P1 LONG EXAM Block 1 NUR104 Nursing Health Ethics Bioethics

12/12/22, 10:19 AM P1 LONG EXAM Block 1 NUR104 Nursing Health Ethics (Bioethics)
P1 LONG EXAM Block 1 NUR104 Nursing

Health Ethics (Bioethics)
INSTRUCTIONS:
-This MULTIPLE CHOICE EXAM is a 100 ITEMS ONLY.
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CHOICE EXAM
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subject matter during the examination time.
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68. When it comes to allocation of resources the most common neutral * 1 point
system is known as?
A. First come, first served
B. Social utility
C. Medical utility
D. Lifeboat
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100. In this case of about abortion, Supreme Court examined a statutory * 1 point
provision that a woman required to receive her husband’s permission prior
having an abortion, according to?
A. 1976 Danforth v.Planned Parenthood of Central Missouri case
B. Planned Parenthood. Detroit
C. Roe v. Wade
D. Harris v. McRae
24. An elderly man with end-stage emphysema presents to the emergency * 1 point
room awake and alert and complaining of shortness of breath. An
evaluation reveals that he has pneumonia. His condition deteriorates in the
emergency room and he has impending respiratory failure, though he
remains awake and alert. A copy of a signed and witnessed living will is in
his chart stipulates that he wants no "invasive" medical procedures that
would "serve only to prolong my death." No surrogate decision maker is
available. Should mechanical ventilation be instituted?
a. The presence of a living will or other advance directive obviates the responsibility
to involve a competent patient in medical decision making.
b. If the patient has remained awake and alert, his living will is irrelevant to medical
decision making.
c. The potential risks and benefits of mechanical ventilation need not be presented
to the patient because of the presence of a valid living will.
d. Even if the patient refuses mechanical ventilation therapy, his wishes need not be
honored because he is in the emergency room
54. Defined as the power, privilege, or immunity guaranteed under a * 1 point

constitution, statutes, or decisional law.
A. Legal Rights
B. Justice
C. Confidentiality
D. Natural rights
89. An act or course of action that is required by one on the basis of moral * 1 point
position is termed?
A. Role fidelity
B. Moral duty
C. Moral option
D. Morality
Student's Name (SURNAME, FIRST NAME) *
DURIAS, JAMEELA MARIE L.
40. For the ethicist, the basic wrongness of an act depends on the intrinsic * 1 point
nature of the act itself?
A. Consequence-oriented
B. Duty oriented
C. Virtue ethics
D. Divine mandate
77. Principles that specify relevant characteristics or morally relevant * 1 point
criteria regarding treatment are material principles
A. Principle of Justice
B. Principle of Justice
C. Material justice
D. Two tier system
97. Judith Thomson uses the method of analogical thought of experiment * 1 point
because she believes there is more to the abortion question than issue of
personhood. One of her analogy talks about faulty contraception which is?
A. Viability argument
B. The Violinist Analogy
C. The Rapidly Growing Analogy
D. The Carpet-Seed Analogy
70. Theory of justice emphasizes on the equality of access to goods and * 1 point
services of patient/
A. Libertarianism
B. Utilitarianism
C. Egalitarianism
D. None of the above
35. A 3-year-old child is brought to your clinic with a fever and stiff neck. * 1 point
You are quite certain the child has meningitis. When you discuss the need
for a spinal tap and antibiotic treatment, the parents refuse permission,
saying, " We'd prefer to take him home and have our minister pray over
him." How should the physician handle this?
a. The physician should do what the parents request to take the child home.
b. The physician should call the parent’s religious leader and have him come to the
hospital before providing standard medical therapy.
c. The physician has no duty to provide treatment to the child when the parents
refuse treatment.
d. When efforts to obtain parental permission to treat the patient fail, the physician
is justified in seeking legal help or may be legally authorized to proceed with the
procedure and treatment of the child.
16. Which of the following is NOT considered one of the four essential * 1 point
characteristics of a profession?
A. Competence in a specialized body of knowledge and skill
B. The provision of a particular service to society
C. Grounds for administrative actions
D. Standards of education and practice
71. As national health care program that this allocation focuses on serving * 1 point
indigent population.
A. Medicare
B. Medicaid
C. Micro-allocation
D. Macro-allocation
20. All but one is the fundamental principles of law? * 1 point
A. Plasticity and change
B. Concern for justice and fairness
C. Acts are judge on the universal standard of the reasonable person
D. Patient’s Bill of Rights
Section *
B8
69. According to the discussion on methods for distribution it is known to * 1 point

not be included in common methods for distribution of goods and
resources?
A. To each person an equal share
B. To each person according to need
C. To each person according to merit
79. The common problems associated with professional codes are as * 1 point
follows EXCEPT?
A. Incompleteness as to duties
B. Vagueness as to duties and prohibitions
C. Excessive concern with prestige of profession
94. This is a widely accepted exception to the “thou shalt not kill” * 1 point
proscription.
A. Self defense
B. Abortion
C. Mercy Killing
D. All of the above
65. Which of the following is NOT considered a minimum standard set by * 1 point
institutional review boards
A. Research results should be presented in such a fashion as to protect the

anonymity of the patients.
B. Safeguards to protect the patient’s privacy will be part of the research protocol.
C. Any member of the public will have access to the raw data collected from the
study.
D. The same level of obligation to maintain patient confidentiality in the practice of

health care is expected in the conduct of medical research.
74. In Egalitarian theories, Daniel’s uses a concept of veiled prudence. * 1 point

Veiled prudence consists of ignorance of four key elements, which are?
A. The prudent planner does not know her age.
B. The prudent planner is guided by a time neutral concern for her well-being over the
lifespan.
C. The prudent planner has to plan for each stage of her life under the assumption
that she will live through.
D. All of the above
50. A written violation of a patient’s right to privacy that may result in a * 1 point
charge of defamation of character being filed against a health care provider
is termed .
A. Libel
B. Slander
C. Assault
D. Nonfeasance
88. An interdisciplinary body of health care providers, community * 1 point

representatives, and non-medical professionals who address ethical
questions within the health care institution.
A. American Nurses Association
B. Institutional Ethics Committee
C. Joint Commission
7. Mr. S is a 73-year-old man, with a history of severe coronary artery * 1 point
disease, peripheral vascular disease, and stroke. He suffers from right

hemiplegia and mild expressive aphasia. He is awake and alert, and
presents for right below the knee amputation (BKA) for vascular
insufficiency. His chart carries a DNR order. In the holding area prior to
surgery, the anesthesiologist discusses the DNR order with Mr. S, who
appears depressed. Mr. S states unequivocally, that he does not wish CPR
in the OR, regardless of its cause or positive prognosis. He tells his
anesthesiologist that he is willing to go "so far, and no more." The patient
agrees to subarachnoid anesthesia (spinal block) and sedation. He is not
intubated. After about 20 minutes, the patient complains of weakness in his
arms, and difficulty breathing. Within 3 minutes, his blood pressure and
heart rate fall, and he abruptly arrests. Should the patient be intubated and
CPR commenced?
a. Yes, because the probable cause of Mr. S's arrest is a cephalad migration of local
anesthetic in the subarachnoid space, leading to a "high spinal block." With
cardiopulmonary support, the prognosis for total recovery from this event is
excellent.
b. No, because intubation, mechanical ventilation and CPR would be senseless due
to medical futility in this case.
c. No, because the patient stated clearly his wishes to not be resuscitated if an
arrest occurs.
d. Yes, because the Anesthesiologist is under a duty to treat the apparent

anesthesia complication
72. It is general system models where generally health care providers are * 1 point
private but the payer is a government run insurance program that all
citizens pay into, what kind of model?
A. Bismarck Model
B. Beveridge Model
C. Out of pocket model
D. National Health Insurance Model
27. A 25-year-old female medical student was doing a rotation in an HIV * 1 point
clinic. Sara is a 30-year-old woman who dropped out of college after she
found that she contracted HIV from her husband, who has hemophilia. In
talking to Sara, it turns out that the medical student and the patient shared
a number of things--both are from the same part of Montana originally, also
have young children, and like to cook. Sara now has advanced HIV. How
should the medical student tell Sara about the advanced HIV and that she
will need some blood tests without making her angry or upset?
a. The medical student should follow the protocol for breaking bad news because it
covers everything.
b. The medical student should tell Sara about the advanced HIV and the need for
blood tests and not be concerned about provoking a reaction.
c. The medical student should get another perspective perhaps from someone in
clinic who has known Sara before breaking the bad news.
d. None of the above.
18. In regard to clients and patients, practitioners have a(n) relationship * 1 point
which requires them to act primarily in the best interest of those they serve.
A. Fiduciary
B. Proper
C. Formal
D. Formulaic
82. All of the following are the ways of a healthcare professional to avoid * 1 point
disparagement EXCEPT?
A. Offer professional courtesy to other
B. Avoid sexual and conflict of interest
C. Look after the welfare of the profession
D. All of the above
2: A researcher tries to invent new vaccine for cancer cure, he injects * 1 point
himself cancer cells to see its impact on human blood chemistry and then
through his own blood samples will further progress to synthesize vaccine
for prevention of occurrence of fatal cancer.The theory and principle of
ethics go parallel here are:
a) Beneficence and theory of virtue ethics.
b) Fiduciary and principlism theory of ethics.
c) Justice and Kantianism theory
d) Nonmaleficence and deontology theory.
e) Respect for Autonomy and critical theory.
4: A 25 years old healthy male dies in a fatal road traffic accident; he has * 1 point
advance directives about his organ donations. Health care rationing of
organs take multiple factors into account for deciding of who will be
recipient of organ. Social utility, equity, equality, distributive justice,
beneficence and expected life expectancy after organ transplantation ,all
perspectives play roles in allocating of scarce organs to recipients, as
waiting lists are lengthy and decision is tough.The most likely recipient of
organ will be:
a) A 45 years alcoholic with irreversible liver failure.
b) A 75 years old female with extreme form of dementia and end stage renal failure.
c) A 35 years young entrepreneur with acute renal failure.
d) A 10 years old male with multi organ failure and brain death.
e) A 40 years old female with heart failure and HIV positive.
80. One looks out for the interest of the profession or of others in a similar * 1 point
practice is known as?
A. Disparagement
B. Gaming the system
C. Gatekeeping
D. Code of conduct
28. A young mother has just been informed that her 2-year-old son has * 1 point
leukemia. The mother refuses permission to begin chemotherapy and

informs the oncology team that their family physician (a naturopath) will
follow the child's illness. What should you suggest to the team physician?
a. I should wait to hear from the family physician.
b. I should honor the mother’s request in this situation.
c. I should arrange promptly a care conference with both the mother and the family's
naturopathic physician to discuss the chemotherapy.
d. If chemotherapy offers a clear and compelling survival benefit as the only hope
this child has, and the mother refuses treatment, I am professionally obligated to
seek a court order to appoint a guardian for the child.
15. This a person who brings an action in a court law. * 1 point
A. Plaintiff
B. Defendant
C. Complaint
D. Answer
56. Defined as a privacy issues usually deals with the unpermitted use of a * 1 point
person's name or likeness for another’s benefit or advantage?
A. Slander
B. Libel
C. Misappropriation
D. Fraud
19. It is often the longest part of a lawsuit and, in many instances, ends the * 1 point
case when information is detrimental to one of the sides.
A. Complaint
B. Answer
C. Discovery
D. Appeal
93. The position that abortion is murder and must be stopped is known as * 1 point
the position.
A. Sanctity of life
B. Viability
C. Pro-life
43. “Groundwork of the Metaphysic of Morals “is the classic work of? * 1 point
A. Immanuel Kant
B. John Rawls
C. Lawrence Kohlberg
D. Aristotle
13. In the foundation of law, the use of the principle of stare decisis * 1 point
provides the system with needed stability, and yet it
A. Legally sufficient to establish a case
B. Let the decision stand
C. Let the law prevail
D. Legal case
98. They are known as the conservative traditionalist? * 1 point
A. Pro-life activist
B. Pro-life theorist
C. Pro-choice activist
D. Pro-choice theorist
30. Your 36-year-old patient has just tested positive for HIV. He asks that * 1 point
you not inform his wife of the results and claims he is not ready to tell her
yet. What would you say to your patient?
a. Encourage the patient to share the information with his wife on his own, giving
him a bit more time if necessary.
b. Tell the patient that his wife is at serious risk for being infected with HIV, and that
you have a duty to ensure that she knows of the risk.
c. Tell the patient that public health law requires reporting both the patient and any
known sexual partners to local health officers.
d. All the above.
17. Specialty practice acts will vary in emphasis, but the majority will * 1 point
address which of the following?
A. Requirements and qualifications for licensure or certification
B. Penalties and sanctions for unauthorized practice
C. Scope of professional practice
D. All of these apply
36. Mr. H is a 24-year-old man who resides in a skilled nursing facility, * 1 point
where he is undergoing rehabilitation from a cervical spine injury. The injury
left him quadriplegic. He has normal cognitive function and no problems
with respiration. He is admitted for treatment of pneumonia. The resident
suggests antibiotics, chest physiotherapy, and hydration. One day while
signing out Mr. H to the cross covering intern, the intern says "he should be
a DNR, based on medical futility." How would you respond to the intern?
a. The patient should be a DNR because in this case CPR offers no chance of
meaningful benefit to the patient and the probability of success is <1%.
b. The patient should NOT be a DNR based on medical futility.
c. The patient should be a DNR because even if the CPR is successful, his quality of
life is below the minimum acceptable based on his quadriplegia and his pneumonia.
d. The patient should be a DNR because his quality of life is without value.
78. If the physician assistant who certifies that an elderly patient with * 1 point
bunions needs a handicapped parking sticker, when in fact the severity of
the problem does not meet the standard for authorizing the sticker. What
moral problem is involved in this situation?
A. Disparagement
B. Gaming the system
C. Gatekeeping
23. A patient tells his family that he would never want to be "kept alive like a * 1 point
vegetable". The term "vegetable" should be understood by the doctor to

mean:
a. The patient does not want any heroics or extraordinary treatments.
b. Pull the plug if the patient is ever in terminal state on a respirator.
c. If the patient is in a comatose state, let him die.
d. The doctor should interpret the term as vague and not helpful in advance care
planning discussions unless it is clarified.
9. Skip is a 50-year-old man with metastatic non-small cell lung cancer. He * 1 point
decided to try palliative chemotherapy because "otherwise I might just as
well roll over and give up." After the first cycle of carboplatin and taxol, he
requires hospitalization for fever and neutropenia (a complication of the
chemotherapy). You stop by for a visit, and he says he feels terrible,
wonders "if the chemo is worth all this", but that he's too scared to stop.
How would you handle this situation?
a. Encourage the patient to discontinue the palliative chemotherapy because it is an

intervention providing, on average, a small benefit at considerable toxicity in
metastatic non-small cell lung cancer.
b. Stop the palliative chemotherapy based of the side effects and medical futility
c. Be certain that the patient is well informed, understands the benefits and burdens,
and wishes to proceed with the trial of palliative chemotherapy, which is justified in
this situation.
d. Stop chemotherapy and start hospice care
39. Utilitarianism is a form of what type of reasoning? * 1 point
A. Consequence-oriented
B. Duty oriented
C. Virtue ethics
D. Divine mandate
91. The patient with a heart condition who is restricted to be. Although he is * 1 point
told to remain in bed and appears to understand, he is found several times
a day standing and gazing out his window. The patient, a devout Muslim
who by faith is required to pray several times a day facing in a particular
direction, feels that the religious priority overcomes the requirement of
bedrest. What should you do if you are assigned to this patient?
A. Report the patient for being uncooperative
B. Restraint the patient
C. Respect the patient’s cultural activity
58. As discussed in our session we discussed that this definition usually * 1 point
involves the publication of information that leads to the public regarding the
plaintiff falsely.
A. Public disclosure of facts
B. Intrusion
C. Misappropriation
D. Presenting someone in a false light to the public
21. An elderly woman told her daughters that if she ever ended up with * 1 point
dementia she wouldn't want to live like that. Years later she developed
senile dementia and her daughters had her move into a nursing home.
Although she did not recognize family or friends, she enjoyed the company
of others and the nursing home's cat. When she stopped eating, her
daughters were asked whether she should receive a feeding tube.
a. The daughters may approve the insertion of a feeding tube with the proviso that
future triggers could lead to its removal or nonuse.
b. The daughters should consider their mother’s previously stated wishes as an

advance directive and must not place a feeding tube.
c. The daughters cannot decide for their mother because of lack of both a power of
attorney for health care and an advance directive.
d. Before placing a feeding tube, the daughters should obtain a court order
95. This term is when the fetus begins to move, and the mother will be able * 1 point
to sense the movement at a point?
A. Conception
B. Quickening
C. `Viability
D. Conceptus
99. In the 1973 case, the Supreme Court of the United States, relying on the * 1 point
constitutional right of privacy, legalized a woman’s right to have an abortion
1983
A. Doe v. Bolton
B. Planned Parenthood. Detroit
C. Roe v. Wade
D. Harris v. McRae
64. As part of moral ethical principles it is the basic ethical principles in * 1 point
planning research protocol MUST involve human subjects include?
A. Autonomy
B. Beneficence
C. Nonmaleficence
D. All the above
11. Which of the following is NOT a major element of discovery? * 1 point
A. Investigation
B. Interrogatory
C. Document request
D. Deposition
37. The most common form of consequence-oriented reasoning is known * 1 point

as?
A. Divine command theory
B. Deontological theory
C. Utilitarianism
D. Virtue ethics
42. The “categorical imperative is part of __ ethics. * 1 point
A. Duty oriented
B. Virtue
B. Kantian
C. Consequence oriented
67. According to the allocation of scarce resources to those with the best * 1 point
prognosis is known as?.
A. Distributive justice
B. Libertarianism
C. Medical utility
D. Social utility
51. As a healthcare worker you know that in terms of rights the “Right to * 1 point
bear arms” are example under what kind of legal right?
A. Human rights
B. Personal right
C. Negative rights
D. Positive rights
33. A mother brings her 18-month-old daughter to your office for a routine * 1 point
physical examination. The child has had no immunizations. Her mother

says that they believe in naturopathic medicine and prefer not to immunize
their children. You would tell the mother in this situation that:
a. You respect her (the mother’s) wishes and say no more.
b. The risk faced by unimmunized individuals is relatively high.
c. The mother's refusal to immunize poses a significant likelihood of harm to her

child.
d. The physician should be sure that the child's mother understands the risks of
remaining unimmunized and attempt to correct any misconceptions about the
degree of risk associated with getting immunized
52. In health care practice, which of the following characteristics are * 1 point
commonly attributed to a legal person?
A. Person can be benefitted
B. Person can be injured
C. Person can be thought to have interest
D. All of the above
29. Your patient has been suffering from chronic low back pain for many * 1 point
years now. She voices her frustration with the various treatment modalities
that you have been trying and says her friend had recommended a
homeopath. How do you respond?
a. Encourage your patient to consult with local experts or the library to find out more
about what homeopathy can offer.
b. Inform the patient that homeopathy is ineffective in treating her medical

condition.
C. Respond by saying that complementary medical therapy is reasonable for her

condition and definitely not harmful.
d. Encourage your patient to see a homeopath and discourage her from staying in
contact with you.
34. A 23-year-old Navajo man has injured his leg after a fall. He presents to * 1 point
the emergency room of the reservation hospital where he is complaining of

pain. His leg appears to be broken. The man requests that you call a
medicine man before doing anything further. What should the nurse do?
a. Call the local medicine man before proceeding with treatment of the leg fracture.
b. The emergency room medical doctor is under no obligation to communicate with

a medicine man about the patient’s leg fracture.
c. Tell the patient that he will not call his medicine man.
d. Because the patient came to the emergency room, the doctor is allowed to begin
treatment then call the medicine man
48. All of the following are elements of a torte, EXCEPT: * 1 point
A. The existence of a legal duty owing from plaintiff to defendant
B. A breach of duty owing from defendant to plaintiff
C. The existence of a legal duty owing from defendant to plaintiff
D. Damages as a result of a breach of duty
60. Part of the care given to our patient it is a review of the appropriateness * 1 point
of care and the various types of patient care provided within an institution.
A. Institutional Review Board
B. Utilization review
C. Privacy review
D. Third party payers
63. According to the discussion HIPAA has three self-declared major * 1 point
purposes which includes the following?
A. To protect and enhance the rights of consumers by providing them access to their
health information and controlling the inappropriate use of information.
B. Safeguards to protect the patient’s privacy will be part of the research protocol
C. Only those involved in the study will have access to the raw data
D. All of the above
26. Jose is a 62-year-old man who just had a needle biopsy of the pancreas * 1 point
showing adenocarcinoma. You run into his brother in the hall, and he begs
you not to tell Jose because the knowledge would kill him even faster. A
family conference to discuss the prognosis is already scheduled for later
that afternoon. What is the best way for the doctor to handle the
situation?
a. The doctor should honor the request of the family member who is protecting his
beloved brother from the bad news.
b. The doctor should tell Jose's brother that withholding information is not permitted
under any circumstance.
c. Jose should withhold informing the patient about the pancreatic cancer because
of the grave diagnosis.
d. The doctor should ask Jose how he wants to handle the information in front of
the rest of the family, and allow for some family discussion time for this matter.
96. Which of the following is NOT included in the list of traits central to * 1 point
personhood?
A. Reasoning
B. The ability to manage stress
C. The ability to feel pain
D. A concept of the self
59. As a future nurse, in handling patient you are aware that the Invasion of * 1 point
privacy is a breach of what health care principle.
A. Beneficence
B. Maleficence
C. Confidentiality
D. Veracity
73. Major theory of justice using the free-market system operates on the * 1 point
material principle of ability to pay?
A. Libertarian
B. Utilitarian
C. Egalitarian
D. Distributive
85. A universal principle requires remaining within the scope of legitimate * 1 point
practice, whereas the scope of practice is clear, and one does not cross the
line without willful intention?
A. Justice
B. Autonomy
C. Role Fidelity
D. Veracity
55. Another form of rights that a public education is under what type of * 1 point
legal rights?
A. Natural Rights
B. Positive Rights
C. Negative Rights
D. Human Rights
47. The question, “How should I carry out my life if I am to live well,” is * 1 point
representative of which of the following theoretical positions?
A. Duty-oriented
B. Consequence- oriented
C. Virtue ethics reasoning
D. Utilitarianism
5. A placebo effect medication wherein a health care provider may commit * 1 point
white lies may breach which ethical principle?
a. veracity
b. confidentiality
c. justice
d. beneficence
1: A nursing instructor is teaching nursing students about principles of * 1 point
ethics in health care, and she tells them that the utmost important principle
to observe while taking care of patient is doing no harm.The principle of
Ethics she described here:
a) Beneficence
b) Justice
c) Nonmaleficence
d) Respect for autonomy
e) Veracity
41. Is a form of utilitarianism that holds that an action can be deemed to be * 1 point
right if it conforms to a rule that has been validated by the principle of
utility.
A. Act of utilitarianism
B. Rule of utilitarianism
C. Kantian ethics
D. Ethics of care
8. Mrs. P is a 74-year-old woman presenting for emergent treatment of a * 1 point
fracture-dislocation of her right hip, suffered in a fall at her nursing home.

She appears frail, but is alert and oriented. She is accompanied by her
daughter, and both state that they want her to receive full medical care. On
admission two hours earlier, the emergency room physician heard a loud
systolic murmur, and echocardiogram revealed critical aortic stenosis, with
a valve area of 0.3 cm2. The surgeon suggests that the patient, because of
her cardiac status and age, should have a DNR order in the chart. Do you
agree?
a. No, because the patient has not consented to the DNR order.
b. No, because the patient only suffered a fall at her nursing home.
c. Yes, because cardiac arrest in the setting of critical aortic stenosis carries
virtually zero chance of survival and CPR in this setting can be termed medically
futile.
d. Yes, because the hospital policy allows the doctor to write such an order.
53. It is defined as the thought of as recipient or welfare rights as they * 1 point
require goods or service provided.
A. Positive rights
B. Negative rights
C. Human rights
D. Natural rights
81. As part of the Code of conducts and ethics include the following * 1 point
EXCEPT?
A. Serving best interest of patients
B. Ethics of research
C. Incompleteness to duties
D. D. Appropriate scope of practice
76. In distribution, equals must be treated equally, and unequal’s must be * 1 point
treated unequally
C. Material justice
D. Two tier system
6. He is an English philosopher where in his model he assumes that the * 1 point

state of nature was a state of social chaos, and that the origins of law,
which are simultaneous with those of morality, are in social contract.
A. John Rawls
B. John Locke
C. Thomas Aquinas
D. Thomas Hobbes
25. The same patient described in Question #4 presents confused and * 1 point
somnolent. A copy of a signed and witnessed living will is in his chart
stipulates that he wants no "invasive" medical procedures that would "serve
only to prolong my death." No surrogate decision maker is available. Should
mechanical ventilation be instituted?
a. Mechanical ventilation should NOT be instituted because it serve only to "prolong

death" in this patient.
b. Mechanical ventilation should be instituted because of the intent of the directive

in the living will is evident.
c. Mechanical ventilation should be instituted because the patient’s pneumonia

represents a potentially reversible condition from which the patient may recover fully.
d. The living will is NOT a helpful guide to mechanical ventilation decision-making in

this patient.
* 1 point
44. In the principle of categorical imperative, the imperatives seem to have

three elements, which of the following is NOT part of the elements?
A. Demanding action
B. Unconditionality
C. Golden Rule
D. Universal application
75. Reform of health care delivery, regarding equity and access to health * 1 point
care services, major issues
C. Material justice
D. Two tier system
12. This is the opportunity for each side to question witnesses and parties * 1 point
to a suit to elicit information about the case?
A. Arbitration
B. Appeal
C. Trial
D. Deposition
* 1 point
32. A 60-year-old man has a heart attack and is admitted to the medical
floor with a very poor prognosis. He asks that you not share any of his
medical information with his wife as he does not think she will be able to
take it. His wife catches you in the hall and asks about her husband's
prognosis. What are you required to do legally?
a. The doctor should inform the wife about her husband’s poor prognosis.
b. The doctor is should not divulge the prognosis to the wife, but he should ask the
nurse to let the wife know about her husband’s condition.
c. The wife is certainly affected by her husband's health and prognosis and every
effort should be made to encourage an open dialogue between them.
d. The doctor should not encourage the patient to talk to his wife about his condition
84. Mimiyuh is a respiratory therapy technician in a small town in Cebu. The * 1 point
a small hospital and durable medical supply company. She is known locally
as an entrepreneur ball of fire and has managed to become both the head
of the hospital respiratory care department and the owner of the small
durable medical supply company. What code of ethics and professional
conduct best describe the scenario?
A. Role fidelity
B. Conflict of interest
C. Moral duty
D. Duty to treat
49. To sustain a claim of negligence, all of the following must be in place * 1 point
EXCEPT:
A. Duty
B. Dereliction of duty
C. Direct cause
D. Due process
22. A patient who has coronary artery disease and congestive heart failure * 1 point
shows his physician his advance directive that states he wants to receive
cardiopulmonary resuscitation and other forms of life-sustaining treatment
has deeply held beliefs that suggest that not trying to live is tantamount to
committing suicide. What should the doctor do and say to the patient in
response to this?
a. The doctor should educate the patient about the near futility of CPR under these
circumstances.
b. The doctor might want to ask the patient to explore this further with the chaplain.
c. The patient's expression of a preference should be explored to understand its

origins.
d. All the above.
57. It is the example of allowance of unessential or lay personnel to be * 1 point
present during a surgical procedure examination in a clinical is an example

of?
A. Slander
B. Libel
C. Intrusion
D. Misappropriation
45. A Scottish author that quoted “Never ascribe to an opponent motive * 1 point
meaner than your own.”
A. Immanuel Kant
B. J.M Barrie
C. John Rawls
D. Morris Massey
61. All but one is TRUE about a medical record description? * 1 point
A. Property of hospital or clinic
B. Patient has legal interest and right to information
C. Record is confidential
90. A high-stress situation in which one finds oneself in another culture in * 1 point
which former behavior patterns are ineffective and one fails to understand
the basic cues of social intercourse is termed .
A. Culture shock
B. Ethnocentrism
C. Culture bias
D. Racism
14. It is one of the sources of modern law that emanates from judicial * 1 point
decisions?
A. Common Law
B. Administrative Law
C. Statutory law
D. All of the above
3: A famous movie star after suffering fracture of his cervical two and * 1 point
cervical three vertebrae due to an accident became quadriplegic; he is

paralyzed below neck. He made his advance directive that clearly states
that he no longer wanted to live a life of persistent vegetative state and so
he wants physician assisted suicide. His family is against his decision and
wanted to make him live that way and hope for further research in stem
cells and genomics will find cure for his quadriplegic state. Ethical
consideration in decision making for that movie star will include:
a) An integrated model: coherence theory
b) Bottom up models: cases and inductive generalization.
c) Four quadrant approach: Aristotle virtue theory
d) Principlism and common morality theory
e) Top- down models: theory and application
46. Who are considered the Fathers of Utilitarianism? * 1 point
A. Jeremy Bentham and John Stuart Mill
B. J.M Barrie and John Rawls
C. Morris Massey and J.M Barrie
D. Mahatma Gandhi and Aristotle
87. An example of conflict of interest where a group of individuals join * 1 point

together to perform a business venture.
A. Self-referral
B. Business partners
C. Joint -venturing
D. Stark law
10. Angela is a 72-year-old woman with end stage congestive heart failure * 1 point
from coronary artery disease--she has had two myocardial infarctions.

When her medical management is optimal, she is just able to take care of
herself in her own apartment, but with any small decompensation, she ends
up in the hospital. She comes in for a clinic visit, and her weight is up 2
kilograms and she is complaining of paroxysmal nocturnal dyspnea, even
though she has been taking her meds as prescribed. Exasperated and
discouraged, she asks, "Am I dying”? The cardiologist replies: "Well, no--this
is all reversible." What would you, as the medical-legal consultant/ethicist,
say to Angela?
a. Agree with the cardiologist that “--this is all reversible.”
b. Tell the patient that her condition has deteriorated and that she is dying.
c. Inform the patient that the clinical course of congestive heart failure is
unpredictable and includes periods of fairly good function alternating with
decompensation right up until death, and that the terminal event is often sudden.
d. Tell the patient that she needs a hospice referral because her severe end-stage
congestive heart failure is terminal
86. The nature substance abuse is such that even fine practitioners begin * 1 point
to experience behavioral difficulties such as EXCEPT.
A. Behaves naturally
B. Absenteeism
C. Illogical decision making
D. Excessive error
31. A 75-year-old woman shows signs of abuse that appears to be inflicted * 1 point
by her husband. As he is her primary caregiver, she feels dependent on him
and pleads with you not to say anything to him about it. How would you
handle this situation?
a. This is a case of elder abuse and the doctor is required to always report incidents
of abuse to the authorities.
b. The doctor is not permitted under HIPAA (Health Insurance Portability and
Accountability Act) to report the abuse.
c. The laws supporting reporting elder abuse allow the doctor to break
confidentiality and report suspected abuse.
d. The patient should not be reported. Instead, she should obtain support and
access to other services in order to maintain her primary caregiver.
62. With regards to medical record maintenance in the hospital, which of * 1 point
the following is NOT true?
A. Draw single line to cross out incorrect entry, enter correction, error initialed and
dated
B. Mistakes should be erased or unreadable
C. If legal suit threatened, no changes in medical record without consulting risk

management
92. It is the most devastating Ebola outbreak dates back in? * 1 point
A. December 2013
B. March 2014
C. August 2015
38. Held that morality Is derived from rationality, not from experience, and * 1 point
obligation is grounded in pure reason.
A. Jeremy Bentham
B. Immanuel Kant
C. John Stuart Mill
D. Aristotle
66. It is known as the process of allocating scarce resources has been * 1 point
commonly practiced and justified in the crises of war or disaster is what?
A. Utilitarianism
B. Libertarianism
C. Triage
D. Social utility.
83. Which of the following statements about sexual misconduct is * 1 point

INCORRECT according to the discussion?
A. Between practitioners and patients unethical
B. Relationship between practitioner and patient always equal
C. When practitioner feels potential for misunderstanding or mutual feelings of

romantic interest, it is time to end professional relationship
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12/12/22, 10:19 AM P1 LONG EXAM Block 1 NUR104 Nursing Health Ethics (Bioethics)

P1 LONG EXAM Block 1 NUR104 Nursing

jali.durias.swu@phinmaed.com Switch account

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A. First come, first served

A. 1976 Danforth v.Planned Parenthood of Central Missouri case

B. Planned Parenthood. Detroit

54. Defined as the power, privilege, or immunity guaranteed under a * 1 point

Student's Name (SURNAME, FIRST NAME) *

DURIAS, JAMEELA MARIE L.

77. Principles that specify relevant characteristics or morally relevant * 1 point

criteria regarding treatment are material principles

D. Two tier system

B. The Violinist Analogy

C. The Rapidly Growing Analogy

D. The Carpet-Seed Analogy

D. None of the above

A. Competence in a specialized body of knowledge and skill

B. The provision of a particular service to society

C. Grounds for administrative actions

D. Standards of education and practice

20. All but one is the fundamental principles of law? * 1 point

A. Plasticity and change

B. Concern for justice and fairness

C. Acts are judge on the universal standard of the reasonable person

D. Patient’s Bill of Rights

69. According to the discussion on methods for distribution it is known to * 1 point

A. To each person an equal share

B. To each person according to need

C. To each person according to merit

D. None of the above

B. Vagueness as to duties and prohibitions

C. Excessive concern with prestige of profession

D. None of the above

D. All of the above

institutional review boards

A. Research results should be presented in such a fashion as to protect the

D. The same level of obligation to maintain patient confidentiality in the practice of

74. In Egalitarian theories, Daniel’s uses a concept of veiled prudence. * 1 point

A. The prudent planner does not know her age.

D. All of the above

88. An interdisciplinary body of health care providers, community * 1 point

A. American Nurses Association

B. Institutional Ethics Committee

D. None of the above

7. Mr. S is a 73-year-old man, with a history of severe coronary artery * 1 point

disease, peripheral vascular disease, and stroke. He suffers from right

d. Yes, because the Anesthesiologist is under a duty to treat the apparent

C. Out of pocket model

D. National Health Insurance Model

d. None of the above.

A. Offer professional courtesy to other

B. Avoid sexual and conflict of interest

C. Look after the welfare of the profession

D. All of the above

a) Beneficence and theory of virtue ethics.

b) Fiduciary and principlism theory of ethics.

c) Justice and Kantianism theory

d) Nonmaleficence and deontology theory.

e) Respect for Autonomy and critical theory.

a) A 45 years alcoholic with irreversible liver failure.

c) A 35 years young entrepreneur with acute renal failure.

e) A 40 years old female with heart failure and HIV positive.