Legal, Ethical And Cultural Nclex Style Questions

53 Questions  I  By Jillzs on December 6, 2010
Legal, Ethical and Cultural  NCLEX style questions

  

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1.  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.
B.
C.
D.
2.  A client who had a “Do Not Resuscitate” order passed away. After verifying there is no pulse or respirations, the nurse should next:
A.
B.
C.
D.
3.  The best explanation of what Title VI of the Civil Rights Act mandates is the freedom to:
A.
B.
C.
4.  When the nurse described the client as “that nasty old man in 354,” the nurse is exhibiting which ethical dilemma?
A.
B.
C.
D.
5.  Which statement would best explain the role of the nurse when planning care for a culturally diverse population?  The nurse will plan care to:(check all that apply)
A.
B.
C.
D.
6.  The code of ethics for nurses is composed and published by
A.
B.
C.
D.
7.  A health care issue often becomes an ethical dilemma because
A.
B.
C.
D.
8.  Nurses are bound by a variety of laws. Which of the following descriptions of types of law is correct?
A.
B.
C.
D.
9.  What are the stages of dying according to Elizabeth Kubler-Ross?
A.
B.
C.
D.
10.  The client’s right to refuse treatment is an example of _________ laws.
11.  When providing care to clients with varied cultural backgrounds, it is imperative for the nurse to recognize that:
A.
B.
C.
D.
12.  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.
B.
C.
D.
13.  The nurse practice acts are an example of civil law.
A.
B.
14.  Transcultural nursing implies?
A.
B.
C.
D.
15.  Cultural competence is the process of
A.
B.
C.
D.
16.  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.
B.
C.
D.
17.  A retired nurse stops to help in an emergency at the scene of an accident, if the injured party files suit and the, the nurse would probably be covered by
A.
B.
C.
D.
18.  Which factor is least significant during assessment when gathering information about cultural practices?
A.
B.
C.
D.
19.  Eligibility to receive low-income loans or reimbursement for expenses is provided to hospitals that follow safety provisions of service established by:
A.
B.
C.
D.
20.  When helping a person through grief work, the nurse knows
A.
B.
C.
D.
21.  The dominant value in American society of individual autonomy and self-determination may be in direct conflict with diverse groups.
A.
B.
22.  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.
B.
23.  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.
B.
24.  The nurse is obligated to follow a physicians order unless:
A.
B.
C.
D.
25.  What should the nurse do when planning nursing care for a client with a different cultural background? The nurse should:
A.
B.
C.
D.
26.  Which statement about an institutional ethics committee is correct?
A.
B.
C.
D.
27.  A student nurse who is employed as a nursing assistant may perform any functions that she taught in school.
A.
B.
28.  Ethical principles for professional nursing practice in a clinical setting are guided by the principles of conduct that are written as the:
A.
B.
C.
D.
29.  The distribution of nurses to areas of “most need” in the time of a nursing shortage is an example of:
A.
B.
C.
D.
30.  Bereavement may be defined as
A.
B.
C.
D.
31.  To be effective in meeting various ethnic needs, the nurse should
A.
B.
C.
D.
32.  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.
B.
C.
D.
33.  In a situation in which there is insufficient staff to implement competent care, a nurse should refuse the assignment.
A.
B.
34.  Nurses who follow orders that are incomplete or incorrect are the leading cause of litigation in the hospital.
A.
B.
35.  A bioethical issue should be described as:
A.
B.
C.
D.
36.  The philosophy sometimes called the code of ethics of care suggests that ethical dilemmas can best be solved by attention to
A.
B.
C.
37.  Cultural awareness is an in-depth self-examination of one’s:
A.
B.
C.
D.
38.  When signing a form as a witness, your signature shows that the client:
A.
B.
C.
D.
E.
39.  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.
B.
40.  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.
B.
C.
D.
41.  A nurses point of view is valuable in an ethical committee because it is recommended by the nurses code of ethics.
A.
B.
42.  Loss is only experienced when there is an actual absence of something valued
A.
B.
43.  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.
B.
C.
D.
44.  As an advocate for the client, the nurse must make sure that "safe, effective care" is given in conformity with the
A.
B.
C.
D.
45.  Which of the following is not included in evaluating the degree of heritage consistency in a client?
A.
B.
C.
D.
46.  Ethnocentrism is the root of biases and prejudices.
A.
B.
47.  Nurses agree to be advocates for their patients. Practice of advocacy calls for the nurse to:
A.
B.
C.
D.
48.  To respect a client’s personal space and territoriality, the nurse
A.
B.
C.
D.
49.  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.
B.
C.
D.
50.  When caring for a terminally ill client, it is important for the nurse maintain the client’s dignity. This can be facilitated by:
A.
B.
C.
D.
51.  Obtaining informed consent is the responsibility of
A.
B.
C.
D.
52.  Individualism and self-reliance in achieving and maintaining health is the dominant value orientation in North American society.
A.
B.
53. 
  1. Control of pain, preservation of dignity and self-worth, love and belonging
are crucial needs of the dying client.
A.
B.
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