Ethical Aspects of Gerontological Nursing NCLEX Exam 3

Ethical Aspects of Gerontological Nursing NCLEX Exam 3 With Questions And Answers

The distribution of nurses to areas of "most need" in the time of a nursing shortage is an

example of:

• Utilitarianism theory
• Deontological theory
• Justice
• Beneficence - AnswerC

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.A client who had a "Do Not Resuscitate" order passed away. After verifying there is no

pulse or respiration's, 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 - AnswerC 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.When the nurse described the client as "that nasty old man in 354," the nurse is exhibiting which ethical dilemma?

• Gender bias and ageism
• HIPPA violation
• Beneficence

• Code of ethics violation - AnswerA. Stereotyping an "old man" as "nasty"is a gender

bias and an ageism issue. The nurse is verbalizing a negative descriptor about the client.Which factor is least significant during assessment when gathering information about cultural practices?

• Which factor is least significant during assessment when gathering information about

cultural practices?

• Touch, eye contact
• Bio-cultural needs
• Pain perception, management expectations - AnswerC. 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 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 - AnswerB. Battery is physical in nature. Assault is a threat.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 True or False? - AnswerTrue 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 - AnswerB 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 - AnswerA

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.Her homeowner's insurance B.Her automobile insurance C.National Care Act D.The Good Samaritan Law - AnswerD 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 Lisensure Examinations D.State Board of Licensure - AnswerNurse Practice Act (NPA) 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 - AnswerC

Cultural awareness is an in-depth self-examination of one's:

• Background, recognizing biases and prejudices.
• Social, cultural, and biophysical factors
• Engagement in cross-cultural interactions - AnswerA

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 a 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. - AnswerB. 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.Nurses agree to be advocates for their patients. 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. - AnswerC 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.Loss is only experienced when there is an actual absence of something valued

• True
• False - AnswerB

Loss may be maturational, situational, or both 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) - AnswerD 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.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.