Nokea
Assisted reproductive technology offers a range of services, but which of the following is prohibited under Canadian federal law?
- A. In vitro fertilization
- B. Selecting the sex to prevent sex-linked disorders
- C. Payment for surrogacy
- D. Genetic testing
Correct Answer: C
Rationale: Sex selection, except for prevention of sex-linked disorders, payment for surrogacy, or creation of an embryo for purposes other than to create a human, and cloning are prohibited under federal law, or in the case of Quebec, provincial law.
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Which following moral principle refers to doing no harm?
- A. Nonmaldefence
- B. Existantalism
- C. Paternalism
- D. Legal moralism
Correct Answer: A
Rationale: The moral principle of nonmaldefence refers to avoiding harm or doing no harm.
Margaret is caring for an older resident who has requested medical assistance in dying (MAID) and is awaiting the decision of the health care team. Which of the following is required in Canada before MAID would be permitted? (Select all that apply.)
- A. Financial hardship
- B. Unbearable mental or physical suffering
- C. Unable to obtain home care
- D. Grievous and irredeemable medical condition
- E. Drug addiction
- F. Natural death is foreseeable
- G. Unable to obtain home health care services
Correct Answer: B,D,F
Rationale: A grievous and irremediable medical condition is considered one in which decline cannot be reversed, there is unbearable physical or mental suffering, and natural death is reasonably foreseeable.
Which of the following reflects the principle of justice within the framework of bioethics?
- A. Futile treatment should always be provided
- B. A superior level of health care should be provided to everyone
- C. Scarce health care resources should be divided equally
- D. Resource allocation to based on the amount of research funds received
Correct Answer: C
Rationale: Justice within the framework of bioethics is primarily concerned with the fair division of scarce resources or equal shares.
It is important to have a full discussion of the patient's and family's wishes for a do not resuscitate order (DNR) when developing an end-of-life treatment plan for which of the following reasons?
- A. It will ensure that proper medications are given.
- B. It will ensure actions are consistent with the patient's and family's wishes.
- C. It will cover all of the legal issues and prevent malpractice
- D. It will support the standing orders for nursing care.
Correct Answer: B
Rationale: It is important to include a full discussion of DNR orders because too broad or narrow interpretation of those orders could result in the application of basic or advanced life support in ways that may be inconsistent with the patient's and family's wishes.
Which of the following statements by a registered nurse would indicate following the Canadian Nurses Association (CNA) Code of Ethics when conscientiously objecting to providing care?
- A. I refuse to take care this of this patient because she has HIV.
- B. I am going to tell my patient I don't agree with his decision.
- C. I don't agree, but I will implement the treatment anyway.
- D. I am going to discuss this with my manager right away.
Correct Answer: D
Rationale: The CNA Code of Ethics advises nurses to notify their employers as soon as possible of their conscientious objection and to ensure that the care of patients is not compromised, which may mean transferring care, in a respectful way, to an alternative provider.