Chapter 04: Ethics in Community Health Nursing Practice

Chapter 04: Ethics in Community Health Nursing Practice

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. When and by whom was nursing’s first code of ethics written?

ANS:  A

The Nightingale Pledge, considered nursing’s first code of ethics, was written by Lystra Gretter in 1893.

DIF:    Cognitive Level: Remember (Knowledge)                         REF:   p. 53

2. A nurse didn’t know what to do when faced with a particular ethical dilemma because an option that would have a good outcome didn’t seem possible. The nurse decided to talk to the agency supervisor and decide what action to take. Which of the following best describes the nurse’s actions?

ANS:  C

Ethically, each nurse is responsible for his or her own decisions and cannot avoid ethical accountability by relying on obedience to a supervisor or any external rule or policy.

DIF:    Cognitive Level: Apply (Application)                               REF:   p. 54

3. Which of the following is the first and most crucial step in the ethical decision-making process?

ANS:  C

The first step in the ethical decision-making framework is to carefully identify the ethical issue or dilemma.

DIF:    Cognitive Level: Understand (Comprehension)                  REF:   p. 54

4. A nurse is asked to meet with a family who recently emigrated from Botswana (Africa). After the clinical doctor tells the husband the wife’s diagnosis of breast cancer, the family thanks the physician and starts to leave. Ethically, which of the following is the nurse’s most important action?

ANS:  D

Any of the actions might be taken. However, the United States is a multicultural nation with diverse ethnic groups and diverse values. Before any intervention can be made, the health care professionals must understand the family’s cultural, psychological, social, communal, and environmental contexts, because these contexts affect the way issues are formulated and decisions are made. Consequently, it is crucial to interview the family to determine their understanding of the situation before deciding what, if any, intervention must be made. In many cultures the family, rather than the individual, is the unit of primary concern.

DIF:    Cognitive Level: Analyze (Analysis)                                 REF:   p. 54