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 reward valued behavior and punishes undesired behavior; and the laissez-faire model imposes no restriction or direction on choices.

DIF:    Cognitive Level: Application           REF:   p. 21               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:   p. 21               OBJ:   1

TOP:   Values Clarification                        KEY:  Nursing Process Step: Intervention

MSC:  Client Needs: Safe and Effective Care Environment

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

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:   p. 22               OBJ:   2

TOP:   Client Rights                                   KEY:  Nursing Process Step: Assessment

MSC:  Client Needs: Safe and Effective Care Environment

4. The client is feeling very anxious and has requested that a p.r.n. antianxiety medication be ordered. The nurse informs the client that the medication can be administered only every 4 hours and was given 3 hours ago. The nurse promises to give the client the medication as soon as it is due, but the nurse goes to lunch 1 hour later without giving the client the medication. Which ethical principle did the nurse violate?

ANS:  A

Fidelity refers to the obligation to keep one’s word. The nurse violated this principle in this situation, which leads to mistrust from the client. Veracity is the duty to tell the truth, confidentiality is the duty of keeping the client’s information private, and justice indicates that all clients must be treated fairly, equally, and respectfully.

DIF:    Cognitive Level: Application           REF:   p. 23               OBJ:   3

TOP:   Ethical Principles                            KEY:  Nursing Process Step: Intervention

MSC:  Client Needs: Safe and Effective Care Environment