Worksheets218 Finals Long Quiz
Total questions: 58
Worksheet time: 29mins
Which statement would best explain the role of the nurse when planning care for a culturally diverse population? The nurse will plan care to:
Include care that is culturally congruent with the staff from predetermined criteria
Focus only on the needs of the client, ignoring the nurse's beliefs and practices
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
Provide care while aware of one's own bias, focusing on the client's individual needs rather than the staff's practices
Ethical principles for professional nursing practice in a clinical setting are guided by the principles of conduct that are written as the:
Nurse practice act written by state legislation
Standards of care from experts in the practice field
Philippines Nurses Association's Code of Ethics
Good Samaritan laws for civil guidelines
The nurse, who is opposed to abortion, is asked to give a medication to the client that will terminate the client's pregnancy. Which strategy might help the nurse in this case?
Tell the client that taking the medication is immoral
Withhold the medication until the prescribing person arrives
Have self-awareness of values and beliefs
Refuse to participate in the collaboration regarding this client
Which situation is a violation of the underlying principles associated with professional nursing ethics?
The nurses on the unit agree to sponsor a fundraising event to support a labor strike proposed by fellow nurses at another facility
A client reports that he didn't tell the doctor the truth when asked if he was following his therapeutic diet at home
A nurse colleague states, “I never look up medication indications. I just give what is prescribed”
The hospital policy permits use of internal fetal monitoring during labor even though there is literature that both supports and refutes the value of this practice
A nurse is asked to care for an openly gay client with AIDS. The nurse tells her supervisor that caring for the client is against her religious beliefs. Does this nurse have an ethical obligation to care for the client?
No, the nurse does not have to violate religious beliefs
Yes, unless the risk exceeds the responsibility
No, because the client’s behavior caused him to contract AIDS
No, it may be distasteful to the nurse
Which action is the most important nurse responsibility when an ethical issue arises?
ensuring that a team is responsible for deciding ethical questions
following the client and family wishes exactly
being able to defend the morality of one's own actions
remaining neutral and detached when making ethical decisions
A client asks the nurse not to tell his wife that he has cancer. What would be the most appropriate response by the nurse?
“Why are you afraid to tell her?”
“Don't you think she has a right to know?”
“I’m sorry, but the doctor already told her”
“What benefits do you see from not telling your wife your diagnosis?”
The nurse is working with parents of a seriously ill newborn. Surgery has been proposed for the infant, but the chances of success are unclear. In helping the parents resolve ethical conflict, the nurse knows that the first step is:
identifying people who can solve the difficulty
clarifying values related to the cause of the dilemma
collecting all available information about the situation
exploring reasonable courses of action
The parents of a child with no apparent brain function refuse to permit withdrawal of life support. Which moral principle is applied with the nurse’s action to support the family’s decision?
Respect for autonomy
Justice
Beneficence
Non-maleficence
Access to healthcare usually depends on a client’s ability to pay for healthcare, either through insurance or by paying cash. The client the nurse is caring for needs a liver transplant to survive. This client has been out of work for several months and does not have insurance or enough cash. A discussion about the ethics of this situation would involve:
ethics of care, because this caring thing that a nurse could provide this patient is resources for a liver transplant
respect of autonomy, because this client’s autonomy will be violated if he does not receive the liver transplant
Accountability, because you as the nurse are accountable for the well being of this client
justice, because the first and greatest question in this situation is how to determine the just distribution of resources
Nurses agree to be advocates for their patients. Practice of advocacy calls for the nurse to:
document all clinical changes in the medical record in a timely manner
assess the client’s point of view and prepare to articulate this point of view
work to understand the law as it applies to the client’s clinical condition
seek out the nursing supervisor in conflicting situations
In most ethical dilemmas, the solution to the dilemma requires negotiation among members of the healthcare team. The nurse’s point of view is valuable because:
Nurses develop a relationship to the client that is unique among all professional health care providers
the nurse’s code of ethics recommends that a nurse be present at any ethical discussion about client care
nurse have a legal license that encourages their presence during ethical discussions
the principle of autonomy guides all participants to respect their own self-worth
A new nurse is assigned to the client who is disappointed by the care given by another nurse. The family of the client asks the new nurse how they can make a formal complaint. The nurse’s best action is to:
offer to notify the agency patient advocate
refer them to the nurse manager
refer them to the physician
have them contact the risk manager
A nurse manager is talking to the night shift staff about the ethical principle supporting education of their preoperative clients. the nurse manager uses the words “beneficence” and “nonmaleficence.” Which statements define these two concepts? Select all that apply.
the actions that nurse take should promote good
the actions that nurses take should do no harm
the actions that nurses take should safeguard clients
the actions that nurses take should involve telling the truth
During the change of shift report, two medsurg nurses are discussing the pain management situation of a client with a low tolerance for pain. Giving repeated large doses of pain relievers bothered the evening shift nurse, but not the day shift nurse. Which statements about ethical client care are relevant in this situation? Select all that apply.
the client should be warned about the danger of overdosing on pain relievers
the client should be helped to make an informed decision about pain relief measures
each nurse might be operating with a different set of assumption about pain relievers
the evening shift nurse has better personal ethical values about pain relief.
A nurse in a long term care facility finds a client unresponsive in bed. The nurse notices a DNR sign at the head of the bed. What is the nurse’s priority action?
making sure the client is not in pain
letting the physician know of the client’s condition
Taking the vital signs of the client
letting the supervisor know of the client’s condition
The nurse manager in the assisted living facility is finding that ethical issues arise frequently in this setting. The nurse manager empowers the entire clinical team to make suggestions for support activities. Which suggestions by the staff nurses are relevant to ethical issues? Select all that apply.
protocols for advanced directives for dying patients
use of primary nursing teams to facilitate care
easy access to the use of counseling professional
availability of mentoring by experienced nurses
According to the international council of nurses, code of ethics for nurses, which one or more of the following statements reflects the fundamental responsibility of a nurse?
to alleviate pain
the promotion of health
the prevention of illness
all of the above
ethical principles for professional nursing practice in a clinical setting are guided by the principles of conduct that are written as the:
PNA’s code of ethics
nurse practice act written by state legislation
standards of care from experts in the practice field
good samaritan law for civil guidelines
A health care issue often becomes an ethical dilemma because
clients legal rights coexist with a health professional’s obligation
decisions must be made quickly, often under stressful conditions
decisions must be made based on value systems
the choices involved do not appear to be clearly right or wrong
The nurse is obligated to follow a physician’s order unless:
the order is a verbal order
the order is illegible
the order has not been transcribed
the order is an error, violates hospital policy, or would be detrimental to the client
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
False
The code of ethics for nurses is composed and published by:
Association of Nursing Service Administrator of The Philippines
Philippines Nursing Association Promulgated by the Board of Nursing
Philippines Medical Association
Philippine Health Insurance Corporation
You are asked by your supervisor to take photos of the residents and their family members who are attending a holiday dinner and celebration at your long term care facility. What should you do?
take the photo because these photos are part of the holiday tradition at this facility
take the photos because all of the residents are properly attired and in a dignified condition
refuse to take the photos unless you have the consent of all to do so
refuse to take the photos because this is not part of the nurse’s role
You are the nurse manager for the trauma unit. Which of these staff comments indicate the need for you to provide an educational activity relating to confidentiality and information security
a computer in the hallway was left unattended and a client’s medical record was visible to me
i just saw a nursing student looking at the medical record for a client that they are NOT caring for during this clinical experience
as i was walking past the nursing station, i saw a dietician reading the progress notes written by members of the lab department in addition to other dieticians’ progress notes
i refused the nursing supervisor’s request to share my electronic password for the new nurse on the unit
Which of the following statements is related to information technology?
social networks and cell phone cameras pose low risk in terms of information technology security and confidentiality
the security of the technological data and information in healthcare environment is most often violated by those who work there
the security of technological data and information in healthcare environments is most often violated by computer hackers
computer data deletion destroys all evidence of the data
Freedom to make choices about issues that affect one’s life. Respect for persons and cultures where individuals are considered unique and valuable.
Autonomy
Beneficence
Non-maleficence
Veracity
A nurse’s point of view is valuable in an ethical committee because it is recommended by the nurses code of ethics
True
False
Patients knowledge all possible outcomes, alternatives, and the risks of treatment, and are required to give their approval freely assuring legal protection of a patient’s right to personal autonomy in regard to specific treatments and procedures that may be complex or simple.
Informed consent
Beneficence
Non-maleficence
Veracity
What should the nurse do when planning nursing care for a client with a different cultural background?
Allow the family to provide care during the hospital stay so no rituals or customs are broken
Identify how these cultural variables affect the health problem
Speak slowly and show pictures to make sure the client always understands
Explain how the client must adapt to hospital routines to be effectively cared for while in the hospital
Belittling, criticizing other professional skills, knowledge and qualification is called
Infidelity
Disloyalty
Disparagement
AOTA
A Filipino nurse tries to speak with a Korean client who cannot understand the English language. To effectively communicate to a client with a different language, which of the following should the nurse implement?
Have an interpreter to translate
Speak slowly
Speak loudly and closely to the patient
Speak to the client and the family together
Which of the following patients has the lowest risk of DM and stroke
31 y/o Hispanic-American man
25 y/o Asian-American woman
42 y/o African-American woman
36 y/o Native-American man
The nurse is providing instructions to a Chinese-American client about the frequency and dosages of the take home medicines. When conducting the teaching, the client continuously turns away from the nurse. The nurse should do which of the following appropriate actions?
Call the attention of the patient by speaking loudly
Continue with the instruction, then confirming client’s understanding
Hand over a written instruction and discuss only what the client doesn’t understand
AOTA
The ambulatory care nurse is discussing preoperative procedures with a Japanese American client who is scheduled for surgery the following week. During the discussion, the client continually smiles and nods his head. How should the nurse interpret this nonverbal behaviour?
Client agreeing to the required procedure
Reflecting culture value
Client understanding the preoperative procedure
Acceptance of treatment
Nurse Teresa identifies low-risk therapies to a client and should include which therapy(s) in the discussion, EXCEPT:
Acupuncture
Relaxation
Touch
Prayer
A clinic nurse is preparing to examine a Hispanic child who was brought by the mother for his first physical check-up. While assessing the child, the nurse would avoid doing which of the following?
Weighing the client.
Asking the mother questions about the child.
Having an interpreter if necessary.
Admiring the child.
A nurse is caring for a Chinese client who is hospitalized due to pneumonia. Based on their culture, which of the following is believed to be the cause of illness?
An illness is cast by an enemy
An illness is a result of punishment for sins
An illness may be given by someone who did not want it
An illness may be attributed to overexertion
A nurse is caring for a client who has symptoms of chills, fever, no sweating, headache, nasal congestion, and stiffness and pain in the shoulders, upper back, neck, and back of the head that are common in Chinese culture and is called as “Syndromes of Wind”. This is an example of which of the following?
Culture shock
Culture awareness
Culture biased
Culture-bound syndrome
A nurse is caring a Native American client who experiences emotional distress due to a family problem. In anticipating pharmacological treatment for the client, the nurse understands that they would most likely:
Establish the trust of the healthcare provider first before accepting treatment
Call a clergy to ask for religious preference of the treatment
Manage the emotional distress on their own to avoid disgrace
Resort with the use of herbal plants with healing properties
A nurse is conducting an assessment of an American Indian woman who has come to the clinic complaining of a headache. The patient tells the nurse that the medicines prescribed by the tribal healer have done some good. What is the appropriate response of the nurse at this time?
Tell me about these medicines and how often you are using them
I advise you to refrain taking those medicines from the tribal healer
Could these medicines cause your headaches?
Maybe you should increase the frequency of the healer’s medicines
A nurse is preparing a plan of care for a client who is a Jehovah’s Witness. The client has been told that the surgery is necessary. The nurse considers the client’s religious preferences in developing the plan of care and documents that:
Giving medications is not allowed
Surgery is strictly prohibited
Blood product cannot be administered
Alternatives medicines can be advised
Comparing other cultures around the world, the celebration of the feast of the Nazarene in Quiapo, Manila is an example of which cultural practices?
Culture universal
Culture congruent care
Culture specifics
Culture awareness
Leininger’s theory the Sunrise model on cultural care depicts the flow of nursing intervention’s movement just like
From peripheral to central
Radiates from the center to periphery
Circulates aroundDuring the nursing evaluations the sphere
Just like the IPO model
During the nursing evaluations in transcultural nursing nurses includes the self evaluation on attitude and emotions towards providing care for the patient is a form of
It is to become transparent
It helps the nurse in deloading the burden
It is an act of self-disclosure
It is within the contact
Understanding the major characteristics of the ethnic group is one of the nursing role when making a nursing goal for the patient, because the nursing intervention has to be implemented by
Group care
Individualized care
To patients with the same condition
It includes the whole ethnic group
Which of the following is not an advantage of advance directives?
Unnecessarily prolonged painful hospitalization
Prevents unnecessary prolonged comatose or vegetative state
Prevents burden of rising medical costs
Family or loved ones may disagree with your medical decisions
Which of the following happens when a person crosses two cultures, lifestyles, and set of values?
Diversity
Acculturation
Biculture
Cultural awareness
Is the ability of the practitioner to bridge cultural gaps in caring, work with cultural differences and enable clients and families to achieve meaningful and supportive caring.
Culturally congruent care
Culturally competent care
Cultural awareness
Ethnic identity
The reason why moral issues become an issue is because of the involvement of?
Pornography
Public
Rape
Premarital sex
Illness and wellness are shaped by various factors, which of the following does not affect illness and wellness?
Perception
Coping skills
Research on illness and wellness
Homeostasis
Most religious disapprove of euthanasia for a number of reasons, EXCEPT:
God has forbidden it (that says ‘you must not kill’)
Human life is a form of evolution
Human beings are made in God’s image
God gives people life, so God only has the right to take it away
The word “euthanasia” was first used in a medical context by Francis Bacon in the 17th century to refer to an easy, painless, happy death, during which it was a “physician’s responsibility to alleviate the ‘physical sufferings’ of the body”. What is the meaning of the word ‘alleviate’?
Increase
Strengthen
Intensify
Diminish
When death is brought by an act. For example, taking a high dose of drugs, lethal injections. To end a person’s life by the use of drugs, either by oneself or by the aid of a physician.
Active euthanasia
Passive euthanasia
Voluntary euthanasia
Involuntary euthanasia
When death is brought by an omission. For example, when someone lets the person die, this can be done by withdrawing or withholding treatment.
Active euthanasia
Passive euthanasia
Voluntary euthanasia
Involuntary euthanasia
What is the best definition of withholding of treatment to the patient?
Stopping of the treatment
Not initiating the treatment
Not giving epinephrine during CPR
Not introducing the ventilator after being admitted in the ICU
Johnny is diagnosed with stage 3 pancreatic cancer, together with his lawyer, they created a healthcare proxy. Which of the following statements best describes a healthcare proxy?
Johnny appoints Maria, his wife for 40 years to make healthcare decisions on his behalf if ever he becomes incapable of doing so
Johnny appoints Mark, his business partner to take over their business once he is gone
Johnny appoints Dr. Silverman to be the one to turn off the mechanical ventilator when the time comes
A and C
The following are purposes of advance directives. Please select all that apply.
Appointment of healthcare proxy
Make decisions and guide doctors about life sustaining procedures in the event of terminal condition, persistent vegetative state and end stage condition (i.e., DNR, pain management, organ donation, euthanasia)
To prevent unnecessary pain, burden, and financial problems brought upon by continuous life support to artificial prolong the life of a person who is most likely won’t recover from his/her condition
To practice autonomy even if the patient is not capable of deciding for himself/herself
