Chapter 3: Ethical and Legal Issues

Chapter 3: Ethical and Legal Issues

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. A male teenage client tells the nurse that his friends like to drink alcohol occasionally to get drunk. The client’s friends see nothing wrong with their drinking habits. The client states that he was taught by his parents and agrees that underage drinking is not acceptable. Also, he has never seen his parents drunk; therefore, he refuses to drink with his friends. Which mode of transmission best describes how this client’s particular value was formed?

ANS:  B

Modeling best describes how the teenage client developed this value because his parents not only discussed this issue but behaved in a way for the teen to copy. Moralizing sets standards of right and wrong with no choices allowed; the reward-punishment model rewards valued behavior and punishes undesired behavior; and the laissez-faire model imposes no restriction or direction on choices.

DIF:    Cognitive Level: Application           REF:   Page 20          OBJ:   1

TOP:   Acquiring Values                            KEY:  Nursing Process Step: Assessment

MSC:  Client Needs: Psychosocial Integrity

2. A female client becomes combative when the nurse attempts to administer routine medications. The nurse would like to ignore the client but chooses to talk with the client to calm her. The nurse is successful in calming the client, and the client takes her medications. What process best describes how the nurse decided on the course of action taken?

ANS:  A

Values clarification consists of the steps of choosing, prizing, and acting. This most accurately describes how the nurse made the proper decision. The nurse chose the best action, reaffirmed the choice, and then enacted the choice. The nurse’s rights were not violated, and beliefs and morals do not describe the entire decision-making process that occurred.

DIF:    Cognitive Level: Application           REF:   Page 20          OBJ:   1

TOP:   Values Clarification                        KEY:  Nursing Process Step: Intervention

MSC:  Client Needs: Safe and Effective Care Environment

3. Which patient right may clients with mental health disorders lose during treatment?

ANS:  B

A client could lose the right of freedom from restraint or seclusion in emergency situations, such as being a threat to himself or others. The other rights must be upheld at all times.

DIF:    Cognitive Level: Knowledge            REF:   Page 21          OBJ:   2

TOP:   Client Rights                                   KEY:  Nursing Process Step: Intervention

MSC:  Client Needs: Safe and Effective Care Environment

4. Twenty three states have enacted mental health parity laws. The most accurate description of these laws is that they require insurance companies to:

ANS:  C

The mental health parity laws require insurance companies to include coverage for mental illness that is equal to coverage for physical illness. Only nine states include treatment for substance abuse in their parity laws.

DIF:    Cognitive Level: Knowledge            REF:   Page 21          OBJ:   2

TOP:   Client Rights                                   KEY:  Nursing Process Step: Assessment

MSC:  Client Needs: Safe and Effective Care Environment