Nursing Ethics and Professionalism MCQs

  1. Which ethical principle in nursing focuses on doing no harm?
    a) Beneficence
    b) Non-maleficence
    c) Autonomy
    d) Justice
    Answer: b) Non-maleficence
  2. The principle of autonomy in nursing ethics refers to:
    a) Doing good for the patient
    b) Treating all patients equally
    c) Respecting a patient’s right to make their own decisions
    d) Keeping patient information confidential
    Answer: c) Respecting a patient’s right to make their own decisions
  3. The Nursing Code of Ethics is primarily designed to:
    a) Increase nurse salaries
    b) Provide a framework for ethical decision-making
    c) Promote healthcare organizations
    d) Guide patient medical treatment
    Answer: b) Provide a framework for ethical decision-making
  4. Which ethical principle involves the fair distribution of resources?
    a) Autonomy
    b) Justice
    c) Beneficence
    d) Fidelity
    Answer: b) Justice
  5. In nursing, what does the principle of beneficence mean?
    a) Avoiding harm to the patient
    b) Acting in the patient’s best interest
    c) Allowing patients to make their own decisions
    d) Ensuring fair treatment for all patients
    Answer: b) Acting in the patient’s best interest
  6. Confidentiality in nursing practice is primarily protected under:
    a) The Nursing Code of Ethics
    b) The Nurse Practice Act
    c) HIPAA (Health Insurance Portability and Accountability Act)
    d) The Affordable Care Act
    Answer: c) HIPAA (Health Insurance Portability and Accountability Act)
  7. What is the primary focus of the principle of fidelity in nursing?
    a) Ensuring patient autonomy
    b) Being truthful and faithful to commitments
    c) Distributing resources fairly
    d) Avoiding harm
    Answer: b) Being truthful and faithful to commitments
  8. Which term describes the ethical responsibility of nurses to keep patient information private?
    a) Veracity
    b) Justice
    c) Confidentiality
    d) Fidelity
    Answer: c) Confidentiality
  9. What is the first step in ethical decision-making in nursing?
    a) Identifying the ethical issue
    b) Collecting data
    c) Evaluating outcomes
    d) Implementing an action plan
    Answer: a) Identifying the ethical issue
  10. The principle of veracity in nursing ethics refers to:
    a) Fair treatment of all patients
    b) Being honest and truthful
    c) Respecting patient autonomy
    d) Preventing harm to the patient
    Answer: b) Being honest and truthful
  11. In nursing, advocacy means:
    a) Arguing with physicians
    b) Ensuring patient safety
    c) Speaking up for the patient’s rights and best interests
    d) Promoting hospital policies
    Answer: c) Speaking up for the patient’s rights and best interests
  12. Which ethical principle supports a patient’s right to refuse treatment?
    a) Justice
    b) Autonomy
    c) Beneficence
    d) Fidelity
    Answer: b) Autonomy
  13. The concept of informed consent in nursing requires:
    a) Administering treatment without explanation
    b) Providing detailed information about treatments and obtaining patient consent
    c) Ignoring patient decisions
    d) Making decisions on behalf of the patient
    Answer: b) Providing detailed information about treatments and obtaining patient consent
  14. A nurse’s obligation to report unsafe or unethical practices is an example of:
    a) Confidentiality
    b) Beneficence
    c) Whistleblowing
    d) Justice
    Answer: c) Whistleblowing
  15. What is the primary focus of professional boundaries in nursing?
    a) Ensuring high salaries for nurses
    b) Maintaining appropriate relationships with patients
    c) Increasing patient autonomy
    d) Promoting hospital profits
    Answer: b) Maintaining appropriate relationships with patients
  16. What does the term “moral distress” refer to in nursing?
    a) The stress of working long hours
    b) The difficulty in making ethical decisions when there are conflicting values
    c) The challenge of caring for difficult patients
    d) The need for additional training in ethics
    Answer: b) The difficulty in making ethical decisions when there are conflicting values
  17. The ANA Code of Ethics is published by which organization?
    a) American Medical Association
    b) American Nurses Association
    c) National League for Nursing
    d) World Health Organization
    Answer: b) American Nurses Association
  18. Which ethical principle is involved when a nurse provides pain relief to a suffering patient?
    a) Autonomy
    b) Non-maleficence
    c) Beneficence
    d) Justice
    Answer: c) Beneficence
  19. Which action would be considered a breach of patient confidentiality?
    a) Discussing a patient’s condition with the healthcare team
    b) Sharing patient information with a family member without consent
    c) Reporting patient safety concerns to the nurse manager
    d) Documenting patient care in the medical record
    Answer: b) Sharing patient information with a family member without consent
  20. In the context of nursing ethics, “justice” primarily means:
    a) Providing equal care to all patients
    b) Ensuring that nurses are paid fairly
    c) Following the law
    d) Promoting patient autonomy
    Answer: a) Providing equal care to all patients
  21. Which of the following is an example of a violation of professional boundaries in nursing?
    a) Maintaining a professional demeanor with patients
    b) Accepting expensive gifts from a patient
    c) Providing patient education
    d) Reporting unsafe conditions
    Answer: b) Accepting expensive gifts from a patient
  22. What is the ethical responsibility of a nurse who observes a colleague acting unethically?
    a) Ignore the behavior
    b) Report the behavior according to facility policy
    c) Join in the behavior
    d) Discuss the issue with the patient
    Answer: b) Report the behavior according to facility policy
  23. In nursing, the principle of non-maleficence requires nurses to:
    a) Do good for the patient
    b) Ensure that patients are not harmed
    c) Support patient autonomy
    d) Distribute resources fairly
    Answer: b) Ensure that patients are not harmed
  24. Which principle of nursing ethics involves keeping promises and commitments?
    a) Veracity
    b) Fidelity
    c) Autonomy
    d) Justice
    Answer: b) Fidelity
  25. What is the primary purpose of the Nursing Code of Ethics?
    a) To guide nurses in ethical practice
    b) To increase nurse compensation
    c) To define legal regulations for nursing
    d) To establish patient treatment protocols
    Answer: a) To guide nurses in ethical practice
  26. What does the term “cultural competence” refer to in nursing professionalism?
    a) Ignoring cultural differences
    b) Recognizing and respecting the cultural beliefs and practices of patients
    c) Providing the same care to all patients
    d) Prioritizing Western medical practices
    Answer: b) Recognizing and respecting the cultural beliefs and practices of patients
  27. A nurse who refuses to participate in a procedure that conflicts with their personal ethical beliefs is exercising which ethical principle?
    a) Autonomy
    b) Justice
    c) Veracity
    d) Beneficence
    Answer: a) Autonomy
  28. What is an essential component of ethical decision-making in nursing?
    a) Ignoring patient wishes
    b) Relying solely on intuition
    c) Using a systematic process to analyze and resolve ethical issues
    d) Following hospital policies without question
    Answer: c) Using a systematic process to analyze and resolve ethical issues
  29. Which of the following actions exemplifies professional integrity in nursing?
    a) Falsifying patient records
    b) Reporting errors promptly and honestly
    c) Accepting gifts from patients
    d) Withholding information from patients
    Answer: b) Reporting errors promptly and honestly
  30. Which of the following best describes the ethical principle of veracity?
    a) Promoting patient welfare
    b) Maintaining confidentiality
    c) Telling the truth
    d) Ensuring patient safety
    Answer: c) Telling the truth
  31. The ethical concept of “informed consent” is based on which principle?
    a) Non-maleficence
    b) Autonomy
    c) Beneficence
    d) Justice
    Answer: b) Autonomy
  32. What does the ethical principle of justice require in healthcare?
    a) Providing all patients with the same resources
    b) Making decisions based on the patient’s social status
    c) Ensuring fair distribution of healthcare resources
    d) Prioritizing the care of paying patients
    Answer: c) Ensuring fair distribution of healthcare resources
  33. When a nurse respects a patient’s decision to refuse treatment, they are upholding which ethical principle?
    a) Fidelity
    b) Non-maleficence
    c) Autonomy
    d) Beneficence
    Answer: c) Autonomy
  34. The term “moral courage” in nursing refers to:
    a) Ignoring unethical practices
    b) Taking a stand on ethical issues despite potential risks
    c) Avoiding conflict in the workplace
    d) Following orders without question
    Answer: b) Taking a stand on ethical issues despite potential risks
  35. Which principle is violated if a nurse administers a medication without the patient’s consent?
    a) Justice
    b) Veracity
    c) Autonomy
    d) Fidelity
    Answer: c) Autonomy
  36. A nurse’s commitment to continuous professional development is an example of which ethical principle?
    a) Justice
    b) Non-maleficence
    c) Fidelity
    d) Beneficence
    Answer: c) Fidelity
  37. The ethical principle that emphasizes equal treatment and care for all patients is:
    a) Justice
    b) Autonomy
    c) Beneficence
    d) Veracity
    Answer: a) Justice
  38. What is the role of a nurse in maintaining patient confidentiality?
    a) Discussing patient information with friends
    b) Sharing patient information on social media
    c) Ensuring that patient information is only shared with authorized individuals
    d) Leaving patient records in public areas
    Answer: c) Ensuring that patient information is only shared with authorized individuals
  39. Which of the following is an example of ethical dilemmas in nursing?
    a) Deciding the most effective medication for a patient
    b) Balancing patient autonomy with the need for life-saving treatment
    c) Administering a routine injection
    d) Following a physician’s orders
    Answer: b) Balancing patient autonomy with the need for life-saving treatment
  40. The principle of non-maleficence is most closely associated with:
    a) Preventing harm to patients
    b) Promoting patient welfare
    c) Ensuring truthful communication
    d) Providing equal care
    Answer: a) Preventing harm to patients
  41. A nurse who refuses to provide care that violates their ethical beliefs is exercising:
    a) Non-maleficence
    b) Justice
    c) Moral integrity
    d) Veracity
    Answer: c) Moral integrity
  42. In nursing, ethical practice requires balancing which two principles when dealing with patient information?
    a) Veracity and fidelity
    b) Confidentiality and beneficence
    c) Autonomy and justice
    d) Non-maleficence and autonomy
    Answer: b) Confidentiality and beneficence
  43. Which ethical principle is most relevant when obtaining a patient’s consent for a procedure?
    a) Justice
    b) Fidelity
    c) Autonomy
    d) Non-maleficence
    Answer: c) Autonomy
  44. Which ethical principle would be violated if a nurse lied to a patient about their diagnosis?
    a) Fidelity
    b) Non-maleficence
    c) Veracity
    d) Justice
    Answer: c) Veracity
  45. Which of the following demonstrates ethical nursing practice regarding patient autonomy?
    a) Forcing treatment on a patient
    b) Providing patients with all the necessary information to make informed decisions
    c) Ignoring a patient’s wishes
    d) Making decisions for the patient
    Answer: b) Providing patients with all the necessary information to make informed decisions
  46. What is a key ethical responsibility of nurses in relation to patient advocacy?
    a) Making decisions for the patient
    b) Supporting the patient’s choices and best interests
    c) Avoiding patient requests
    d) Prioritizing the hospital’s policies over patient needs
    Answer: b) Supporting the patient’s choices and best interests
  47. The ethical principle of non-maleficence is focused on:
    a) Avoiding harm to the patient
    b) Promoting patient autonomy
    c) Ensuring truthfulness in all communications
    d) Ensuring fairness in the distribution of resources
    Answer: a) Avoiding harm to the patient
  48. The term “ethical dilemma” in nursing refers to:
    a) A situation where all choices involve some form of ethical compromise
    b) A clear choice between right and wrong
    c) A situation where the nurse’s personal beliefs are irrelevant
    d) An issue that can be easily resolved by hospital policy
    Answer: a) A situation where all choices involve some form of ethical compromise
  49. In the context of nursing ethics, “fidelity” involves:
    a) Maintaining patient confidentiality
    b) Ensuring that all patients receive the same level of care
    c) Being loyal and keeping promises to patients
    d) Providing pain relief to suffering patients
    Answer: c) Being loyal and keeping promises to patients
  50. Which of the following actions best represents ethical behavior in nursing?
    a) Ignoring a patient’s pain
    b) Documenting care accurately and truthfully
    c) Accepting bribes for better care
    d) Discriminating against patients based on their background
    Answer: b) Documenting care accurately and truthfully

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