Ethics NCLEX Questions
D
(Without understanding one's own beliefs and values, a bias or preconceived belief by the nurse could create an unexpected conflict or an area of neglect in the plan of care for a client (who might be expecting something totally different from the care). During assessment values, beliefs, practices should be identified by the nurse and used as a guide to identify the choices by the nurse to meet specific needs/outcomes of that client. Therefore identification of values, beliefs, and practices allows for planning meaningful and beneficial care specific for this client.) - ✔✔Which statement would best explain the role of the nurse when planning care for a culturally
diverse population? The nurse will plan care to:
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
A
(This set of ethical principles provides the professional guidelines established by the ANA to maintain the highest standards for ideal conduct in practice. As a profession, the ANA wanted to establish rules and then incorporate guidelines for accountability and responsibility of each nurse within the practice setting.) - ✔✔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
B
(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.) - ✔✔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.
C
(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.) - ✔✔The distribution of nurses to areas of "most need" in the time of a nursing shortage is an example of:
A Utilitarianism theory
B Deontological theory
C Justice
D Beneficence
A (Statutory law is created by legislature. It creates statues such as the NPA, which defines the role of the nurse and expectations of the performance of one's duties and explains what is contraindicated as guidelines for breech of those regulations.) - ✔✔Nurses are bound by a variety of laws. Which description of a type of law is correct?
A Statutory law is created by elected legislature, such as the state legislature that defines the Nurse Practice Act (NPA).
B Regulatory law includes prevention of harm for the public and punishment for those laws that are broken.
C Common law protects the rights of the individual within society for fair and equal treatment.
D Criminal law creates boards that pass rules and regulations to control society.
D
(Your signature as a witness only states that the person signing the form was the person who was listed in the procedure.) - ✔✔When signing a form as a witness, your signature shows that the
client:
A Is fully informed and is aware of all consequences.
B Was awake and fully alert and not medicated with narcotics.
C Was free to sign without pressure
D Has signed that form and the witness saw it being done
A
(A guardian has been appointed by a court and has full legal rights to choose management of care.) - ✔✔Which criterion is needed for someone to give consent to a procedure?
A An appointed guardianship
B Unemancipated minor
C Minimum of 21 years or older
D An advocate for a child
A
(Anyone, at any age, can be treated without parental permission for an STD infection. The client is "advised" to contact sexual partners but is not "required" to give names. Permission from parents is not needed, based upon current privacy laws.) - ✔✔Which statement is correct?