Nursing Ethics and Legal Issues Exam Solutions
Course Introduction
Nursing Ethics and Legal Issues explores the fundamental ethical principles and legal frameworks that guide nursing practice. This course examines topics such as patient confidentiality, informed consent, professional boundaries, and ethical decision-making in complex clinical situations. Students will analyze real-world case studies to understand the implications of legal statutes, regulatory requirements, and ethical codes relevant to nursing. Emphasis is placed on fostering critical thinking and ethical reasoning skills to navigate the challenges nurses may encounter while ensuring patient safety, advocacy, and quality care within the boundaries of the law.
Recommended Textbook
Professional Nursing Concepts and Challenges 7th Edition by Beth Black RN MSN PhD
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16 Chapters
415 Verified Questions
415 Flashcards
Source URL: https://quizplus.com/study-set/307
Page 2
Chapter 1: Nursing Today: A Time of Transformation
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/5063
Sample Questions
Q1) Which of the following is a correct statement about the registered nurse (RN) population?
A) The racial/ethnic composition of RNs closely resembles that of the general population.
B) The number of men entering nursing has decreased steadily over the last decade.
C) The rate of aging of RNs has slowed for the first time in the past 30 years.
D) The majority of employed RNs working full time must work a second position.
Answer: C
Q2) Which of the following statements is correct about community health nursing (CHN)?
A) Prevention and community education are the cornerstones of CHN.
B) Nursing care is rapidly moving from the home setting to the institutional setting.
C) High-tech care such as ventilators and total parenteral nutrition cannot be handled in the home.
D) Assessment skills are less important in CHN because patients are not acutely ill.
Answer: A
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3
Chapter 2: The History and Social Context of Nursing
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) Florence Nightingale is often credited as being the first nurse researcher. This designation is based on
A) her methods of reorganizing British hospitals.
B) her use of data on the morbidity and mortality of soldiers in hospitals in Scutari.
C) demonstration that trained nurses provided better nursing care.
D) publication of Notes on Nursing, the first scholarly nursing publication.
Answer: B
Q2) The diversity of the population entering the health care system is a challenge for nurses because
A) the portion of minorities in nursing is greater than the portion of minorities in the general population.
B) educators are culturally competent leaders for nurses and students.
C) lessons about culture and cultural differences are not part of progressive education programs.
D) ethnic minority group nurses are approximately 12% of nurses.
Answer: D
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4
Chapter 3: Nursing's Pathway to Professionalism
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) An important aspect of professionalism is collegiality. Which of the following demonstrates collegiality? (Select all that apply.)
A) Assisting a nurse researcher with data collection related to measuring stress levels in hospitalized children
B) Reporting a nursing assistant to the nurse manager when heart rate was not recorded in a patient
C) Participating in weekly patient care conferences with physicians, social workers, and other therapists
D) Sharing with another nurse that you heard the nurse manager is dating the new physical therapist on the unit
E) Serving as a preceptor to a nurse completing a refresher course to reactivate her nursing license.
Answer: A, C, E
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Chapter 4: Legal Aspects of Nursing
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/5066
Sample Questions
Q1) What is the primary function of the National Council of State Boards of Nursing (NCSBN)?
A) Overseeing decisions made by state boards of nursing
B) Developing the NCLEX-RN and NCLEX-PN licensing examinations
C) Administering the NCLEX examination at testing centers
D) Overseeing granting licensure by endorsement
Q2) A child is tested for genetic abnormalities. After the test results are delivered from the laboratory, a representative of the parents' medical insurance company calls the nurse's station and asks for the results of the tests. The nurse's best response to this request is to
A) refuse to give the information.
B) tell the representative the status of the tests is unknown.
C) give the results as reported because the insurance company is paying for the tests.
D) tell the representative that the test results will need to be obtained from the physician who ordered them.
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Chapter 5: Ethics: Basic Concepts for Nursing Practice
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) According to Kohlberg's theory of moral development, adolescents who shoplift are operating in which level of moral development?
A) Preconventional
B) Conventional
C) Postconventional
D) Developmental
Q2) According to Kohlberg's theory of moral development, individuals who act "because it is the rule of society" are operating in which level of moral development?
A) Preconventional
B) Conventional
C) Postconventional
D) Developmental
Q3) Which of the following ethical theories is illustrated by the example of triage in disaster nursing?
A) Deontology
B) Principalism
C) Utilitarianism
D) Virtue ethics
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Chapter 6: Becoming a Nurse: Defining Nursing and
Socialization into Professional Practice
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) Which of the following is an example of informal socialization into a profession?
A) Nurses discussing a patient care issue in the presence of other nurses
B) Taking an extra class for an elective
C) Performing your first physical assessment in a client
D) Teaching a patient about warfarin (Coumadin)
Q2) A new graduate nurse is in the fifth week of working on a busy surgical unit. The nurse tells a friend about witnessing some patient care that was "appalling." What should the nurse do?
A) Return to school to obtain a master's of science in nursing (MSN) and leave bedside nursing.
B) Talk to the other nurses involved in the situation about the concerns.
C) Report the behavior to the nurse manager of the unit.
D) Accept that this is the reality of nursing in a busy unit.
Q3) Which of the following strategies may help to overcome reality shock in the novice nurse?
A) Participating in a preceptorship
B) Returning to school immediately after graduation
C) Moving frequently from job to job
D) Becoming emotionally involved with patients
Page 8
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Chapter 7: The Education of Nurses: On the Leading Edge of Transformation
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) The purpose of mandatory continuing education for license renewal is to
A) ensure that nurses remain up to date in knowledge.
B) ensure that nurses remain competent in psychomotor skills.
C) ensure that nurses attend regular staff development meetings.
D) ensure consistency between states regarding continuing education requirements.
Q2) Which of the following is true about bachelor's of science in nursing (BSN) education?
A) Faculty must be BSN prepared.
B) It is recommended by professional organizations as preparation for entry into practice.
C) It requires 3 years to complete.
D) Faculty are not given full faculty status in the university.
Q3) Which of the following recommendations resulting from the 1934 study Nursing Schools Today and Tomorrow still has relevance today?
A) Nursing students should be trained on the job.
B) Nursing students should be used to staff hospitals on the weekends.
C) Nurses should be highly educated.
D) Nurses with highly developed instincts do not require standards of practice.
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Chapter 8: Critical Thinking, the Nursing Process, and Clinical Judgment
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) A nursing student is complaining about writing care plans. Which response by the faculty is best to help the student see the importance of this activity?
A) "Using the nursing process will help nurses get reimbursement for their services."
B) "You need a written plan of care so everyone is on the same page as you are."
C) "The nursing process is a way to systematically think about and use patient data."
D) "Most state nurse practice acts require them, so you need to learn how to do them."
Q2) Which of the following is considered subjective data in information gathering from the patient?
A) Pulse and blood pressure measurements
B) ECG pattern
C) Diaphoresis
D) Pain
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Chapter 9: Communication and Collaboration in Nursing
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41 Verified Questions
41 Flashcards
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Sample Questions
Q1) Which of the following best illustrates nonjudgmental acceptance by the nurse?
A) Using professional influence to change a patient's morality to be more in keeping with societal norms
B) Changing your assignment if you discover that you have negative feelings toward your patient's lifestyle
C) Demonstrating caring behavior in spite of negative feelings
D) Avoiding all negative feelings about the patient
Q2) Which of the following best describes Peplau's theory on therapeutic use of self?
A) Putting patients' needs ahead of your own
B) Providing excellent clinical skills to improve patients' health status
C) Using excellent interpersonal skills to help patients improve their health status
D) Self-protection through avoidance of a relationship with the patient
Q3) Which behaviors foster active listening? (Select all that apply.)
A) Encouraging the speaker by saying, "Tell me more"
B) Limiting verbal ventilation because it is not focused
C) Sitting in an open posture such as leaning forward
D) Engagement in a task
E) Good eye contact at eye level and nodding of the head
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11
Chapter 10: Illness, Culture, and Caring: Impact
Families, and Nurses
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) The best definition of ethnocentrism is
A) a tendency to compare the behavior of others with your own cultural values.
B) an astute awareness of your own personal biases regarding other cultures.
C) a tendency to view your own culture as superior to others.
D) the ability to incorporate patients' cultural beliefs and values into health teaching.
Q2) A patient states, "I have knowledge about my diet and how to do my insulin injections, so I can get on with my life." In which stage of illness is this patient?
A) Disbelief and denial
B) Irritability and anger
C) Attempting to gain control
D) Acceptance and participation
Q3) When planning for patient teaching, the nurse is aware that which of the following factors create(s) a barrier to learning?
A) Mild anxiety
B) Pain and fatigue
C) Family presence
D) Patient autonomy
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Page 12
Chapter 11: The Science of Nursing and Evidence-Based Practice
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/5073
Sample Questions
Q1) Dissemination of findings may involve which of the following activities? (Select all that apply.)
A) Manuscript reviewed by peers
B) Oral presentation of findings at annual conference of the Society of Pediatric Nurses
C) Poster presentation at regional conference of Sigma Theta Tau International
D) Publication of findings in Western Journal of Nursing Research
E) PowerPoint slides developed showing charts and graphs of the statistical results
Q2) Evidence-based nursing practice involves which of the following? (Select all that apply.)
A) The use of the best evidence available supporting the interventions
B) The use of randomized controlled trials only versus qualitative studies
C) The expertise of the professional nurse
D) Resources to identify practices that have traditionally been used in nursing practice
E) The preferences of the individual patients and their families
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13
Chapter 12: Conceptual and Philosophical Bases of Nursing
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) Who is credited with developing the theory on systems?
A) Rogers
B) Maslow
C) Rosenstock
D) von Bertalanffy
Q2) Bandura's theory of self-efficacy described people's response to health-related behaviors. Which of the following was a major premise of this theory?
A) Patients will take responsibility for their health if they understand the risks and benefits.
B) A "cue to action" is a powerful motivator for changing health behavior.
C) Belief in self as having the ability to improve health is important in changing health behaviors.
D) Health is genetically predetermined and cannot be influenced by an individual's actions or beliefs.
Q3) Which of the following is the primary focus of Healthy People 2020?
A) Improving the health of individuals
B) Improving the health of children
C) Improving the health of families
D) Improving the health of communities
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Page 14
Chapter 13: Nursing Theory: The Basis for Professional Nursing
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) Which nursing theorist based her model on the belief that adaptation to changes in the environment is the basis of health?
A) Watson
B) King
C) Roy
D) Peplau
Q2) An overriding principle of Nightingale's writings on nursing dealt with which aspect of nursing?
A) The relationship between nurses, physicians, and society
B) The relationship between patients, health, and environment
C) The relationship between illness and health practices
D) The relationship between hospitals, nurses, and patients
Q3) A nurse conducts theory testing and theory development research to develop nursing science. This nurse is prepared at which level of nursing education?
A) Associate degree
B) Bachelor's degree
C) Master's degree
D) Doctoral degree
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Chapter 14: Health Care in the United States
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) Which of the following is an example of diagnosis and treatment?
A) Attending smoking cessation classes
B) Computerized tomography (CT) scan to rule out gallbladder inflammation
C) Screening in the workplace for tuberculosis
D) Prenatal classes
Q2) Which of the following is a characteristic of the team model of nursing care delivery?
A) Each member of the team uses his or her abilities to the fullest in patient care.
B) Communication among the team saves time, so the model is cost-efficient.
C) Team nursing emphasizes holistic care for the patients and their families.
D) This model increases continuity of care for the patients.
Q3) A health care agency that uses its profits to better the institution rather than paying stockholders would be classified as a
A) for-profit agency.
B) not-for-profit agency.
C) voluntary agency.
D) private agency.
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Chapter
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) A nurse was appointed to a governing board of a governmental agency and then ran for an elective office. The nurse is known as a A) nurse citizen.
B) nurse activist.
C) nurse politician.
D) nurse clinician.
Q2) The principles and values that govern actions directed at influencing and determining decisions, actions, and other matters are known as A) policy.
B) politics.
C) political power.
D) power.
Q3) A nurse who lobbies state legislators to support a change in the scope of practice in nursing is engaging in A) power sharing.
B) setting policy.
C) politics.
D) legislative power.
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Chapter 16: Nursing's Challenge: The Call for Transformation
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/5078
Sample Questions
Q1) What is meant by "workplace incivility"?
A) A setting in which there are poor relationships among different professional specialties
B) A setting in which different professions vie to take over the functions of other professional groups
C) A setting in which the manager is unreceptive, hostile, and creates dissention
D) A setting where colleagues bully, intimidate, or use aggression toward each other
Q2) A nursing manager has noticed increasing incidents of rudeness and lack of cooperation among co-workers. Which action by the manager is best?
A) Holding a staff meeting and reminding the staff of policies regarding behavior
B) Disciplining the "ringleaders" in order to make an example for the other staff
C) Having informal meetings to solicit staff opinions on the workplace
D) Announcing that raises will be withheld from staff members engaging in this behavior
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