Legal, Ethical And Cultural Considerations Quiz
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Are you a nursing student and need some practice for your coursework? Here is an interestinglegal, ethical, and cultural considerations quiz that will help you learn more about legal, ethical, and cultural considerations. Being a nurse is not just about giving care to the ailing; some legal, ethical, and cultural rules must follow while they meet their mandate. Take the quiz and learn interesting facts.
- 1.
The best explanation of what Title VI of the Civil Rights Act mandates is the freedom to:
- A.
Pick any physician and insurance company despite one’s income.
- B.
Receive free medical benefits as needed within the county of residence.
- C.
Have equal access to all health care regardless of race and religion.
Correct Answer
C. Have equal access to all health care regardless of race and religion.Explanation
Title VI of the Civil Rights Act prohibits discrimination on the basis of race, color, or national origin in programs and activities that receive federal financial assistance. It mandates that all individuals have equal access to healthcare services, regardless of their race or religion. This means that healthcare providers cannot deny or limit services based on these factors, ensuring that everyone has fair and equal access to medical care.Rate this question:
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- 2.
Which statement would best explain the role of the nurse when planning care for a culturally diverse population? The nurse will plan care to:
- A.
Include care that is culturally congruent with the staff from predetermined criteria.
- B.
Focus only on the needs of the client, ignoring the nurse’s beliefs and practices.
- C.
Blend the values of the nurse that are for the good of the client and minimize the client’s individual values and beliefs during care.
- D.
Provide care while aware of one’s own bias, focusing on the client’s individual needs rather than the staff’s practices.
Correct Answer
D. Provide care while aware of one’s own bias, focusing on the client’s individual needs rather than the staff’s practices.Explanation
2. D. Without understanding one’s own beliefs and values, bias or preconceived belief by the nurse could create an unexpected conflict or an area of neglect in the plan of care for a client (who might be expecting something totally different from the care). During assessment values, beliefs, practices should be identified by the nurse and used as a guide to identifying the choices by the nurse to meet the specific needs/outcomes of that client. Therefore identification of values, beliefs, and practices allows for planning meaningful and beneficial care specific for this client.Rate this question:
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- 3.
A retired nurse stops to help in an emergency at the scene of an accident if the injured party files suit and the nurse would probably be covered by:
- A.
Her homeowner's insurance
- B.
Her automobile insurance
- C.
National Care Act
- D.
The Good Samaritan Law
Correct Answer
D. The Good Samaritan LawExplanation
The Good Samaritan laws, which grant immunity from suit if there is no gross negligence.Rate this question:
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- 4.
Which factor is least significant during assessment when gathering information about cultural practices?
- A.
Which factor is least significant during assessment when gathering information about cultural practices?
- B.
Touch, eye contact
- C.
Bio-cultural needs
- D.
Pain perception, management expectations
Correct Answer
C. Bio-cultural needsExplanation
C. Cultural practices do not influence bio-cultural needs because they are inborn risks that are related to a biological need and not a learned cultural belief or practice.Rate this question:
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- 5.
Obtaining informed consent is the responsibility of:
- A.
The physician
- B.
The RN manager
- C.
The nurse
- D.
The CNA
Correct Answer
A. The physicianExplanation
The physician is RESPONSIBLE for obtaining informed consent. The nurse can witness that the signature was obtained by the patient.Rate this question:
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- 6.
Transcultural nursing implies:
- A.
Working in another culture to practice nursing within their limitations.
- B.
Using a comparative study of cultures to understand similarities and differences across human groups to provide specific individualized care that is culturally appropriate.
- C.
Combining all cultural beliefs into a practice that is a non-threatening approach to minimize cultural barriers for all clients’ equality of care.
- D.
Ignoring all cultural differences to provide best-generalized care to all clients.
Correct Answer
B. Using a comparative study of cultures to understand similarities and differences across human groups to provide specific individualized care that is culturally appropriate.Explanation
B. Transcultural care means that by understanding and learning about specific cultural practices the nurse can integrate these practices into the plan of care for a specific individual client who has the same beliefs or practices to meet the client’s needs in a holistic manner of care.Rate this question:
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- 7.
The nurse notes that an advance directive is in the client's medical record. Which of the following statements represents the best description of guidelines a nurse would follow in this case?
- A.
A durable power of attorney for health care is invoked only when the client has a terminal condition or is in a persistent vegetative state.
- B.
A living will allows an appointed person to make health care decisions when the client is in an incapacitated state.
- C.
A living will is invoked only when the client has a terminal condition or is in a persistent vegetative state.
- D.
The client cannot make changes in the advance directive once the client is admitted into the hospital.
Correct Answer
C. A living will is invoked only when the client has a terminal condition or is in a persistent vegetative state.Explanation
A living will direct the client’s healthcare in the event of a terminal illness or condition. A durable power of attorney is invoked when the client is no longer able to make decisions on his or her own behalf. The client may change an advance directive at any time.Rate this question:
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- 8.
What should the nurse do when planning nursing care for a client with a different cultural background? The nurse should:
- A.
Allow the family to provide care during the hospital stay so no rituals or customs are broken.
- B.
Identify how these cultural variables affect the health problem.
- C.
Speak slowly and show pictures to make sure the client always understands.
- D.
Explain how the client must adapt to hospital routines to be effectively cared for while in the hospital.
Correct Answer
B. Identify how these cultural variables affect the health problem.Explanation
Without assessment and identification of the cultural needs, the nurse cannot begin to understand how these might influence the health problem or health care management.Rate this question:
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- 9.
As an advocate for the client, the nurse must make sure that "safe, effective care" is given in conformity with the:
- A.
Nurse Practice Act (NPA).
- B.
American Nursing Association (ANA).
- C.
National Council for Licensure Examinations.
- D.
State Board of Licensure.
Correct Answer
A. Nurse Practice Act (NPA).Explanation
The nurse must ensure that "safe, effective care" is provided in accordance with the Nurse Practice Act (NPA). The NPA is a set of laws and regulations that govern the practice of nursing in a specific state or jurisdiction. It outlines the scope of practice, defines the legal responsibilities and obligations of nurses, and sets standards for safe and competent care. By adhering to the NPA, the nurse ensures that they are practicing within the legal and ethical boundaries of their profession, promoting patient safety, and providing high-quality care. The other options, such as the American Nursing Association (ANA), National Council for Licensure Examinations, and State Board of Licensure, may provide guidance and support for nursing practice, but the NPA is the primary authority that governs nursing practice.Rate this question:
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- 10.
Ethical principles for professional nursing practice in a clinical setting are guided by the principles of conduct that are written as the:
- A.
American Nurses Association’s (ANA’s) Code of Ethics.
- B.
Nurse Practice Act (NPA) written by state legislation.
- C.
Standards of care from experts in the practice field.
- D.
Good Samaritan laws for civil guidelines.
Correct Answer
A. American Nurses Association’s (ANA’s) Code of Ethics.Explanation
7. A. This set of ethical principles provides the professional guidelines established by the ANA to maintain the highest standards for ideal conduct in practice. As a profession, the ANA wanted to establish rules and then incorporate guidelines for accountability and responsibility of each nurse within the practice setting.Rate this question:
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- 11.
Nurses are bound by a variety of laws. Which of the following descriptions of types of law is correct?
- A.
Statutory law is created by elected legislatures, such as the state legislature that defines the Nurse Practice Act (NPA).
- B.
Regulatory law provides for prevention of harm to the public and punishment when those laws are broken.
- C.
Common law protects the rights of the individual within society to fair and equal treatment.
- D.
Criminal law creates boards that pass rules and regulations to control society.
Correct Answer
A. Statutory law is created by elected legislatures, such as the state legislature that defines the Nurse Practice Act (NPA).Explanation
Statutory law is created by legislatures. These bodies enact statutes such as the NPA, which defines the role of the nurse and expectations of the nurse's performance of his or her duties and explains what is contraindicated as guidelines for the breach of those regulations. Regulatory law or administrative law is created by an administrative body such as the Board of Nursing, which passes rules and regulations. Common law is created by judicial decisions in court based on individual cases that are decided. Criminal law prevents harm to society and provides punishment for crimes.Rate this question:
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- 12.
A bioethical issue should be described as:
- A.
The physician’s making all decisions of client management without getting input from the client.
- B.
A research project that included treating all the white men and not treating all the black men to compare the outcomes of specific drug therapy.
- C.
The withholding of food and treatment at the request of the client in a written advance directive given before a client acquired permanent brain damage from an accident.
- D.
After the client gives permission, the physician’s disclosing all information to the family for their support in the management of the client.
Correct Answer
B. A research project that included treating all the white men and not treating all the black men to compare the outcomes of specific drug therapy.Explanation
B. The ethical issue was the inequality of treatment based strictly upon racial differences. Secondly, the drug was deliberately withheld even after results showed that the drug was working to cure the disease process in the white men for many years. So after many years, the black men were still not treated despite the outcome of the research process that showed the drug to be effective in controlling the disease early in the beginning of the research project. Therefore harm was done. Nonmaleficence, veracity, and justice were not followed.Rate this question:
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- 13.
Eligibility to receive low-income loans or reimbursement for expenses is provided to hospitals that follow safety provisions of service established by:
- A.
Board of Nursing Examiners (BNE)
- B.
Nurse Practice Act (NPA)
- C.
American Nurses Association (ANA)
- D.
Americans With Disabilities Act (ADA)
Correct Answer
D. Americans With Disabilities Act (ADA)Explanation
If a hospital fails to follow ADA guidelines for meeting the special needs of persons with disabilities, the facility loses funding and become ineligible to receive low-income loans or reimbursement of expenses. ADA protects the civil rights of disabled people. Its provisions apply to both hospital clients and hospital staff.Rate this question:
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- 14.
When the nurse described the client as “that nasty old man in 354,” the nurse is exhibiting which ethical dilemma?
- A.
Gender bias and ageism
- B.
HIPPA violation
- C.
Beneficence
- D.
Code of ethics violation
Correct Answer
A. Gender bias and ageismExplanation
A. Stereotyping an “old man” as “nasty”is a gender bias and an ageism issue. The nurse is verbalizing a negative descriptor about the client.Rate this question:
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- 15.
The distribution of nurses to areas of “most need” in the time of a nursing shortage is an example of:
- A.
Utilitarianism theory
- B.
Deontological theory
- C.
Justice
- D.
Beneficence
Correct Answer
C. JusticeExplanation
Justice is defined as the fairness of distribution of resources. However, guidelines for a hierarchy of needs have been established, such as with organ transplantation. Nurses are moved to areas of greatest need when shortages occur on the floors. No floor is left without staff, and another floor that had five staff will give up two to go help the floor that had no staff.Rate this question:
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- 16.
Besides the Joint Commission on Accreditation of Healthcare Organizations (JACHO), which governing agency regulates hospitals to allow continued safe services to be provided, funding to be received from the government and penalties if guidelines are not followed?
- A.
Board of Nursing Examiners (BNE)
- B.
Nurse Practice Act (NPA)
- C.
American Nurses Association (ANA)
- D.
Americans With Disabilities Act (ADA)
Correct Answer
D. Americans With Disabilities Act (ADA)Explanation
D. If the hospital fails to follow ADA guidelines for meeting special needs, the facility loses funding and status for receiving low-income loans or reimbursement of expenses. ADA protects the civil rights of disabled people. It applies to both the hospital clients and hospital staff. Privacy issues for persons who are positive for human immunodeficiency virus (HIV) have been one issue in relationship to getting information when hospital staff have been exposed to unclean sticks. The ADA allows the infected client the right to choose whether or not to disclose that information.Rate this question:
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- 17.
When signing a form as a witness, your signature shows that the client:
- A.
Is fully informed and is aware of all consequences.
- B.
Was awake and fully alert and not medicated with narcotics.
- C.
Was free to sign without pressure.
- D.
Understands the language of the form.
- E.
None of the above.
Correct Answer
E. None of the above.Explanation
When a nurse witnesses an informed consent, he/she is only witnessing he/she saw it being done.Rate this question:
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- 18.
Nurses who follow orders that are incomplete or incorrect are the leading cause of litigation in the hospital.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
The nurse is responsible for clarifying all orders that are illegible, unreasonable, unsafe, or incorrect. The failure of the nurse to question the physician about an order creates an area of liability on the nurse’s part because this is perceived as a medical action and not the role of the nurse to write orders.Rate this question:
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- 19.
A client has recently been told he has terminal cancer. As the nurse enters the room, he yells, “My eggs are cold, and I’m tired of having my sleep interrupted by noisy nurses!” The nurse may interpret the client’s behavior as:
- A.
An expression of the anger stage of dying.
- B.
An expression of disenfranchised grief.
- C.
The result of maturational loss.
- D.
The result of previous losses.
Correct Answer
A. An expression of the anger stage of dying.Explanation
In the anger stage of Kubler-Ross’s stages of dying, the individual resists the loss and may strike out at everyone and everything, in this case, the nurse.Rate this question:
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- 20.
When helping a person through grief work, the nurse knows:
- A.
Coping mechanisms that were effective in the past are often disregarded in response to the pain of a loss.
- B.
A person’s perception of a loss has little to do with the grieving process.
- C.
The sequencing of stages of grief may occur in order, they may be skipped, or they may reoccur.
- D.
Most clients want to be left alone.
Correct Answer
C. The sequencing of stages of grief may occur in order, they may be skipped, or they may reoccur.Explanation
Grief is manifested in a variety of ways that are unique to an individual and based on personal experiences, cultural expectations, and spiritual beliefs. The sequencing of stages or behaviors of grief may occur in order, they may be skipped, or they may reoccur. The amount of time to resolve grief also varies among individuals.Rate this question:
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- 21.
When caring for a terminally ill client, it is important for the nurse to maintain the client’s dignity. This can be facilitated by:
- A.
Spending time to let clients share their life experiences.
- B.
Decreasing emphasis on attending to the clients’ appearance because it only increases their fatigue.
- C.
Making decisions for clients so they do not have to make them.
- D.
Placing the client in a private room to provide privacy at all times.
Correct Answer
A. Spending time to let clients share their life experiences.Explanation
Spending time to let clients share their life experiences enables the nurse to know clients better. Knowing clients then facilitates choice of therapies that promote client decision making and autonomy, thus promoting a client’s self-esteem and dignity.Rate this question:
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- 22.
What are the stages of dying according to Elizabeth Kubler-Ross?
- A.
Numbing; yearning and searching; disorganization and despair; and reorganization.
- B.
Accepting the reality of loss, working through the pain of grief, adjusting to the environment without the deceased, and emotionally relocating the deceased and moving on with life.
- C.
Anticipatory grief, perceived loss, actual loss, and renewal.
- D.
Denial, anger, bargaining, depression, and acceptance.
Correct Answer
D. Denial, anger, bargaining, depression, and acceptance.Explanation
The stages of dying according to Elizabeth Kubler-Ross are denial, anger, bargaining, depression, and acceptance. These stages represent the emotional and psychological responses that individuals may go through when faced with their own impending death or the death of a loved one. Denial is the initial stage where individuals may refuse to accept the reality of the situation. Anger follows, as individuals may feel frustrated and resentful. Bargaining involves seeking ways to postpone or change the outcome. Depression is a stage of sadness and grief. Finally, acceptance is the stage where individuals come to terms with the situation and find peace.Rate this question:
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- 23.
Bereavement may be defined as:
- A.
The emotional response to loss.
- B.
The outward, social expression of loss.
- C.
Postponing the awareness of the reality of the loss.
- D.
The inner feeling and outward reactions of the survivor.
Correct Answer
D. The inner feeling and outward reactions of the survivor.Explanation
The correct answer is "The inner feeling and outward reactions of the survivor." This definition of bereavement encompasses both the internal emotions and external expressions that a person experiences after a loss. It acknowledges that bereavement involves not only the inner feelings of grief and sadness but also the outward reactions such as crying, mourning, or expressing emotions in various ways. This definition recognizes that bereavement is a complex and multifaceted process involving both internal and external aspects of grieving.Rate this question:
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- 24.
A client who had a “Do Not Resuscitate” order passed away. After verifying there is no pulse or respirations, the nurse should next:
- A.
Have family members say goodbye to the deceased.
- B.
Call the transplant team to retrieve vital organs.
- C.
Remove all tubes and equipment (unless organ donation is to take place), clean the body, and position appropriately.
- D.
Call the funeral director to come and get the body.
Correct Answer
C. Remove all tubes and equipment (unless organ donation is to take place), clean the body, and position appropriately.Explanation
The body of the deceased should be prepared before the family comes in to view and say their goodbyes. This includes removing all equipment, tubes, supplies, and dirty linens according to protocol, bathing the client, applying clean sheets, and removing trash from the room.Rate this question:
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- 25.
A client’s family member says to the nurse, “The doctor said he will provide palliative care. What does that mean?” The nurse’s best response is:
- A.
“Palliative care is given to those who have less than 6 months to live.”
- B.
“Palliative care aims to relieve or reduce the symptoms of a disease.”
- C.
“The goal of palliative care is to affect a cure of a serious illness or disease.”
- D.
“Palliative care means the client and family take a more passive role and the doctor focuses on the physiological needs of the client. The location of death will most likely occur in the hospital setting.”
Correct Answer
B. “Palliative care aims to relieve or reduce the symptoms of a disease.”Explanation
The goal of palliative care is the prevention, relief, reduction, or soothing of symptoms of disease or disorders without effecting a cure. Hospice care occurs for those who have less than 6 months to live.Rate this question:
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- 26.
Which of the following is not included in evaluating the degree of heritage consistency in a client?
- A.
Gender
- B.
Ethnicity
- C.
Religion
- D.
Culture
Correct Answer
A. GenderExplanation
In evaluating the degree of heritage consistency in a client, gender is not included. Evaluating heritage consistency typically involves examining factors such as ethnicity, religion, and culture, as these aspects are closely tied to a person's heritage and identity. However, gender is not considered a factor in heritage consistency as it is a separate aspect of a person's identity that is not directly related to their cultural heritage.Rate this question:
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- 27.
When providing care to clients with varied cultural backgrounds, it is imperative for the nurse to recognize that:
- A.
Cultural considerations must be put aside if basic needs are in jeopardy.
- B.
Generalizations about the behavior of a particular group may be inaccurate.
- C.
Current health standards should determine the acceptability of cultural practices.
- D.
Similar reactions to stress will occur when individuals have the same cultural background.
Correct Answer
B. Generalizations about the behavior of a particular group may be inaccurate.Explanation
When providing care to clients with varied cultural backgrounds, it is important for the nurse to recognize that generalizations about the behavior of a particular group may be inaccurate. Cultural diversity means that individuals within a cultural group may have different beliefs, values, and behaviors. Making assumptions based on stereotypes or generalizations can lead to misunderstandings and ineffective care. Nurses should approach each client as an individual and take the time to understand their unique cultural background and preferences.Rate this question:
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- 28.
To respect a client’s personal space and territoriality, the nurse:
- A.
Avoids the use of touch.
- B.
Explains nursing care and procedures.
- C.
Keeps the curtains pulled around the clients bed.
- D.
Stands 8 feet away from the bed, if possible.
Correct Answer
B. Explains nursing care and procedures.Explanation
To respect a client's personal space and territoriality, the nurse explains nursing care and procedures. This is because explaining the care and procedures helps the client understand what will be done and gives them a sense of control and involvement in their own care. It also allows the client to anticipate and prepare for any discomfort or pain that may be experienced during the procedure. By providing clear explanations, the nurse respects the client's autonomy and promotes a trusting and respectful relationship between the nurse and the client.Rate this question:
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- 29.
To be effective in meeting various ethnic needs, the nurse should:
- A.
Treat all clients alike.
- B.
Be aware of clients’ cultural differences.
- C.
Act as if he or she is comfortable with the client’s behavior.
- D.
Avoid asking questions about the client’s cultural background.
Correct Answer
B. Be aware of clients’ cultural differences.Explanation
To be effective in meeting various ethnic needs, it is important for the nurse to be aware of clients' cultural differences. This means understanding and respecting the unique beliefs, values, practices, and traditions of different cultures. By being aware of these differences, the nurse can provide culturally sensitive care that is tailored to each individual's needs and preferences. This helps to promote effective communication, build trust, and ensure that the client's cultural needs are met. Treating all clients alike, acting as if the nurse is comfortable with the client's behavior, or avoiding questions about the client's cultural background may overlook or dismiss important cultural considerations, leading to ineffective care.Rate this question:
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- 30.
A health care issue often becomes an ethical dilemma because:
- A.
A clients legal rights coexist with a health professionals obligation.
- B.
Decisions must be made quickly, often under stressful conditions.
- C.
Decisions must be made based on value systems.
- D.
The choices involved do not appear to be clearly right or wrong.
Correct Answer
D. The choices involved do not appear to be clearly right or wrong.Explanation
Health care issues often become ethical dilemmas because the choices involved do not appear to be clearly right or wrong. In healthcare, professionals often face complex situations where there may be multiple valid perspectives or conflicting values. These dilemmas arise when deciding on treatment options, allocation of resources, privacy concerns, or end-of-life decisions. The absence of a clear-cut solution makes it challenging to make ethical decisions, as they require careful consideration of various factors and potential consequences.Rate this question:
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- 31.
Which statement about an institutional ethics committee is correct?
- A.
The ethics committee is an additional resource for clients and health care professionals.
- B.
The ethics committee relieves health care professionals from dealing with ethical issues.
- C.
The ethics committee would be the first option in addressing an ethical dilemma.
- D.
The ethics committee replaces decision making by the client and health care providers.
Correct Answer
A. The ethics committee is an additional resource for clients and health care professionals.Explanation
The correct answer is that the ethics committee is an additional resource for clients and health care professionals. This means that the committee does not replace decision-making by the client and health care providers, but rather provides support and guidance in addressing ethical issues. It also suggests that the committee does not relieve health care professionals from dealing with ethical issues entirely, but rather offers assistance and expertise in navigating these complex situations.Rate this question:
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- 32.
The nurse is working with parents of a seriously ill newborn. Surgery has been proposed for the infant, but the chances of success are unclear. In helping the parents resolve this ethical conflict, the nurse knows that the first step is:
- A.
Exploring reasonable courses of action.
- B.
Collecting all available information about the situation.
- C.
Clarifying values related to the cause of the dilemma.
- D.
Identifying people who can solve the difficulty.
Correct Answer
B. Collecting all available information about the situation.Explanation
The nurse knows that the first step in helping the parents resolve the ethical conflict is to collect all available information about the situation. By gathering all the relevant information, the nurse can provide the parents with a comprehensive understanding of the potential risks, benefits, and uncertainties associated with the proposed surgery. This will enable the parents to make a more informed decision and weigh the potential outcomes for their seriously ill newborn. Clarifying values and identifying people who can solve the difficulty may come later in the process, but initially, collecting information is crucial for making an informed decision.Rate this question:
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- 33.
Miss Magu, an 88-year old woman, believes that life should not be prolonged when hope is gone. She has decided that she does not want extraordinary measures taken when her life is at its end. Because she feels this way, she has talked with her daughter about her desires, completing a living will and left directions with her physician. This is an example of:
- A.
Affirming a value.
- B.
Choosing a value.
- C.
Prizing a value.
- D.
Reflecting a value.
Correct Answer
C. Prizing a value.Explanation
This scenario demonstrates the act of prizing a value. Miss Magu has thoughtfully considered her beliefs and desires regarding the prolongation of her life when there is no hope. By discussing her wishes with her daughter, completing a living will, and informing her physician, she is demonstrating the importance she places on this value and ensuring that her wishes are respected and followed.Rate this question:
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- 34.
A student nurse who is employed as a nursing assistant may perform any functions that she taught in school.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
You may only perform functions that you are licensed to perform while on the job.Rate this question:
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- 35.
The nurse puts a restraint jacket on a client without the client’s permission and without the physicians order. The nurse may be guilty of assault.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
Battery is physical in nature. Assault is a threat.Rate this question:
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- 36.
In a situation in which there is insufficient staff to implement competent care, a nurse should refuse the assignment.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
Accept the assignment but make a protest in writing to the administrationRate this question:
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- 37.
The loss is only experienced when there is an actual absence of something valued:
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
Loss may be maturational, situational, or bothRate this question:
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- 38.
- Control of pain, preservation of dignity and self-worth, love and belonging
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
The statement is true because control of pain, preservation of dignity and self-worth, love, and belonging are indeed crucial needs of a dying client. Pain control is essential to ensure the client's comfort and improve their quality of life. Preserving their dignity and self-worth allows them to maintain their sense of identity and autonomy, even in their final moments. Love and belonging provide emotional support and a sense of connection, which can greatly impact the client's overall well-being during this vulnerable time. These needs should be prioritized and addressed to provide the best possible care for the dying client.Rate this question:
- 39.
Cultural awareness is an in-depth self-examination of one’s:
- A.
Background, recognizing biases and prejudices.
- B.
Social, cultural, and biophysical factors.
- C.
Engagement in cross-cultural interactions.
- D.
Motivation and commitment to caring.
Correct Answer
A. Background, recognizing biases and prejudices.Explanation
Cultural awareness is an in-depth examination of one’s own background, recognizing biases and prejudices and assumptions about other peopleRate this question:
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- 40.
Cultural competence is the process of:
- A.
Learning about vast cultures.
- B.
Acquiring specific knowledge, skills, and attitudes.
- C.
Influencing treatment and care of clients.
- D.
Motivation and commitment to caring.
Correct Answer
B. Acquiring specific knowledge, skills, and attitudes.Explanation
Cultural competence is the process of acquiring specific knowledge, skills, and attitudes that ensure delivery of culturally congruent care.Rate this question:
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- 41.
Ethnocentrism is the root of biases and prejudices.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
Ethnocentrism refers to the belief that one's own culture or ethnic group is superior to others. This mindset often leads to biases and prejudices, as individuals tend to judge other cultures based on their own standards and values. By assuming that their own culture is the standard by which all others should be measured, people may develop negative attitudes and discriminatory behaviors towards those who are different from them. Therefore, it can be argued that ethnocentrism is indeed the root cause of biases and prejudices.Rate this question:
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- 42.
Individualism and self-reliance in achieving and maintaining health is the dominant value orientation in North American society.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
The statement is true because North American society places a strong emphasis on individualism and self-reliance. People are encouraged to take personal responsibility for their own health and well-being, and there is a belief that individuals have the ability to achieve and maintain good health through their own actions. This value orientation is reflected in the emphasis on personal choices, self-care practices, and the importance of individual autonomy in healthcare decision-making.Rate this question:
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- 43.
Disparities in health outcomes between the rich and the poor illustrate the influence of socioeconomic factors in morbidity and mortality. Social factors such as poverty and lack of universal medical insurance compromise the health status of the poor and unemployed.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
The given statement is true because it highlights the impact of socioeconomic factors on health outcomes. It explains that disparities in health outcomes between the rich and the poor can be attributed to social factors such as poverty and lack of universal medical insurance. These factors compromise the health status of the poor and unemployed, leading to higher rates of morbidity and mortality. This explanation supports the correctness of the answer "True".Rate this question:
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- 44.
The dominant value in American society of individual autonomy and self-determination may be in direct conflict with diverse groups.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
The dominant value in American society of individual autonomy and self-determination can create conflicts with diverse groups because it prioritizes personal freedom and independence over the needs and interests of marginalized communities. This can lead to a lack of understanding and empathy towards different perspectives and experiences, perpetuating inequality and discrimination.Rate this question:
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- 45.
In the United States, access to health care usually depends on a client’s ability to pay for health care, either through insurance or by paying cash. The client the nurse is caring for needs a liver transplant to survive. This client has been out of work for several months and does not have insurance or enough cash. A discussion about the ethics of this situation would involve predominately the principle of:
- A.
Accountability, because you as the nurse are accountable for the well being of this client.
- B.
Respect for autonomy, because this client’s autonomy will be violated if he does not receive the liver transplant.
- C.
Ethics of care, because the caring thing that a nurse could provide this patient is resources for a liver transplant.
- D.
Justice, because the first and greatest question in this situation is how to determine the just distribution of resources.
Correct Answer
D. Justice, because the first and greatest question in this situation is how to determine the just distribution of resources.Explanation
Justice refers to fairness. Health care providers agree to strive for justice in health care. The term often is used during discussions about resources. Decisions about who should receive available organs are always difficult.Rate this question:
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- 46.
The code of ethics for nurses is composed and published by:
- A.
The national league for Nursing.
- B.
American Nursing Association.
- C.
The American Medical Association.
- D.
National Institute of Health.
Correct Answer
B. American Nursing Association.Explanation
the ANA has established widely accepted codes that professional nurses attempt to followRate this question:
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- 47.
Nurses agree to be advocates for their patients. The practice of advocacy calls for the nurse to:
- A.
Seek out the nursing supervisor in conflicting situations.
- B.
Work to understand the law as it applies to the client’s clinical condition.
- C.
Assess the client’s point of view and prepare to articulate this point of view.
- D.
Document all clinical changes in the medical record in a timely manner.
Correct Answer
C. Assess the client’s point of view and prepare to articulate this point of view.Explanation
Nurses strengthen their ability to advocate for a client when nurses are able to identify personal values and then accurately identify the values of the client and articulate the client’s point of view.Rate this question:
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- 48.
The philosophy sometimes called the code of ethics of care suggests that ethical dilemmas can best be solved by attention to:
- A.
Relationships
- B.
The client
- C.
The code of ethics
Correct Answer
A. RelationshipsExplanation
The philosophy of care ethics emphasizes the importance of relationships in solving ethical dilemmas. It suggests that ethical decisions should be based on the consideration of the relationships involved, such as the relationship between the individuals affected by the dilemma. This approach prioritizes empathy, compassion, and understanding in decision-making, recognizing that the well-being and needs of individuals within these relationships should be taken into account. By focusing on relationships, this philosophy encourages a more holistic and contextual understanding of ethical dilemmas, promoting a more compassionate and caring approach to decision-making.Rate this question:
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- 49.
A nurses point of view is valuable in an ethical committee because it is recommended by the nurses' code of ethics.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
nurses develop a relationship to the client that is unique among all professional health care providers.Rate this question:
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- 50.
The correct order of negotiating an ethical dilemma is: The nurse begins by gathering information and moves through assessment, identification of the problem, planning, implementation, and evaluation.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
The correct order of negotiating an ethical dilemma is to start by gathering information, followed by assessment, identification of the problem, planning, implementation, and evaluation. This order ensures that the nurse has all the necessary information to understand the situation, assess the ethical implications, identify the core problem, develop a plan of action, implement the plan, and evaluate its effectiveness. This systematic approach helps the nurse make informed and ethical decisions in complex situations.Rate this question:
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Mar 22, 2023Quiz Edited by
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Dec 06, 2010Quiz Created by
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