Nursing Ethics and Leadership: Why Blaming Nurses Makes Hospitals Less Safe
The principles behind hard choices in care, from consent and confidentiality to end-of-life dilemmas, team leadership and learning from errors.
Nursing Ethics and Leadership · 50 questions
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1. Which four principles form the most widely taught framework in modern bioethics?
- Honesty, loyalty, obedience and personal charity
- Autonomy, beneficence, nonmaleficence and justice
- Duty, efficiency, prudence and respect for the law
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Answer: Autonomy, beneficence, nonmaleficence and justice
Beauchamp and Childress set out these four principles, which clinicians weigh against each other in each case.
2. Which bioethical principle corresponds to the maxim "first, do no harm"?
- Nonmaleficence
- Justice
- Beneficence
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Answer: Nonmaleficence
Nonmaleficence forbids causing avoidable harm, while beneficence is the positive duty to do good.
3. Deciding fairly who gets the last available intensive care bed mainly invokes which principle?
- Autonomy
- Justice
- Fidelity
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Answer: Justice
Distributive justice concerns the fair allocation of scarce resources according to defensible criteria, not favoritism.
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