Certified Nurse Manager and Leader (CNML) Practice Test

Which ethical concept involves making decisions on behalf of others to prevent harm?

1. Ethical Justice

2. Ethical Utility

3. Ethical Nonmaleficence

4. Ethical Paternalism

The correct answer is: Ethical Paternalism

The concept of ethical paternalism involves making decisions on behalf of others with the intent of preventing harm to them. This approach is commonly seen in healthcare settings where practitioners may take actions that they believe are in the best interest of the patient, even if those decisions are made without the patient’s explicit consent. The underlying principle is that the decision-maker believes they have a greater understanding or insight into what constitutes the patient's well-being, thus acting in a protective or guiding capacity. In applying ethical paternalism, one must consider the delicate balance between respecting a person's autonomy and ensuring their safety and well-being. While this approach can be seen as benevolent, it raises important ethical questions regarding autonomy and the extent to which it is justifiable to intervene in someone’s decision-making process. This is particularly relevant in complex medical situations where patients may not fully grasp the implications of their choices. Other concepts mentioned like ethical justice, ethical utility, and ethical nonmaleficence address different dimensions of ethics. Ethical justice pertains to fairness and equitable treatment of all individuals. Ethical utility focuses on the greatest good for the greatest number, often in a broader societal context. Ethical nonmaleficence emphasizes the obligation not to inflict harm on others. While these concepts intersect in healthcare