Nurse Executive Certification Practice Exam

Which ethical conflict is characterized by the balance of equitable access to health care against actions that produce the greater good?

1. Autonomy vs paternalism

2. Fairness vs altruism

3. Justice vs utilitarianism

4. Veracity vs fidelity

The correct answer is: Justice vs utilitarianism

The conflict characterized by the balance of equitable access to health care against actions that produce the greater good is defined by the principles of justice and utilitarianism. Justice in healthcare emphasizes fair distribution of resources and treatments among individuals, ensuring that everyone has access to necessary services. This principle acknowledges the ethical obligation to provide equitable care irrespective of individual circumstances. On the other hand, utilitarianism advocates for actions that achieve the greatest benefit for the most people. This approach may sometimes lead to scenarios where the needs of certain individuals or smaller groups can be overlooked in favor of policies or decisions that benefit a larger population. Thus, the ethical tension arises when trying to determine how to allocate limited resources effectively while still adhering to the principle of justice. In this context, a decision might favor broader public health measures, potentially at the expense of individual rights or needs. This creates a complex ethical landscape, requiring leaders to navigate the interplay between achieving overall good outcomes and ensuring that justice and equity in health care are not compromised.