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NURS 190 MIDTERM EXAM PA 2 CERTIFICATION EVALUATION 2026 SOLVED QUESTIONS

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NURS 190 MIDTERM EXAM PA 2 CERTIFICATION EVALUATION 2026 SOLVED QUESTIONS

Institution
NURS
Course
NURS

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NURS 190 MIDTERM EXAM PA 2 CERTIFICATION
EVALUATION 2026 SOLVED QUESTIONS

◉ During a hiring interview, which response by a nursing applicant
should indicate that the applicant operates from an ethical egoism
framework?


A. "I would want to be treated in a caring manner if I were mentally
ill."
B. "This job will pay the bills, and the workload is light enough for
me."
C. "I will be happy caring for the mentally ill. Working in Med/Surg
kills my back."
D. "It is my duty in life to be a psychiatric nurse. It is the right thing
to do.". Answer: ANS: B. "This job will pay the bills, and the workload
is light enough for me."


The applicant's comment reflects an ethical egoism framework. This
framework promotes the idea that decisions are made based on
what is good for the individual and may not take the needs of others
into account.


◉ Without authorization, a nurse administers an extra dose of
narcotic tranquilizer to an agitated client. The nurse's coworker

,observes this action but does nothing for fear of repercussion. What
is the ethical interpretation of the coworker's lack of involvement?


A. Taking no action is still considered an unethical action by the
coworker.
B. Taking no action releases the coworker from ethical responsibility.
C. Taking no action is advised when potential adverse consequences
are foreseen.
D. Taking no action is acceptable because the coworker is only a
bystander.. Answer: ANS: A. Taking no action is still considered an
unethical action by the coworker.


The coworker's lack of involvement can be interpreted as an
unethical action. The coworker is experiencing an ethical dilemma in
which a decision needs to be made between two unfavorable
alternatives. The coworker has a responsibility to report any
observed unethical actions.


◉ Group therapy is strongly encouraged, but not mandatory, on an
inpatient psychiatric unit. The unit manager's policy is that clients
can make a choice about whether or not to attend group therapy.
Which ethical principle does the unit manager's policy preserve?


A. Justice
B. Autonomy

,C. Veracity
D. Beneficence. Answer: ANS: B. Autonomy


The unit manager's policy regarding voluntary client participation in
group therapy preserves the ethical principle of autonomy. The
principle of autonomy presumes that individuals are capable of
making independent decisions for themselves and that health-care
workers must respect these decisions.


◉ Which is an example of an intentional tort?


A. A nurse fails to assess a client's obvious symptoms of neuroleptic
malignant syndrome.
B. A nurse physically places an irritating client in four-point
restraints.
C. A nurse makes a medication error and does not report the
incident.
D. A nurse gives patient information to an unauthorized person..
Answer: ANS: B. A nurse physically places an irritating client in four-
point restraints.


A tort is a violation of civil law in which an individual has been
wronged and can be intentional or unintentional. A nurse who
physically places an irritating client in restraints has touched the
client without consent and has committed an intentional tort.

, ◉ An involuntarily committed client is verbally abusive to the staff
and repeatedly threatening to sue. The client records the full names
and phone numbers of the staff. Which nursing action is most
appropriate to decrease the possibility of a lawsuit?


A. Verbally redirect the client, and then limit one-on-one interaction.
B. Involve the hospital's security division as soon as possible.
C. Notify the client that documenting personal staff information is
against hospital policy.
D. Continue professional attempts to establish a positive working
relationship with the client.. Answer: ANS: D. Continue professional
attempts to establish a positive working relationship with the client.


The most appropriate nursing action is to continue professional
attempts to establish a positive working relationship with the client.
The involuntarily committed client should be respected and has the
right to assert grievances if rights are infringed.


◉ Which statement should a nurse identify as correct regarding a
client's right to refuse treatment?


A. Clients can refuse pharmacological but not psychological
treatment.
B. Clients can refuse any treatment at any time.

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