Ethical Legal Issues Canadian Nursing 3rd Edition by neial B.Smith
Ethical Legal Issues Canadian Nursing 3rd Edition by neial B.Smith
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Chapter 11: Caregiver Rights
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | A nurse refuses to care for a homosexual patient. |
| b. | A nurse refuses to care for a cocaine-addicted patient. |
| c. | A nurse refuses to assist in an abortion. |
| d. | A nurse refuses to care for patients of the opposite sex. |
ANS: C
Correct C: This would be considered a conscientious objection. As long as the procedure is not an emergency, the nurse does not have to participate in a procedure or provide care that she finds objectionable on moral or religious grounds. In order to avoid such situations, it is important that the nurse makes her moral or religious position known to her employer in advance. However, the nurse cannot refuse to care for a patient who has had an abortion.
Incorrect A: This is not an example of a conscientious objection. Refusing to care for a patient on the basis of sexual orientation would be considered discrimination and contradict the ethical principles of beneficence and nonmaleficence and of the nurse’s professional duties and responsibilities.
Incorrect B: This is not an example of a conscientious objection. Refusing to care for a patient on the basis of the patient’s behaviour would contradict the ethical principles of beneficence and nonmaleficence and of the nurse’s professional duties and responsibilities.
Incorrect D: This is not an example of a conscientious objection. Refusing to care for a patient on the basis of gender would be considered discrimination and contradict the ethical principles of beneficence and nonmaleficence and of the nurse’s professional duties and responsibilities.
DIF: Cognitive level: Synthesis REF: pp. 349–352
| a. | It is acceptable because the nurse might become infected with SARS and could then pass the infection on to her family. |
| b. | It is not acceptable because the CNA Code of Ethics for Registered Nurses states that in a natural or human-made disaster, nurses have a duty to provide care to all patients. |
| c. | It is acceptable if appropriate safety precautions are not in place. |
| d. | It is not acceptable because the principle of justice dictates that the SARS patient deserves the same care as everyone else. |
ANS: C
Correct C: It may be acceptable for the nurse to refuse to care for the SARS patient if appropriate safety measures and training are not in place. The CNA Code of Ethics for Registered Nurses states that “during a natural or human-made disaster, including a communicable disease outbreak, nurses have a duty to provide care using appropriate safety precautions.” It is the responsibility of the system and organizations to put strategies in place to prevent harm to caregivers in these high-risk situations.
Incorrect A: The chance that the nurse might contract SARS is not a valid reason to refuse to care for the patient.
Incorrect B: This is only partially true.
Incorrect D: This is not true in all circumstances.
DIF: Cognitive level: Synthesis REF: p. 352
| a. | Reduced absenteeism |
| b. | Increased staff commitment to the organization |
| c. | High levels of staff satisfaction |
| d. | All of the above |
ANS: D
Correct D: All of the above apply. A positive and healthy work culture results in reduced absenteeism, high levels of staff satisfaction, a sustained staff commitment to the organization, and improved ability to attract and retain new employees.
Incorrect A: All of the above apply. A positive and healthy work culture results in reduced absenteeism, high levels of staff satisfaction, a sustained staff commitment to the organization, and improved ability to attract and retain new employees.
Incorrect B: All of the above apply. A positive and healthy work culture results in reduced absenteeism, high levels of staff satisfaction, a sustained staff commitment to the organization, and improved ability to attract and retain new employees.
Incorrect C: All of the above apply. A positive and healthy work culture results in reduced absenteeism, high levels of staff satisfaction, a sustained staff commitment to the organization, and improved ability to attract and retain new employees.
DIF: Cognitive level: Knowledge REF: p. 353
| a. | To conform with provincial legislation |
| b. | To protect employees and keep employers from “cutting corners” |
| c. | To identify and recommend solutions to potential workplace hazards |
| d. | To meet collective agreement obligations |
ANS: C
Correct C: The primary purpose of workplace occupational health and safety committees is to identify and recommend solutions to potentially hazardous conditions in the workplace.
Incorrect A: Provincial legislation may require the formation of workplace occupational health and safety committees, but the primary purpose of such committees is not to conform with this legislation.
Incorrect B: Protecting employees is an effect of occupational health and safety committees, not the primary purpose.
Incorrect D: Collective agreements may outline requirements for membership on occupational health and safety committees, but meeting these obligations is not the primary purpose of these committees.
DIF: Cognitive level: Comprehension REF: p. 356
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