FUNDAMENTALS
FUNDAMENTALS
1. A nurse has just received an order from a physician to administer a medication to a patient.
The nurse knows that this medication is contraindicated for the patient based on their medical
history. What should the nurse do?
b. Utilitarianism
c. Virtue
d. Care
4. A nurse is caring for a patient who is refusing treatment for their condition. The patient’s
family is pressuring the nurse to persuade the patient to accept treatment. What should the nurse
do?
a. A nurse has to decide whether to report a colleague who made a medication error
b. A nurse has to decide whether to follow a patient’s advance directive or a family’s request
7. Which of the following is an example of applying the principle of justice in nursing practice?
a. Providing equal access to health care for all patients regardless of their social
status(Justice is an ethical principle that means treating people fairly and equitably. In
nursing practice, justice means providing equal access to health care for all patients
regardless of their social status, race, gender, religion, or any other factor. Option B is an
example of applying the principle of autonomy, option C is an example of applying the
principle of beneficence, and option D is an example of applying the principle of veracity)
b. Providing individualized care for each patient according to their needs and preferences
c. Providing compassionate care for all patients regardless of their diagnosis or prognosis
8. Which ethical framework is based on the idea that the right action is the one that produces the
best or least harm for the greatest number?
a. Deontology
b. Utilitarianism(Utilitarianism is an ethical framework that is based on the idea that the
right action is the one that produces the best or least harm for the greatest number. It focuses
on the consequences or outcomes of actions rather than the intentions or motives behind
them. Deontology is an ethical framework that is based on the idea that the right action is the
one that follows a universal duty or rule regardless of consequences. Virtue ethics is an ethical
framework that is based on the idea that the right action is the one that reflects a good
character or virtue rather than a rule or outcome. Care ethics is an ethical framework that is
based on the idea that the right action is the one that fosters caring relationships rather than
abstract principles.)
c. Virtue ethics
d. Care ethics
b. The process of providing information to a patient about the risks and benefits of a specific
procedure or treatment
c. The process of ensuring that a patient understands and agrees to a specific procedure or
treatment
d. The process of respecting a patient’s right to refuse or withdraw from a specific procedure
or treatment
10. Which of the following is an example of an ethical issue related to confidentiality in nursing
practice?
a. A nurse shares a patient’s medical record with another nurse who is not involved in the
patient’s care
b. A nurse discusses a patient’s condition with the patient’s family without the patient’s
consent
c. A nurse reports a suspected case of child abuse to the appropriate authorities without the
parent’s consent
d. A nurse refuses to disclose a patient’s HIV status to another health care provider who is at
risk of exposure(Confidentiality is an ethical principle that means protecting the privacy and
personal information of patients. In nursing practice, confidentiality means respecting the
right of patients to control who has access to their medical records, diagnosis, prognosis, or
any other sensitive information. However, confidentiality may be breached in some situations
where there is a legal obligation or moral duty to protect others from harm. Option D is an
example of an ethical issue related to confidentiality because it involves balancing the right of
patients to privacy and the right of health care providers to safety. Options A and B are
examples of violating confidentiality without any justification. Option C is an example of
breaching confidentiality with legal justification.)
11. Which ethical framework emphasizes caring as both an emotion and an action that guides
moral decision making?
a. Deontology
b. Utilitarianism
c. Virtue ethics
c. A situation where nurses have doubts or uncertainties about the ethical course of
action(Moral uncertainty refers to a situation where nurses have doubts or uncertainties about
the ethical course of action to take. It occurs when there is a lack of clarity or ambiguity in
ethical guidelines or principles, making it difficult to determine the right course of action.)
d. A situation where nurses are unable to make ethical decisions due to lack of knowledge or
experience
b. A situation where nurses have doubts or uncertainties about the ethical course of action
c. A situation where nurses have to choose between two or more conflicting ethical
principles or values(Moral conflict refers to a situation where nurses have to choose between
two or more conflicting ethical principles or values. It can arise when two or more ethical
principles or values are in conflict, and the nurse must make a decision that upholds one value
while compromising another.)
d. A situation where nurses are unable to make ethical decisions due to lack of knowledge or
experience
a. A nurse who is uncertain about the ethical course of action to take in a patient’s care
c. A nurse who is forced to act in a way that violates their ethical values(Moral injury refers
to a situation where a nurse experiences emotional distress or moral suffering as a result of
acting or witnessing actions that go against their ethical values. An example of moral injury in
nursing would be a nurse who is forced to act in a way that violates their ethical values, such
as participating in a procedure they believe is morally wrong.
d. A nurse who experiences cognitive dissonance when faced with ethical dilemmas
c. The character traits and virtues that enable individuals to act ethically(Virtue ethics
focuses on the character traits and virtues that enable individuals to act ethically. It
emphasizes the importance of cultivating virtues such as honesty, integrity, and compassion to
guide ethical decision making, rather than relying solely on moral rules or principles.)
16. Which of the following is a potential benefit of using virtue ethics in nursing practice?
1. Which role provides care and comfort for a person together with preserving the dignity of human
beings?
A. Communicator
B. Care Provider
C. Change agent
D. Manager
E. Leader
2. Which role involves inspiring and influencing others to take action and make decisions?
A Researcher
B. Care Provider
C. Communicator
D. Counselor
E. Leader
3. Which role facilitates understanding and collaboration of nursing actions with their clients and other
members of the health care team?
A. Leader
B. Communicator
C. Teacher
D. Researcher
E. Manager
4. Which role Involves "planning, giving directions, developing staff, monitoring operations, giving
rewards fairly, and representing both staff members and administrations as needed?
A. Manager
B. Leader
C. Care Provider
D. Teacher
E. Change agent
5. Which role defends the client's right to be treated equally without any harm, intentionally or
unintentionally?
A. Teacher
B. Manager
C. Client Advocate
D. Change Agent
E .Researcher
6. Which role helps the client learn the state of their well-being and the therapies that are recommended to
them to alleviate their health conditions?
A. Teacher
B. Manager
C. Client Advocate
D .Change Agent
E. Care Provider
7. Which role involves investigation of the scope of nurses to improve the nursing practice?
A. Teacher
B. Manager
C. Client Advocate
D. Change Agent
E. Researcher
8. Which role includes helping clients to cope with the stress brought on by their health conditions and
also facilitating the client's growth in all aspects: physical, emotional, psychological, and even spiritual?
A. Change Agent
B. Counselor
C. Researcher
D. Teacher
E. Client Advocate
9. Which role describes a nurse who has mastery in a certain practice of nursing? (e.g., medical-surgical
nursing, pediatric-geriatric nursing, college health nursing, etc)
A. Nurse Generalist
B. Care Provider
C. Nurse Practitioner
D. Change agent
E. Nurse Clinician
10. Which role describes assessing the client's motivations and capacity for change, identifying the
problem, determining alternatives, and exploring possible alternate outcomes?
A. Manager
B. Change Agent
C. Nurse Clinician
D. Nurse Generalist
E. Care Provider
11. Which role performs direct nursing actions in specialty areas? They may or may not have advanced
education preparation as long as they are certified by a government body to perform such duties.
A. Nurse Clinician
B. Care Provider
C. Nurse Generalist
D. Change Agent
E. Nurse Specialist
12. Which role requires advanced educational or nursing practice and must be certified by a government
body that they may practice so?
A. Nurse Specialist
B. Nurse Clinician
C. Nurse Practitioner
D. Nurse Generalist
E. Change Agent
13. Which role requires one to have a master's degree in nursing and must have specialization in a
particular field of nursing?
A. Change Agent
B. Nurse Generalist
C. Nurse Practitioner
D. Nurse Specialist
E. Nurse Clinician