Health Care Ethics Suggested Exam Learning Activities Module Competency Recommended Resources Developed by: Ethics in HealthCare 1. 2. 3. 4. Describe dimensions of values as they impact healthcare. Describe basic principles of professional relationships. Describe aspects of ethical decision making in health care. Explain how an individual’s diversity, socioeconomic or religious beliefs could lead to potential ethical differences with that of other health care employees. 5. Using an ethical decision making model applied to healthcare situations, describe how ethics influence the care of clients. Pat Reinhart, RN, NAHHA Coordinator Minneapolis Community and Technical College Written Paper Group Work Discussion Online Potential Uses x x TITLE Healthcare Ethics Suggested Exam Healthcare Ethics Suggested Exam MATCHING: Match the term in the left column with its definition from the right column. 1. ____ ethics a. The personal beliefs held by an individual that reflect religion or tradition 2. ____ morals b. What a person considers of worth, indirectly impacting behavior 3. ____ values c. The application of ethical principles to health care 4. ____ ethical principles d. Codes that direct or govern our actions 5. ____ bioethics e. The branch of philosophy that concerns the distinction of right and wrong on the basis of a body of knowledge MATCHING: Match the ethical principle in the left column with an appropriate example from the right column. 6. ____autonomy a. The nurse represents the client’s viewpoint accurately during the interdisciplinary conference. 7. ____nonmaleficence b. A client is asked to sign an informed consent form by a physician. 8. ____beneficence c. The nurse signs for a wasted narcotic only after she sees it being discarded. 9. ____justice d. The medication aide triple checks the medication for the “right medication and right dose”. 10. ____veracity e. The nurse considers whether a client should be physically restrained. 11. ____fidelity f. The client assignments on the unit are equally divided among the nursing assistants. MULTIPLE CHOICE: For the following items, circle the most correct response. 12. The Nightingale Pledge states that while clients are under the care of a nurse, the nurse is to do no harm to the client. Which of the following ethical principles does this represent? A. Justice B. nonmaleficence C. Fidelity D. Beneficence 13. In which of the following steps in the ethical decision making process would the ethical dilemma be stated? A. Determination of claims and identification of parties. B. Problem identification. C. Generation of alternatives. D. Assessing the outcome of moral actions. 14. Which of the following best defines and ethical dilemma? A. A conflict between two or more ethical principles B. A conflict between the interests of two or more parties in the care of an individual C. A choice between two equally satisfactory alternatives D. A choice between the desired action of the nurse and the client 15. Which of the following behaviors is unethical and illegal? A. Taking narcotics from the narcotic cupboard for your own use B. Assisting a physician in an abortion clinic to perform and abortion C. Allowing a gay (homosexual) AIDS patient to sleep with his partner in the hospital D. Giving out patient information to over the phone to a spouse 16. Moral issues: A. are often concerned with issues of right and wrong, good and bad or should or ought. B. always require the nurse to change the thinking of the client. C. are the same as ethical issues. D. require action on the part of the nurse. 17. Nurses: A. rarely encounter ethical dilemmas. B. always defer to the physician in the case of an ethical dilemma. C. frequently encounter ethical issues around termination of life-sustaining treatments. D. must always treat the client aggressively regardless of medical orders or client wishes. 18. An example of crossing boundary lines with patients is: A. discussing your children’s school activities B. telling clients your children’s ages C. feeling you are immune from having unhealthy relationships with clients D. all of the above TRUE/FALSE If the statement is false, change the statement to make the statement true. 20. The values of the healthcare worker have little impact on the delivery of care. True False 21. A nurse is bound by the ANA (American Nurses Association) Code of Ethics to preserve a client’s right to privacy. True False 22. Values are learned at an unconscious level through observation and experience; as such, they are greatly influenced by a person’s sociocultural environment. True False 23. A code of ethics is a formal statement about how a group actually behaves. True False 24. Attitudes are initial feelings about people, objects, or ideas based on gut reaction. True False 25. Would you agree with the following statement? One of the obligations the nursing profession owes society is for its practitioners to behave with high ethical standards. Yes No 26. Will there be a right or wrong decision after deliberating an ethical dilemma? Yes No COMPLETION: Give a short answer for the following items. 27 – 29. List 3 frequently occurring ethical dilemmas in health care. 1. __________ 2. __________ 3. __________ 30 – 32. List 3 purposes of an Ethics committee. 1. __________ 2. __________ 3. __________ 33. An 85 year old man is refusing dialysis for his kidney failure. The primary ethical principle involved is: 34 – 37. List 4 ethical principles and explain their application to healthcare. 1. _______________ 2. _______________ 3. _______________ 4. _______________ Healthcare Ethics – Suggested Quiz 20 points Name __________________________ 1. Explain in detail what the study of ethics is (1 point). 2. Four principles of ethics include: Autonomy, Beneficence, Justice and Scarce Resources. Describe what each of these are (4 points). Autonomy: Beneficence: Justice: Scarce Resources: 3. The state of Oregon has legalized a form of euthanasia, what is this called (1 point)? 4. Describe Quality of Life (1 point). 5. What is the number one ethical duty of medical personnel (1 point)? 6. List the 6 topics that were presented to the class and list a pro and con for each topic (12 points).