‫بسم هللا الرحمن الرحيم‬

Final Ethics & Law Exam

I. Choose the most correct answer: (40 Marks)

1. Liability:
a. Responsibility for harm caused by inappropriate action.
b. Describes the relationship between plaintiff and the defendant.
c. Is the failure to conform to the standard of practice.
d. None of the above.

2. Informed consent:
a. Voluntary permission for specific procedures based on information and knowledge.
b. Involuntary permission for specific procedures based on information and knowledge.
c. Rules or standard of human conduct established by the agency.
d. It is needed in emergency situation.

3. Which of the following considered Unintentional torts:

a. Assault.
b. Battery.
c. Mal practice.
d. False imprisonment.

4. Professional licensure is:

a. A legal method to control the quality of a profession.
b. Use the title of profession and to practice the service of profession.
c. Grants the authority for institution to regulate practice.
d. A and b are correct.

5. Breach of confidentiality is considered as type of:

a. Negligence.
b. Malpractice.
c. Invasion of privacy.
d. Assault.

6. Which of the following statement regarding the patient's responsibilities is the most
correct:
a. The pt is not responsible for assuring that the financial obligations are fulfilled owing to
his right for free health care.
b. Pt is responsible of following the treatment plan recommended by any of health
practitioners.
c. The pt is responsible for his/her action if he/she refused the treatment or doesn't follow
practitioner's advice.
d. Non of the above.

7. Justice in the ethical principle means: 2-8

a. Keeping promises.
b. Treating people fairly.
c. Respecting information.
d. Truth telling.
8. Which of the following is implication of autonomy principle in the clinical practice:
a. Promote client decision making.
b. Make decision on client best interest.
c. Support clients to have informed consent.
d. A and C are correct.

9. Civil law:
a. Compromise all state laws, that affect whole society.
b. Include misdemeanor acts.
c. Established and enforced by state of legislator.
d. Compromise all laws affect individual rather than society.

10. All of the following are characteristics of scheduled patient Except:

a. Well organized.
b. Spontaneous.
c. Precise in dress and conversation.
d. New situation are not tolerated.

11 .The patient has the right to every consideration of his privacy concerning his
treatment. This right implied to:
a. Accountability.
b. Responsibility.
c. Confidentiality.
d. Non of the above.

12. Which these are the factors increased the substance abuse among nurses:
a. Frustration anxiety autonomy in practice.
b. Anxiety, lack of staff, unrealistic employer expectation.
d. Job stress, staff shortages, realistic expectation of employer.
d. Depression, staff competence, job stress.

13. To solve an ethical dilemma, you need a methodology for an ethical decision
making. This method includes:
1. Identify the important factors.
2. Presume good will.
3. Gather relevant and factual information.
4. State values and principles and rank them.
a. 1+2 b. 2+3 c. 1+2+3 d. All of the above.

14. A patient doesn't concern about his condition is a trait of:

a. Scheduled patient.
b. Demanding patient.
c. anxious patient.
d. Uncomfortable patient.

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15. Dealing with stubborn nurse include:
a. Approach the stubborn nurse with respect.
b. Use tact in your approach to stubborn nurse.
c. Don't try to make the nurse admit he is wrong.
d. All of the above.
16. Good Samaritan laws:
a. Protect the community from threats.
b. Provide immunity from civil liability for any act by person who provides emergency
care.
c. Provide immunity from criminal liability in case of emergency.
d. No of the above.

17. Medical errors considered:

a. Negligence.
b. Felony
c. Malpractice.
d. A and B correct

18. Positive euthanasia:

a. Refers to situations in which no extraordinary measures to save a person's life.
b. A patient's right to die involves the issue of whether to provide or withhold life saving
measures.
c. Refers to situations in which life support systems are withdrawn.
d. Non of the above.

19. The standards of care concerns with:

a. It is the function of law to monitor the standards.
b. It is the kind of quality of care.
c. Scope of care should be maintained.
d. All of the above.

20. Studying ethics help the nurse to:

a. Solve an ethical dilemma.
b. Conduct the behavior towards the patient.
c. A and B correct
d. Non of the above.

21. Realize right:

a. Protected by law but not recognized by society.
b. Recognized by society but not protected by law.
c. Recognized by society and protected by law.
d. Neither recognized by society nor protected by law.

22. Certification:
a. Is one method the state uses to establish minimal level of competency.
b. Outlines the requirements for licensing.
c. Means of regulating health care profession and a high standard of care.
d. Non of the above.

23. Which of the following actions no considered Misdemeanors:

a. A nurse fails to provide care for an obviously sick child who subsequently dies.
b. Failure to report certain injuries or illnesses as gun shot wounds.
c. If the hospital 's failure is willful and causes injuries to the patients.
d. A and B are correct.

24. Nurses ethical resolution regarding In Vitro Fertilization:

a. Nurses opposed to IVF should not be involved in 4-8
caring for a patient.
b. Nurses must examine their own position on the ethics of IVF
c. All nurses should be aware of potential for abuse of the procedure.
d. All of the above.
25. Surrogate mother is:
a. A process of removing ova form a women's ovary
b. A women who give birth after carrying the fertilized ovum of another woman.
c. Both correct.
d. Both wrong.

26. Conduct that falls below the standard of care it established by law for protect of
others against unreasonable risk of harm.
a. Slander.
b. Assault.
c. Battery
d. Negligence.

27. Obligation to tell the truth means:

a. Veracity.
b. Beneficence.
c. Non malfeasance.
d. Altruism.

28. Kidnapping means:

a. Holding or carrying of another person against his will
b. Unlawful killing of another person.
c. Criminal act made with criminal intent.
d. Is a form of malpractice.

29. Consent which done only in urgent situation is:

a. Implied consent.
b. Reasonable consent.
c. Incident consent.
d. Informed consent.

30. Euthanasia referred to:

a. Heroic life support.
b. Death due to sever pain.
c. Painless death.
d. Brain death with peace.

31. All of the following are forms substance abuse EXCEPT:

a. Carrying wrong orders and implement it on patients.
b. Alcohol drinking.
c. Steal narcotics from cabinet and selling, or use it.
d. An intent to and sell illegal drugs.

32. Informed consent based on patient's right is:

a. Self determination.
b. Self demonstration.
c. Self direction.
d. Self distribution

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33. All of the following are correct regarding advanced directives included in patient's
decision making participation EXCEPT:
a. Continuity of care and informed consent.
b. Privacy and confidentiality.
c. Complete closure of information.
d. Refusal of treatment.

34. The nurse who choose nursing for positive reasons and want to continue in it:
a. Converted nurse.
b. Dedicated nurse.
c. Disenchanted nurse.
d. Immigrant nurse.

35. Assault is:

a. Unlawful killing of person through force or violence.
b. Carrying off another person against his will by force.
c. Serious criminal offended.
d. Non of the above.

36. Treatment of on guard patient includes all of the following EXCEPT:

a. Keep him informed well to be ready against new stress.
b. Be courteous and friendly.
c. Allow him for interpersonal distance.
d. Don't be defensive.

37. Making false statements about a patient's state to news reporters is considered:
a. Libel.
b. Battery.
c. Slander.
d. Negligence.

38. Which of the following are considered from the malpractice:

a. Leaving foreign objects inside a patient after surgery.
b. Failing to observe a patient as Dr. advice.
c. Failing to ensure a patient's informed consent.
d. All of the above.

39. When communicating a patient you should do all of the following EXCEPT:
a. Use a slang language.
b. Use a good manner of speech.
c. Show an interest in what patient is saying.
d. Respect the patient's moods.

40. A nurse who named defendant is one who:

a. Has a flexible attitude when providing care.
b. Takes patient's complaints seriously.
c. Delegates responsibilities inappropriately to subordinates.
d. All of the above.

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II. Put the mark () or (×) in font of the following: (10 Marks)

1- Nursing liability usually refers to nurse responsibility for harm

caused to a patient by an inappropriate nursing action. ( )

Consent form must be obtained by the nurse preop. or before admission. ( )

2- Due to high technology and advanced sciences, ethical dilemmas

are minimized to lowest levels now a days. ( )

4- The rules should prevent the visitors form doing any thing regarding
the patient's care because that is the responsibility of the nurse only. ( )

5- Although a patient may assert a given right, the right is not always legal. ( )

6- Patients' bill of right doesn’t proclaim that, all patients have

an absolute right to the health care. ( )

7- Your attitude toward visitors should be courteous and friendly

as your attitude toward other staff members. ( )

8- Nurse's managers, owing to their posts are privy to information

about employees that may be confidential, and they shouldn't abuse it. ( )

9- Writing "HIV Patient" on the patient's file with a clear florescent draw
Is considered a form of intentional torts [Libel]. ( )

10- To protect your self from lawsuits, you must to become defensive
with a hostile patient. ( )

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III. Matching: (10 Marks)

1. Making false statement about a patient to news reporters A. Battery
2. Writing in the chart that the patient is a homosexual B. Felony
3. Confining a patient in a psychiatric unit without a physician's C. Invasion of privacy
4. Leaving foreign objects inside a patient after surgery D. Malpractice
5. Threatening a patient E. False imprisonment
6. Allowing an unauthorized to read a patient's medical record F. Assault
7. Striking a patient. G. Libel
8. Any serious criminal act. H. Kidnapping
9. Carrying of another person against his will I. Manslaughter
10. An unintentional criminal negligence J. Slander.

IV. Answer only three questions from the following,

Question NO. 1 must be included: (40 Marks)
1. Emergency department is legally sensitive practice setting:
A. Discuss the above sentence.
B. Define your implications in emergency department.
C. What are the main principles which you are follow to avoid malpractice suits.

2. List measures that used to avoid legal jeopardy (at least 10 measures).

3. Discuss the substances abuse among nurses from the ethical point of view.

4. Define nursing liability; compare employer liability with supervisor liability.

5. List the nurse's rights.

6. List the nurses' strategies to free their profession from medical dominance.

I. MCQ:
S S S S
1. A 11. D 21. C 31. A
2. A 12. B 22. A 32. A
3. C 13. C 23. D 33. C
4. D 14. B 24. D 34. D
 5. C 15. D 25. C 35. D
6. C 16. B 26. D 36. D
7. B 17. C 27. A 37. C
8. D 18. C 28. A 38. D
9. D 19. C 29. C 39. A
10. B 20. C 30. C 40. C

II. True or False:

1. 2. 3. 4. 5. 6. 7. 8. 9. 10.
S
T F F F T T T T F F

II. Matching:
1. 2. 3. 4. 5. 6. 7. 8. 9. 10.
S
J G E D F C A B H I

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