Initial Activity

Instruction: Please have your answer encoded and submit to this GC.

Situation:
A 80 year old female widow is suffering from severe peripheral vascular disease and has been
told that a non – healing lesion on his foot must be managed with either vascular bypass
surgery or amputation of the foot. Although the surgeon believes that the foot can be saved with
bypass, the man elects to have the amputation. His main reason is that the site will heal more
quickly and allow him to resume normal activities sooner. He asks for the nurse’s opinion.
1. What is the nurse’s ethical/moral responsibility in the instance?
2. What additional information might the nurse need to gather from the client or the
surgeon?
3. What conflicting loyalties and obligations does the nurse face?
4. Of what value is the Code of Ethics for Nurses to the nurse in solving this dilemma?

Assessment
Nursing Ethics Practice Test
Multiple Choice: Write down your correct answer and give rationale in a separate sheet of
paper.
1. Professional accountability serves for the following purpose except for:

a. To provide basis for ethical decision

b. To respect the decision of the client.
c. To maintain standards of health
d. To evaluate new professional practices and reassess
existing ones
2. The portion of ethics that centers on the extent to which judgments are reasonable or
otherwise justifiable is:

a. Mataethics
b. Normative ethics
c. Descriptive ethics
d. All of these
3. The fundamental responsibility of a nurse according to the International Council of
Nurse Code for Nurses are the following apart from:

a. Prevention of illness
b. Promotion of health
c. Restoration of health
d. Aggravation of suffering
4. Nursing ethics provides the standards for professional behavior and is the study of
principles of right and wrong for nurses. This set of standards states the duties and
obligations of nurses to:
a. Client
b. Other health professionals
c. Community
d. All of these
5. Before the nurse administered the client’s medication she assessed the client’s needs
for drugs, and followed the “rights” in drug preparation and administration. After the
nurse has given the dose, she evaluated the client’s response to the medication given.
The nurse is promoting:
a. Accountability
b. Autonomy
c. Responsibility
d. Veracity
6. Deciding whether prolonging life in a terminally ill client or doing euthanasia (mercy
killing) is an example of what type of ethics?
a. Mataethics
b. Normative ethics
c. Descriptive ethics
d. All of these
7. A wrong dose of drug is administered by the nurse. The nurse is responsible to whom?
a. Client
b. Physician who ordered the drug
c. Society
d. All of these
8. When does a moral issue become an ethical issue?
a. When the choices are clearly denoting which is right and
wrong.
b. When values of a person develops and changes over
time.
c. When there is no acceptable reason for the wrong
 choice once it is done.
d. When the choice is no longer clear between right and
wrong.
9. Informed consent is a method that promotes:
a. Autonomy
b. Nonmaleficence
c. Beneficence
d. Justice
10. To make autonomous decisions and actions, clients must be offered enough information
and has the following criteria:
a. Free of internal and external influences
b. A minor
c. Unconscious
d. Comatose patient
11. The client on renal dialysis informs the nurse that he wants to stop the series of dialysis.
The nurse should appropriately do which action in response to the client’s decision?
a. Inform the client that the doctor must decide what to do.
b. Tell the client that he must finish his series of renal
dialysis.
c. Respect the client’s decision and provide comfort
measures.
d. Leave the client and attend other patients.
12. The personal conviction that something is absolutely right or wrong in all situations is
called:
a. Values
b. Morals
c. Ethics
d. standards of practice
13. Nurse’s code of ethics is a set of ethical principles generally accepted by members of
the profession. The standard or principles that a nurse must observe in the practice
should promote which duty?
a. Uses judgment in relation to individual competence when
accepting and delegating responsibilities.
b. Plays a major role in determining and implementation of
desirable standards of nursing practice.
c. Active in developing a core of professional knowledge.
d. Acts through professional organization and participates in
establishing and maintaining equitable social and
 economic working conditions in nursing.
14. The duty to respect privileged information is called:
a. Fidelity
b. Justice
c. Veracity
d. Confidentiality
15. The execution of duties associated with nurse’s particular role is called:
a. Accountability
b. Responsibility
c. Nonmaleficence
d. Veracity
16. Being answerable for one’s own action is assuming:
a. Accountability
b. Responsibility
c. Nonmaleficence
d. Veracity
17. The one that promotes the philosophical and theological study of morality, moral
judgments and moral problems is called:

a. Values
b. Morals
c. Ethics
d. standards of practice
18. A client is advised by the doctor to undergo chemotherapy. An informed consent is not
yet signed. This client requests information related to chemotherapy and the drugs that
will be given to him. The nurse explained the side effects of the medications, including
the length of treatment and the prognosis of the disease. The nurse answered all the
questions of the client honestly even though the client may choose not to undergo
chemotherapy. The nurse in this situation is promoting:
a. Fidelity
b. Justice
c. Veracity
d. Confidentiality
19. The principles or standards that influence behavior and decision making which are
based on experience, religion, education and culture is called:
a. Values
b. Morals
c. Ethics
d. Standards of practice
 20. The nurse in a unit is caring for several clients. To distribute nursing care the nurse
utilized the principle of triage due to the limited availability of resources. The nurse is
promoting which ethical principle?
a. Fidelity
b. Justice
c. Veracity
d. Confidentiality

Legal Aspects of a Nurse

Initial Activity

Instruction: Have this encoded in a long bond paper (Arial 12 and 1.5 spacing)

1. Write an application letter with resume attached.

2. Write a resignation letter.

Assessment:
Multiple Choices: Read each item carefully and write your correct answer at separate answer
sheet.
1. Legally nursing care that is not documented:
a. Is care provided even if it is not recorded
b. May be recorded soon after she remember
c. Is considered care that is not provided
d. May be recorded during her next round of duty

2. In the scope of nursing practice, professional services include all the following
independent roles of the nurse except:
a. Utilization of the nursing process
 b. Execution of doctor’s orders
c. Accurate recording and reporting of nursing care
d. Understanding responsible care and supervision of services

3. The primary purpose of licensure requirement for nurses is:

a. Limit practice
b. Protect the public
c. Define scope of practice
d. Outline legislative action

Situation: Nurse Joyce did not actively practice her profession for 5 consecutive years.

4. Which of the following actions of the PRC/BON is the possible consequence?

a. Suspension of the license
b. Revocation of the license
c. Her name be dropped from the rosters of Filipino nurses
d. None of the above.

5. Now she wants to be employed as a nurse. Under R.A. 9173 she will be required to
undergo which of the following?
a. 1 month didactic training and 6 months practicum
b. 3 months didactic training and 6 months practicum
c. 1 month didactic training and 3 months practicum
d. 3 months didactic training and I month practicum

6. The patient developed sepsis after an appendectomy. After investigation, it was found
out that an operating sponge was left in the patient’s abdomen. Which of the following
doctrines can be applied in this particular case?
a. Epikia
b. Respondeat superior
c. Force majeure
d. Res ipsa loquitor
 7. All of the legal rules and principles including study, interpretation, and application in the
regulation of the practice of nursing comprise which of the following?
A. Nursing legislations
B. Nursing regulations
C. Nursing jurisprudence
D. Nursing ethics

8. The membership of the Board of Nursing shall represent the following three fields of nursing
practice, except:
A. Community health nursing
B. Occupational health nursing
C. Institutional health nursing
D. Nursing education

9. A crime committed with evident premeditation is said to be which of the following?

A. Aggravating circumstance
B. Exempting circumstance
C. Mitigating circumstance
D. Justifying circumstance
10. When two or more persons agree to commit a crime, they commit:
a.. Proposal c. Suggestion
b. Conspiracy d. Felony

11. An agreement between two or more persons to do or not to do a particular thing is known
as:
A. Consent c. Contract
B. Purpose d. Subpoena

12. Joy applied for the nurse’s licensure exam. To qualify, she must posses the following:
A. 21 years of age
B. Filipino, BSN degree holder, in good health and of oral Character
C. 21 years of age, Filipino, BSN graduate
D. 21 years of age, BSN, in good health and of moral Character
13. The Philippine Nurse’s Association was founded in 1922 by:
a. Anastasia Giron- Tupas C. Julita Sotejo
b. Rosario Delgado d. Annie Sand

14. According to the Milk Code, which of the following would be improper for the nurse to do?
a. Advocating breastfeeding of children up to two years
b. Endorse or promote a brand of milk to a lactating mother
c. Teaching the mother alternative ways of feeding if breast feeding is not possible
d. None of the above

15. The Client’s chart may also be evaluated in court when which of the following has been
issued?
a. Living will c. Warrant of arrest
b. Subpoena duces tecum d. Subpoena adtestificandum
16. A profession is best defined as:
a. Calling the requires advanced skill and preparation
b. The work that suits an individual
c. An activity one engages
d. All of the above

17. The expansion of liability as when a head nurse is implicated in the mistake commited by
her staff is based on which of the principle?
a. Respondeat superior c. Malpractice
b. Force majeur d. Res ipsa loquitor

18. Which is the role of the nurse in a domestic abuse situation.

a. Provided counseling for the victim
b. Provided counseling to the person commiting the abuse
c. Protect the client’s privacy by not documenting the abuse
d. Document the situation and provide support for the victim

19. Entering the Client’s room to get the neonate for an examination by the physician, the nurse
on the maternity unit sees the client holding the crying neonate and slapping his face. Which
action is most appropriate?
 a. Leave the room without the neonate and notify the nursing supervisor
b. Take the neonate to the nursery, tell the physician so he can examine the neonate for
injuries, and notify social services.
c. Take the neonate to the nursery and tell coworkers to observe the client for further
incidents
d. Confront the client by asking her what she’s doing and why

20. Every nurse must be a member of the national accredited professional organization which is
the:
a. International Council of Nurses
b. Philippine Nurse’s Association
c. Philippine Mental Health Association
d. ANSAP
21. A certificate of registration may be revoked or suspended for
a. Malpractice and incompetence
b. Negligence
c. Fraud, false statements in obtaining a license
d. All of the above

22. Any person who kills his father is guilty of

a. Infanticide c. Parricide
b. Murder d. Abortion

23. When a patient enters the doctor’s clinic for consultation, this is an example of
a. Formal contract c. Implied contract
b. Expressed contract d. Void contract

Situation: Karen is 2 months pregnant. Her parents are not aware of this. Karen informed her
friend of the problem. Katty referred Karen to Kelly, an abortionist. Karen had an abortion.

24. Who is considered as the accomplice?

a. Kelly c. Katty
b. Karen d. None
25. If those involved will be charged, Kelly is considered the
a. Accomplice c Principal
b. Accessory d. None of these

26. If during the investigation, the pieces of evidence were not found because Kate, the maid of
Kelly burned it. Kate is considered:
a. Principal c. Accessory
b. Accomplice d. None of these

27. The office term for members of BON under R.A 9173 is:
a. 5 years c. 3 years
b. 4 years d. 2 years

28. All of the following are causes of the revocation of license except:
a. Proper practice c. Gross incompetence
b. Unethical conduct d. Malpractice

29. Professional practice of nursing involves of all the following except

a. Undertaking research
b. Participation in teaching, guidance, and suppression of students
c. Motivation of individuals, families, and communities
d. Administration if IV medications after completion of training

30. Improper or unskill care of patient by a nurse and stepping beyond one’s authority with
serious consequences is termed as
a. Liability c. Malpractice
b. Negligence d. Tort

31. The hospital where you have been working is celebrating its Golden Jubilee Foundation.
The overall chairman assigned three of the nurse supervisors to head different committees. The
principle of management used here is
a. Unity of command c. Command responsibility
b. Delegation of responsibility d. Channel of communication
32. You understand that as a nurse, maintaining privacy and confidentially is an important
aspect of which of the following?
a. What all clients expect c. Hospital policy
b. It is an accepted practice d. Nurse’s code of ethics

33. The nurse in the pediatric ward strikes a child I the arm in her attempts to keep the child
quite. The nurse in this situation can be accused of
a. Malpractice c. Negligence
b. Battery d. Assault

34. A patient is having steam inhalation, after the nurse has given it for 30 minutes, the patient’s
face was red all over and soon, blisters started to appear. The burns in this case illustrates the
doctrine of
a. Force majeure c. Res ipsa loquitor
b. Respondent superior d. Commission of a negligent act

35. Current license is to be renewed every

a. Three years c. Five years
b. Two years d. Four years

36. The most common situation for which nurses are charged making with malpractice is:
a. Loss of client’s property
b. Not following a physician’s order
c. Making a medication error
d. Failure to obtain informed consent

37. A primary purpose of an incident report is to

a. Identify ways to prevent future incidents
b. Assure that the necessary follow – up procedures were followed
c. Provide evidence for a trial
d. Identify the persons responsible from the incidents

38. Which of the following clients cannot give informed consent?

 a. A 50 – year – old woman who cannot stop crying during the explanation
b. A 40 – year – old client who has been sedated
c. A married
d. A 70 – year – old woman who is alert and oriented, but unable to write her name

39. Informed consent is defined as:

a. A form that contains a description of the procedure or treatment and risks that the
nurse explains to the client
b. A process whereby the client is given an option of several treatment modalities
c. An agreement by the client to accept a course of or procedure after receiving
complete information
d. A Legal form that signed by the client that becomes a permanent part of the chart.

40. The BON schedule the oath taking ceremony foe the new nurse’s ______ days after the
release of the exam results.
a. 20 days b.15 days c.10 days d.5 days

41. Two students nurses are eating lunch in the cafeteria and one of them states that her client
is a prostitute, which is why the patient contracted genital herpers. In fact, the client sister is
eating lunch at the next table and overheads the conversations.
a. Slander c. Assault
b. Libel d. Battery

42. An attempt or threat to touch another person unjustifiably describes the intentional tort of
a. False imprisonment c. Libel
b. Assault d. Slander

43. Individuals have a right to withhold themselves and their lives from a public scrutiny. The
intentional tort that results from not respecting these rights is
a. Invasion of privacy c. Slander
b. False imprisonment d. Battery

44. In order to prove that nursing malpractice has occurred, the plaintiff must prove that the
nurse:
 a. Acted outside care standards
b. Carries malpractice insurance
c. Had performed that action safely previously
d. Intended to harm the patient
45. Which of the following categories of law deals with libel and slander?
a. Torts c. Contracts
b. Statutory d. Criminal
46. When the mayor of a town or a city takes advantage of his power in the performance of
unlawful actions, this action is considered as
a. Mitigating circumstance c. Exempting circumstances
b. Aggravating circumstance d. Justifying circumstances

47. Circumstance or actions which are said to be in accordance with the law are
a. Aggravating c. Mitigating
b. Exempting d. Justifying
48. If an examinee fails three times, he/she should
a. Enroll for a refresher course
b. Enroll and pass the regular 4th year subjects
d. Take another college course
c. Take the exam for the 4th time
49. The chairman and members of the board shall hold office for
a. 5 years c. 2 years
b. 3 years d. 6 years

50. The act providing for a more responsive nursing profession, repealing RA 7164 (The
Philippine Nursing Act of 1991) is:
a. RA 9731 c. RA 9317
b. RA 9713 d. RA 9173