Chapter 44. Ethics & Values
MULTIPLE CHOICE
1. A patient who is being discharged asks the nurse, “Can I take you out for dinner to show my
appreciation for all that you have done for me? I really like you.” The nurse’s best response is
which of the following?
a. “Yes, that would be nice. It is really great to be appreciated.”
b. “No, and please do not ask again. You should have been told that already.”
c. “Thank you; however, I have to refuse, even though the thought is appreciated.”
d. “We will have to wait 3 days after you have been discharged to have a
relationship.”
ANS: C
Accepting gifts from patients is a breach of professional boundaries: social contact. Nurses
cannot accept gifts from patients in the form of dinners, money, social contact, and the like.
The nurse should not enter into a relationship based on the patient’s attempt to compensate her
for performing her role responsibilities. Waiting 3 days would not change that. Telling the
patient not to ask again, and that she should already know that, borders on rudeness. Although
it reflects the understanding about gifts and professional boundaries, it is not an empathetic
response and would not help build a trusting relationship.
Difficulty: Moderate
Nursing Process: Interventions
Client Need: Safe and Effective Care
Cognitive Level: Application
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PTS: 1
2. Which of the following concepts refers to conflicts that arise between two or more ethical
principles in patient care scenarios?
a. Nursing ethics
b. Bioethics
c. Ethical dilemma
d. Moral distress
ANS: C
An ethical dilemma occurs when a choice must be made between two or more equally
undesirable actions, and there is no clearly right or wrong option. Moral distress occurs when
someone is unable to carry out his or her moral decision. Nursing ethics refers to ethical
questions that arise out of nursing practice. Bioethics is a broader field that refers to the
application of ethics to healthcare.
Difficulty: Moderate
Client Need: Safe and Effective Care
Cognitive Level: Knowledge
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PTS: 1
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