Chapter 19 Legal And Ethical Issues in Nursing 6th Edition by Ginny Wacker Guido

Chapter 19 Legal And Ethical Issues in Nursing 6th Edition by Ginny Wacker Guido

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Question 1

Type: MCMA

The nurse presenting a community education session about community health would include information about which foundational federal laws?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

1. Social Security Act of 1935
2. 1947 Taft Hartley Amendment
3. Civil Rights Act of 1991
4. Americans with Disabilities Act of 1990
5. Public Health Service Act of 1994

Correct Answer: 1,5

Rationale 1: The Social Security Act of 1935 established the means for states to make provisions for establishing public health services. Community health nurses play a significant role in providing care through the programs established by the public health service.

Rationale 2: The Taft Hartley Amendment is a federal law that monitors the activities and power of labor unions. It is not associated with the development of community health.

Rationale 3: The Civil Rights Act of 1991 deals with the right of employees in regard to discrimination by employers. It did not help to establish community health.

Rationale 4: The Americans with Disabilities Act of 1990 was passed to provide equality for people with disabilities. It did not help to establish community health.

Rationale 5: The Public Health Service Act of 1994 consolidated all existing public health legislation under one law and became the major piece of health legislation for the country.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 19.1 Briefly describe the historical beginnings of public and community health nursing.

 

Question 2

Type: MCMA

Which person would likely be provided for under the Social Security Act of 1935?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

1. A 16-year-old whose father died in a motor vehicle accident
2. A 70-year-old man who is retired from a job he held for 30 years
3. A 45-year-old woman who suffered a myocardial infarction
4. A 34-year-old person who files for unemployment after losing her job
5. A 30-year-old woman who has become blind secondary to diabetic retinopathy

Correct Answer: 1,2,4,5

Rationale 1: As a dependent child this person is provided for by the Social Security Act of 1935.

Rationale 2: The Social Security Act of 1935 provided for the federal welfare by establishing a system of federal benefits for the aged population.

Rationale 3: Despite having a cardiovascular history, there is no indication the 45-year-old woman meets the criteria for inclusion.

Rationale 4: State unemployment compensation laws are part of the Social Security Act of 1935.

Rationale 5: Blind persons are provided for by the Social Security Act of 1935.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 19.1 Briefly describe the historical beginnings of public and community health nursing.

 

Question 3

Type: MCSA

A school nurse negligently administered an overdose of medication to a student, causing the student to suffer a severe reaction that necessitated hospitalization. Should a lawsuit result from this case, the nurse would be held to what standard?

1. The reasonably prudent advanced nurse practitioner
2. The reasonably prudent general duty hospital nurse
3. The reasonably prudent pediatric nurse
4. The reasonably prudent school nurse

Correct Answer: 4

Rationale 1: There is no information to suggest this nurse was an advanced nurse practitioner, so this is not the standard of practice for which the nurse would be held.

Rationale 2: There is no evidence to support whether this nurse has ever practiced in a hospital. In any case, this is not the standard to which a nurse in this setting is held.

Rationale 3: While a school nurse should have the skills and knowledge to care for the pediatric population, this is not the standard to which a school nurse is held.

Rationale 4: Nurses are held to the standard of practice specific to their practice area setting, which in this case is that of a reasonably prudent school nurse.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 19.2 Describe the various settings in which public and community health nurses are employed, including home health care nurses, parish nurses, school health nurses, occupational health nurses, correctional nurses, and disaster nurses.