Chapter 5 Ethical and Legal Issues

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Chapter 5  Ethical and Legal Issues

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

 

1.
A client undergoing a colonoscopy tomorrow is receiving preoperative teaching regarding the procedure. Which of the following nursing tasks best describes the explanation of the procedure and the associated risks and benefits?
A)
Ascertaining the client’s privacy
B)
Acquiring informed consent
C)
Encouraging the client to be self-determined
D)
Acting in a beneficent manner
Ans:
B

Feedback:

Informing the client of the risks and benefits of a procedure is best described as obtaining informed consent. Informed consent involves the client’s right of self-decision. Client privacy is defined as the right to be left alone and free from intrusion or control by the health care providers. Self-determination allows the client to indicate what treatments he would accept or refuse. Acting in a beneficent manner encompasses doing good acts by the nurse.

2.
A client has just been explained the reason that he must undergo an MRI. When the nurse asks the client if he understands the teaching, he correctly describes what has been said to him. The client is said to be what?
A)
Logical
B)
Congruent
C)
Competent
D)
Autonomous
Ans:
C

Feedback:

Competence involves the ability of the client to understand and make decisions based on information given.

3.
When promoting client safety on an inpatient psychiatric unit, which of the following interventions would be used as the measure of last resort?
A)
Surveillance
B)
Seclusion
C)
Room restriction
D)
Four-point restraint
Ans:
D

Feedback:

Four-point restraint is the most restrictive of the interventions mentioned above, with surveillance being the least. When promoting safety, the method of last resort would be the most restrictive measure.

4.
An 86-year-old male admitted for appendectomy is being discharged to a nursing care facility. He has been diagnosed with depression during this hospitalization. According to the Omnibus Reconciliation Act (OBRA), regarding placement of clients in long-term care (LTC) facilities, which of the following statements is accurate?
A)
He may be placed into an LTC facility if there is an open bed.
B)
He must go home to recover prior to placement in an LTC facility.
C)
He must be placed in an inpatient psychiatric–mental health acute care facility until his depression has resolved.
D)
He may not be placed into a long-term nursing care facility at this time because he is diagnosed with a psychiatric disorder.
Ans:
D

Feedback:

OBRA of 1987 stated that an LTC care facility must not admit, on or after January 1, 1989, any new resident needing active treatment for mental illness or mental retardation. A screening document called the Preadmission Screening and Annual Resident Review (PSARR) determines whether the client needs active psychiatric treatment.

5.
The depressed client is deciding which type of treatment would be beneficial for him. The nurse would document that the patient is utilizing which of the following ethical principles in this situation?
A)
Justice
B)
Beneficence
C)
Autonomy
D)
Veracity
Ans:
C

Feedback:

The American Nurses’ Association identified four primary principles to guide ethical decisions. These principles include the client’s right to autonomy, the right to beneficence (doing good) by the nurse, the right to justice or fair treatment, and the right to veracity (the truth) regarding the client’s condition and treatment.

 

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