Nursing and Ans
Legal and Ethical Considerations
MULTIPLE CHOICE 1. A good friend of the LPN confides that she is in a serious romantic relationship with a man the LPN had as a patient when he was diagnosed with HIV. HIPPA policies prevent the nurse from warning her friend. This situation is a moral:
1. dilemma.
2. uncertainty.
3. distress.
4. outrage.
ANS: 3
Moral distress occurs when a nurse feels powerless because moral beliefs cannot be honored because of institutional or other barriers.
2. The nurse reminds a resident in a long-term care facility that he has autonomy in many aspects of his institutionalization. One example is:
1. selection of medication times.
2. availability of his own small electrical appliances.
3. smoking in the privacy of his own room.
4. application of advance directives.
ANS: 4
The application of advance directives is an autonomous decision. Agency protocols relative to medication times, access to private electrical devices, and smoking are rarely waived. 3. The LPN may exhibit accountability by:
1. adhering to agency policy.
2. working extra shifts during a staff shortage.
3. teaching clients skills for self-care.
4. joining NAPNES.
ANS: 1
Adherence to agency policies demonstrates that the LPN is accountable to her obligations of employment. Working extra shifts, teaching, and membership in NAPNES are personal values, not accountability.
4. The LPN reminds a group of students that the values they demonstrate in their practice have their roots in:
1. nursing school education.
2. family influence.
3. peer relationships.
4. agency policies.
ANS: 2
The family shapes values that are demonstrated in later life. These values may be enhanced or challenged by life experiences, but the base is forged in the family.
5. One OB nurse remarks, “I don’t see how these young single women can keep on having babies without being married. Everyone knows a child needs a father.” This nurse is exhibiting:
1. ethnocentrism.
MULTIPLE CHOICE 1. A good friend of the LPN confides that she is in a serious romantic relationship with a man the LPN had as a patient when he was diagnosed with HIV. HIPPA policies prevent the nurse from warning her friend. This situation is a moral:
1. dilemma.
2. uncertainty.
3. distress.
4. outrage.
ANS: 3
Moral distress occurs when a nurse feels powerless because moral beliefs cannot be honored because of institutional or other barriers.
2. The nurse reminds a resident in a long-term care facility that he has autonomy in many aspects of his institutionalization. One example is:
1. selection of medication times.
2. availability of his own small electrical appliances.
3. smoking in the privacy of his own room.
4. application of advance directives.
ANS: 4
The application of advance directives is an autonomous decision. Agency protocols relative to medication times, access to private electrical devices, and smoking are rarely waived. 3. The LPN may exhibit accountability by:
1. adhering to agency policy.
2. working extra shifts during a staff shortage.
3. teaching clients skills for self-care.
4. joining NAPNES.
ANS: 1
Adherence to agency policies demonstrates that the LPN is accountable to her obligations of employment. Working extra shifts, teaching, and membership in NAPNES are personal values, not accountability.
4. The LPN reminds a group of students that the values they demonstrate in their practice have their roots in:
1. nursing school education.
2. family influence.
3. peer relationships.
4. agency policies.
ANS: 2
The family shapes values that are demonstrated in later life. These values may be enhanced or challenged by life experiences, but the base is forged in the family.
5. One OB nurse remarks, “I don’t see how these young single women can keep on having babies without being married. Everyone knows a child needs a father.” This nurse is exhibiting:
1. ethnocentrism.