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Module 2.2 Ethical Principles

Situational Multiple Choice Questions

  1. A patient is hesitant to undergo a necessary surgical procedure due to fear of potential risks. What principle of ethics should guide the healthcare provider in this situation?

    • A) Principle of Non-maleficence

    • B) Principle of Autonomy

    • C) Principle of Beneficence

    • D) Principle of Justice

  2. During a discussion about treatment options, a nurse fails to disclose critical information about the side effects of a medication. This failure violates which principle?

    • A) Veracity

    • B) Non-maleficence

    • C) Autonomy

    • D) Justice

  3. A doctor is faced with a situation where they must administer pain relief to a patient knowing that it might hasten their death. Which ethical principle is at play here?

    • A) Principle of Double Effect

    • B) Principle of Beneficence

    • C) Principle of Informed Consent

    • D) Principle of Justice

  4. A healthcare provider insists on making a decision for a patient who is capable of understanding their treatment options. This behavior contradicts which principle?

    • A) Principle of Veracity

    • B) Principle of Autonomy

    • C) Principle of Non-maleficence

    • D) Principle of Beneficence

  5. An elderly patient has a chronic illness and requires costly medication. The healthcare team decides to ration the medication due to budget constraints. Which ethical principle does this action challenge?

    • A) Principle of Autonomy

    • B) Principle of Justice

    • C) Principle of Beneficence

    • D) Principle of Non-maleficence

  6. A nurse discovers that a colleague has been falsifying patient records. What ethical obligation does the nurse have under the principle of justice?

    • A) To ignore the issue to maintain harmony

    • B) To report the colleague’s actions

    • C) To confront the colleague privately

    • D) To discuss it only with the patients involved

  7. A patient refuses treatment for a life-threatening condition, citing personal beliefs. How should the healthcare team respect this decision?

    • A) By trying to convince the patient otherwise

    • B) By respecting the patient’s autonomy and documenting their wishes

    • C) By contacting the patient’s family for guidance

    • D) By overriding the patient’s decision due to potential harm

  8. A healthcare provider must decide whether to allow a patient’s family to be present during a procedure. Which ethical principle is most relevant in this context?

    • A) Autonomy

    • B) Non-maleficence

    • C) Beneficence

    • D) Justice

  9. A nurse advocates for a patient who is being denied a particular treatment due to insurance limitations. This is an example of which ethical principle?

    • A) Principle of Stewardship

    • B) Principle of Justice

    • C) Principle of Non-maleficence

    • D) Principle of Autonomy

  10. A patient requests detailed information about their diagnosis and treatment plan. What ethical principle is the healthcare provider upholding by providing this information?

    • A) Non-maleficence

    • B) Veracity

    • C) Justice

    • D) Beneficence

  11. In a medical emergency, a patient is unconscious and unable to provide consent. What is the healthcare provider's best course of action?

    • A) Wait for the patient to regain consciousness

    • B) Provide treatment based on the principle of implied consent

    • C) Contact the patient’s family for guidance

    • D) Provide treatment only if the procedure is life-saving

  12. A nurse is aware of a treatment that could significantly benefit a patient, but the patient refuses it due to a misunderstanding. What should the nurse do first?

    • A) Respect the patient’s decision

    • B) Provide clear, understandable information to address the misunderstanding

    • C) Override the patient's decision for their own good

    • D) Document the refusal without further action

  13. During a patient’s hospitalization, a doctor tells the family that the patient is improving when the prognosis is actually poor. What ethical principle is being violated?

    • A) Beneficence

    • B) Veracity

    • C) Justice

    • D) Autonomy

  14. A healthcare provider must balance patient care with limited resources during a public health crisis. Which principle is essential for guiding this decision?

    • A) Principle of Totality

    • B) Principle of Justice

    • C) Principle of Non-maleficence

    • D) Principle of Beneficence

  15. An adult patient with a cognitive impairment is unable to make informed decisions about their treatment. What is the healthcare provider's ethical obligation?

    • A) To make decisions for the patient without consulting anyone

    • B) To seek a legal guardian or advocate for the patient

    • C) To respect the patient’s autonomy as much as possible

    • D) To ignore the patient’s incapacity and proceed with treatment

  16. A nurse is aware that a medication prescribed to a patient has severe side effects. However, the doctor insists on its use. What should the nurse do according to ethical principles?

    • A) Administer the medication as prescribed

    • B) Inform the patient about the side effects and advocate for alternative treatments

    • C) Ignore the doctor’s orders

    • D) Document the concerns and proceed with administration

  17. A healthcare worker is approached by a friend seeking medical advice outside of the professional setting. What is the appropriate response?

    • A) Provide advice informally

    • B) Refer the friend to a qualified professional

    • C) Offer to diagnose the friend based on personal knowledge

    • D) Ignore the request

  18. A researcher is conducting a study and wants to ensure informed consent. Which of the following is essential for this process?

    • A) Only verbal consent is necessary

    • B) Participants must be informed of potential risks and benefits

    • C) Consent can be obtained from family members only

    • D) Consent is unnecessary if the research is deemed beneficial

  19. A hospital implements a new policy that limits the availability of certain treatments to reduce costs. Which ethical principle does this policy primarily affect?

    • A) Principle of Autonomy

    • B) Principle of Justice

    • C) Principle of Beneficence

    • D) Principle of Non-maleficence

  20. A patient wishes to know the truth about their terminal diagnosis but is met with reluctance from the healthcare team. What principle are they neglecting?

    • A) Autonomy

    • B) Justice

    • C) Non-maleficence

    • D) Beneficence

  21. A doctor is treating a patient who is a single parent and must consider how treatment decisions will affect their children. Which ethical principle is being considered?

    • A) Principle of Totality

    • B) Principle of Stewardship

    • C) Principle of Justice

    • D) Principle of Beneficence

  22. In a clinical setting, a nurse notices that another nurse has made a medication error. What should the nurse do based on ethical principles?

    • A) Ignore it to avoid conflict

    • B) Confront the nurse in private

    • C) Report the error to the appropriate authority

    • D) Document the error and forget about it

  23. A patient insists on undergoing an experimental treatment without fully understanding the potential risks. What ethical principle is the healthcare provider concerned about?

    • A) Justice

    • B) Non-maleficence

    • C) Autonomy

    • D) Veracity

  24. A hospital administrator decides to prioritize treatment for patients with insurance over those without. What principle does this decision violate?

    • A) Principle of Totality

    • B) Principle of Justice

    • C) Principle of Beneficence

    • D) Principle of Non-maleficence

  25. A nurse is counseling a patient about end-of-life options. Which principle emphasizes the patient’s right to make decisions regarding their care?

    • A) Principle of Justice

    • B) Principle of Autonomy

    • C) Principle of Beneficence

    • D) Principle of Non-maleficence

  26. A patient refuses to discuss their health condition with the healthcare provider, citing fear of being judged. What ethical principle should guide the provider’s response?

    • A) Non-maleficence

    • B) Autonomy

    • C) Justice

    • D) Beneficence

  27. A researcher uses deception in a study without informing participants of the true purpose. What ethical principle is most clearly violated?

    • A) Principle of Beneficence

    • B) Principle of Autonomy

    • C) Principle of Justice

    • D) Principle of Veracity

  28. A healthcare provider suggests a treatment plan that favors certain patients due to their social status. What principle does this behavior violate?

    • A) Principle of Justice

    • B) Principle of Non-maleficence

    • C) Principle of Autonomy

    • D) Principle of Beneficence

  29. A nurse is faced with a situation where they must decide whether to respect a patient’s wish for limited information about their condition. Which ethical principle is being tested?

    • A) Non-maleficence

    • B) Justice

    • C) Autonomy

    • D) Beneficence

  30. A patient is treated for a rare condition but later discovers that the hospital has no experience with such cases. What ethical principle is called into question?

    • A) Principle of Non-maleficence

    • B) Principle of Autonomy

    • C) Principle of Beneficence

    • D) Principle of Justice

Answer Key

  1. B) Principle of Autonomy

  2. A) Veracity

  3. A) Principle of Double Effect

  4. B) Principle of Autonomy

  5. B) Principle of Justice

  6. B) To report the colleague’s actions

  7. B) By respecting the patient’s autonomy and documenting their wishes

  8. A) Autonomy

  9. B) Principle of Justice

  10. B) Veracity

  11. B) Provide treatment based on the principle of implied consent

  12. B) Provide clear, understandable information to address the misunderstanding

  13. B) Veracity

  14. B) Principle of Justice

  15. B) To seek a legal guardian or advocate for the patient

  16. B) Inform the patient about the side effects and advocate for alternative treatments

  17. B) Refer the friend to a qualified professional

  18. B) Participants must be informed of potential risks and benefits

  19. B) Principle of Justice

  20. A) Autonomy

  21. D) Principle of Beneficence

  22. C) Report the error to the appropriate authority

  23. B) Non-maleficence

  24. B) Principle of Justice

  25. B) Principle of Autonomy

  26. B) Autonomy

  27. D) Principle of Veracity

  28. A) Principle of Justice

  29. C) Autonomy

  30. C) Principle of Beneficence

Module 2.2 Ethical Principles

Situational Multiple Choice Questions

  1. A patient is hesitant to undergo a necessary surgical procedure due to fear of potential risks. What principle of ethics should guide the healthcare provider in this situation?

    • A) Principle of Non-maleficence

    • B) Principle of Autonomy

    • C) Principle of Beneficence

    • D) Principle of Justice

  2. During a discussion about treatment options, a nurse fails to disclose critical information about the side effects of a medication. This failure violates which principle?

    • A) Veracity

    • B) Non-maleficence

    • C) Autonomy

    • D) Justice

  3. A doctor is faced with a situation where they must administer pain relief to a patient knowing that it might hasten their death. Which ethical principle is at play here?

    • A) Principle of Double Effect

    • B) Principle of Beneficence

    • C) Principle of Informed Consent

    • D) Principle of Justice

  4. A healthcare provider insists on making a decision for a patient who is capable of understanding their treatment options. This behavior contradicts which principle?

    • A) Principle of Veracity

    • B) Principle of Autonomy

    • C) Principle of Non-maleficence

    • D) Principle of Beneficence

  5. An elderly patient has a chronic illness and requires costly medication. The healthcare team decides to ration the medication due to budget constraints. Which ethical principle does this action challenge?

    • A) Principle of Autonomy

    • B) Principle of Justice

    • C) Principle of Beneficence

    • D) Principle of Non-maleficence

  6. A nurse discovers that a colleague has been falsifying patient records. What ethical obligation does the nurse have under the principle of justice?

    • A) To ignore the issue to maintain harmony

    • B) To report the colleague’s actions

    • C) To confront the colleague privately

    • D) To discuss it only with the patients involved

  7. A patient refuses treatment for a life-threatening condition, citing personal beliefs. How should the healthcare team respect this decision?

    • A) By trying to convince the patient otherwise

    • B) By respecting the patient’s autonomy and documenting their wishes

    • C) By contacting the patient’s family for guidance

    • D) By overriding the patient’s decision due to potential harm

  8. A healthcare provider must decide whether to allow a patient’s family to be present during a procedure. Which ethical principle is most relevant in this context?

    • A) Autonomy

    • B) Non-maleficence

    • C) Beneficence

    • D) Justice

  9. A nurse advocates for a patient who is being denied a particular treatment due to insurance limitations. This is an example of which ethical principle?

    • A) Principle of Stewardship

    • B) Principle of Justice

    • C) Principle of Non-maleficence

    • D) Principle of Autonomy

  10. A patient requests detailed information about their diagnosis and treatment plan. What ethical principle is the healthcare provider upholding by providing this information?

    • A) Non-maleficence

    • B) Veracity

    • C) Justice

    • D) Beneficence

  11. In a medical emergency, a patient is unconscious and unable to provide consent. What is the healthcare provider's best course of action?

    • A) Wait for the patient to regain consciousness

    • B) Provide treatment based on the principle of implied consent

    • C) Contact the patient’s family for guidance

    • D) Provide treatment only if the procedure is life-saving

  12. A nurse is aware of a treatment that could significantly benefit a patient, but the patient refuses it due to a misunderstanding. What should the nurse do first?

    • A) Respect the patient’s decision

    • B) Provide clear, understandable information to address the misunderstanding

    • C) Override the patient's decision for their own good

    • D) Document the refusal without further action

  13. During a patient’s hospitalization, a doctor tells the family that the patient is improving when the prognosis is actually poor. What ethical principle is being violated?

    • A) Beneficence

    • B) Veracity

    • C) Justice

    • D) Autonomy

  14. A healthcare provider must balance patient care with limited resources during a public health crisis. Which principle is essential for guiding this decision?

    • A) Principle of Totality

    • B) Principle of Justice

    • C) Principle of Non-maleficence

    • D) Principle of Beneficence

  15. An adult patient with a cognitive impairment is unable to make informed decisions about their treatment. What is the healthcare provider's ethical obligation?

    • A) To make decisions for the patient without consulting anyone

    • B) To seek a legal guardian or advocate for the patient

    • C) To respect the patient’s autonomy as much as possible

    • D) To ignore the patient’s incapacity and proceed with treatment

  16. A nurse is aware that a medication prescribed to a patient has severe side effects. However, the doctor insists on its use. What should the nurse do according to ethical principles?

    • A) Administer the medication as prescribed

    • B) Inform the patient about the side effects and advocate for alternative treatments

    • C) Ignore the doctor’s orders

    • D) Document the concerns and proceed with administration

  17. A healthcare worker is approached by a friend seeking medical advice outside of the professional setting. What is the appropriate response?

    • A) Provide advice informally

    • B) Refer the friend to a qualified professional

    • C) Offer to diagnose the friend based on personal knowledge

    • D) Ignore the request

  18. A researcher is conducting a study and wants to ensure informed consent. Which of the following is essential for this process?

    • A) Only verbal consent is necessary

    • B) Participants must be informed of potential risks and benefits

    • C) Consent can be obtained from family members only

    • D) Consent is unnecessary if the research is deemed beneficial

  19. A hospital implements a new policy that limits the availability of certain treatments to reduce costs. Which ethical principle does this policy primarily affect?

    • A) Principle of Autonomy

    • B) Principle of Justice

    • C) Principle of Beneficence

    • D) Principle of Non-maleficence

  20. A patient wishes to know the truth about their terminal diagnosis but is met with reluctance from the healthcare team. What principle are they neglecting?

    • A) Autonomy

    • B) Justice

    • C) Non-maleficence

    • D) Beneficence

  21. A doctor is treating a patient who is a single parent and must consider how treatment decisions will affect their children. Which ethical principle is being considered?

    • A) Principle of Totality

    • B) Principle of Stewardship

    • C) Principle of Justice

    • D) Principle of Beneficence

  22. In a clinical setting, a nurse notices that another nurse has made a medication error. What should the nurse do based on ethical principles?

    • A) Ignore it to avoid conflict

    • B) Confront the nurse in private

    • C) Report the error to the appropriate authority

    • D) Document the error and forget about it

  23. A patient insists on undergoing an experimental treatment without fully understanding the potential risks. What ethical principle is the healthcare provider concerned about?

    • A) Justice

    • B) Non-maleficence

    • C) Autonomy

    • D) Veracity

  24. A hospital administrator decides to prioritize treatment for patients with insurance over those without. What principle does this decision violate?

    • A) Principle of Totality

    • B) Principle of Justice

    • C) Principle of Beneficence

    • D) Principle of Non-maleficence

  25. A nurse is counseling a patient about end-of-life options. Which principle emphasizes the patient’s right to make decisions regarding their care?

    • A) Principle of Justice

    • B) Principle of Autonomy

    • C) Principle of Beneficence

    • D) Principle of Non-maleficence

  26. A patient refuses to discuss their health condition with the healthcare provider, citing fear of being judged. What ethical principle should guide the provider’s response?

    • A) Non-maleficence

    • B) Autonomy

    • C) Justice

    • D) Beneficence

  27. A researcher uses deception in a study without informing participants of the true purpose. What ethical principle is most clearly violated?

    • A) Principle of Beneficence

    • B) Principle of Autonomy

    • C) Principle of Justice

    • D) Principle of Veracity

  28. A healthcare provider suggests a treatment plan that favors certain patients due to their social status. What principle does this behavior violate?

    • A) Principle of Justice

    • B) Principle of Non-maleficence

    • C) Principle of Autonomy

    • D) Principle of Beneficence

  29. A nurse is faced with a situation where they must decide whether to respect a patient’s wish for limited information about their condition. Which ethical principle is being tested?

    • A) Non-maleficence

    • B) Justice

    • C) Autonomy

    • D) Beneficence

  30. A patient is treated for a rare condition but later discovers that the hospital has no experience with such cases. What ethical principle is called into question?

    • A) Principle of Non-maleficence

    • B) Principle of Autonomy

    • C) Principle of Beneficence

    • D) Principle of Justice

Answer Key

  1. B) Principle of Autonomy

  2. A) Veracity

  3. A) Principle of Double Effect

  4. B) Principle of Autonomy

  5. B) Principle of Justice

  6. B) To report the colleague’s actions

  7. B) By respecting the patient’s autonomy and documenting their wishes

  8. A) Autonomy

  9. B) Principle of Justice

  10. B) Veracity

  11. B) Provide treatment based on the principle of implied consent

  12. B) Provide clear, understandable information to address the misunderstanding

  13. B) Veracity

  14. B) Principle of Justice

  15. B) To seek a legal guardian or advocate for the patient

  16. B) Inform the patient about the side effects and advocate for alternative treatments

  17. B) Refer the friend to a qualified professional

  18. B) Participants must be informed of potential risks and benefits

  19. B) Principle of Justice

  20. A) Autonomy

  21. D) Principle of Beneficence

  22. C) Report the error to the appropriate authority

  23. B) Non-maleficence

  24. B) Principle of Justice

  25. B) Principle of Autonomy

  26. B) Autonomy

  27. D) Principle of Veracity

  28. A) Principle of Justice

  29. C) Autonomy

  30. C) Principle of Beneficence