Chapter 12 Ethical Issues in Leadership, the Organization, and Care

Chapter 12  Ethical Issues in Leadership, the Organization, and Care

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. Which of the following organizational activities should be guided by ethical standards?
a.
Recruitment practices
b.
Leadership practices
c.
Resource allocation
d.
All of the above

ANS: D
Correct D: All of the above should be guided by ethical standards. Organizational and clinical systems and processes must meet the same ethical standards as does practice. These systems include human resource policies such as recruitment and retention, leadership practices that involve support and mentorship for staff as well as succession planning, and ethical resource allocation.

Incorrect A: All of the above should be guided by ethical standards. Organizational and clinical systems and processes must meet the same ethical standards as does practice. These systems include human resource policies such as recruitment and retention, leadership practices that involve support and mentorship for staff as well as succession planning, and ethical resource allocation.
Incorrect B: All of the above should be guided by ethical standards. Organizational and clinical systems and processes must meet the same ethical standards as does practice. These systems include human resource policies such as recruitment and retention, leadership practices that involve support and mentorship for staff as well as succession planning, and ethical resource allocation.
Incorrect C: All of the above should be guided by ethical standards. Organizational and clinical systems and processes must meet the same ethical standards as does practice. These systems include human resource policies such as recruitment and retention, leadership practices that involve support and mentorship for staff as well as succession planning, and ethical resource allocation.

DIF: Cognitive level: Synthesis REF: p. 385

2. During night-shift report, the nurse notes that one of his colleagues cannot seem to stay awake. Despite prompting and tea, she remains drowsy, and the nurse suspects substance abuse. The nurse reports this to the charge nurse. Which of the following describes the charge nurse’s responsibility?
a.
The charge nurse should fire the employee immediately.
b.
The charge nurse should send the employee home immediately.
c.
The charge nurse should send the employee for drug testing immediately.
d.
The charge nurse should suspend the employee with pay immediately.

ANS: B
Correct B: The employee should be sent home immediately after being told the reason for being sent home (that she is unfit for work at this time). The charge nurse notifies the manager, who then has the responsibility to follow up with this nurse prior to her return to work, express concern, and offer support, counselling, or medical treatment.

Incorrect A: Firing the employee immediately would be premature and not supportive. Firing is the role of the manager, not the charge nurse.
Incorrect C: Discussion with the employee must take place prior to drug testing, as the employee may admit to the substance misuse. If necessary, the manager would arrange for drug testing, not the charge nurse.
Incorrect D: Discussion with the employee must take place prior to any discipline. If necessary, the manager would be involved with the disciplinary actions, not the charge nurse.

DIF: Cognitive level: Synthesis REF: pp. 388–389

3. Which of the following factors is having an impact on the current nursing shortage?
a.
An aging population creates a growing demand on health resources.
b.
An aging population means more young people are contemplating entering the nursing profession.
c.
Advances in technology call for increased generalization of practice for new nurses.
d.
All of the above

ANS: A
Correct A: As the population ages, its health care needs increase. An aging population results in a growing demand on health resources.

Incorrect B: An aging population means fewer young people are available to potentially enter the nursing profession.
Incorrect C: Advances in technology call for increased specialization of practice for new nurses.
Incorrect D: All of the above are not correct.

DIF: Cognitive level: Knowledge REF: p. 391

4. Which of the following is the most ethical method for recruiting internationally educated nurses?
a.
Recruiting nurses from developing countries and offering them a better way of life in Canada
b.
Booking a table at an international job fair for nurses and discussing opportunities with nurses who attend the fair
c.
Offering large financial and transition incentives for internationally educated nurses to come to Canada
d.
Hiring internationally educated nurses through international recruitment agencies

ANS: B
Correct B: Booking a table at a job fair is the most ethical method of attracting internationally educated nurses. Recruits are then voluntary, there are no incentives necessary, and the recruiters are not perceived as “poaching.”

Incorrect A: This is unethical, as developing countries can little afford to lose what resources they have.
Incorrect C: Incentives for internationally educated nurses may result in abuse from local nurses who may perceive reverse discrimination.
Incorrect D: International recruitment agencies often use aggressive strategies to lure internationally educated nurses away from developing countries with nursing shortages or promise financial or transition incentives that never materialize.

DIF: Cognitive level: Synthesis REF: p. 393