Chapter 12 Legal And Ethical Issues in Nursing 6th Edition by Ginny Wacker Guido

Chapter 12 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: MCSA

A nurse discussing the establishment of today’s advanced nurse practitioner role would discuss which factor as the primary driving force?

1. The physician shortage of the late 1960s
2. The need for providers to work in primary care settings
3. The need for more rural health care by qualified providers
4. The refusal of physicians to see rural patients

Correct Answer: 1

Rationale 1: The primary driving factor was a shortage of primary physicians that occurred in the late 1960s and early 1970s.

Rationale 2: The situation driving the development of this role was not limited to primary care settings.

Rationale 3: The situation driving the development of this role was not limited to rural health care.

Rationale 4: There is no indication that physicians were refusing to care for rural patients.

Global Rationale:

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 12.1 Outline the roles of advanced practice nurses, including nurse anesthetists, nurse midwives, advanced nurse practitioners, clinical nurse specialists, clinical nurse leaders, and doctorate of nursing practice.

Question 2

Type: MCMA

A certified registered nurse anesthetist (CRNA) is addressing a group of high school students that have expressed interest in this profession. Which information should the nurse provide?

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

Standard Text: Select all that apply.

1. The fastest way to gain certification as a CRNA is through a physician’s assistant program.
2. Nurse anesthetists are a newly developing field.
3. Currently, the entry level for this certification is a master’s degree.
4. Nurse anesthetists practice outside the scope of nursing by virtue of a grandfather clause in anesthesia.
5. In the future, nurses wishing to become CRNAs must have a doctoral degree.

Correct Answer: 3,5

Rationale 1: CRNAs are advanced practice nurses, not physician assistants.

Rationale 2: The first “official” nurse anesthetist was administering anesthesia as early as 1877.

Rationale 3: In order to write the certificate examination, applicants must have completed a master’s program.

Rationale 4: Nurse anesthetists practice within the scope of nursing for their specialty.

Rationale 5: Beginning in 2025, a Doctor of Nursing Practice (DNP) or a Doctor of Nurse Anesthesia Practice (DNAP) will be required for certification.

Global Rationale:

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 12.1 Outline the roles of advanced practice nurses, including nurse anesthetists, nurse midwives, advanced nurse practitioners, clinical nurse specialists, clinical nurse leaders, and doctorate of nursing practice.

Question 3

Type: MCMA

A student nurse is contemplating seeking independent practice as a certified nurse midwife. If the nurse reaches this goal, which components of practice should the she expect to fulfill?

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

Standard Text: Select all that apply.

1. Physical examinations
2. PAP smears
3. Management of postpartum complications
4. Family planning counseling
5. One-on-one management of high-risk pregnancies

Correct Answer: 1,2,4,5

Rationale 1: Physical examinations are a part of the normal prenatal, intrapartum, and gynecological care provided to women and normal newborns. This is part of the midwife role.

Rationale 2: Certified nurse midwives provide normal gynecological services such as preventive health screenings.

Rationale 3: Management of complications is not an independent practice role. The midwife may participate in this care but does not do so independently.

Rationale 4: Certified nurse midwives provide family planning counseling as part of their role.

Rationale 5: Certified nurse midwives offer an alternative childbearing experience to low-risk patients. They do not provide independent care of high-risk pregnancies.

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: 12.1 Outline the roles of advanced practice nurses, including nurse anesthetists, nurse midwives, advanced nurse practitioners, clinical nurse specialists, clinical nurse leaders, and doctorate of nursing practice.