Chapter 03: Legal and Ethical Considerations

Chapter 03: Legal and Ethical Considerations

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. A good friend of a licensed practical/vocational nurse (LPN/LVN) confides that she is in a serious romantic relationship with a man the LPN/LVN had as a patient when he was diagnosed with the human immunodeficiency virus (HIV). The policies of the Health Insurance Portability and Accountability Act (HIPAA) prevent the nurse from warning her friend. What is this situation considered?

ANS:  C

Moral distress occurs when a nurse feels powerless because moral beliefs cannot be honored because of institutional or other barriers.

DIF:    Cognitive Level: Comprehension     REF:   p. 32               OBJ:   1

TOP:   Moral Distress                                 KEY:  Nursing Process Step: N/A

MSC:  NCLEX: Safe, Effective Care Environment: Coordinated Care

2. A nurse reminds a resident in a long-term care facility that he has autonomy in many aspects of his institutionalization. What is an example of autonomy?

ANS:  D

The application of advance directives is an autonomous decision. Agency protocols relative to medication times, access to private electrical devices, and smoking are rarely waived; these policies are not in the control of the resident.

DIF:    Cognitive Level: Comprehension     REF:   p. 32               OBJ:   2

TOP:   Autonomy      KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Psychosocial Integrity: Coping and Adaptation

3. How might an LPN/LVN exhibit beneficence?

ANS:  A

Beneficence means promoting good and reducing harm. Removing defective equipment demonstrates that the LPN/LVN is reducing possible harm to the patient. Working extra shifts, adhering to policy, and joining NAPNES are personal values, not beneficence.

DIF:    Cognitive Level: Comprehension     REF:   p. 32               OBJ:   2

TOP:   Beneficence   KEY:  Nursing Process Step: N/A              MSC:  NCLEX: N/A

4. An LPN/LVN is educating a group of nursing students regarding values demonstrated in their nursing practice. Where will the LPN/LVN indicate the base of these values is derived?

ANS:  B

The family shapes values that are demonstrated in later life. These values may be enhanced or challenged by life experiences, but the base is forged in the family.

DIF:    Cognitive Level: Comprehension     REF:   p. 32               OBJ:   3

TOP:   Values            KEY:  Nursing Process Step: N/A              MSC:  NCLEX: N/A