TEXAS NURSING JURISPRUDENCE END OF COURSE EXAM
QUESTIONS AND ANSWERS MARKED A+
✔✔A bioethical issue should be described as:
A. The physician's making all decisions of client management without getting input from
the client
B. A research project that included treating all the white men and not treating all the
black men to compare the outcomes of a specific drug therapy.
C. The withholding of food and treatment at the request of the client in a written
advance directive given before a client acquired permanent brain damage from an
accident.
D. After the client gives permission, the physician's disclosing all information to the
family for their support in the management of the client. - ✔✔Answer: B. A research
project that included treating all the white men and not treating all the black men to
compare the outcomes of a specific drug therapy.
The ethical issue was the inequality of treatment based strictly upon racial differences.
Secondly, the drug was deliberately withheld even after results showed that the drug
was working to cure the disease process in the white men for many years. So after
many years, the black men were still not treated despite the outcome of the research
process that showed the drug to be effective in controlling the disease early in the
beginning of the research project. Therefore harm was done. Nonmaleficence, veracity,
and justice were not followed.
✔✔When the nurse described the client as "that nasty old man in 354," the nurse is
exhibiting which ethical dilemma?
A. Gender bias and ageism
B. HIPAA violation
C. Beneficence
D. Code of ethics violation - ✔✔Answer: A. Gender bias and ageism
Stereotyping an "old man" as "nasty"is a gender bias and an ageism issue. The nurse is
verbalizing a negative descriptor about the client.
✔✔The distribution of nurses to areas of "most need" in the time of a nursing shortage
is an example of:
A. Utilitarianism theory
B. Deontological theory
C. Justice
D. Beneficence - ✔✔Answer: C. Justice
,Justice is defined as the fairness of distribution of resources. However, guidelines for a
hierarchy of needs have been established, such as with organ transplantation. Nurses
are moved to areas of greatest need when shortages occur on the floors. No floor is left
without staff, and another floor that had five staff will give up two to go help the floor that
had no staff.
✔✔Nurses are bound by a variety of laws. Which description of a type of law is correct?
A. Statutory law is created by elected legislature, such as the state legislature that
defines the Nurse Practice Act (NPA).
B. Regulatory law includes prevention of harm for the public and punishment for those
laws that are broken.
C. Common law protects the rights of the individual within society for fair and equal
treatment.
D. Criminal law creates boards that pass rules and regulations to control society. -
✔✔Answer: A. Statutory law is created by elected legislature, such as the state
legislature that defines the Nurse Practice Act (NPA).
Statutory law is created by legislature. It creates statues such as the NPA, which
defines the role of the nurse and expectations of the performance of one's duties and
explains what is contraindicated as guidelines for breach of those regulations.
✔✔Besides the Joint Commission on Accreditation of Healthcare Organizations
(JACHO), which governing agency regulates hospitals to allow continued safe services
to be provided, funding to be received from the government and penalties if guidelines
are not followed?
A. Board of Nursing Examiners (BNE)
B. Nurse Practice Act (NPA)
C. American Nurses Association (ANA)
D. Americans With Disabilities Act (ADA) - ✔✔Answer: D. Americans With Disabilities
Act (ADA)
If the hospital fails to follow ADA guidelines for meeting special needs, the facility loses
funding and status for receiving low-income loans or reimbursement of expenses. ADA
protects the civil rights of disabled people. It applies to both the hospital clients and
hospital staff. Privacy issues for persons who are positive for human immunodeficiency
virus (HIV) have been one issue in relationship to getting information when hospital staff
have been exposed to unclean sticks. The ADA allows the infected client the right to
choose whether or not to disclose that information.
✔✔When a client is confused, left alone with the side rails down, and the bed in a high
position, the client falls and breaks a hip. What law has been broken?
A. Assault
B. Battery
, C. Negligence
D. Civil tort - ✔✔Answer: C. Negligence
Knowing what to do to prevent injury is a part of the standards of care for nurses to
follow. Safety guidelines dictate raising the side rails, staying with the client, lowering
the bed, and observing the client until the environment is safe. As a nurse, these
activities are known as basic safety measures that prevent injuries, and to not perform
them is not acting in a safe manner. Negligence is conduct that falls below the standard
of care that protects others against unreasonable risk of harm.
✔✔When signing a form as a witness, your signature shows that the client:
A. Is fully informed and is aware of all consequences.
B. Was awake and fully alert and not medicated with narcotics.
C. Was free to sign without pressure
D. Has signed that form and the witness saw it being done - ✔✔Answer: D. Has signed
that form and the witness saw it being done
Your signature as a witness only states that the person signing the form was the person
who was listed in the procedure.
✔✔Which criterion is needed for someone to give consent to a procedure?
A. An appointed guardianship
B. Unemancipated minor
C. Minimum of 21 years or older
D. An advocate for a child - ✔✔Answer: A. An appointed guardianship
A guardian has been appointed by a court and has full legal rights to choose
management of care.
✔✔Which statement is correct?
A. Consent for medical treatment can be given by a minor with a sexually transmitted
disease (STD).
B. A second trimester abortion can be given without state involvement.
C. Student nurses cannot be sued for malpractice while in a nursing clinical class.
D. Nurses who get sick and leave during a shift are not abandoning clients if they call
their supervisor and leave a message about their emergency illness. - ✔✔Answer: A.
Consent for medical treatment can be given by a minor with a sexually transmitted
disease (STD).
Anyone, at any age, can be treated without parental permission for an STD infection.
The client is "advised" to contact sexual partners but is not "required" to give names.
Permission from parents is not needed, based upon current privacy laws.
QUESTIONS AND ANSWERS MARKED A+
✔✔A bioethical issue should be described as:
A. The physician's making all decisions of client management without getting input from
the client
B. A research project that included treating all the white men and not treating all the
black men to compare the outcomes of a specific drug therapy.
C. The withholding of food and treatment at the request of the client in a written
advance directive given before a client acquired permanent brain damage from an
accident.
D. After the client gives permission, the physician's disclosing all information to the
family for their support in the management of the client. - ✔✔Answer: B. A research
project that included treating all the white men and not treating all the black men to
compare the outcomes of a specific drug therapy.
The ethical issue was the inequality of treatment based strictly upon racial differences.
Secondly, the drug was deliberately withheld even after results showed that the drug
was working to cure the disease process in the white men for many years. So after
many years, the black men were still not treated despite the outcome of the research
process that showed the drug to be effective in controlling the disease early in the
beginning of the research project. Therefore harm was done. Nonmaleficence, veracity,
and justice were not followed.
✔✔When the nurse described the client as "that nasty old man in 354," the nurse is
exhibiting which ethical dilemma?
A. Gender bias and ageism
B. HIPAA violation
C. Beneficence
D. Code of ethics violation - ✔✔Answer: A. Gender bias and ageism
Stereotyping an "old man" as "nasty"is a gender bias and an ageism issue. The nurse is
verbalizing a negative descriptor about the client.
✔✔The distribution of nurses to areas of "most need" in the time of a nursing shortage
is an example of:
A. Utilitarianism theory
B. Deontological theory
C. Justice
D. Beneficence - ✔✔Answer: C. Justice
,Justice is defined as the fairness of distribution of resources. However, guidelines for a
hierarchy of needs have been established, such as with organ transplantation. Nurses
are moved to areas of greatest need when shortages occur on the floors. No floor is left
without staff, and another floor that had five staff will give up two to go help the floor that
had no staff.
✔✔Nurses are bound by a variety of laws. Which description of a type of law is correct?
A. Statutory law is created by elected legislature, such as the state legislature that
defines the Nurse Practice Act (NPA).
B. Regulatory law includes prevention of harm for the public and punishment for those
laws that are broken.
C. Common law protects the rights of the individual within society for fair and equal
treatment.
D. Criminal law creates boards that pass rules and regulations to control society. -
✔✔Answer: A. Statutory law is created by elected legislature, such as the state
legislature that defines the Nurse Practice Act (NPA).
Statutory law is created by legislature. It creates statues such as the NPA, which
defines the role of the nurse and expectations of the performance of one's duties and
explains what is contraindicated as guidelines for breach of those regulations.
✔✔Besides the Joint Commission on Accreditation of Healthcare Organizations
(JACHO), which governing agency regulates hospitals to allow continued safe services
to be provided, funding to be received from the government and penalties if guidelines
are not followed?
A. Board of Nursing Examiners (BNE)
B. Nurse Practice Act (NPA)
C. American Nurses Association (ANA)
D. Americans With Disabilities Act (ADA) - ✔✔Answer: D. Americans With Disabilities
Act (ADA)
If the hospital fails to follow ADA guidelines for meeting special needs, the facility loses
funding and status for receiving low-income loans or reimbursement of expenses. ADA
protects the civil rights of disabled people. It applies to both the hospital clients and
hospital staff. Privacy issues for persons who are positive for human immunodeficiency
virus (HIV) have been one issue in relationship to getting information when hospital staff
have been exposed to unclean sticks. The ADA allows the infected client the right to
choose whether or not to disclose that information.
✔✔When a client is confused, left alone with the side rails down, and the bed in a high
position, the client falls and breaks a hip. What law has been broken?
A. Assault
B. Battery
, C. Negligence
D. Civil tort - ✔✔Answer: C. Negligence
Knowing what to do to prevent injury is a part of the standards of care for nurses to
follow. Safety guidelines dictate raising the side rails, staying with the client, lowering
the bed, and observing the client until the environment is safe. As a nurse, these
activities are known as basic safety measures that prevent injuries, and to not perform
them is not acting in a safe manner. Negligence is conduct that falls below the standard
of care that protects others against unreasonable risk of harm.
✔✔When signing a form as a witness, your signature shows that the client:
A. Is fully informed and is aware of all consequences.
B. Was awake and fully alert and not medicated with narcotics.
C. Was free to sign without pressure
D. Has signed that form and the witness saw it being done - ✔✔Answer: D. Has signed
that form and the witness saw it being done
Your signature as a witness only states that the person signing the form was the person
who was listed in the procedure.
✔✔Which criterion is needed for someone to give consent to a procedure?
A. An appointed guardianship
B. Unemancipated minor
C. Minimum of 21 years or older
D. An advocate for a child - ✔✔Answer: A. An appointed guardianship
A guardian has been appointed by a court and has full legal rights to choose
management of care.
✔✔Which statement is correct?
A. Consent for medical treatment can be given by a minor with a sexually transmitted
disease (STD).
B. A second trimester abortion can be given without state involvement.
C. Student nurses cannot be sued for malpractice while in a nursing clinical class.
D. Nurses who get sick and leave during a shift are not abandoning clients if they call
their supervisor and leave a message about their emergency illness. - ✔✔Answer: A.
Consent for medical treatment can be given by a minor with a sexually transmitted
disease (STD).
Anyone, at any age, can be treated without parental permission for an STD infection.
The client is "advised" to contact sexual partners but is not "required" to give names.
Permission from parents is not needed, based upon current privacy laws.
