Ethics and Legal Issues in Vocational Nursing Exam Solutions
Course Introduction
This course explores the ethical principles and legal frameworks that guide professional practice in vocational nursing. Students will examine the nurse's role in upholding patient rights, maintaining confidentiality, and advocating for clients within the healthcare system. Emphasis is placed on understanding laws, regulations, and professional codes of conduct that affect nursing practice, as well as strategies for resolving ethical dilemmas commonly encountered in clinical settings. Through case studies and discussion, students develop critical thinking skills needed to navigate complex situations, ensuring safe, ethical, and legal care for patients.
Recommended Textbook
Success in Practical Vocational Nursing 8th Edition by Patricia Knecht
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19 Chapters
521 Verified Questions
521 Flashcards
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Chapter 1: Personal Resources of an Adult Learner
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) Which statement best describes an active learning situation?
A) The learner practices bed-making.
B) The learner watches a peer make a bed.
C) The learner watches the instructor make a bed.
D) The learner pays attention during lecture.
Answer: A
Q2) With regard to the teaching-learning process, what can the nursing student identify as the instructor's responsibility to the student? (Select all that apply.)
A) Solve each of the student's learning problems.
B) Create an environment in which learning can occur.
C) Make learning simple and free from psychological pain.
D) Eliminate difficult concepts from lectures and laboratories.
E) Assist students to answer questions not independently resolved.
Answer: B, E
Q3) The First Amendment of the U.S. Constitution guarantees students the right to
A) graduate from a program.
B) fail an academic program.
C) express oneself in class.
D) have unlimited absences.
Answer: C
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Chapter 2: Academic Resources (Study Skills and Test Strategies)
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42 Verified Questions
42 Flashcards
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Sample Questions
Q1) A nursing student has an assignment that requires looking up an article about nursing care following knee replacement surgery. The nursing student has only the title and the knowledge that the article was published within the past year. Which resource would be most helpful in completing the assignment?
A) Education Index
B) Materia Medicus
C) Reader's Guide to Periodical Literature
D) Cumulative Index to Nursing and Allied Health Literature
Answer: D
Q2) A nursing student has difficulty taking multiple choice tests. The test is graded according to the number of right answers. Select the strategies most likely to be helpful when taking this type of test. (Select all that apply.)
A) Leave easy questions until last.
B) Answer all questions. Guess if necessary.
C) Leave answers unchanged after recording them.
D) Save time; stop reading options when the answer is found.
E) Read options and eliminate all wrong options.
F) Eliminate options unrelated to the subject matter.
Answer: B, E, F
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Chapter 3: Community Resources
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) The Director of a Practical/Vocational Nursing program is reviewing surveys and determines that graduates rate confidence levels high. What step in Maslow's Human Needs Theory does this reflect?
A) Safety
B) Love and belonging
C) Esteem
D) Physiological
Answer: C
Q2) A nursing student moved from Florida to Pennsylvania and began school immediately. Where should the student go first to become familiar with county services?
A) YMCA
B) Career Link
C) Referral Agencies
D) Welfare office
Answer: C
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Page 5
Chapter 4: How Practical/Vocational Nursing Evolved:
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) Which of the following are major concerns associated with the present nursing shortage? (Select all that apply.)
A) Patient safety
B) High patient acuity
C) High nurse-to-patient ratios
D) High stress among nurses
E) High recruitment incentives
Q2) The role of self-defined practical nurses throughout history has been to
A) care for the ill, injured, and dying and birthing mothers.
B) compete with physicians and surgeons.
C) perform complex nursing skills independently.
D) make contact with the gods on behalf of the ill person.
Q3) Which individuals made significant contributions to nursing? (Select all that apply.)
A) Lillian Wald
B) Linda Richards
C) Sairy Gamp
D) Betsy Prig
E) Mary Mahoney
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Chapter 5: Critical Thinking: A Lifelong Journey
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) An instructor tells a nursing student, "I have noticed that you sometimes engage in nonfocused thinking." Which behaviors are consistent with the instructor's observation? (Select all that apply.)
A) The student consistently looks for solutions to problems.
B) The student makes up his mind quickly and ignores additional facts.
C) The student focuses on the negative aspects of nearly every situation.
D) The student looks for creative ways to improve situations.
Q2) Which of the following are the cognitive levels used in the NCLEX-PN examination? (Select all that apply.)
A) Analysis
B) Intuition
C) Application
D) Knowledge
E) Correlation
F) Comprehension
Q3) The NCLEX-PN examination includes items that require various levels of thinking to answer a test item. These various levels are called ____________________.
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Chapter 6: Ethics Applied to Nursing: Personal Versus Professional Ethics
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) A major change in medical ethics that affected nursing occurred when the Western secular belief system shifted emphasis from duties to A) individual autonomy and rights.
B) satisfying Medicare regulations.
C) the cost-effectiveness of care.
D) nonmaleficence.
Q2) When a treatment team decides to go to court to obtain permission to provide chemotherapy for a child whose parents refuse to give consent for the treatment based on religious grounds, the ethical principles that are in conflict are A) fidelity and justice.
B) beneficence and autonomy.
C) justice and beneficence.
D) autonomy and fidelity.
Q3) Leaving an unconscious patient exposed during a treatment or procedure is a violation of the ethical principle of A) fidelity.
B) autonomy.
C) justice.
D) nonmaleficence.
Page 8
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Chapter
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34 Verified Questions
34 Flashcards
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Sample Questions
Q1) A nursing student is assigned to care for a patient who requires several technical procedures. The student was busy and did not prepare in advance for the assignment. In preconference, the student is unable to describe the care to be given. The instructor would be justified in
A) telling the student to be very careful during caregiving.
B) sending the student off duty and turning the patient's care over to staff.
C) suspending the student.
D) dismissing the student from the program.
Q2) Which of the following is an example of breach of duty?
A) The LPN/LVN walks off the unit during the shift.
B) The LPN/LVN resigns from the position.
C) The LPN/LVN delegates duties to unlicensed assistive personnel.
D) The LPN/LVN does not perform duties according to the standard of care.
Q3) A nurse damages a patient's reputation by verbalizing private information about the patient to a third party. This is an example of A) libel.
B) assault.
C) battery.
D) slander.
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Page 9
Chapter 8: Effective Communication: Health Care Team,
Patients, Faculty, and Peers
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) A patient who has had knee surgery tells the nursing student that he is "doing fine" and "doesn't need anything." The student observes that he winces when moving in bed and that he has a worried frown. The student asks him to rate his pain on a numerical scale and then encourages him to take his prn analgesic. Which is true of this interaction?
A) The nursing student recognized that the patient's verbal and nonverbal messages were incongruent.
B) The nursing student understood that verbal messages outrank nonverbal messages in importance.
C) The nursing student realized that affective communication is of lesser importance.
D) The nursing student used one-way communication effectively.
Q2) Characteristics of one-way communication include all of the following except A) it is sender controlled.
B) receiver feedback is not expected.
C) it always has negative value.
D) it is useful to give commands.
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Chapter 9: Assertiveness: Your Responsibility
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) Which of the following measures are most helpful to the nurse who makes a personal commitment to practice violence prevention in the workplace? (Select all that apply.)
A) Get to know coworkers and look out for them.
B) Treat patients and coworkers with courtesy and respect.
C) Become familiar with policies relating to violence and harassment.
D) Assume individuals will not act on threats they make.
E) Interject opinions while attempting to clarify issues.
F) Set clear, firm limits on unacceptable behavior.
Q2) A nurse demonstrates assertive behavior by doing which of the following?
A) Assuming a patient would like to skip the bath when the patient's spouse comes to visit
B) Being unable to continue suctioning a patient because she is concerned the patient will not like her for doing it
C) Experiencing a feeling of devastation when the patient questions her ability to insert an intravenous catheter
D) Requesting to speak with the physician privately when she feels that the physician has ordered an inappropriate treatment
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Chapter 10: Cultural Uniqueness, Sensitivity, and Competence
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) Mrs. Lee tells the nurse who asks why she ate so little of the food on her tray that her condition requires "hot" foods, so she ate only the "hot" foods on the tray. The nurse notices that several items the patient left on the tray were served hot, and several of the foods the patient ate were served cold. The nurse should
A) tell the dietary department to make sure Mrs. Lee's foods are hot when served.
B) check Mrs. Lee's menu choices and change choices from cold entrees to hot entrees.
C) tell Mrs. Lee that no hospital food service serves entrees as hot as she may fix at home.
D) ask Mrs. Lee to make a list of foods she believes would help her condition.
Q2) Recently a community has experienced an influx of individuals from Afghanistan. What action should the nurse suggest to modify the agency environment to better accommodate these culturally diverse patients?
A) Provide handouts and patient teaching materials in appropriate languages.
B) Hold meetings in the community to explain the Afghan culture.
C) Provide reference guides about Far Eastern cultures to all nursing staff.
D) Use the cookbook method of learning to accommodate this immigrant group.
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Page 12
Chapter 11: Spiritual Needs, Spiritual Caring, and Religious Differences
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) A religion that was founded in the nineteenth century by Mary Baker Eddy is A) Mormonism.
B) Christian Scientist.
C) Jehovah's Witness.
D) Seventh-Day Adventist.
Q2) A religion that began in Scotland and evolved from John Calvin in the sixteenth century is known as A) Presbyterianism.
B) Episcopalian.
C) Seventh-Day Adventist.
D) United Church of Christ.
Q3) A patient whose religion is listed as Seventh-Day Adventist is admitted to the unit just before lunch. The patient is being examined, and the nurse does not want to interrupt to ask about lunch preferences. A good choice would be to order a ________________ meal.
Q4) A religion that was founded by Joseph Smith in the nineteenth century is A) Mormonism.
B) Catholicism.
C) Lutheranism.
D) Mennonite.
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Chapter 12: The Nursing Process: Your Role
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38 Verified Questions
38 Flashcards
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Sample Questions
Q1) The phases of the nursing process in which the LPN/LVN participates with the greatest degree of independence are
A) goal setting and evaluation.
B) planning and implementation.
C) data collection and implementation.
D) evaluation and data collection.
Q2) When a nurse uses Maslow's Hierarchy of Needs to prioritize patient problems, which problem would be considered the highest priority?
A) The patient is unsteady and may become injured.
B) The patient is experiencing marital difficulties.
C) The patient has deficient knowledge about the condition.
D) The patient is acutely short of breath.
Q3) An LPN/LVN is assisting the RN in the development of goals and interventions for a patient's plan of care. The LPN/LVN is participating in which step of the nursing process?
A) Planning
B) Evaluation
C) Data collection
D) Implementation
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14
Chapter 13: Nursing Theory, Research, and Evidence-Based Practice
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A newly admitted patient reports to the practical nurse that she is "hungry." The nurse confirms that the patient is on a regular diet and promptly retrieves a meal and provides it to the patient. According to Maslow's needs theory, the nurse is meeting the patient's A) physiological needs.
B) safety needs.
C) self-actualization need.
D) love and belonging needs.
Q2) In 2010, the ______________________________ established competencies for nursing graduates at all levels.
Q3) Research studies in nursing are important because they generate knowledge for which of the following? (Select all that apply.)
A) Clinical practice
B) Surgical procedures
C) Nursing education
D) Delivery of nursing
E) Prescribing medications
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Chapter 14: The Interdisciplinary Health Care Team: The
Role of the Practical/Vocational Nurse
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) The aspect of functioning that distinguishes RNs from LPN/LVNs is that only RNs
A) plan and organize daily care for groups of patients.
B) implement measures ordered to prevent complications.
C) provide health information to patients and families.
D) initiate independent nursing actions based on nursing diagnoses.
Q2) The case method of care delivery is used on the surgical unit. The LPN/LVN asks what this means regarding work assignments. The best answer would be:
A) "You will be assigned to provide care for two or three relatively stable patients with predictable care outcomes."
B) "You will be assigned to perform specific nursing tasks for a number of patients, such as taking vital signs, doing simple dressings, and so on."
C) "You will be assigned to provide daily total care for several patients from admission to discharge."
D) "You will receive cross-training to be assigned as unit secretary, venipuncturist, or to nursing duties."
Q3) The role of the LPN/LVN in the health care team is best described as
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Page 16
Chapter 15: Health Care Settings: Continuum of Care
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) Which agencies are considered part of the U.S. Public Health Service? (Select all that apply.)
A) National Institutes of Health
B) Food and Drug Administration
C) Department of Veterans Affairs
D) Centers for Disease Control and Prevention
E) American Cancer Society
F) Alcohol, Drug Abuse, and Mental Health Administration
Q2) A patient who has had a cerebrovascular accident needs nursing care, physical therapy, and speech therapy. The patient's spouse would like to provide care at home but needs assistance. During the planning conference, the nurse should suggest that the agency that could best meet the patient's needs is
A) a home health agency.
B) the American Red Cross.
C) the American Heart Association.
D) a local wellness center.
Q3) ____________________ are for-profit hospitals operated for the financial benefit of the owner of the hospital.
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17
Chapter 16: The Health Care System: Financing, Issues, and Trends
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) The skill that will be most helpful to an LPN/LVN in navigating health care system changes successfully is
A) the ability to work efficiently for long hours.
B) problem-solving and critical thinking abilities.
C) identifying the need for comprehensive system change.
D) becoming knowledgeable about CQI processes.
Q2) A patient tells the nurse, "I didn't sign up for health care insurance at my job because I'm young and healthy and can use the money in other ways." The response that best explains the advantage of health insurance would be
A) "With insurance a fiscal middleman pays your health care bills."
B) "With insurance your individual contributions go directly to paying your personal expenses."
C) "With insurance you can borrow money for unexpected health care expenses at a very low interest rate."
D) "With insurance you are spreading the risk in case you have a serious health event, such as cancer or major trauma."
Q3) Once a deductible has been met, the percentage of the total bill paid by the insured person is known as the _________________.
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Chapter 17: Collaboration: Leading and Managing
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46 Verified Questions
46 Flashcards
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Sample Questions
Q1) When conducting an employee performance evaluation conference, the LPN/LVN charge nurse should understand that
A) giving measurable feedback such as "You're doing fine" promotes personal growth.
B) positive feedback should be given at the beginning of the interview to set the tone.
C) the employee should develop a plan for improvement without input from the charge nurse.
D) the employee should be encouraged to identify strengths and ask questions for clarification.
Q2) The LPN/LVN notices that the nursing assistants are taking longer breaks than agency policy permits and wishes to change this behavior as quickly as possible. The LPN/LVN's initial actions should be to
A) verbally confront the employees with their behavior.
B) write reprimands to be placed in each employee's file.
C) ask for in-service classes on time management.
D) determine the reason staff members are taking longer breaks.
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Chapter 18: Work Force Trends:
Will Love
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) An LPN/LVN applicant wishes to use knowledge of interpersonal styles to his benefit during a job interview. He assesses the interviewer to be a "results-focused" person. Which behavior should he adopt?
A) Answer the interviewer's questions in detail.
B) Try to interject information about himself as a person (e.g., his hobbies).
C) Look for ways to interject humor into the interview.
D) Keep answers to the point and relatively brief.
Q2) Desirable qualities and skills for the LPN/LVN working in mental health nursing include
A) a judgmental attitude and sympathetic approach.
B) preference for working alone and sticking to a routine.
C) empathy, good communication, and the ability to work on a team.
D) inflexibility, the ability to jump to conclusions, and sensitivity to change.
Q3) The quality that is the greatest asset for the LPN/LVN working in home health care is A) flexibility.
B) judgmental attitude.
C) sympathetic approach.
D) preference for working alone.
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Chapter 19: Licensure and Regulation: Becoming Licensed and Understanding Your State Nurse Practice Act
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Sample Questions
Q1) One practical/vocational nursing student tells another student, "I'm computer phobic! I never understand what keys I'm supposed to use to get the thing to work." The reply that shows the best understanding about NCLEX-PN examination testing is:
A) "No problem! The question comes up on the screen, and you speak the letter of the correct answer aloud to the voice-activated computer."
B) "You answer practice questions before the examination begins to get you used to using the computer."
C) "You'll be able to ask the test proctor for help if you get mixed up."
D) "If you can't get the hang of the computer, they'll let you use paper and pencil."
Q2) Which of the following are needed by the candidate to arrange for and take the NCLEX-PN examination? (Select all that apply.)
A) An authorization-to-test letter
B) An appointment at a testing center
C) A picture identification and one other acceptable form of identification
D) A copy of one's fingerprint card
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