NCLEX- Legal, Ethical And Cultural Considerations Test
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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. Are you a nursing student and need some practice for your coursework? Here in this NCLEX sample exam, you will get lots of questions related to the topic. Let's start and learn more about legal, ethical, and cultural considerations.
- 1.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)
- 2.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
- 3.
- A.
Utilitarianism theory
- B.
Deontological theory
- C.
Justice
- D.
Beneficence
- 4.Nurses who follow orders that are incomplete or incorrect are the leading cause of litigation in the hospital.
- A.
True
- B.
False
- 5.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.
- 6.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
- 7.A student nurse who is employed as a nursing assistant may perform any functions that she taught in school.
- A.
True
- B.
False
- 8.In a situation in which there is insufficient staff to implement competent care, a nurse should refuse the assignment.
- A.
True
- B.
False
- 9.Ethnocentrism is the root of biases and prejudices.
- A.
True
- B.
False
- 10.Individualism and self-reliance in achieving and maintaining health is the dominant value orientation in North American society.
- A.
True
- B.
False
- 11.The nurse practice acts are an example of civil law.
- A.
True
- B.
False
- 12.The client’s right to refuse treatment is an example of _________ laws.
- 13.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.
- 14.
- 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.
- 15.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
- 16.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
- 17.Obtaining informed consent is the responsibility of:
- A.
The physician
- B.
The RN manager
- C.
The nurse
- D.
The CNA
- 18.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.
- 19.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.
- 20.
- 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.
- 21.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.
- 22.
- 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.
- 23.
- 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.
- 24.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.
- 25.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)
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