#1
Which principle is primarily concerned with doing no harm to patients?
Beneficence
Non-maleficence
Autonomy
Justice
#2
Informed consent is essential for which of the following reasons?
To ensure that the patient is aware of their diagnosis
To ensure that the patient understands the risks and benefits of a procedure
To bill the patient for services rendered
To protect the hospital from legal action
#3
What role does confidentiality play in nursing practice?
It allows nurses to share patient information with anyone in the hospital.
It is a guideline that suggests minimal disclosure of patient information.
It is a legal and ethical obligation to protect patient information from unauthorized access.
It encourages nurses to discuss patient cases openly to improve care.
#4
Which of the following actions best represents the nursing ethical principle of beneficence?
Respecting a patient's decision to refuse treatment
Providing pain management even when it may hasten death
Ensuring equitable access to nursing care for all patients
Keeping patient information confidential
#5
Patient advocacy by nurses is important because it:
Ensures that the nurse's opinion is prioritized in care decisions
Protects the hospital from legal action
Empowers patients and supports their health, safety, and rights
Eliminates the need for ethical considerations in care
#6
The principle of 'justice' in nursing ethics primarily concerns:
Protecting patient confidentiality
Providing care that benefits the patient
Treating individuals fairly and equitably
Respecting patient autonomy and decisions
#7
A nurse's duty to maintain patient confidentiality is ethically supported by the principle of:
Beneficence
Autonomy
Non-maleficence
Justice
#8
Which ethical principle refers to the fair distribution of benefits and burdens in society?
Autonomy
Justice
Beneficence
Fidelity
#9
A nurse witnesses a colleague providing substandard care. According to nursing ethics, what is the most appropriate initial action?
Report the colleague to a supervisor immediately
Discuss the observation directly with the colleague
Ignore the behavior, assuming it was a one-time incident
Document the incident in the patient's file
#10
A nurse is caring for a patient who refuses a life-saving blood transfusion due to religious beliefs. Which ethical principle should guide the nurse's actions?
Justice
Beneficence
Non-maleficence
Autonomy
#11
Which of the following best describes ethical dilemmas in nursing?
Situations where the nurse's personal beliefs conflict with their professional duties
Scenarios where there is only one clear ethical choice
Issues that are easily resolved by following hospital policy
Situations requiring a choice between two equally unwelcome alternatives
#12
Nursing documentation should be:
Subjective to provide personal insights into patient care
Vague, to protect patient confidentiality
Detailed, accurate, and objective to ensure quality care
Limited to positive outcomes to encourage patient morale
#13
A nurse must breach confidentiality when:
The patient is a celebrity and the public has a right to know
The patient information is requested by a friend
There is a legal requirement or duty to report, such as in cases of child abuse
The nurse believes the patient's family should know the patient's status
#14
Delegation in nursing practice is important because it:
Allows nurses to shift responsibility for patient care to others
Helps manage the workload and ensures tasks are completed by the most appropriate caregiver
Eliminates the need for nurses to perform basic care tasks
Is a requirement for nursing licensure
#15
Advanced directives are important for which reason?
They provide instructions for end-of-life care preferences
They are used to assign a power of attorney
They ensure the patient receives all possible treatments
They are legal documents that bill the patient posthumously
#16
The concept of 'fidelity' in nursing ethics primarily obligates nurses to:
Ensure fair treatment to all patients
Keep promises and commitments made to patients
Provide care that does no harm
Respect patient decisions and privacy
#17
Cultural competence in nursing practice is important because:
It ensures uniform treatment of all patients, regardless of their cultural background
It is a legal requirement in all healthcare facilities
It helps in providing respectful and effective care to patients from diverse cultural backgrounds
It minimizes the need for interpreters and other language services
#18
A patient in a persistent vegetative state has no advance directives. The family is divided on the continuation of life support. What ethical principle is MOST challenged in this scenario?
Autonomy
Beneficence
Non-maleficence
Justice
#19
A nurse is experiencing moral distress when:
They are unsure of how to perform a medical procedure
They know the right thing to do but are unable to act due to external constraints
They are dealing with a difficult coworker
They are tired and overworked
#20
Ethical dilemmas in nursing often arise due to:
The high cost of healthcare
Conflicts between healthcare providers and administrative policies
Conflicting values and beliefs between patient care and institutional policies
Lack of experience among nursing staff
#21
The concept of 'double effect' in nursing ethics refers to:
The need to perform duties efficiently and effectively
The impact of nursing actions on both patient and family
An action having both a positive effect and an unintended negative consequence
Balancing personal and professional responsibilities