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Chapter 10: Ethics

MULTIPLE CHOICE

1. The principles or values that guide us in deciding what is right conduct and what is wrong
conduct is called which of the following?
a. Ethics. c. Civil law.
b. Torts. d. Public law.
ANS: A

Feedback
A Correct; the principles or values that guide us when deciding what is right
and what is wrong, and what is good and what is bad.
B Incorrect.
C Incorrect; this is the law of a province dealing with the rights of private citizens.
D Incorrect; this is the branch of law that deals with a province and its relationships
with its citizens.

PTS: 1 DIF: Remembering REF: p. 140

2. Which is a true statement of an ethical person?

a. Does not cause harm to another person.
b. Is biased.
c. Is prejudiced.
d. Does not have opinions or facts.
ANS: A

Feedback
A Correct; an ethical person has principles or values that guide them when
deciding what is right and what is wrong; therefore an ethical person does
not cause harm to another person.
B Incorrect; a biased person is unable to form a fair or objective opinion about
somebody.
C Incorrect; a prejudice person has a preformed opinion, usually an unfavourable
one, based on insufficient knowledge.
D Incorrect; it is necessary to have opinions and facts in order to be an ethical
person.

PTS: 1 DIF: Remembering REF: pp. 140, 143

3. Ofelia voluntarily raised funds so that her long-term care facility could buy new comforters
for residents. What is an example of?
a. Justice. c. Beneficence.
b. Conduct. d. Nonmaleficence.
ANS: C

Feedback
 A Incorrect; justice is treating people in a fair and equal manner.
B Incorrect; conduct is a personal behaviour that is based on moral principles.
C Correct; beneficence is doing good, and is one of the four basic principles of
health care ethics.
D Incorrect; nonmaleficence is doing no harm.

PTS: 1 DIF: Understanding REF: pp. 144-146

4. Which of the following statements about a Code of Ethics is correct?

a. There is an official Code of Ethics for Canadian support workers.
b. It can be used to guide support workers’ interactions with clients.
c. It is the same for every employer.
d. It is the same in every country.
ANS: B

Feedback
A Incorrect; support workers do not have an official Code of Ethics.
B Correct; support workers do not have a formal Code of Ethics. However,
each agency or facility has its own code of ethics that describes the values
and personal qualities that should guide its employees’ work and conduct.
C Incorrect; each employer or facility has its own Code of Ethics that describes the
values and personal qualities that should guide its employees’ work and conduct.
D Incorrect; different countries can have a different Code of Ethics.

PTS: 1 DIF: Understanding REF: pp. 141, 142

5. Shanti, a support worker, also sells homemade jewellery. Ethically, what she should do?
a. Leave the jewellery at home when visiting a client.
b. Try to sell some to her clients.
c. Not take advantage of her relationship with her client.
d. Give her client a cheaper price on the jewellery.
ANS: C

Feedback
A Incorrect; Shanti could leave the jewellery at home, but this is not the best
answer.
B Incorrect; trying to sell jewellery to her clients would not be ethically correct.
C Correct; ethically Shanti should not take advantage of her relationship with
her client.
D Incorrect; trying to sell jewellery to her clients would not be ethically correct.

PTS: 1 DIF: Applying REF: pp. 141, 142

6. How many basic principles of health care ethics are there?

a. Two. c. Eight.
b. Six. d. Four.
ANS: D
 Feedback
A Incorrect.
B Incorrect.
C Incorrect.
D Correct; most codes of ethics are based on the four principles of health care
ethics.

PTS: 1 DIF: Remembering REF: p. 144

7. When Howard asks his client what she would like to eat for dinner, he is respecting which of
her rights?
a. Right to justice. c. Right to be autonomous.
b. Right to beneficence. d. Right to be ethical.
ANS: C

Feedback
A Incorrect; justice is being treated in a fair and equal manner.
B Incorrect; beneficence is promoting or doing good.
C Correct; by asking the client what she would like to eat for dinner Howard
is respecting the client’s right to make choices for himself or herself
(autonomy).
D Incorrect; ethics are the principles or values that guide us when deciding what is
right and what is wrong, and what is good and what is bad.

PTS: 1 DIF: Remembering REF: pp. 144-146

8. Which of the following statements about autonomy is correct?

a. It is critical to ethics.
b. It means limited choice.
c. There should be laws to protect client rights.
d. It means unlimited choices.
ANS: A

Feedback
A Correct; as long as a person is mentally competent, he or she has the right
to make decisions about lifestyle and medical care and services. This
concept is critical to health care ethics.
B Incorrect; it means the clients have freedom to choose, for example, what kind of
treatment they want or do not want.
C Incorrect; laws have been established to protect the client’s right to autonomy.
D Incorrect; it means the clients have freedom to choose, for example, what kind of
treatment they want or do not want.

PTS: 1 DIF: Remembering REF: pp. 144-145

 9. A client, Justin, wears a nose ring and five earrings and has many tattoos. Even though the
support worker disapproves of this sort of thing, they are still required to provide
professional care to Justin. This is respecting which of the following rights?
a. Right to justice. c. Right to be ethical.
b. Right to be autonomous. d. Right to beneficence.
ANS: B

Feedback
A Incorrect; this does mean all people should be treated in a fair and equal manner,
but not the best answer.
B Correct; this is an example of you respecting his autonomy. You should
avoid judging your clients and their decisions on the basis of your values or
standards and should set aside your biases.
C Incorrect; this relates to the principles or values that guide us when deciding
what is right and what is wrong.
D Incorrect; this relates to doing or promoting good.

PTS: 1 DIF: Remembering REF: pp. 144-145

10. Mr. Schwartz offers David, a support worker, $100 for the good care he provides to Mr.
Schwartz’s father in a long-term care facility. David politely refuses. David’s response is an
example of what?
a. Maleficence. c. Ethical behaviour.
b. Autonomy. d. Unethical behaviour.
ANS: C

Feedback
A Incorrect; maleficence is doing harm.
B Incorrect; autonomy is having the freedom and choice to make decisions that
affect one’s life.
C Correct; David’s response to politely refuse to take money from a client or a
client’s family is ethical.
D Incorrect; it would be unethical to take money from a client or a client’s family.

PTS: 1 DIF: Remembering REF: pp. 141, 143

11. Celeste missed classes during the week that vital signs were covered. When asked to take a
client’s temperature, she informs her supervisor. This is an example of acting in what manner?
a. In an ethical manner. c. In an autonomous manner.
b. In a beneficent manner. d. In a nonmaleficent manner.
ANS: D

Feedback
A Incorrect; this does relate to the principles or values that guide us when deciding
what is right and what is wrong, but is not the best answer.
B Incorrect; this relates to doing or promoting good.
C Incorrect; autonomy is having the freedom and choice to make decisions that
 affect one’s life.
D Correct; Celeste is acting in a nonmaleficent manner by telling her
supervisor. She could potentially do harm if she did something she wasn’t
trained for.

PTS: 1 DIF: Understanding REF: pp. 144, 146

12. When dealing with an ethical dilemma, which following question should be considered?
a. Will anyone know the difference?
b. Will this save my company money?
c. Will this save my company time?
d. Does the chosen option respect the client’s rights?
ANS: D

Feedback
A Incorrect; this question does not consider the four principles of health care
ethics.
B Incorrect; this question does not consider the four principles of health care
ethics.
C Incorrect; this question does not consider the four principles of health care
ethics.
D Correct; when making an ethical decision, carefully consider the four
principles of health care ethics. This question includes these principles.

PTS: 1 DIF: Understanding REF: pp. 143, 144

13. By removing safety hazards from a client’s home, the support workers are respecting the
client’s right to which of the following?
a. Nonmaleficence. c. Beneficence.
b. Justice. d. Autonomy.
ANS: A

Feedback
A Correct; by removing safety hazards from a client’s home you are
respecting the client’s right to nonmaleficence (avoiding harm).
B Incorrect; justice means that all people should be treated in a fair and equal
manner.
C Incorrect; beneficence relates to doing or promoting good.
D Incorrect; autonomy is having the freedom and choice to make decisions that
affect one’s life.

PTS: 1 DIF: Remembering REF: p. 146

14. When giving a bed bath, the support worker covers his client, thus providing for warmth and
privacy. What is this is an example of?
a. Nonmaleficence. c. Beneficence.
b. Justice. d. Autonomy.
 ANS: C

Feedback
A Incorrect; nonmaleficence is doing no harm.
B Incorrect; justice means that all people should be treated in a fair and equal
manner.
C Correct; beneficence means doing or promoting good. The principle of
beneficence is about promoting wellness, helping people in their daily lives,
and supporting them during difficult times.
D Incorrect; autonomy is having the freedom and choice to make decisions that
affect one’s life.

PTS: 1 DIF: Remembering REF: pp. 145, 146

15. A support worker from another unit wants to view Placido’s client’s chart. Placido refuses,
saying that he wants to protect his client’s privacy and promote confidentiality. What is this
an example of?
a. Justice. c. An ethical dilemma.
b. Beneficence. d. The Code of Ethics.
ANS: C

Feedback
A Incorrect; justice means that all people should be treated in a fair and equal
manner.
B Incorrect; ethical behaviour is acting in a way that is dictated by ethics.
C Correct; this is an example of an ethical dilemma. This is a conflict between
two opposing moral choices, and choosing one would result in going against
the other.
D Incorrect; codes of ethics provide guidelines for ethical behaviour.

PTS: 1 DIF: Remembering REF: pp. 143, 144

16. Self-determination is also known as which of the following?

a. Justice. c. Beneficence.
b. Autonomy. d. Aggression.
ANS: B

Feedback
A Incorrect; justice means that all people should be treated in a fair and equal
manner.
B Correct; self-determination is also known as autonomy, which means having
the freedom and choice to make decisions that affect one’s life and refers to
a person’s independence.
C Incorrect; beneficence means doing or promoting good.
D Incorrect; aggression is a hostile action.

PTS: 1 DIF: Remembering REF: p. 144

17. Phillip, a support worker, refuses to perform a delegated act because he does not feel he was
trained properly to perform it. What is an example of?
a. Beneficence. c. Being unprofessional.
b. Unethical behaviour. d. Nonmaleficence.
ANS: D

Feedback
A Incorrect; beneficence means doing or promoting good.
B Incorrect; refusing to perform a task not properly trained to perform is ethical
behaviour.
C Incorrect; refusing to perform a task not properly trained to perform is
professional behaviour.
D Correct; nonmaleficence is doing no harm. It can be intentional or
unintentional. To avoid harming a client, only perform tasks that you have
been trained to do.

PTS: 1 DIF: Understanding REF: p. 146

18. Althea spends more time with her favourite client every morning than she does with her other
clients. Which principle does this violate?
a. Favouritism. c. Justice.
b. Beneficence. d. Autonomy.
ANS: C

Feedback
A Incorrect; favouritism is the unfair favouring of one person or group at the
expense of another.
B Incorrect; beneficence means doing or promoting good.
C Correct; justice means that all people should be treated in a fair and equal
manner. Favouring a client is not following the concept of justice.
D Incorrect; autonomy is having the freedom and choice to make decisions that
affect one’s life.

PTS: 1 DIF: Understanding REF: p. 145

19. Which of the following statements is true of ethical decisions?

a. It is harder for support workers to make them.
b. Carefully consider the four principles of health care ethics.
c. They are not part of a support worker’s role.
d. Support workers rarely have to make such decisions.
ANS: B

Feedback
A Incorrect; ethical decisions are not harder to make as a support worker compared
to anyone else in the health profession.
B Correct; collect as much information about the situation as possible, and
always consider the four principles of health care ethics.
 C Incorrect; as a support worker, when you have to make difficult choices or
decisions, you will rely on your ethical beliefs, morals, and values to guide your
conduct.
D Incorrect; as a support worker, when you have to make difficult choices or
decisions, you will rely on your ethical beliefs, morals, and values to guide your
conduct.

PTS: 1 DIF: Remembering REF: pp. 146, 147

20. Which of the following is an example of ethical behaviour?

a. Notifying your client/employer if you are going to be late.
b. Buying used furniture from your client.
c. Refusing to provide care for clients whose religion is different from your own.
d. Imposing your values and beliefs on your clients.
ANS: A

Feedback
A Correct; notifying your client/employer if you are going to be late is an
example of ethical behaviour.
B Incorrect; this is not an example of ethical behaviour.
C Incorrect; this is not an example of ethical behaviour.
D Incorrect; this is not an example of ethical behaviour.

PTS: 1 DIF: Remembering REF: pp. 141, 142

21. To provide safe and competent care, support workers must keep their skills and knowledge
current. Which of the following is a way to keep these up to date?
a. Participate in programs if interested.
b. Enroll in courses or workshops not relevant to support work.
c. Participate in educational programs offered by employer.
d. Ask clients what they think would be a good idea.
ANS: C

Feedback
A Incorrect; you should participate in programs offered by your employer.
B Incorrect; you should enroll in courses or workshops relevant to your work.
C Correct; participate in educational programs offered by your employer.
Support work is continually changing, so you must keep your skills and
abilities up to date.
D Incorrect; your client does not know what will keep your skills and abilities up to
date.

PTS: 1 DIF: Remembering REF: p. 146

22. Codes of ethics vary among employers, but most affirm the same priorities of support work.
Which of the following is not a priority of support work?
a. Promoting the client’s dignity.
b. Promoting the client’s independence.
 c. Promoting the client’s right to confidentiality.
d. Promoting the client’s right to vote.
ANS: D

Feedback
A Incorrect; promoting the client’s dignity is a priority of support work.
B Incorrect; promoting the client’s independence is a priority of support work.
C Incorrect; promoting the client’s right to confidentiality is a priority of support
work.
D Correct; promoting the client’s right to vote is not a priority of support
work.

PTS: 1 DIF: Remembering REF: pp. 141, 142

23. To apply the principle of beneficence in the workplace, what should the support worker do?
a. Always respect the client’s right to make choices for him- or herself.
b. Always make sure clients are safe.
c. Always consider meeting the client’s needs to be your most important function.
d. Always be fair.
ANS: C

Feedback
A Incorrect; this is applying the principle of autonomy.
B Incorrect; this is applying the principle of nonmaleficence.
C Correct; this is applying the principle of beneficence.
D Incorrect; this is applying the principle of justice.

PTS: 1 DIF: Applying REF: pp. 145, 146

24. Beneficence means the same as which of the following?

a. Benefiting the employer. c. Benefiting the support worker..
b. Doing good. d. Valuing policy.
ANS: B

Feedback
A Incorrect.
B Correct; this is the definition of beneficence.
C Incorrect.
D Incorrect.

PTS: 1 DIF: Remembering REF: p. 145

25. Which of the following is not an example of treating a client justly?

a. Handling clients’ possessions with care.
b. Respecting clients’ privacy.
c. Keeping all conversations and health information confidential.
d. Trying to avoid demanding and ungrateful clients.
 ANS: D

Feedback
A Incorrect; handling your client’s possessions with care is an example of treating
a client justly.
B Incorrect; respecting your client’s privacy is an example of treating a client
justly.
C Keeping all conversations and health information confidential is an example of
treating a client justly.
D Correct; this is not an example of treating a client justly.

PTS: 1 DIF: Understanding REF: p. 145

26. Lena, a support worker, has become close friends with another employee, Liam. Ethically,
which one of these facts should Lena report to the supervisor?
a. Liam’s previous history of drug use.
b. Liam’s inconsistency in following dress code.
c. Liam’s failure to follow policy.
d. Liam’s recent divorce.
ANS: C

Feedback
A Incorrect; this should be reported only if it affects his practice.
B Incorrect.
C Correct; the client must always be protected from harm. Not following
policy may put client at risk for injury.
D Incorrect. This is not something to report to the supervisor.

PTS: 1 DIF: Analyzing REF: pp. 141-142, Box 10-1

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