Professional Adjustment (1)

Name:___________________________________________________________________ Date:____________ 1. A nurse knows that this part of philosophy which deals with systematic approaches to questions of morality is: nursing morals C. nursing ethics morals D. ethics

A. B.

2. Nurses understanding of ethico-legal responsibility will guide his/her nursing practice. The principle 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 ethical actions are most influenced by your: Ethical knowledge Conscience Norms of society Religious beliefs 4. The best course of action when faced with ethical difficulties: B. Discuss with your lawyer C. Assess ethical problem in question D. Reflect on your conscience E. Refer to a spiritual counselor 5. Health care issues often become an ethical dilemma because of which of the following? A. decision must be made quickly often under a stressful condition B. decision must be made based on individual systems C. the choices involved do not appear to be clearly right or wrong D. a client’s legal rights co-exist with health profession 6. As the nurse in the prenatal clinic, you are able to protect patients’ right to every 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 accepts the patient’s desire not to take experimental drugs and a regimen C. the nurse encourages patients to participate planning her care D. the drug does not impose any treatment if the client refuses to 7. Informed consent is necessary for the treatment for involuntary clients. When this cannot be obtained, permission may be taken from the: A. social worker B. doctor C. next kin or guardian D. chief nurse 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 might refuse breathing treatment, one of her children signed the consent in her behalf. The nurse explains that his mother is rational in her thinking and which of the following clients’ rights must be regarded? A. right to refuse treatment C. right to informed consent B. right to privacy D. right of habeas consent 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. confidentiality B. informed consent D. civil liberty 11. You informed the patient about his right which include the following 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 records about his care will be treated as confidential. 12. A mother who is pregnant and has ovarian cancer has to undergo surgery to treat the cancer. In the process the fetus died. The doctrine that justifies the death of the fetus is: A. justice B. autonomy C. exception of the rule D. double effect 13. Bioethics in caring for children capitalizes on some important principles. You are 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?

______________________________________________________________________________ `

A. Respect

B. constant assurance

C. autonomy

D. allocation of resources

14. In choosing sharp intramuscular needles for 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 health condition and medical treatment is provided B. patient has the freedom to decide on his own C. patient has the freedom to choose hospital D. all of the above 16. A registered nurse believes that a patient should be treated as individual. This ethical principle that the patient referred to: A. beneficence B. nonmaleficence C. respect for person D. autonomy 17 When patients cannot make decision for themselves, the nurse advocate relies on the ethical principle of A. justice and beneficence C. beneficence and nonmaleficence B. fidelity and nonmaleficence D. fidelity and justice 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 that she is duty bound not to do any action that will cause the patient harm. This is the meaning of the ethical principle: A. non-maleficence C. Justice B. beneficence D. Solidarity 20. When a nurse is asked to testify in court, she/he must abide by the ethical principle of: A. 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 prevent evil or harm for his patient B. A nurse must always remove evil or harm for his client C. A nurse must not allow to give a wrong medication for the client D. A nurse must always promote good for his client 22. This principle deals with fairness and entitlements in the distribution of goods and services. A. Stewardship C. Confidentiality B. Autonomy D. Justice 23. A thumb mark of a comatose patient in the informed consent is considered: A. misrepresentation B. “nothing” C. not valid signature D. a valid signature

A. B.

24. The patient has a right to information regarding the operation or other invasive procedure, and potential 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 confronting nurses usually involves birth and death. Active or positive euthanasia is a deliberate act to end a person’s life. Which of the following is passive or negative? A. administer a criminal substance to hasten death B. not doing CPR nor administering oxygen after a reported cardiac arrest C. removing life support system to alleviate prolonged suffering D. prescribing an agent that would result to death

Situation: One of the realities that we are confronted with is morality. It is important for us nurses to be 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.

______________________________________________________________________________ `

27. Irma is terminally ill; she speaks to you in confidence. You now fell that Irma’s family could be helpful if they knew what Irma has told you. What should you do first? A. tell the physician who in turn could tell the family B. obtain Irma’s permission to share the information with the family C. tell Irma that she has to tell her family 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 it is not good to keep everything inside C. learning her atone because she is uncooperative and unpleasant to be with D. encourage her to be 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 who might cheer him B. sit down and 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, 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 am giving up” 32. One of the major ethical principles in research is beneficence that includes: A. Right to protection from physical /psychological harm B. Right to full disclosure C. Right to performance of good sources D. Right to protection of participants from exploitation 33. The belief that euthanasia is absolutely wrong in any scenario, it is a: A. moral belief C. personal belief B. ethical issue D. ethical principle 34. Euthanasia is an ethical dilemma which confronts nurses on the intensive care unit because: A. the choices involved do not appear to be clearly right or wrong B. a client’s legal right co-exist with the nurse’s professional obligation C. decisions has to be made based on social norms D. decisions has to be made quickly, often under stressful conditions 35. A patient is terminally ill and experiencing severe pain. She has liver and bone metastasis and under morphine for several months. The patient knows they are financially 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. 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 is a proposed bill to legalize abortion. Which of the following statement about 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 is TRUE of abortion in the Philippines? A. Induced abortion is allowed in cases of rape and incest B. Induced abortion is both a criminal act and an unethical act for the nurse

______________________________________________________________________________ `

C. Abortion maybe considered acceptable if the mother is unprepared for the pregnancy D. A nurse who performs induced abortion will have no legal accountability if the mother requested that abortion done on her 39. Which of the following factors have 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 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 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 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 Situation: Nurses oftentimes encounter various ethical dilemmas in the care of their patients in special areas of the hospital like ICU and the Operating Room. 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 order of the hospital administrator B. Report the incident to the doctor and risk her job defending upon the doctor’s decision C. Resign from the job as pressured by the administration D. Follow the doctor’s order and be silent about it 44. A patient with terminal cancer has 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 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 the operation is medically certain D. Examine her self for the meantime and wait 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? A. Withhold all medication eight hours prior to obtaining the consent B. As certain that all surgeon has prepared the client explaining the proposed operative procedure

______________________________________________________________________________ `

C. Sedate the client to make sure she is relaxed enough to sign the consent form without mild anxiety D. Evaluate the client’s level of consciousness and intellectual capability 48. You understand that as a nurse, maintaining privacy and 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 is an accepted practice 49. What role do you play, when you hold all clients’ 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 Nurse: A. the PNA for being the accredited Professional 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 in the Philippines. D. Certificate of registration of registered nurses may be revoked or suspended for violation of any provision of the Code of ethics 51. Based on the Code of ethics for Filipino Nurses, what is regarded as the hallmark of nursing responsibility and accountability? A. Human rights of clients regardless of creed and gender B. Privileges of being a registered professional nurses C. Health being is a fundamental right of every individual D. accurate document of actions and outcomes 52. Which of the following principles 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 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 values in paramount in the ethical practice of nursing? A. Every nursing activity has an ethical aspect B. The welfare of the patient is ultimate C. Nursing is a safe practice D. The purpose of nursing is to promote human well being 54. In practicing the desire to choose “good” actions is 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 of the health care giver, 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 to standards of Behavior or ideals of conduct. The ability to answer for and stand by one’s action refers to: A. advocacy B. accountability C. veracity D. responsibility

A.

58. As a nurse, you are aware that your actions have ethico-legal implications. Because of this, you must always be alert of those situations that demand an appropriate professional conduct. A basic structure against which competent care is objectively measured is which of the following? Principle B. Standard C. Law D. Codes

______________________________________________________________________________ `

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 to the extent permitted by law B. Right to expect reasonable continuity of care C. Right to considerate and 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? A. A nurse withholding harmful 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

______________________________________________________________________________ `

______________________________________________________________________________ `

______________________________________________________________________________ PROFAD-013 Ian Slade Academic Enhancement Center QBank 8