E FINAL 3
64B9-14.002 Delegation of Tasks or Activities under the Florida nurse practice act: In the delegation process, the delegator must use nursing judgement to consider the suitability of the task or activity ot be delegated. For example delegating tasks to the Licensed Practical Nurse or Certified Nursing Assistant. In addition, initial allocation of the task or activity to the delegate, periodic inspection of the accomplishment of such task or activity, and total nursing care responsibility remains with the qualified nurse delegating the tasks or assuming responsibly for supervision A. True B. False
A
According to the ANA code of ethics provision 5: patients are persons of worth and dignity. Nurses as well. A. True B. False
A
An action can be legal but unethical? A. True B. False
A
How does beneficence relate to research? A. The researcher must aim to minimize risks while maximizing the benefit to participants B. The researcher is able to do anything even if the benefit does not participate C. The researches is able to do whatever they want with no limitations
A
How does power imbalance - real or perceived - affect the decision making process? A. It inhibits hones and open discourse B. It prevents power from people that are Latino C. It inhibits honest and closed discourse
A
If the nurse believes that the patient does not understand the implications of any part of a process requiring informed consent, it is the responsibility of the nurse to intervene? A. True B. False
A
Limited health care dollars must be spent wisely. Judgements about the usefulness of therapies can be based on whether they benefit a large percentage of the population and whether they are A. Cost effective B. Approved by insurance C. Best for the provider financially
A
Managed care reduces the cost of health care through elimination of redundant facilities and services A. True B. False
A
Many nurses are involved in influencing policy, are volunteer lobbyist who are exempt from registering or reporting their lobbying efforts A. True B. False
A
Nurse Kylee notices that a presurgical patient is licking and biting her lips. Even though the patient says she is not concerned about the surgery, Kylee decides to spend a few extra minutes going over what the patient can expect. Kylee sees the patients nonverbal behavior as a reflection of anxiety. Kylee is exhibiting ___________. A, Discernment A. Paternalism B. Authoritative
A
The ANA code of ethics provision 8 states, The American nurses association will reaffirm its position that all individuals living in the US and undocumented immigrants, have access to health care A. True B. False
A
The Social Security Act allowed this organization to promote effective, efficient, and economic delivery of healthcare services. A. Professional Standards Review Organization B. The ANA C. The Medical Institution
A
The two aspects of caring in health care ethics are: A. Caring about and taking care of B. Following rules and maintaining professional status C. Caring about and following rules
A
What is nursing's political weakness in policy making? A. Fewer funds earmarked for intense lobbying B. Too many nurses wanting to go lobby C. The community doesn't trust nurses
A
What is the purpose of triage in the emergency phase of disaster response? A. Triage priority treatment and management B. To make people wait in the order they are found C. Take your time, triage in this situation has no need for rush
A
What philosophy of the modern Era resulted in perceived separation between the acts of caring and curing in the healing arts? A. Cartesian B. Martin Luther C. Florence Nightengale
A
Which document recognizes that issues of human rights, environmental protection ,equitable human development and a culture of peace are interdependent and indivisible A. The Earth Charter B. The Affordable Care Act C. Earth Day
A
Which of the following is an implicit institutional norm? A. Assuring that the business makes a profit B. Assuring that the patients get the best deal C. Assuring that the business doesn't make a profit
A
Which of the following is true regarding the Civil Rights Act of 1964? A. The Civil rights act made it unlawful for an employer to discriminate against any individual because of the person race, color, religion, sex or national B. The Civil rights act made it unlawful for an employer to discriminate against any individual because of the persons mental or physical disabilities C. The Civil rights act protects employers from legal actions taken against them for not hiring someone due to race, color, religion, sex or nationality
A
Which of the following are nursing's political strengths? Select all that apply a. Nurses comprise the largest group of health care providers b. Nurses usually continue to be active once they are involved in health policy c. Nurses have historically been perceived as honest and ethical d. Nurses don't like to be involved in political processes
A B C
Which common physiologic changes of aging make the elderly more vulnerable to effects of climate change? A. Decreased cardiac reserve B. Decreased mobility C. Changes in sweating and ability to regulate body temperature D. Decreased respiratory muscle strength
A B C D
Nurses have an ethical obligation to ensure the safety of participants in research. This means: A. Persons have the right to choose whether or not to participate in research as a human subject B. Nurses must ensure that participants have received sufficient information to make an informed decision about participation C. Participants are not required to have informed consent since they are in a research study and not a patient in the clinic D. Participants need to understand their right to decline to participate and to withdraw from the study at any time without fear of consequences
A B D
Autonomy may be threatened by which of the following? A. Paternalism B. Advocacy C. Presumption that a patient values are consistent with those of health care providers D. Greater attention to technology than to caring
A C D
Which statements are true regarding accountability A. Nurse are legally accountable to the nurse practice act of their state B. Nurses are held to the same legal obligations in every state with no differences' C. Nurses have primary accountability for nursing care received by patients D. Each nurse is responsible for all individual actions and omissions
A C D
According to Charles Sanders Peirce, when individuals fail to question their beliefs, they allow their beliefs to be dictated by what method? A. Ethics B. Authority C. Justice
B
According to the ANA code of ethics provision 4, under 4.3 responsibility for nursing judgements, decision and actions A. When a nurse meets obligations or carries out a duty, they are liable B. When a nurse fails to meet obligations or carry out a duty, or fails to meet a standard of practice, he or she is liable C. When a nurse fails to meet obligations or carry out a duty, or fails to meet standard of practice the facility is liable
B
An 18 year old woman accompanied by her mother has an appointment for an annual check up at the primary care office where you work. AS you are taking the history, the mother leaves the room "so that my daughter can talk with you privately". The daughter requests to start on oral contraceptives. You are opposed to people having sex until they are married. The physician discusses oral contraceptives with the daughter, writes the prescription, and leaves you to explain to her how they are taken. The daughter exclaims " I have to take the pill EVERY DAY?" She then describes that she is certain she will be forgetful during college. The office is running 45 minutes behind. What do you do A. Tell the daughter this is the only option B. Ask the daughter is she would like to hear about other methods of contraception C. Inform the daughter that she will have to come back a different day since they are running behind
B
An important component of traditional systems of health care is that they are not holistic A. True B. False
B
During which step in ethical decision making do you determine a realistic goal? A. Looking for Data B. Articulating the problem C. Evaluate the outcome
B
Expertise is vital to the nursing profession because A. You don't need an education to meet societies needs B. Knowledge and skills are required to meet society's needs C. Only knowledge is required to meet society's needs
B
Josie, age 87, has lived at Manor Care for 10 years. Josie has been diagnosed with Stave IV cancer. She has seen the oncologist who told her there is little chance of surviging chemotherapy, that chemotherapy would be painful and cause much suffering, and that her quality of life would be much better by choosing palliative care now. He said that the combination of her age and diagnosis would quality her for hospice care as another option. Josie's nurse, Estelle, talks with Josie about her choices, and helps Josie realize that to have the chemotherapy would be an exercise in: A. Medical Malpractice B. Medical futility C. Medical advocacy
B
Nurse Estelle is overwhelmed one night when a mass shooting brings dozens of patients with penetrating trauma to the emergency department where she works. She frantically initiates calls for additional personnel to report to the department. How is her situation similar to providing healthcare in a war zone? A. There is an overload of resources B. Demands exceed personnel resources C. There are no resources so you are unable to provide care
B
Nurses who are assisting with research should ensure that the consent form A. Has just what the provider wants the patient to know B. Contains all the needed elements for informed consent C. Is only provided in one language
B
Several theories have been proposed to determine how resources and services should be distributed. Which of the following are theories that promoting ideas of equal distribution of social benefits and burdens? A. Libertarian B. Egalitarian C. Utilitarianism
B
Tenacity is based on discovering truth; it seeks what is real A. True B. False
B
The Clinton administration devised a healthcare reform proposal in 1993 but it was defeated, however a part of it is still utilized today. It has not gained pro___ preferred method of delivery and financing of healthcare services A. Affordable care Act B. Managed Care C. Fee for service
B
The fee for service model A. Assumes the patient has limited resources B. Focuses on the individual patient C. Is best for the facility
B
The minimum expectations for safe nursing care are described in A. ANA code of ethics B. Standards of nursing practice C. Policy and Procedure of facility
B
The traditional health care system in the United States is fee for service, which does not uphold the principle of autonomy A. True B. False
B
What is the nurses role in informed consent? A. Make sure the patient signs the form even if they don't understand B. Ensure the patient is knowledgeable of alternative interventions C. Lie to the patient to make them more comfortable about the option
B
What significance do uncertainty, context, and multiple stakeholders have with regards to ethical decisions? A. They are contributing factors B. They are intervening factors C. They are not related at all
B
Which of the following is a potential source of malpractice claims against nurses? A. Failure to administer medications improperly B. Failure to properly assess and monitor C. Failure to ignore a patients autonomy
B
Which of the following is true A. Issues of pain management ands substance use disorder are totally separate B. Issues of pain management and substance use disorder overlap C. Issues of pain management and substance use disorder are exactly the same
B
During the Middle Ages, monasticism and other religious groups offered the only opportunities to pursue careers in A. Teaching B. Business C. Nursing
C
If you feel discomfort when reason is pointing to a particular answer to an ethical decision, what should you do? A. Rely on only your ethical principles to make the decision B. Change your beliefs based on what the patient believes C. Further explore reasonable arguments and your reactions
C
In dealing with patient lifestyle choices, nurses must remember the instruction in the aNA code for nurses to provide services with respect for human dignity and to: A. Honor their own value judgements related to differences in background, customs, attitudes, and belief B. Encourage the patient to see their way of thinking in hopes that you can persuade them C. Avoid their own value judgements related to differences in background, customs, attitudes, and beliefs
C
In order to create a unique body of knowledge for nursing, and striving to meet the criteria set by Flexner and the Bixlers, nursing began to ___________. A. Taking care of patients B. Getting bachelors degrees C. Conducting research
C
Janet, a recent graduate preparing for the NCLEX, would like to stay current on issues and policy goals. What is one of the best and most reliable sources that Janet can use for current information important to nurses and health policy A. Political campaigns B. The policy and procedures for the facility C. Organizations such as the ANA
C
What do indigenous people teach us about Earth? A. What we do to the Earth, only effects the earth B. What we do to the Earth only matters for that one day C. What we do to the Earth, we do to ourselves
C
What ethical problems are associated with fee for service healthcare? A. Emergency departments refusing care for people who cant pay B. Not having enough resources for all patients C. Overutilization and rationing of care
C
What is informed consent? A. Legal protection of the providers wishes B. Legal protection of the patients families wishes C. Legal protection of the patients right ot autonomy
C
What is the precautionary principle? A. When there is no reasonable suspicion of harm or uncertainty B. When we decide not to help a patient that is being harmed C. When there is reasonable suspicion of harm and scientific uncertainty, people have a duty to take action to prevent harm
C
Which ethical principle can be violated using reproductive technology? A. Paternalism B. Autonomy C. Justice
C
