Nursing Jurisprudence: Legal and Ethical
Considerations NCLEX Practice Quiz
- ANS-
- ANS-
. Even though the nurse may obtain the client's signature on a form, obtaining informed consent
is the responsibility of the:
A. Client
B. Physician
C. Student nurse
D. Supervising nurse. - ANS-Answer: B. Physician
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. - ANS-Answer: 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.
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 client has recently been told he has terminal cancer. As the nurse enters the room, he yells,
"My eggs are cold, and I'm tired of having my sleep interrupted by noisy nurses!" The nurse may
interpret the client's behavior as:
A. An expression of the anger stage of dying
B. An expression of disenfranchised grief
,C. The result of maturational loss
D. The result of previous losses - ANS-Answer: A. An expression of the anger stage of dying
In the anger stage of Kubler-Ross's stages of dying, the individual resists the loss and may
strike out at everyone and everything, in this case, the nurse.
A client is hospitalized in the end stage of terminal cancer. His family members are sitting at his
bedside. What can the nurse do to best aid the family at this time?
A. Limit the time visitors may stay so they do not become overwhelmed by the situation.
B. Avoid telling family members about the client's actual condition so they will not lose hope.
C. Discourage spiritual practices because this will have little connection to the client at this time.
D. Find simple and appropriate care activities for the family to perform - ANS-Answer: D. Find
simple and appropriate care activities for the family to perform.
It is helpful for the nurse to find simple care activities for the family to perform, such as feeding
the client, washing the client's face, combing hair, and filling out the client's menu. This helps the
family demonstrate their caring for the client and enables the client to feel their closeness and
concern. a. Older adults often become particularly lonely at night and may feel more secure if a
family member stays at the bedside during the night. The nurse should allow visitors to remain
with dying clients at any time if the client wants them. It is up to the family to determine if they
are feeling overwhelmed, not the nurse.
A client who had a "Do Not Resuscitate" order passed away. After verifying there is no pulse or
respirations, 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. - ANS-Answer: C. Remove all tubes and
equipment (unless organ donation is to take place), clean the body, and position appropriately.
The body of the deceased should be prepared before the family comes into 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.
A client's family member says to the nurse, "The doctor said he will provide palliative care. What
does that mean?" The nurse's best response is:
A. "Palliative care is given to those who have less than 6 months to live."
B. "Palliative care aims to relieve or reduce the symptoms of a disease."
C. "The goal of palliative care is to affect a cure of a serious illness or disease."
, D. "Palliative care means the client and family take a more passive role and the doctor focuses
on the physiological needs of the client. The location of death will most likely occur in the
hospital setting." - ANS-Answer: B. "Palliative care aims to relieve or reduce the symptoms of a
disease."
The goal of palliative care is the prevention, relief, reduction, or soothing of symptoms of
disease or disorders without effecting a cure.
A confused client who fell out of bed because side rails were not used is an example of which
type of liability?
A. Felony
B. Assault
C. Battery
D. Negligence - ANS-Answer: D. Negligence
A document that lists the medical treatment a person chooses to refuse if unable to make
decisions is the:
A. Durable power of attorney
B. Informed consent
C. Living will
D. Advance directives - ANS-Answer: D. Advance directives
A health care issue often becomes an ethical dilemma because:
A. A client's legal rights coexist with a health professional's obligation.
B. Decisions must be made quickly, often under stressful conditions.
C. Decisions must be made based on value systems.
D. The choices involved do not appear to be clearly right or wrong. - ANS-Answer: D. The
choices involved do not appear to be clearly right or wrong.
A student nurse who is employed as a nursing assistant may perform any functions that:
A. Have been learned about in school
B. Are expected of a nurse at that level
C. Are identified in the positions job description
D. Require technical rather than professional skill. - ANS-Answer: C. Are identified in the
positions job description.
All of the following are crucial needs of the dying client except:
A. Control of pain
B. Preservation of dignity and self-worth
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