Chapter 3: Ethics and Law

Chapter 3: Ethics and Law

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Identify the choice that best completes the statement or answers the question.

 

____     1.   A patient is expressing anger when the nurse attempts to make him take a medication that he is refusing. If the nurse pushes to give the medication against his will, the nurse is:

A.	Violating the patient’s rights.
B.	Achieving a treatment goal to get the medication in the patient any way possible.
C.	Supporting the family’s demand that he take the medication.
D.	Following orders from the charge nurse.

 

 

____     2.   A mental health nurse bumps into a member of her church, who begins questioning her about a former neighbor. The woman from the church asks the nurse, “How is Rachael? We have been friends for over 20 years and I have seen her come out of your clinic a few times. Is she seeing one of the psychiatrists?” The nurse’s response is:

A.	“The HIPAA law prevents me from disclosing any information about any patient.”
B.	“All I can say is she is seeing Dr. Leone.”
C.	“Rachael is seeing Dr. Leone because she is concerned about feeling extremely happy sometimes and about feeling extremely depressed other times.”
D.	“Rachael was only there to renew her medication.”

 

 

____     3.   You are working on a mental health unit and have a diverse group of patients. Some of the patients are of Middle Eastern descent. These patients have communicated to you that they would like to follow the same period for praying as they did prior to admission. What is your response?

A.	“You are in America now.”
B.	“You can go back to your regular time for praying when you are discharged.”
C.	“How can I accommodate you with your prayer time?”
D.	“Would you like to learn another prayer?”

 

 

____     4.   The nursing student uses the client’s full name on the assigned care plan during her recent clinical rotation. What is the instructor’s priority intervention?

A.	Express the importance of factual documentation and that it should include the patient’s name.
B.	Remind the student of the importance of maintaining patient confidentiality.
C.	Discuss with student that the patient is homeless and illiterate. As a result of this, maybe the patient will not be embarrassed about their homelessness status; therefore confidentiality is not an issue.
D.	Explain to the student because the patient was committed involuntary, confidentiality is not an issue.

 

 

____     5.   While shopping in the local supermarket, a mental health nurse encounters an individual who recently was a patient on her unit. Which is the proper response by the nurse?

A.	Stop the person and ask how they are doing since discharge.
B.	The closer you get to the patient, look in another direction.
C.	Speak to the patient, but not by name.
D.	If eye contact is made and the patient responds, then you should respond back.

 

Chapter 3: Ethics and Law

Answer Section

 

MULTIPLE CHOICE

 

1. ANS:  A

The Patient Bill of Rights provides the patient’s right to refuse medications and treatments. The nurse has a responsibility to advocate for the patients and assure them of their rights. In addition, patients have the right to be educated about medications and treatment, which allows them to make an informed decision.

 

PTS:   1                    REF:   Chapter 3: Ethics and Law; Patient Bill of Rights; page 42

KEY:  Integrated Processes: Nursing Process: Implementation | Content Area: Legal | Cognitive Level: Application | Client Need: Safe and Effective Care Environment: Client Rights

 

2. ANS:  A

HIPAA (Health Insurance Portability and Accountability Act) states what can be disclosed about a patient and emphasizes patient privacy.

 

PTS:   1                    REF:   Chapter 3: Ethics and Law; Confidentiality; page 40

KEY:  Integrated Processes: Teaching/Learning | Content Area: Legal | Cognitive Level: Application | Client Need: Safe and Effective Care Environment: Confidentiality/Information

 

3. ANS:  C

It is within the nurse’s scope of practice to advocate for the patient. The nurse is the voice for the patient when needed. The nurse defends the patient’s rights to their beliefs and values.

 

PTS:   1                    REF:   Chapter 3: Ethics and Law; Patient Advocacy; page 42-43

KEY:  Integrated Processes: Nursing Process: Planning | Content Area: Cultural Diversity | Cognitive Level: Analysis | Client Need: Psychosocial Integrity: Religious and Spiritual Influences on Health

 

4. ANS:  B

All patient information is confidential, and only initials should be used during the student clinical rotation.

 

PTS:   1                    REF:   Chapter 3: Ethics and Law; Confidentiality; page 40

KEY:  Integrated Processes: Communication and Documentation | Content Area: Mental Health: Confidentiality | Cognitive Level: Application | Client Need: Safe and Effective Care Environment: Confidentiality/Information Security

 

5. ANS:  D

Confidentiality is maintained, whether in a facility or out in public. If the patient initiates contact, then responding back is appropriate.

 

PTS:   1                    REF:   Chapter 3: Ethics and Law; Confidentiality; page 38

KEY:  Integrated Processes: Caring | Content Area: Legal | Cognitive Level: Application | Client Need: Safe and Effective Care Environment: Confidentiality/Information Security