Health Promotion Throughout The Life Span 7th Edition by Carole Lium Edelman – Test Bank

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Edelman: Health Promotion Throughout the Life Span, 7th Edition

Chapter 05: Ethical Issues Relevant to Health Promotion

Test Bank

MULTIPLE CHOICE

1. Which of the following statements is true with regard to health promotion?

ANS: D

Health promotion involves collaboration of all health professional groups with requisite knowledge and skills to protect or achieve health.

DIF: Cognitive Level: Knowledge REF: 116

2. Which of the following types of ethical theories is concerned with ensuring “good actions”?

ANS: B

Normative theories are either reasoned explanations of the moral purpose of human interactions or are divinely “revealed” truths about good actions. These are the types of actions people “ought” to take on the basis of which principles are believed to be valid.

DIF: Cognitive Level: Knowledge REF: 117

3. Which of the following statements best describes the application of moral or ethical theory to the practices involved in health promotion?

ANS: D

Making moral or ethical decisions about human health is not an easy task and requires assessing various criteria or theories.

DIF: Cognitive Level: Synthesis REF: 121

4. A liver for which two people are tissue-typed has become available after the death of a donor in a car accident. Client A is a 45-year-old substance abuser whose liver is damaged as a result of his use of alcohol. Client B is a 16-year-old in need of a liver transplant because of a birth abnormality. Which of the following would be useful for a nurse in giving input as to which of the two should receive the liver?

ANS: C

Systematically using a set of moral principles in making ethical decisions assists the nurse in resolving ethical dilemmas such as that described.

DIF: Cognitive Level: Synthesis REF: 123-124

5. Nurse B has been asked to participate in a termination of the pregnancy of a 16-year-old victim of date rape. Nurse B’s religious beliefs prohibit abortion. According to the revised American Nurses Association’s (ANA’s) Code of Ethics for Nurses, which of the following options addresses the immediacy of Nurse B’s situation?

ANS: C

In the immediacy of the situation, the ANA Code of Ethics provides for the right of nurses to refuse to participate in procedures that violate their own values, but the nurse’s ethical behavior must ensure that arrangements for the care of the client are provided.

DIF: Cognitive Level: Application REF: 122-123

6. A 24-year-old man who is cognitively delayed with a designated developmental age of 5 to 6 years has no relatives participating in his care. A decision needs to made for a neurosurgeon to remove a brain tumor that has rendered the client totally dependent on someone else for all activities of daily living. The nurse would participate in ethical decision making on his behalf, knowing that the client in her care is unable to benefit from which of the following ethical concepts?

ANS: A

Because the client is cognitively delayed and is unable to understand explanations of treatment that would be given to him, the client is unable to be autonomous in making a decision regarding neurosurgery.

DIF: Cognitive Level: Application REF: 128-129

7. A client is scheduled to have open-heart surgery. His physical condition is such that he stands a 50-50 chance of dying on the operating table. He has not been advised of this possibility. Which of the following ethical concepts has been ignored in rendering care for this client?

ANS: D

The client is able to “substantially understand” his care. Ethical care ensures that a person has all of the appropriate information necessary to make an autonomous decision about his or her care. This client has not been informed of his chances of dying during the surgery.

DIF: Cognitive Level: Application REF: 129

8. An 18-year-old woman in whom a sexually transmitted disease (STD) was recently diagnosed asks the nurse not to tell her mother that she has an STD. Her mother asks the nurse what is causing her daughter’s vaginal discharge. The nurse should:

ANS: B

The Health Insurance Portability and Accountability Act (HIPAA) guarantees client confidentiality. The client is the only person who can inform her mother of the diagnosis and the only person who can give the nurse permission to inform her mother of the diagnosis. The nurse could appropriately respond to the mother by saying, “I cannot share that information with you because of client confidentiality legislation. You might ask your daughter to share that information with you.”

DIF: Cognitive Level: Synthesis REF: 131

9. Which of the following concepts of ethics is described as the “duty to maximize the benefits of actions while minimizing harm”?

ANS: C

Beneficence governs actions taken to further the overall health or well-being of an individual or society. “Beneficence” means doing good.

DIF: Cognitive Level: Knowledge REF: 133

10. Which concept is aimed at interrupting potential ethical problems before they develop?

ANS: B

Preventive ethics is a requirement of health promotion in which practitioners envision potential problems and institute actions that stop their development.

DIF: Cognitive Level: Knowledge REF: 125-126