Nature of Nursing Final Questions With Complete Solutions
A 13-year-old female is brought to the family planning clinic by
her enraged father, who has just learned that she is pregnant.
The pregnant client states, "I want to have this baby and give it
up for adoption." However, the father is adamant that she will
disgrace the family and demands that the health care providers
tell his daughter that she has a physical condition that would
prohibit her from carrying this baby to a viable stage. The nurse
realizes that this is a conflict that involves what ethical
principle?
a. Deontology
b. Veracity
c. Autonomy
d. Beneficence Correct Answer b. Veracity
Reason: Veracity is requires that healthcare providers be honest
in their interactions with patients
A blood reaction occurrence is noted in a client who did not
receive pretransfusion care as clearly documented in the
facility's policies and procedures. The nurse providing care is
liable for which legal tort?
a. Comparative negligence
b. Punitive damages
c. Criminal negligence
d. Involuntary tort Correct Answer c. Criminal Negligence
Reason: Criminal negligence is when a health care practitioner
intentionally, knowingly, or recklessly commits an act that
,deviates from the standard of care and harms a patient in some
way
A client and her husband used in-vitro fertilization to become
pregnant. The unused sperm was frozen so the couple could
have more children later. The husband is killed while in combat,
and the client journals her choices and the possible
ramifications. She comes to the fertility clinic after looking at
the situation from many perspectives and after considering many
alternatives. She asks that the sperm be destroyed because her
husband's faith prohibited remarrying, and allowing another
person to use the sperm would conflict with her late husband's
beliefs. When considering this scenario, the nurse realizes what?
a. The client is in the second step of ethical decision making and
that the client's value system is influencing her choices of
alternative actions
b. A logical line of reasoning has led to validation of the
decision to destroy the husband's sperm
c. The client has not been able to navigate the complicated i
Correct Answer d. A rational decision was reached that was
based on reflection and on the value system of the wife and the
husband
A client arrives in active labor and exhibits toxemia with
irregular fetal heart tones. The client is an immigrant and is
uninsured. Which act would prevent the client from being
transferred to another facility?
a. The Emergency Medical Treatment and Active Labor Law
b. Health Insurance Portability and Accountability Act
c. Patient Self-Determination Act
,d. The Patient Safety and Quality Improvement Act Correct
Answer a. The Emergency Medical Treatment and Active
Labor Law
Reason: The Emergency Medical Treatment and Active Labor
Law is to provide all patients with a medical screening
examination (MSE). Stabilize any patients with an emergency
medical condition. Transfer or accept appropriate patients as
needed
A client is in extreme pain after he was involved in a motor
vehicle accident, and morphine has been ordered every hour for
pain. The nurse injects saline into the client's IV line and takes
the morphine for herself. The nurse is violating which principle
of ethics?
a. Autonomy
b. Utilitarianism
c. Beneficence
d. Dilemmas Correct Answer c. Beneficence
Reason: Beneficence is an act of charity, mercy, and kindness
with a strong connotation of doing good to others including
moral obligation
A client states, " I am leaving. No one here knows what they are
doing." The nurse completing the Against Medical Advice form
must implement what intervention to best assure client safety?
a. Notify the primary health care provider of the client's wish to
leave
b. Alert family that the client will be leaving the facility
, c. Inform the client that leaving could result in complications
and impairment
d. Require security staff to accompany the to the facility's main
entrance Correct Answer c. Inform the client that leaving
could result in complications and impairment
A consumer is learning about EHR at a local health fair and
states, "I am worried that someone can read my health
information and I really don't understand the difference between
privacy and confidentiality." The nurse provides what as an
example of confidentiality?
a. A pledge that states, "I will hold matters pertaining to my
patients in strict intimacy"
b. A patient who does not tell the primary health care provider
that he or she has been treated for a sexually transmitted disease
c. A teenager who sustains a broken arm and in the emergency
department and withholds information about personal use of
recreational drugs
d. Locking medical records in cabinets to prevent unauthorized
users from accessing patient information Correct Answer a. A
pledge that states, "I will hold matters pertaining to my patients
in strict intimacy"
Reason: Privacy is gives you rights over your health information
and sets rules and limits on who can look at and receive your
health information
Confidentiality is don't convey any health information
identifiable to a particular patient
A family requests that no additional heroic measures be
instituted for their terminally ill mother who has advance
A 13-year-old female is brought to the family planning clinic by
her enraged father, who has just learned that she is pregnant.
The pregnant client states, "I want to have this baby and give it
up for adoption." However, the father is adamant that she will
disgrace the family and demands that the health care providers
tell his daughter that she has a physical condition that would
prohibit her from carrying this baby to a viable stage. The nurse
realizes that this is a conflict that involves what ethical
principle?
a. Deontology
b. Veracity
c. Autonomy
d. Beneficence Correct Answer b. Veracity
Reason: Veracity is requires that healthcare providers be honest
in their interactions with patients
A blood reaction occurrence is noted in a client who did not
receive pretransfusion care as clearly documented in the
facility's policies and procedures. The nurse providing care is
liable for which legal tort?
a. Comparative negligence
b. Punitive damages
c. Criminal negligence
d. Involuntary tort Correct Answer c. Criminal Negligence
Reason: Criminal negligence is when a health care practitioner
intentionally, knowingly, or recklessly commits an act that
,deviates from the standard of care and harms a patient in some
way
A client and her husband used in-vitro fertilization to become
pregnant. The unused sperm was frozen so the couple could
have more children later. The husband is killed while in combat,
and the client journals her choices and the possible
ramifications. She comes to the fertility clinic after looking at
the situation from many perspectives and after considering many
alternatives. She asks that the sperm be destroyed because her
husband's faith prohibited remarrying, and allowing another
person to use the sperm would conflict with her late husband's
beliefs. When considering this scenario, the nurse realizes what?
a. The client is in the second step of ethical decision making and
that the client's value system is influencing her choices of
alternative actions
b. A logical line of reasoning has led to validation of the
decision to destroy the husband's sperm
c. The client has not been able to navigate the complicated i
Correct Answer d. A rational decision was reached that was
based on reflection and on the value system of the wife and the
husband
A client arrives in active labor and exhibits toxemia with
irregular fetal heart tones. The client is an immigrant and is
uninsured. Which act would prevent the client from being
transferred to another facility?
a. The Emergency Medical Treatment and Active Labor Law
b. Health Insurance Portability and Accountability Act
c. Patient Self-Determination Act
,d. The Patient Safety and Quality Improvement Act Correct
Answer a. The Emergency Medical Treatment and Active
Labor Law
Reason: The Emergency Medical Treatment and Active Labor
Law is to provide all patients with a medical screening
examination (MSE). Stabilize any patients with an emergency
medical condition. Transfer or accept appropriate patients as
needed
A client is in extreme pain after he was involved in a motor
vehicle accident, and morphine has been ordered every hour for
pain. The nurse injects saline into the client's IV line and takes
the morphine for herself. The nurse is violating which principle
of ethics?
a. Autonomy
b. Utilitarianism
c. Beneficence
d. Dilemmas Correct Answer c. Beneficence
Reason: Beneficence is an act of charity, mercy, and kindness
with a strong connotation of doing good to others including
moral obligation
A client states, " I am leaving. No one here knows what they are
doing." The nurse completing the Against Medical Advice form
must implement what intervention to best assure client safety?
a. Notify the primary health care provider of the client's wish to
leave
b. Alert family that the client will be leaving the facility
, c. Inform the client that leaving could result in complications
and impairment
d. Require security staff to accompany the to the facility's main
entrance Correct Answer c. Inform the client that leaving
could result in complications and impairment
A consumer is learning about EHR at a local health fair and
states, "I am worried that someone can read my health
information and I really don't understand the difference between
privacy and confidentiality." The nurse provides what as an
example of confidentiality?
a. A pledge that states, "I will hold matters pertaining to my
patients in strict intimacy"
b. A patient who does not tell the primary health care provider
that he or she has been treated for a sexually transmitted disease
c. A teenager who sustains a broken arm and in the emergency
department and withholds information about personal use of
recreational drugs
d. Locking medical records in cabinets to prevent unauthorized
users from accessing patient information Correct Answer a. A
pledge that states, "I will hold matters pertaining to my patients
in strict intimacy"
Reason: Privacy is gives you rights over your health information
and sets rules and limits on who can look at and receive your
health information
Confidentiality is don't convey any health information
identifiable to a particular patient
A family requests that no additional heroic measures be
instituted for their terminally ill mother who has advance
