ethical/legal considerations professionalism and leadership

Question 1

the code of ethics related to the nursing profession

Answer 1

the code of ethics in nursing is important in determining how nurses and other professionals should act through the professional system.

Question 2

the values and their role in ethical decision making

Answer 2

With ethical decision making there needs to be unbiased opinions, and just giving options.
If there is a ethical dilemma then that process needs to happen to determine a solution

Question 3

the relationship of ethical and legal practice to the role of nurses

Answer 3

Ethical and legal practices are fundamental to the role of nurses, who must uphold them to ensure the safety and well-being of their patients
Nurses must be knowledgeable about HIPAA, ethics, and legal compliance while integrating them into their daily practice.

Question 4

the actions related to a breach of nursing practice and potential consequences

Answer 4

disciplinary action
legal action
criminal prosecution
patient harm

Question 5

A nurse truthfully answers a client’s questions about their laboratory results. The nurse is demonstrating which of the following ethical principles?
A. Justice
B. Nonmaleficence
C. Fidelity
D. Veracity

Answer 5

veracity

Question 6

A nurse is an emergency department overhears a provider say they will not accept any more clients who do not have health insurance. Which of the following is the provider violating?
A. The Emergency Mecial Treatment and Labor Act (EMTALA)
B. The Health Insurance Portability and Accountability Act of 1996 (HIPAA)
C. Tort law
D. Good Samaritan laws

Answer 6

the emergency medical treatment and labor act

Question 7

A nurse is caring for a client who asks why they chose the nursing profession. The nurse states that it was because they wanted to help others. The nurse is referring to which of the following professional values?
A. Integrity
B. Human dignity
C. Altruism
D. Social Justice

Answer 7

altruism

Question 8

A nurse is teaching a newly licensed nurse about professional values. The nurse should include that which of the following is an example of autonomy?
A. A nurse provides the same quality care for every client.
B. A nurse maintains client confidentiality.
C. A nurse admits they forgot to change a client’s dressing.
D. A nurse respects a client’s wish to discontinue a treatment.

Answer 8

a nurse respects a client’s wish to discontinue a treatment

Question 9

A nurse is providing privacy for a client who has incontinence. The nurse is demonstrating which of the following professional values?
A. Human dignity
B. Altruism
C. Social justice
D. Autonomy

Answer 9

human dignity

Question 10

A nurse stops at the side of the road to provide care to a person involved in a motor-vehicle crash. Which of the following protects the nurse from liability when administering care at the scene of an accident?
A. Whistleblower protection.
B. Good Samaritan laws.
C. Torts.
D. Emergency Medical Treatment and Labor Act (EMTALA).

Answer 10

Good Samaritan Law

Question 11

A nurse is teaching a newly licensed nurse about ethical principles. The nurse include that which of the following situations is an example of fidelity?
A. A nurse involves a client in making decisions about their care.
B. A nurse implements fall precautions for a client who is at risk for falling.
C. A nurse tells the truth about forgetting to perform a procedure for a client.
D. A nurse keeps a promise to a client not to tell their family about their diagnosis.

Answer 11

D. A nurse keeps a promise to a client not to tell their family about their diagnosis.

Question 12

A nurse notifies their supervisor that they accidentally administered the wrong medication to a client. The nurse is demonstrating which fo the following professional values?
A. Integrity
B. Human dignity
C. Altruism
D. Social justice

Answer 12

integrity

Question 13

A nurse is caring for a client who is alone and has just received a serious diagnosis. The client asks the nurse if they can pray together, and the nurse agrees. The nurse is demonstrating which of the following ethical principles?
A. Autonomy
B. Beneficence
C. Nonmaleficence
D. Justice

Answer 13

beneficence

Question 14

A nurse at the end of their shift realizes they forgot to give a client their scheduled vitamins. The nurse decides to document that the vitamins were administered. Which of the following describes the nurse’s action?
A. HIPAA violation
B. Falsification of records
C. Assault
D. Defamation

Answer 14

falsification of records

Question 15

A nurse is preparing to administer a PRN pain medication to a client but withholds the medication because the client is sleeping. Which of the following actions should the nurse take to provide the expected standard of care?
A. Document that the medication was not administered.
B. Document that the client is not experiencing pain.
C. Contact the provider to change the PRN prescription.
D. Fill out an incident report about the situation.

Answer 15

document that the medication was not administered

Question 16

A nurse suspects their coworker might be under the influence of a chemical substance. Which of the following actions should the nurse take?
A. Counsel the coworker about substance use.
B. Report the coworker to the ethics committee at the facility.
C. Ask the coworker how long they have been using substances.
D. Tell the charge nurse that the coworker might be impaired.

Answer 16

tell the charge nurse that the coworker might be impaired

Question 17

A nurse who has been working 12-hr shifts on a busy unit is experiencing nurse fatigue. Which of the following effects can result from nurse fatigue?
A. Increase in communication skills.
B. Increase in effective clinical judgement.
C. Increase in medication errors.
D. Increase in productivity.

Answer 17

increase in medication errors

Question 18

A nurse is caring for a client who is scheduled for surgery. Before the client has signed the informed consent form, the client states, “I didn’t really understand what that doctor said.” Which of the following actions should the nurse take?
A. Explain the procedure in detail to the client.
B. Ask the provider to discuss the procedure with the client.
C. Encourage the client to reread the consent form before signing.
D. Tell the client that the surgeon will explain it to them in the operating room.

Answer 18

ask the provider to discuss the procedure with the client

Question 19

falsification of health records

Answer 19

the process of documentation that is not accurate, incomplete, or misleading

Question 20

A nurse is teaching a group of newly licensed nurses about professional values. Which of the following statements by a newly licensed nurse demonstrates an understanding of social justice?
A. “Health care should be a right for everyone.”
B. “All clients should have a private room in a health care facility.”
C. “I plan to volunteer at the local homeless shelter on muy days off.”
D. “I will respect a client’s right to refuse a procedure.”

Answer 20

health care should be a right for everyone

Question 21

A nurse in an emergency department is caring for four clients. Which of the following clients requires mandatory reporting?
A. An adolescent client who has a fractured tibia following a football game.
B. A young adult client who is positive for tuberculosis.
C. An older adult client who has dementia, a history of falls, and bruising on their knees.
D. A preschooler who has frequent enuresis.

Answer 21

a young adult client who is positive for tuberculosis

Question 22

A nurse is teaching a client about advance directives. Which of the following client statements indicates an understanding of the teaching?
A. “I need to choose a family member as my health care surrogate.”
B. “Once I sign my advance directives, I cannot change my decisions.”
C. “My health care surrogate will make health care decisions for me if I am unable.”
D. “I need to have an attorney present to complete my advance directives.”

Answer 22

my health care surrogate will make health care decisions for me if I am unable

Question 23

A nurse is providing equal care to a group of clients who have varying economic statuses. Which fo the following ethical principles is the nurse demonstration?
A. Fidelity
B. Autonomy
C. Justice
D. Veracity

Answer 23

justice

Question 24

A nurse is reviewing standards of care with a group of newly hired nurses. The nurse should include which of the following incidents as an example of a breach of standards of care?
A. A nurse did not read back verbal medication prescription to a provider.
B. A nurse did not return to a client’s room with a promised blanket.
C. A nurse documents client care as soon as it is completed.
D. A nurse forgot to call a client’s family after performing a procedure.

Answer 24

A nurse did not read back verbal medication prescription to a provider.

Question 25

A nurse is teaching a newly licensed nurse about ethical principles. The nurse should include that a client who has chosen to sign a blood product refusal form is an example of which of the following ethical principles?
A. Veracity
B. Beneficence
C. Autonomy
D. Fidelity

Answer 25

autonomy

Question 26

the professional behaviors that are consistent with those of a nurse

Answer 26

Compassion
Empathy
Commitment
Adheres to all components of the profession

Question 27

what is the purpose of accountability and responsibility in the role of the nurse

Answer 27

Nurses have to be able to be responsible for his or her own choices and actions during all portions of patient care
- they need to be able to tell the truth and hold themselves accountable for all actions

Question 28

transactional leader example

Answer 28

“If we beat our the other units with a 100% compliance, we will pass out pen lights and scissors”

Question 29

transformational leader example

Answer 29

“together, we can be the best and the first unit to actively involve the client in bedside report”

Question 30

Laissez-Faire leader example

Answer 30

“evidence-based research shows that bedside reporting is best. Come up with a way to start this.”

Question 31

Bureaucratic leader example

Answer 31

“this checklist is the process to be used for bedside reporting. It will be started on the 15th of the month”

Question 32

situational leader example

Answer 32

“tell me what you know about bedside reporting along with what you think about it”

Question 33

A charge nurse uses a transformational leadership style when working with other staff on the unit. Which of the following actions by the charge nurse demonstrates transformational leadership?

Answer 33

challenges a nurse to investigate evidence-based approaches to reduce the client fall rate on the unit

Question 34

A nurse is advocating for a client who is seeking treatment for an eating disorder. In which order should the nurse take the following steps? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Answer 34

1. Determine the clients level of understanding regarding their eating disorder.
2. Assist the client in establishing goals for treatment
3. Encourage the client to communicate their preferences during the team meeting to establish the steps of treatment.
4. Review the client’s weight prior to each treatment session

Question 35

A nurse is discussing the Model of Professionalism with another nurse. Which of the following concepts should the nurse include as an outer process?

Answer 35

clear communication

Question 36

A nurse is discussing leadership styles with a newly licensed nurse. The nurse should include that which of the following is a characteristic of situational leadership?

Answer 36

adjusts quickly to different circumstances

Question 37

A nurse is preparing a poster about professional accountability for an in-service. Which of the following examples should the nurse include? (Select all that apply.)

Answer 37

Lowers a client’s bed to the lowest position after assisting the client to lie down
Administers pain medication to a client 30 min before the client is scheduled for physical therapy
Provides instructions to assistive personnel (AP) on how to provide culturally competent care to a client

Question 38

A nurse is teaching a newly licensed nurse about professional competence. Which of the following examples should the nurse include in the teaching?

Answer 38

presenting a summary of an evidence-based journal

Question 39

A nurse is exploring leadership styles of nurse managers as a part of a quality improvement project. Which of the following statements by a nurse manager should the nurse identify as an example of transactional leadership?

Answer 39

the staff members who complete their online learning courses before the deadline will receive a gift card

Question 40

A nurse is caring for a group of clients. Which of the following actions by the nurse demonstrates professionalism?

Answer 40

Asks a client for their name, date of birth, and scans their medical identification bracelet before administering medications

Question 41

A nurse follows the six rights of medication administration when caring for a client. Which of the following concepts is the nurse demonstrating?

Answer 41

accountability

Question 42

A nurse is discussing leadership styles with a newly licensed nurse. Which of the following characteristics should the nurse identify as describing a bureaucratic leader? (Select all that apply.)

Answer 42

decisions are controlled by policies
enforces the rules
inflexible to creative suggestions

Question 43

A nurse is caring for a client who has a new diagnosis of cancer. The client states, “I don’t understand what my treatment options are.” Which of the following statements by the nurse demonstrates advocacy?

Answer 43

“I will contact your provider to review your treatment options.”

Question 44

A nurse is caring for a client who is postoperative and has sanguineous drainage on their dressing. The nurse is unable to reach the client’s provider. Which of the following members of the chain of command should the nurse contact next?

Answer 44

the charge nurse

Question 45

A nurse is discussing responsibility with a newly licensed nurse. Which of the following actions should the nurse include as an example of responsibility?

Answer 45

checks a client to determine how well a pain medication worked

Question 46

A nurse manager is observing a newly licensed nurse provide care for a client. Which of the following actions by the newly licensed nurse should the manager identify as unprofessional behavior? (Select all that apply.)

Answer 46

Documents in advance to save time
Stays logged into the client’s electronic health record while obtaining supplies from the supply room
Contacts a client on social media to become friends

Question 47

A nurse is discussing shared governance with a newly licensed nurse. Which of the following components should the nurse include in the discussion?

Answer 47

guides decisions toward accountability
improved client outcomes
promotes professional development

Question 48

A charge nurse is overseeing an assistive personnel (AP) who has been assigned care for a group of clients. Which of the following actions by the charge nurse demonstrates accountability?

Answer 48

Files an incident report when the AP performs a task that is outside their scope of practice

Question 49

A nurse is preparing a presentation on the regulation of nursing practice. Place the hierarchy of the regulation of practice in the correct order beginning with the highest level (step one) and proceeding to the lowest level (step four). (Move the steps into the box on the right, placing them in the order of hierarchy. Use all the steps.)

Answer 49

1. Nursing regulatory board
2. Nurse Practice Act
3. Organization Policies and procedures
4. Individual self-regulation

Question 50

A nurse is discussing nursing roles with a newly licensed nurse. The nurse should include that which of the following is a role of the nurse?

Answer 50

caregiver
advocate
change agent

Question 51

A nurse is preparing a poster describing leadership styles for a unit in-service. Which of the following terms should the nurse use to describe a nurse manager who exerts little control over the decisions made by the charge nurse?

Answer 51

Laissez-Faire

Question 52

A nurse is discussing chain of command with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the discussion?

Answer 52

“the chain of command clarifies the steps I need to take when I have a concern about a client’s care.”

Question 53

A nurse is preparing for a presentation on professional identity in nursing. Which of the following statements should the nurse use to describe professional identity?

Answer 53

“Professional identity is how one describes themselves as a professional.”

Question 54

A nurse is discussing professional commitment with their supervisor during an annual performance review. Which of the following actions by the nurse demonstrates professional commitment?

Answer 54

The nurse attends an educational course to learn about the treatment and prevention of pressure ulcers.

Question 55

A nurse is planning a presentation about shared governance. Which of the following examples should the nurse plan to include?

Answer 55

A group of staff nurses in a clinic work together to recommend new equipment purchases for the unit.