Legal and Ethical Considerations Practice Quiz 2

Answer: A – Statutory law is created by elected legislature, such as the state legislature that defines the Nurse Practice Act (NPA).

Explanation: 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 breech of those regulations.

Answer: D – Americans With Disabilities Act (ADA)

Explanation: 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,

Answer: C – Negligence

Explanation: 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.

Answer: D – Has signed that form and the witness saw it being done

Explanation: Your signature as a witness only states that the person signing the form was the person who was listed in the procedure.

Answer: A – An appointed guardianship

Explanation: A guardian has been appointed by a court and has full legal rights to choose management of care.

Answer: A – Consent for medical treatment can be given by a minor with a sexually transmitted disease (STD).

Explanation: 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.

Answer: B – Nurse following an order that is incomplete or incorrect

Explanation: The nurse is responsible for clarifying all orders that are illegible, unreasonable, unsafe, or incorrect. The failure of the nurse to question the physician about an order creates an area of liability on the nurse’s part because this is perceived as a medical action and not the role of the nurse to write orders. Some RNs do have prescriptive privileges based upon advanced degrees and certification,

Answer: A – Reflex vasoconstriction occurs

Explanation: If heat is applied for 1 hour or more, blood flow is reduced by reflex vasoconstriction. Vasoconstriction is the opposite of the desired effect of heat application

Answer: A – An expression of the anger stage of dying

Explanation: In the anger stage of Kubler-Ross’s stages of dying, the individual resists the loss and may strike out at everyone and everything, in this case, the nurse.

Answer: C – The sequencing of stages of grief may occur in order, they may be skipped, or they may recur

Explanation: Grief is manifested in a variety of ways that are unique to an individual and based on personal experiences, cultural expectations, and spiritual beliefs. The sequencing of stages or behaviors of grief may occur in order, they may be skipped, or they may reoccur. The amount of time to resolve grief also varies among individuals.