week 3: chapter 6

Question 1

Which statement provides the best definition of ethics?
a. Universally held theory on how the world evolved
b. A set of rules that apply only to health care professionals in the practice setting
c. Values, norms, moral principles, virtues, and traditions that guide human conduct
d. A specialized area of philosophy

Answer 1

c. Values, norms, moral principles, virtues, and traditions that guide human conduct

Question 2

Jack, 14 years old, presents at the community health nurses office requesting an initial immunization
series. His parents have never immunized him because they do not believe in immunization. Jack’s parents did not sign the immunization consent form sent home from school. What does this situation present for the nurse?
a. Something that never happens in Canada
b. An issue for feminist decision-making
c. An ethical dilemma
d. A course of action that is easily decided and recognized

Answer 2

c. An ethical dilemma

Question 3

What is an example of social control?
a. Smoking cessation program
b. Influenza immunization clinics
c. Request to stay at home when ill with the flu
d. Seatbelt law

Answer 3

d. Seatbelt law

Question 4

Which scenario represents the principle of reciprocity in ethical decision-making about public health interventions?
a. All stakeholders are involved with developing policy on how to manage a particular infectious disease
b. An individual is committed under the Mental Health Act to protect and prevent harm to others
c. A person who is exposed to a communicable disease is provided instructions on how to
quarantine at home
d. The public health department is providing financial compensation to a person who is
quarantined

Answer 4

d. The public health department is providing financial compensation to a person who is
quarantined

Question 5

What does the concept of social justice assume?
a. There is a limit to collective action
b. All societies experience broad, systematic oppression and inequities
c. The individual is valued over the collective
d. It is better to benefit the few than the disadvantaged many

Answer 5

b. All societies experience broad, systematic oppression and inequities

Question 6

Which situation has undergone medicalization?
a. Menopause
b. Breast cancer
c. Homosexuality
d. Hyperthyroidism

Answer 6

c. Homosexuality

Question 7

What statement is congruent with capacity building?
a. Equitable sharing of rights, roles, and responsibilities among institutions and individuals
b. Just or fair treatment of all individuals, including equitable access to meet health needs
c. Democracy and civil rights defining a social state in which all have equal rights
d. Strengthening of individual and institutional core skills, capabilities and knowledge

Answer 7

d. Strengthening of individual and institutional core skills, capabilities and knowledge

Question 8

What term describes the way that nurses approach their practice and reflect on their ethical commitment to their clients and colleagues?
a. Committed ethics
b. Situational autonomy
c. Empowering a community
d. Everyday ethics

Answer 8

d. Everyday ethics

Question 9

What nursing action best demonstrates professional responsibility and accountability?
a. Respecting a client’s wishes not to inform her boyfriend that she has gonorrhea
b. Keeping a confidential client’s repeated statements that she wants to kill her husband
c. Documenting home visit notes in a timely and thorough manner
d. Protecting the identity of a child who reveals that she has been abused

Answer 9

c. Documenting home visit notes in a timely and thorough manner

Question 10

Which Canadian Community Health Nursing Standard of Practice is being used when advocating for appropriate resource allocation?
a. Facilitating access and equity
b. Practice setting safety
c. Empowering communities
d. Maintaining professional boundaries

Answer 10

a. Facilitating access and equity

Question 11

WhichstatementreflectstheWorldHealthOrganization’s(2013)definitionofempowerment?
a. A professional process in which communities are allowed to become self-directed
b. A static process that provides people with power
c. A nurse-driven process whereby people are given what they need
d. A process where people and communities move toward increased control

Answer 11

d. A process where people and communities move toward increased control

Question 12

who should develop an advanced directive?
a. A physician working in the palliative care setting
b. A person who is terminally ill and needs one to clearly spell out how his or her estate will be divided
c. An individual who wants to stipulate what medical treatments he or she will accept or reject
d. A nurse working with a client who is incapable of making choices

Answer 12

c. An individual who wants to stipulate what medical treatments he or she will accept or reject

Question 13

melanie is a nurse doing home visits. What must she recognize as she builds relationships with her clients?
a. Sharing her attitudes, beliefs, and values regarding health
b. The client’s attitudes, beliefs, and values regarding health
c. Using the power in the relationship to meet her personal needs
d. Maintaining a distant and clinical boundary

Answer 13

b. The client’s attitudes, beliefs, and values regarding health

Question 14

What must be considered when nurses assist clients to make informed choices?
a. The benefits of the intervention but not the risks
b. Legally binding paperwork
c. The exchange of information and respect for the individual’s autonomy
d. The benefits of the risks, negligence, and autonomy

Answer 14

c. The exchange of information and respect for the individual’s autonomy

Question 15

Kennedy is a community health nurse that has been working with a lesbian, gay, transsexual, and bisexual (LGTB) youth group in a large urban centre. Kennedy is lobbying his co-workers to change the nursing intake form to have more gender-neutral language, such as “Do you live with a partner?” What standard of practice is the nurse trying to uphold?
a. Professional responsibility and accountability
b. Facilitating access and equity
c. Building individual/community capacity
d. Promoting health

Answer 15

c. Building individual/community capacity

Question 16

Anne-Marie, a recent nursing graduate, is really enjoying developing relationships with her clients. Anne-Marie tells her mentor that she works hard to meet the needs of her clients and has been using the strategy of meeting one client for coffee in the afternoons. How should the mentor respond to Anne-Marie?
a. “Tell me more about how this strategy is helping to meet your needs?”
b. “It sounds like the nurse-client relationship has moved into a personal relationship.”
c. “I use a more distant and clinical approach with my client relationships.”
d. “This is a great nursing strategy that you should share with the rest of the nurses.”

Answer 16

b. “It sounds like the nurse-client relationship has moved into a personal relationship.”

Question 17

Why is it important for community health nurse to be aware of social justice and everyday ethical and legal concerns?
a. Because it will assist nurses in gaining the capacity to reflect critically on the multiplicity of ethical and legal dimensions inherent in community health nursing
b. Because they can assist their clients in preparing for legal cases for medical malpractice c. Because ultimately nursing will be intertwined with the legal system
d. Because it will assist nurses in building resistance to reflect critically on the multiplicity of ethical and legal dimensions inherent in community health nursing

Answer 17

a. Because it will assist nurses in gaining the capacity to reflect critically on the multiplicity of ethical and legal dimensions inherent in community health nursing

Question 18

which of the following statements about social justice is true?
a. Social justice strives to apply justice to medical groups
b. Social justice is the foundational moral justification for public health as a social institution
c. Social justice work does not require consideration of the socio-environmental context
d. Social justice work involves the perspectives of only medicine and nursing

Answer 18

b. Social justice is the foundational moral justification for public health as a social institution

Question 19

Given the current emphasis on obesity in Canadian society, a large body size in women has come to symbolize self-indulgence and moral failure, which in turn may lead women to question their sense of self and right to good healthcare. This is an example of an ethical implication of which community health nurse standard of practice?
a. Health maintenance, restoration, and palliation
b. Capacity building
c. Professional responsibility and accountability
d. Prevention and health protection

Answer 19

d. Prevention and health protection

Question 20

which ethical principle for public health interventions stipulates that the full force of governmental authority and power should not be used unless less-coercive methods are unavailable or have failed?
a. Harm principle
b. Reciprocity
c. Least restrictive or coercive means
d. Transparency

Answer 20

c. Least restrictive or coercive means

Question 21

What term best describes the most common ethical orientation in public health nursing practice that
embraces the World Health Organization’s perspective on empowerment?
a. Advocacy
b. Capacity building
c. Transparency
d. Reciprocity

Answer 21

a. Advocacy

Question 22

Which of the following options below correctly describes the cycle of oppression?
a. Stereotype, oppression, biased information, prejudice, discrimination
b. Oppression, stereotype, biased information, prejudice, discrimination
c. Prejudice, biased information, oppression, discrimination, stereotype
d. Biased information, stereotype, prejudice, discrimination, oppression

Answer 22

d. Biased information, stereotype, prejudice, discrimination, oppression

Question 23

Which community health nursing standard of practice is demonstrated when a nurse adheres to regulatory standards, federal and provincial or territorial professional standards, laws, codes of ethics, and institutional policies?
a. Capacity building
b. Professional responsibility and accountability
c. Professional relationships
d. Health maintenance, restoration, and palliation

Answer 23

b. Professional responsibility and accountability

Question 24

There are four key elements that must be proved to make a finding of negligence. Which of the following is one of the four elements?
a. That the standard of care was breached
b. That the nurse took money from that client
c. That the nurse and the client did not have a professional relationship
d. That there was no harm caused

Answer 24

a. That the standard of care was breached

Question 25

Which of the following is part of the ten defining attributes of social justice
a. Equality
b. Disabling environments
c. Empowerment
d. Ethical practice

Answer 25

d. Ethical practice