Nursing Jurisprudence: Legal and Ethical Considerations NCLEX Practice Quiz with Complete Solutions

Nursing Jurisprudence: Legal and Ethical Considerations NCLEX Practice Quiz with Complete Solutions The best explanation of what Title VI of the Civil Rights Act mandates is the freedom to: A. Pick any physician and insurance company despite one's income B. Receive free medical benefits as needed within the county of residence C. Have equal access to all health care regardless of race and religion D. Have basic care with a sliding scale payment plan from all health care facilities Answer: C. Have equal access to all health care regardless of race and religion Which statement would best explain the role of the nurse when planning care for a culturally diverse population? The nurse will plan care to: A. Include care that is culturally congruent with the staff from predetermined criteria B. Focus only on the needs of the client, ignoring the nurse's beliefs and practices C. Blend the values of the nurse that are for the good of the client and minimize the client's individual values and beliefs during care D. Provide care while aware of one's own bias, focusing on the client's individual needs rather than the staff's practices Answer: D. Provide care while aware of one's own bias, focusing on the client's individual needs rather than the staff's practices Without understanding one's own beliefs and values, a bias or preconceived belief by the nurse could create an unexpected conflict or an area of neglect in the plan of care for a client (who might be expecting something totally different from the care). During assessment values, beliefs, practices should be identified by the nurse and used as a guide to identify the choices by the nurse to meet specific needs/outcomes of that client. Therefore identification of values, beliefs, and practices allows for planning meaningful and beneficial care specific for this client. Which factor is least significant during assessment when gathering information about cultural practices? A. Language, timing B. Touch, eye contact C. Biocultural needs D. Pain perception, management expectations Answer: C. Biocultural needs Cultural practices do not influence biocultural needs because they are inborn risks that are related to a biological need and not a learned cultural belief or practice. Transcultural nursing implies: A. Using a comparative study of cultures to understand similarities and differences across human groups to provide specific individualized care that is culturally appropriate B. Working in another culture to practice nursing within their limitations C. Combining all cultural beliefs into a practice that is a non-threatening approach to minimize cultural barriers for all clients' equality of care D. Ignoring all cultural differences to provide the best generalized care to all clients Answer: A. Using a comparative study of cultures to understand similarities and differences across human groups to provide specific individualized care that is culturally appropriate Transcultural care means that by understanding and learning about specific cultural practices the nurse can integrate these practices into the plan of care for a specific individual client who has the same beliefs or practices to meet the client's needs in a holistic manner of care. What should the nurse do when planning nursing care for a client with a different cultural background? The nurse should: A. Allow the family to provide care during the hospital stay so no rituals or customs are broken B. Identify how these cultural variables affect the health problem C. Speak slowly and show pictures to make sure the client always understands D. Explain how the client must adapt to hospital routines to be effectively cared for while in the hospital Answer: B. Identify how these cultural variables affect the health problem Without assessment and identification of the cultural needs, the nurse cannot begin to understand how these might influence the health problem or health care management. Which activity would not be expected by the nurse to me