Chapter 12: Ethical Leadership, Substance Use
This flashcard set covers key ethical considerations and leadership responsibilities in nursing, including ethical organizational practices, responding to impaired colleagues, the nursing shortage, and the ethical recruitment of internationally educated nurses.
Which of the following organizational activities should be guided by ethical standards?
a. Recruitment practices
b. Leadership practices
c. Resource allocation
d. All of the above
ANS: D
Correct D: All of the above should be guided by ethical standards. Organizational and clinical systems and processes must meet the same ethical standards as does practice. These systems include human resource policies such as recruitment and retention, leadership practices that involve support and mentorship for staff as well as succession planning, and ethical resource allocation.
Incorrect A: All of the above should be guided by ethical standards. Organizational and clinical systems and processes must meet the same ethical standards as does practice. These systems include human resource policies such as recruitment and retention, leadership practices that involve support and mentorship for staff as well as succession planning, and ethical resource allocation.
Incorrect B: All of the above should be guided by ethical standards. Organizational and clinical systems and processes must meet the same ethical standards as does practice. These systems include human resource policies such as recruitment and retention, leadership practices that involve support and mentorship for staff as well as succession planning, and ethical resource allocation.
Incorrect C: All of the above should be guided by ethical standards. Organizational and clinical systems and processes must meet the same ethical standards as does practice. These systems include human resource policies such as recruitment and retention, leadership practices that involve support and mentorship for staff as well as succession planning, and ethical resource allocation.
Key Terms
Which of the following organizational activities should be guided by ethical standards?
a. Recruitment practices
b. Leadership practices
c. Resource allocation
d. All of the above
ANS: D
Correct D: All of the above should be guided by ethical standards. Organizational and clinical systems and pro...
During night-shift report, the nurse notes that one of his colleagues cannot seem to stay awake. Despite prompting and tea, she remains drowsy, and the nurse suspects substance abuse. The nurse reports this to the charge nurse. Which of the following describes the charge nurse’s responsibility?
a. The charge nurse should fire the employee immediately.
b. The charge nurse should send the employee home immediately.
c. The charge nurse should send the employee for drug testing immediately.
d. The charge nurse should suspend the employee with pay immediately.
ANS: B
Correct B: The employee should be sent home immediately after being told the reason for being sent home (that ...
Which of the following factors is having an impact on the current nursing shortage?
a. An aging population creates a growing demand on health resources.
b. An aging population means more young people are contemplating entering the nursing profession.
c. Advances in technology call for increased generalization of practice for new nurses.
d. All of the above
ANS: A
Correct A: As the population ages, its health care needs increase. An aging population results in a growing de...
Which of the following is the most ethical method for recruiting internationally educated nurses?
a. Recruiting nurses from developing countries and offering them a better way of life in Canada
b. Booking a table at an international job fair for nurses and discussing opportunities with nurses who attend the fair
c. Offering large financial and transition incentives for internationally educated nurses to come to Canada
d. Hiring internationally educated nurses through international recruitment agencies
ANS: B
Correct B: Booking a table at a job fair is the most ethical method of attracting internationally educated nur...
Which of the following best describes the expectations of a nurse caring for a patient with a different cultural background?
a. The nurse should ask another nurse with the same cultural background as the patient to care for the patient.
b. Nurses must be knowledgeable about all cultures and customs.
c. The nurse can identify the patient’s unique cultural practices during assessment and then plan the implementation of care and interventions accordingly.
d. Nurses should avoid discussion of unusual customs.
ANS: C
Correct C: Nurses should undertake a comprehensive cultural assessment of their patients in an effort to under...
Why are patients and clients from diverse cultural backgrounds at risk?
a. Language barriers always interfere with care.
b. Patients’ food preferences result in less than optimum nutrition.
c. Patients’ reluctance to disclose their feelings is an issue.
d. There may not be a shared understanding of what is meaningful to these patients and their families.
ANS: D
Correct D: Nurses should engage in actions that respect and empower cultural identity and make attempts to und...
Related Flashcard Decks
Study Tips
- Press F to enter focus mode for distraction-free studying
- Review cards regularly to improve retention
- Try to recall the answer before flipping the card
- Share this deck with friends to study together
| Term | Definition |
|---|---|
Which of the following organizational activities should be guided by ethical standards? a. Recruitment practices | ANS: D Incorrect A: All of the above should be guided by ethical standards. Organizational and clinical systems and processes must meet the same ethical standards as does practice. These systems include human resource policies such as recruitment and retention, leadership practices that involve support and mentorship for staff as well as succession planning, and ethical resource allocation. Incorrect B: All of the above should be guided by ethical standards. Organizational and clinical systems and processes must meet the same ethical standards as does practice. These systems include human resource policies such as recruitment and retention, leadership practices that involve support and mentorship for staff as well as succession planning, and ethical resource allocation. Incorrect C: All of the above should be guided by ethical standards. Organizational and clinical systems and processes must meet the same ethical standards as does practice. These systems include human resource policies such as recruitment and retention, leadership practices that involve support and mentorship for staff as well as succession planning, and ethical resource allocation. |
During night-shift report, the nurse notes that one of his colleagues cannot seem to stay awake. Despite prompting and tea, she remains drowsy, and the nurse suspects substance abuse. The nurse reports this to the charge nurse. Which of the following describes the charge nurse’s responsibility? a. The charge nurse should fire the employee immediately. | ANS: B Incorrect A: Firing the employee immediately would be premature and not supportive. Firing is the role of the manager, not the charge nurse. Incorrect C: Discussion with the employee must take place prior to drug testing, as the employee may admit to the substance misuse. If necessary, the manager would arrange for drug testing, not the charge nurse. Incorrect D: Discussion with the employee must take place prior to any discipline. If necessary, the manager would be involved with the disciplinary actions, not the charge nurse. |
Which of the following factors is having an impact on the current nursing shortage? a. An aging population creates a growing demand on health resources. | ANS: A Incorrect B: An aging population means fewer young people are available to potentially enter the nursing profession. Incorrect C: Advances in technology call for increased specialization of practice for new nurses. Incorrect D: All of the above are not correct. |
Which of the following is the most ethical method for recruiting internationally educated nurses? a. Recruiting nurses from developing countries and offering them a better way of life in Canada | ANS: B Incorrect A: This is unethical, as developing countries can little afford to lose what resources they have. Incorrect C: Incentives for internationally educated nurses may result in abuse from local nurses who may perceive reverse discrimination. Incorrect D: International recruitment agencies often use aggressive strategies to lure internationally educated nurses away from developing countries with nursing shortages or promise financial or transition incentives that never materialize. |
Which of the following best describes the expectations of a nurse caring for a patient with a different cultural background? a. The nurse should ask another nurse with the same cultural background as the patient to care for the patient. | ANS: C Incorrect A: The nurse should be able to care for this patient without involving another nurse. It is impossible for nurses to be knowledgeable about the cultural backgrounds and values of all the patients they care for. Incorrect B: It is impossible for nurses to be knowledgeable about the cultural backgrounds and values of all the patients they care for. Incorrect D: Nurses should encourage discussion of customs that are important to the patient. |
Why are patients and clients from diverse cultural backgrounds at risk? a. Language barriers always interfere with care. | ANS: D Incorrect A: Language barriers can sometimes be an issue, but not always. Incorrect B: Family members may bring outside food to patients, and in most situations the care is short-term, so diet is not a major issue. Incorrect C: This is a generalization and is not appropriate. |
What does the term “multidisciplinarity” mean, with respect to the levels of team functioning? a. Feeling competent and confident in one’s own discipline | ANS: D Incorrect A: This phrase describes unidisciplinarity. Incorrect B: This phrase describes interdisciplinarity. Incorrect C: This phrase describes intradisciplinarity. |
Patients’ family members are an important aspect of care, and family-centred care is an important model of care. Which of the following is an example of inappropriate family involvement in the care of a patient involving a language barrier? a. Translation by family members during decisions about cancer treatment | ANS: A Incorrect B: Family translation to assist with the patient’s mealtime is appropriate. Incorrect C: Family translation during the provision of comfort measures is appropriate. Incorrect D: Family translation to help identify subtle signs of discomfort in the patient is appropriate. |
True or False Organizational ethics deals with those values that establish standards and influence how the organization is perceived both internally and externally. | ANS: T Incorrect: This statement is true. |
True or False Distributive justice refers to the perception that processes have been fair and inclusive regardless of the outcome. | ANS: F Incorrect: This statement is false. |
True or False Nursing leaders are solely responsible for ensuring sound ethical practice and a healthy work environment. | ANS: F Incorrect: This statement is false. |