NURSING JURISPRUDENCE: LEGAL
AND ETHICAL CONSIDERATIONS
NCLEX PRACTICE QUIZ
The57best57explanation57of57what57Title57VI57of57the57Civil57Rights57Act57mandates57is57t
he57freedom57to:
A.57Pick57any57physician57and57insurance57company57despite57one's57income
B.57Receive57free57medical57benefits57as57needed57within57the57county57of57residence
C.57Have57equal57access57to57all57health57care57regardless57of57race57and57religion
D.57Have57basic57care57with57a57sliding57scale57payment57plan57from57all57health57care57
facilities57-57answer--
Answer:57C.57Have57equal57access57to57all57health57care57regardless57of57race57and57rel
igion
Which57statement57would57best57explain57the57role57of57the57nurse57when57planning57ca
re57for57a57culturally57diverse57population?57The57nurse57will57plan57care57to:
A.57Include57care57that57is57culturally57congruent57with57the57staff57from57predetermined5
7criteria
B.57Focus57only57on57the57needs57of57the57client,57ignoring57the57nurse's57beliefs57and57
practices
C.57Blend57the57values57of57the57nurse57that57are57for57the57good57of57the57client57and57
minimize57the57client's57individual57values57and57beliefs57during57care
D.57Provide57care57while57aware57of57one's57own57bias,57focusing57on57the57client's57indi
vidual57needs57rather57than57the57staff's57practices57-57answer--
Answer:57D.57Provide57care57while57aware57of57one's57own57bias,57focusing57on57the57cli
ent's57individual57needs57rather57than57the57staff's57practices
Without57understanding57one's57own57beliefs57and57values,57a57bias57or57preconceived5
7belief57by57the57nurse57could57create57an57unexpected57conflict57or57an57area57of57negl
ect57in57the57plan57of57care57for57a57client57(who57might57be57expecting57something57tota
lly57different57from57the57care).57During57assessment57values,57beliefs,57practices57shoul
d57be57identified57by57the57nurse57and57used57as57a57guide57to57identify57the57choices57
by57the57nurse57to57meet57specific57needs/
outcomes57of57that57client.57Therefore57identification57of57values,57beliefs,57and57practic
es57allows57for57planning57meaningful57and57beneficial57care57specific57for57this57client.
,Which57factor57is57least57significant57during57assessment57when57gathering57information
57about57cultural57practices?
A.57Language,57timing
B.57Touch,57eye57contact
C.57Biocultural57needs
D.57Pain57perception,57management57expectations57-57answer--
Answer:57C.57Biocultural57needs
Cultural57practices57do57not57influence57biocultural57needs57because57they57are57inborn5
7risks57that57are57related57to57a57biological57need57and57not57a57learned57cultural57belief5
7or57practice.
Transcultural57nursing57implies:
A.57Using57a57comparative57study57of57cultures57to57understand57similarities57and57differ
ences57across57human57groups57to57provide57specific57individualized57care57that57is57cul
turally57appropriate
B.57Working57in57another57culture57to57practice57nursing57within57their57limitations
C.57Combining57all57cultural57beliefs57into57a57practice57that57is57a57non-
threatening57approach57to57minimize57cultural57barriers57for57all57clients'57equality57of57c
are
D.57Ignoring57all57cultural57differences57to57provide57the57best57generalized57care57to57all
57clients57-57answer--
Answer:57A.57Using57a57comparative57study57of57cultures57to57understand57similarities57
and57differences57across57human57groups57to57provide57specific57individualized57care57t
hat57is57culturally57appropriate
Transcultural57care57means57that57by57understanding57and57learning57about57specific57c
ultural57practices57the57nurse57can57integrate57these57practices57into57the57plan57of57car
e57for57a57specific57individual57client57who57has57the57same57beliefs57or57practices57to57
meet57the57client's57needs57in57a57holistic57manner57of57care.
What57should57the57nurse57do57when57planning57nursing57care57for57a57client57with57a57
different57cultural57background?57The57nurse57should:
A.57Allow57the57family57to57provide57care57during57the57hospital57stay57so57no57rituals57or
57customs57are57broken
B.57Identify57how57these57cultural57variables57affect57the57health57problem
C.57Speak57slowly57and57show57pictures57to57make57sure57the57client57always57understa
nds
D.57Explain57how57the57client57must57adapt57to57hospital57routines57to57be57effectively57c
ared57for57while57in57the57hospital57-57answer--
Answer:57B.57Identify57how57these57cultural57variables57affect57the57health57problem
, Without57assessment57and57identification57of57the57cultural57needs,57the57nurse57cannot
57begin57to57understand57how57these57might57influence57the57health57problem57or57healt
h57care57management.
Which57activity57would57not57be57expected57by57the57nurse57to57meet57the57cultural57nee
ds57of57the57client?
A.57Promote57and57support57attitudes,57behaviors,57knowledge,57and57skills57to57respect
fully57meet57client's57cultural57needs57despite57the57nurse's57own57beliefs57and57practice
s
B.57Ensure57that57the57interpreter57understands57not57only57the57language57of57the57clie
nt57but57feelings57and57attitudes57behind57cultural57practices57to57make57sure57an57ethic
al57balance57can57be57achieved
C.57Develop57structure57and57process57for57meeting57cultural57needs57on57a57regular57b
asis57and57means57to57avoid57overlooking57these57needs57with57clients
D.57Expect57the57family57to57keep57an57interpreter57present57at57all57times57to57assist57in
57meeting57the57communication57needs57all57day57and57night57while57hospitalized57-
57answer--
Answer:57D.57Expect57the57family57to57keep57an57interpreter57present57at57all57times57to5
7assist57in57meeting57the57communication57needs57all57day57and57night57while57hospitali
zed
It57is57not57the57family's57responsibility57to57assist57in57the57communication57process.57M
any57families57will57leave57someone57to57help57at57times,57but57it57is57the57hospital's57leg
al57obligation57to57find57an57interpreter57for57continued57understanding57by57the57client57t
o57make57sure57the57client57is57fully57informed57and57comprehends57in57his57or57her57pri
mary57language.
Ethical57principles57for57professional57nursing57practice57in57a57clinical57setting57are57gui
ded57by57the57principles57of57conduct57that57are57written57as57the:
A.57American57Nurses57Association's57(ANA's)57Code57of57Ethics
B.57Nurse57Practice57Act57(NPA)57written57by57state57legislation
C.57Standards57of57care57from57experts57in57the57practice57field
D.57Good57Samaritan57laws57for57civil57guidelines57-57answer--
Answer:57A.57American57Nurses57Association's57(ANA's)57Code57of57Ethics
This57set57of57ethical57principles57provides57the57professional57guidelines57established57
by57the57ANA57to57maintain57the57highest57standards57for57ideal57conduct57in57practice.5
7As57a57profession,57the57ANA57wanted57to57establish57rules57and57then57incorporate57g
uidelines57for57accountability57and57responsibility57of57each57nurse57within57the57practic
e57setting.
A57bioethical57issue57should57be57described57as:
AND ETHICAL CONSIDERATIONS
NCLEX PRACTICE QUIZ
The57best57explanation57of57what57Title57VI57of57the57Civil57Rights57Act57mandates57is57t
he57freedom57to:
A.57Pick57any57physician57and57insurance57company57despite57one's57income
B.57Receive57free57medical57benefits57as57needed57within57the57county57of57residence
C.57Have57equal57access57to57all57health57care57regardless57of57race57and57religion
D.57Have57basic57care57with57a57sliding57scale57payment57plan57from57all57health57care57
facilities57-57answer--
Answer:57C.57Have57equal57access57to57all57health57care57regardless57of57race57and57rel
igion
Which57statement57would57best57explain57the57role57of57the57nurse57when57planning57ca
re57for57a57culturally57diverse57population?57The57nurse57will57plan57care57to:
A.57Include57care57that57is57culturally57congruent57with57the57staff57from57predetermined5
7criteria
B.57Focus57only57on57the57needs57of57the57client,57ignoring57the57nurse's57beliefs57and57
practices
C.57Blend57the57values57of57the57nurse57that57are57for57the57good57of57the57client57and57
minimize57the57client's57individual57values57and57beliefs57during57care
D.57Provide57care57while57aware57of57one's57own57bias,57focusing57on57the57client's57indi
vidual57needs57rather57than57the57staff's57practices57-57answer--
Answer:57D.57Provide57care57while57aware57of57one's57own57bias,57focusing57on57the57cli
ent's57individual57needs57rather57than57the57staff's57practices
Without57understanding57one's57own57beliefs57and57values,57a57bias57or57preconceived5
7belief57by57the57nurse57could57create57an57unexpected57conflict57or57an57area57of57negl
ect57in57the57plan57of57care57for57a57client57(who57might57be57expecting57something57tota
lly57different57from57the57care).57During57assessment57values,57beliefs,57practices57shoul
d57be57identified57by57the57nurse57and57used57as57a57guide57to57identify57the57choices57
by57the57nurse57to57meet57specific57needs/
outcomes57of57that57client.57Therefore57identification57of57values,57beliefs,57and57practic
es57allows57for57planning57meaningful57and57beneficial57care57specific57for57this57client.
,Which57factor57is57least57significant57during57assessment57when57gathering57information
57about57cultural57practices?
A.57Language,57timing
B.57Touch,57eye57contact
C.57Biocultural57needs
D.57Pain57perception,57management57expectations57-57answer--
Answer:57C.57Biocultural57needs
Cultural57practices57do57not57influence57biocultural57needs57because57they57are57inborn5
7risks57that57are57related57to57a57biological57need57and57not57a57learned57cultural57belief5
7or57practice.
Transcultural57nursing57implies:
A.57Using57a57comparative57study57of57cultures57to57understand57similarities57and57differ
ences57across57human57groups57to57provide57specific57individualized57care57that57is57cul
turally57appropriate
B.57Working57in57another57culture57to57practice57nursing57within57their57limitations
C.57Combining57all57cultural57beliefs57into57a57practice57that57is57a57non-
threatening57approach57to57minimize57cultural57barriers57for57all57clients'57equality57of57c
are
D.57Ignoring57all57cultural57differences57to57provide57the57best57generalized57care57to57all
57clients57-57answer--
Answer:57A.57Using57a57comparative57study57of57cultures57to57understand57similarities57
and57differences57across57human57groups57to57provide57specific57individualized57care57t
hat57is57culturally57appropriate
Transcultural57care57means57that57by57understanding57and57learning57about57specific57c
ultural57practices57the57nurse57can57integrate57these57practices57into57the57plan57of57car
e57for57a57specific57individual57client57who57has57the57same57beliefs57or57practices57to57
meet57the57client's57needs57in57a57holistic57manner57of57care.
What57should57the57nurse57do57when57planning57nursing57care57for57a57client57with57a57
different57cultural57background?57The57nurse57should:
A.57Allow57the57family57to57provide57care57during57the57hospital57stay57so57no57rituals57or
57customs57are57broken
B.57Identify57how57these57cultural57variables57affect57the57health57problem
C.57Speak57slowly57and57show57pictures57to57make57sure57the57client57always57understa
nds
D.57Explain57how57the57client57must57adapt57to57hospital57routines57to57be57effectively57c
ared57for57while57in57the57hospital57-57answer--
Answer:57B.57Identify57how57these57cultural57variables57affect57the57health57problem
, Without57assessment57and57identification57of57the57cultural57needs,57the57nurse57cannot
57begin57to57understand57how57these57might57influence57the57health57problem57or57healt
h57care57management.
Which57activity57would57not57be57expected57by57the57nurse57to57meet57the57cultural57nee
ds57of57the57client?
A.57Promote57and57support57attitudes,57behaviors,57knowledge,57and57skills57to57respect
fully57meet57client's57cultural57needs57despite57the57nurse's57own57beliefs57and57practice
s
B.57Ensure57that57the57interpreter57understands57not57only57the57language57of57the57clie
nt57but57feelings57and57attitudes57behind57cultural57practices57to57make57sure57an57ethic
al57balance57can57be57achieved
C.57Develop57structure57and57process57for57meeting57cultural57needs57on57a57regular57b
asis57and57means57to57avoid57overlooking57these57needs57with57clients
D.57Expect57the57family57to57keep57an57interpreter57present57at57all57times57to57assist57in
57meeting57the57communication57needs57all57day57and57night57while57hospitalized57-
57answer--
Answer:57D.57Expect57the57family57to57keep57an57interpreter57present57at57all57times57to5
7assist57in57meeting57the57communication57needs57all57day57and57night57while57hospitali
zed
It57is57not57the57family's57responsibility57to57assist57in57the57communication57process.57M
any57families57will57leave57someone57to57help57at57times,57but57it57is57the57hospital's57leg
al57obligation57to57find57an57interpreter57for57continued57understanding57by57the57client57t
o57make57sure57the57client57is57fully57informed57and57comprehends57in57his57or57her57pri
mary57language.
Ethical57principles57for57professional57nursing57practice57in57a57clinical57setting57are57gui
ded57by57the57principles57of57conduct57that57are57written57as57the:
A.57American57Nurses57Association's57(ANA's)57Code57of57Ethics
B.57Nurse57Practice57Act57(NPA)57written57by57state57legislation
C.57Standards57of57care57from57experts57in57the57practice57field
D.57Good57Samaritan57laws57for57civil57guidelines57-57answer--
Answer:57A.57American57Nurses57Association's57(ANA's)57Code57of57Ethics
This57set57of57ethical57principles57provides57the57professional57guidelines57established57
by57the57ANA57to57maintain57the57highest57standards57for57ideal57conduct57in57practice.5
7As57a57profession,57the57ANA57wanted57to57establish57rules57and57then57incorporate57g
uidelines57for57accountability57and57responsibility57of57each57nurse57within57the57practic
e57setting.
A57bioethical57issue57should57be57described57as: