphingectomy operation. She has heard that she might be involved in a question of mortality. The head nurse tells her that she has nothing to worry about. How could you respond to the situation? A. Report the whole matter to the head nurse B. Seek further advise from a spiritual adviser C. Assist when the indication for for the operation is is medically certain D. Examine her self for the the meantime and wait until until she become a midwife
47. Which of the following should be considered by the nurse before getting the client to sign the operative consent? consent? A. Withhold all medication eight eight hours prior to to obtaining the consent consent B. As certain that all surgeon surgeon has prepared the client explaining explaining the proposed operative operative procedure
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C. Sedate the client client to make sure she she is relaxed enough enough to sign the consent consent form without without mild anxiety anxiety D. Evaluate the client’s level of consciousness and intellectual capability capability 48. You understand that as a nurse, maintaining privacy and confidentiality confidentiality is an important aspect of which of the following? A. Hospital policy C. what all clients expect B. Nurse code of ethics D. it it is an accepted practice 49. What role do you play, when you hold all clients’ information information entrusted to you in the strictest confidence? A. Patient advocate C. Patient’s liaison B. Patient educator D. Patient arbiter 50. Which of the following is TRUE about the Code of Ethics of Filipino Filipino Nurse: A. the PNA for being the accredited Professional organization organization was given the privilege to formulate a Code of Ethics which the Board of Nurses promulgates B. Code of nurses was first promulgated in 1982 published in the proceedings of the third annual convention of the PNS House of delegates C. The present Code of Ethics utilizes the Code of Good Governance for the professional professional in the Philippines. D. Certificate of registration registration of registered registered nurses may be revoked or suspended suspended for violation of any provis provision ion of the Code of ethics 51. Based on the Code of ethics for Filipino Nurses, what is regarded as the hallmark of nursing responsibi responsibility lity and accountability? A. Human rights of clients clients regardless of creed and gender B. Privileges of being a registered registered professional professional nurses C. Health being is a fundamental fundamental right of every individual individual D. accurate document of actions and outcomes 52. Which of the following principles underlying underlying ethical code of professional nurse is considered when one tells the truth about medication error committed? A. privacy maleficence c. veracity d. beneficence Situation: Professional Professional nursing has Code of Ethics that spells out right conduct for nurses. Each nurse should have a system of values that demonstrate ethical Behavior in practice. 53. Which of the following following values in paramount in the ethical ethical practice of nursing? nursing? A. Every nursing activity activity has an ethical aspect aspect B. The welfare of the patient is is ultimate C. Nursing Nursing is a safe pract practice ice D. The purpose of nursing nursing is to promote promote human well being 54. In practicing the desire to choose “good” actions is mainly mainly based on: A. PNA code of ethics B. International council of nurses standards C. BON standards of conduct D. Nursing education ethical standard 55. The purposes of having nurses code of ethics is: A. delineate the scope and areas of nursing B. identify nursing action recommended for specific health care situations C. to help the public understand professional conduct, expected of nurses D. to define the roles and functions functions of the health care giver, nurses, nurses, clients 56. The most important nursing responsibility where ethical situations emerge in patient care is to: A. act only when advised that the action is ethically sound B. not take sides remain neutral and fair C. assume that ethical questions are the responsibility of the health team D. be accountable for his or her own action 57. The code of ethics refers refers to standards of Behavior or ideals ideals of conduct. The ability to answer answer for and stand by one’s action refers to: A. advoc dvocac acy y B. accoun counta tab bili ility C. vera veraci city ty D. resp respo onsib nsibiilit lity
A.
58. As a nurse, you are aware that your actions have ethico-legal implications. implications. Because of this, you must always be alert of those situations that demand an appropriate professional professional conduct. A basic structure against which competent care is objectively measured is which of the following? Principle B. Standard C. Law D. Codes
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59. In most instances, Filipino does not know their rights as patients. To be a patient advocate, the nurse must have good understanding of the patients’ Bill of Rights. By listening carefully to the clients and their relatives and explaining about what will happen, why and when, the nurse is observing which of the following rights? A. Right to refuse treatment treatment to the extent permitted permitted by law B. Right to expect reasonable reasonable continuity of care care C. Right to considerate considerate and respectful respectful care D. Right to know what hospital rules and regulation apply to his conduct as a patient 60. Which of the following nurses behaviors is regarded as a violation of the Code of Ethics of Filipino Nurses? Nurses? A. A nurse withholding harmful information information to the family members of a patient B. A nurse declining commission sent by a doctor for her referral C. A nurse endorsing a person running for congress D. nurse reviewer and or a nurse review center managers who pays a considerable cash for reviewee who would memorize items from the licensure examinations and submit these to them after the examination
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______________________________________________________________________________ PROFAD-01 -013 Ian Ian Slade Academic Enhancement Center QBank 8
