Chapter 02: Ethical and Legal Issues
1. The difference between ethics and morals is that ethics
a. is more concerned with the “why” of behavior.
b. provides a framework for evaluation of the behavior.
c. is broader in scope than morals.
d. concentrates on the right or wrong behavior based on religion and culture values.
Ethics are concerned with the basis of the action rather than whether the action is right or
wrong, good or bad.
2. A client’s wife has been informed by the physician that her spouse has a permanent C2–C3
spinal injury, which has resulted in permanent quadriplegia. The wife states that she does not
want the physician or nursing staff to tell the client about his injury. The client is awake, alert,
and oriented when he asks his nurse to tell him what has happened. The nurse has conflicting
emotions about how to handle the situation and is experiencing
b. moral distress.
c. moral doubt.
d. moral courage.
The nurse has been placed in a situation initially causing moral distress and is struggling with
determining the ethically appropriate action to take. Moral courage is the freedom to advocate
for oneself, patients, and peers. Autonomy is an ethical principle. Moral doubt is not part of
the AACN framework The 4A’s to Rise Above Moral Distress.
3. Critical care nurses can best enhance the principle of autonomy by
a. presenting only the information to prevent relapse in a patient.
b. assisting with only tasks that cannot be done by the patient.
c. providing the patient with all of the information and facts.
d. guiding the patient toward the best choices for care.
Clients and families must have all the information about a certain situation to make an
autonomous decision that is best for them.
4. Which of the following ethical principles is most important when soliciting informed consent
from a client?