N390 Ethics EAQ quiz

A visitor from a room adjacent to a client asks the nurse what disease the client has. The nurse responds, "I will not discuss any client's illness with you. Are you concerned about it?" This response is based on the nurse's knowledge that to discuss a client's condition with someone not directly involved with that client is an example of what?

3. Breach of confidentiality

What are the instances when an adult can give consent for medical treatment? Select all that apply.

1. Any guardian for the adult's ward 3. Any parent for the adult's unemancipated minor 4. Any adult for the treatment of his or her minor brother or sister (if an emergency and parents are not present)

A nursing student is recalling the definitions of acts that are classified as torts in nursing practice. Which tort involves intentional touching without the client's consent?

1. Battery

The nurse finds that an 80-year-old client's family is not caring for the client properly. Which action of the nurse indicates leadership quality?

1. Advocating on behalf of the client

A registered nurse is educating a nursing student on the various classifications of torts. What acts are classified as intentional torts in nursing practice? Select all that apply.

1. Battery 2. Assault 5. False Imprisonment

A nurse on the medical-surgical unit tells other staff members, "That client can just wait for the lorazepam; I get so annoyed when people drink too much." What does this nurse's comment reflect?

1. Demonstration of a personal bias

What are the elements of discovery of a lawsuit? Select all that apply.

1. Experts 2. Medical records 4. The deposition of witnesses

What are external barriers that can prevent a nursing professional from making morally correct actions? Select all that apply.

1. Inadequate staffing 4. Lack of organizational support 5. Poor relationships with colleagues

Which of these refers to the accountability element of the decision making process? Correct 1

1. Individuals being answerable for their actions

A nurse is obtaining consent from an unemancipated minor to perform an abortion. When would the nurse consider the consent-giving process to be appropriately completed? Select all that apply.

2. When consent has been given specifically by a court 3. When self-consent has been granted by court order 5. When consent has been obtained from at least on parent of the minor

A nurse who promotes freedom of choice for clients in decision-making best supports which principle?

2. Autonomy

What are the important points to be considered when imparting practical knowledge to nursing students about preventing complications in the hospital? Select all that apply.

2. Nursing students should never be assigned any tasks they are unprepared for. 4. Nursing students can work as nursing assistants or nurse's aides when not attending classes. 5. Nursing students should notify the nursing supervisor in case they are delegated tasks they are not prepared for.

The nurse is caring for a client who is in pain following surgery. The nurse informs the primary health care provider about the client's request for pain medication. What is the role of the nurse in this situation? 1

3. Advocate Rationale: The nurse acts as a client advocate by speaking to the primary health care provider on behalf of the client. The nurse acts as an educator while teaching the client facts about health and the need for routine care activities. The nurse manager uses appropriate leadership styles to create a nursing environment for client-centered care. The nurse administrator manages client care and delivery of specific nursing services within a health care agency.

A nurse is taking the vital signs of a client who has just been admitted to the healthcare facility. Which intervention by the nurse provides greater client satisfaction?

2. The nurse adjusts the bed and asks if the client is comfortable.

What should a nurse understand about healthcare proxies or a durable power of attorney for healthcare?

3. A proxy is a legal document that designates a person or persons to make health care decisions on behalf of the client.

What is a living will?

3. It is a written document tht directs treatment according to the client's wishes, in case of a terminal illness or condition.

A nurse administers intravenous (IV) therapy to the wrong client. What possible legal complications might the nurse face in such situation?

3. Malpractice

A client who has a hemoglobin of 6 gm/dL (60 mmol/L) is refusing blood because of religious reasons. What is the most appropriate action by the nurse?

3. Notify the primary healthcare provider of the client's refusal of blood products.

Which nursing action is not likely to cause legal issue?

3. Refraining from leaving the client during staffing shortage.

A nurse, providing care in a hospital skilled nursing unit, witnesses a client's spouse shaking the elderly client vigorously because the client has had an episode of incontinence. Because of the suspicion of physical abuse, legally the nurse should discuss the concerns with managers and report the abuse to which party?

4. Adult Protective Services

A nurse is caring for a client with renal failure. The client wants to go back home but the family members want the client to undergo a kidney transplant. The nurse gives details about the possible threats and benefits of the surgery to the family and informs them that the client wants to stay home. What role does the nurse play here? Incorrect 1

4. Advocate

A primary healthcare provider notes that all conventional treatment procedures have proved to be ineffective in managing a client's disorder. The primary healthcare provider decides to try an experimental treatment. The nurse ensures that the client has understood the implications of the new treatment plan thoroughly and then signs the client's consent form as a witness. Which basic healthcare ethic does the nurse follow in this situation? 1

4. Autonomy

The nurse receives information about a client through another nurse. The nurse then finds that information has some missing facts. Which critical thinking attitude would the nurse use to clarify the information after talking to the client directly?

4. Perseverance

Litigation resulting from improper restraint use is a common nursing legal issue. A nursing student is listing points related to the use of restraints. Which factor needs correction?

4. Restraints can be used anytime without a written order from the healthcare provider.

Which right of delegation refers to the giving of clear, concise descriptions of a task to the delegatee?

4. Right communication

Which nursing action indicates that the nurse is actively listening to the client.

4. The nurse interprets what the client is saying and reiterates in his or her own words.

Which stage of Kohlberg's theory is an individual in if he or she wants to modify a law if it is not fair to a particular group?

4. Universal ethical principle orientation

How many rights of delegation are there in the nursing practice? Record your answer using a whole number. _______________

5 Rights of delegation: Right task, Right circumstance, right person, right direction/communication, Right supervision/evaluation.

A client is presented with the treatment option of electroconvulsive therapy (ECT). After discussion with staff members, the client requests that a family member be called to help make the decision about this treatment. What ethical principle does the nurse consider when supporting the client's request?

3. Autonomy

Which ethical principles govern a nurse's behavior when making difficult decisions about a client's care at the point of care?

3. Clinical ethics