NCAS Nursing Ethics 2

Question 1

A patient refuses a blood transfusion on religious grounds despite a life-threatening hemorrhage. The nurse's priority action is to:

Accepted Answer

Document the refusal and explore alternative treatments

Answer

A competent adult's refusal of treatment must be respected; the nurse documents the refusal and collaborates on alternatives.

Question 2

Which ethical principle is MOST directly violated when a nurse shares a patient's HIV status with the patient's employer without consent?

Accepted Answer

Confidentiality

Answer

Unauthorized disclosure of protected health information violates the principle of confidentiality.

Question 3

A community health nurse discovers a colleague is falsifying home visit documentation. The nurse's FIRST obligation is to:

Accepted Answer

Report the behavior to the appropriate supervisor or authority

Answer

Nurses have a professional obligation to report unethical conduct that endangers patient safety to the appropriate authority.

Question 4

The ethical concept of 'double effect' is MOST applicable when a nurse:

Accepted Answer

Administers high-dose opioids for pain that may hasten death

Answer

Double effect justifies an action with both good (pain relief) and potentially harmful (hastened death) effects when the intent is the good outcome.

Question 5

A nurse working in a community clinic is asked by a pharmaceutical representative to recommend their product to patients in exchange for gifts. The nurse should:

Accepted Answer

Decline and report the offer per the facility's conflict-of-interest policy

Answer

Accepting gifts from vendors creates a conflict of interest that compromises objectivity and professional integrity.

NCAS - Nursing Community Assessment Service Practice Test

NCAS - Nursing Community Assessment Service Practice Test

NCAS Nursing Ethics 2