MCQs

Question 1

Dual or multiple relationships occur when a health professional assumes two or more roles with a client and this situation can be harmful. To prevent harm to the client the health professional needs to:

Select one:

a. recognise the difference in power and control.
b. recognise that your behaviour can impact on health outcomes for the client.
c. discuss the existence of multiple roles with the client before the start of the therapeutic relationship.
d. all of the above statements are correct.

Answer 1

d. all of the above statements are correct.

Question 2

What are the 6 P’s of Professional social media behaviour?

Select one:

a. Professional, Purposeful, Positive, Patient/Person free, Privacy, Pause before you post
b. Professional, Positive, Patient/person free, Protect yourself, Privacy, Pause before you post
c. Professional, Picture, Patient/person free, Protect yourself, Privacy, Pause before you post
d. Professional, Pick your moment, Patient/person free, Protect yourself, Privacy, Pause before you post

Answer 2

b. Professional, Positive, Patient/person free, Protect yourself, Privacy, Pause before you post

Question 3

The Guidelines for Professional Boundaries (2012) discusses a continuum of professional behaviour. Which order is this continuum in?

Select one:

a. Disinterested neglectful - Boundary violations - therapeutic relationship
b. Disinterested neglectful - therapeutic relationship - Boundary violations
c. Boundary violations - Disinterested neglectful - therapeutic relationship

Answer 3

b. Disinterested neglectful - therapeutic relationship - Boundary violations

Question 4

The Guidelines for Professional Boundaries (2012) states “Nurses observing the inappropriate conduct of colleagues, whether in practice, management, education or research, have both a responsibility and an obligation to report such conduct to an appropriate authority and to take other action as necessary to safeguard health consumers. Failure to take steps to prevent harm to a health consumer may lead to disciplinary action being taken against that nurse”. True or False?

Select one:
True
False

Answer 4

True

Question 5

The Code of Conduct states 4 values underpinning professional conduct. These are:

Select one:

a. Respect, Trust, Partnership, Integrity
b. Respect, Trust, Partnership, Research
c. Respect, Honesty, Partnership, Integrity
d. Respect, Trust, Partnership, Professionalism

Answer 5

a. Respect, Trust, Partnership, Integrity

Question 6

Standard 1.7 of the Code of Conduct (2012) states: “Do not prejudice the care you give because you believe a health consumer’s behaviour contributed to their condition”

True or False?

Select one:
True
False

Answer 6

True

Question 7

The learning outcomes for cultural safety in the Guidelines for Cultural Safety, the Treaty of Waitangi and Maori Health in Nursing Education and Practice (2011) are:

Select one or more:

a. examine their own realities and the attitudes they bring to each new person they encounter in their practice
b. evaluate the impact that historical, political and social processes have on the health of all people
c. demonstrate flexibility in their relationships with people who are different from themselves
d. Be respectful to your employer, colleagues and other health providers in all communications or posts. Be professional in your language and the opinions you express.

Answer 7

a, b, and c

Question 8

The concept of cultural safety in the Guidelines for Cultural Safety, the Treaty of Waitangi and Maori Health in Nursing Education and Practice (2011), is also referred to as Te Kura Matatini ki Otago

Select one:
True
False

Answer 8

False

Question 9

The Guidelines: Social Media and Electronic Communication (2012) state that Nurses generally should not initiate or accept friend requests except in unusual circumstances such as the situation where an in-person friendship pre-dates the treatment relationship. True or False?

Select one:
True
False

Answer 9

True

Question 10

The patient is confused about what surgery she is having although she has signed a consent form. Which right has not been met?

Select one:

a. Right to be treated with respect.
b. Right to be fully informed.
c. Right to fair treatment.
d. Right to dignity and independence.

Answer 10

b. Right to be fully informed.

Question 11

One of the patients in a 4 bed room is dying and the whole family of 9 people want to stay all night at the bedside. Which right is most relevant here?

Select one:

a. To be treated with respect.
b. Services of an appropriate standard.
c. Dignity and independence.
d. Right to support.

Answer 11

d. Right to support.

Question 12

A patient presents for emergency care after an accident but does not speak English. What are the provider’s duties in relation to this patient and informed consent?

Select one:

a. provide effective communication including a competent interpreter.
b. To provide infromation about the person’s injuries and treatment options.
c. To answer the patient’s questions honestly and accurately.
d. all of the above

Answer 12

d. all of the above

Question 13

The patient tells you they are not satisfied with the treatment they received. What is the RN’s responsibility under the Health and Disability Consumers’ Code of Rights?

Select one:

a. To find out who gave substandard care and inform the manager.
b. To find out who gave substandard care and then pass on the patient’s complaint to that staff member.
c. To inform them of their rights and explain how to make a complaint.
d. To inform them that they got the best care possible under the circumstances.

Answer 13

c. To inform them of their rights and explain how to make a complaint.

Question 14

The following statement relating to consent and people with an intellectual disability is true:

Select one:

a. A person with an intellectual disability is never presumed competent to make an informed choice and give consent.
b. Unless otherwise assessed, a person with an intellectual disability is presumed competent to make an informed choice and give consent.
c. The family or representative always gives consent for treatment of a person with an intellectual disability.
d. Nursing and medical staff do not need anyone’s consent to treat a person with an intellectual disability becasue it is in their best interests.

Answer 14

b. Unless otherwise assessed, a person with an intellectual disability is presumed competent to make an informed choice and give consent.

Question 15

You observe a staff member physically trying to force a resident to eat. You are very concerned because legally this behaviour is termed:

Select one:

a. duty of care
b. battery
c. assault
d. therapeutic privilege

Answer 15

b. battery

Question 16

A resident with moderate dementia is convinced he has to go to work each day and tries to leave the facility and catch the bus. THe RN is concenred about his safety and arranges for him to be transferred to a secure dementia unit. Legally this is an example of:

Select one:

a. unlawful restraint because he has not consented to living in the secure unit.
b. lawful restraint because his behaviour is threatening his own safety.
c. unlawful restraint because he poses no danger to others.
d. lawful restraint because he poses a threat to others.

Answer 16

b. lawful restraint because his behaviour is threatening his own safety.

Question 17

You are preparing a woman for theater when she tells you that she has changed her mind and does not want to have her pregnancy terminated after all. She had signed the consent form at pre-admission clinic the week before. What are her rights with regards to this?

Select one:

a. She has the right to verbally withdraw her written consent at any time
b. Nothing - she has signed a legal consent form and must go through with the procedure
c. She must go through with the surgery unless she is prepared to put in writing that she changed her mind
d. All of the above

Answer 17

a. She has the right to verbally withdraw her written consent at any time

Question 18

When handling patient’s personal property the nurse’s responsibilities include all of the following except:

Select one:

a. take reasonable care to prevent damage.
b. take reasonable care to prevent loss.
c. Loaning the patient’s razor to another patient without permission.
d. clearly label patient property.

Answer 18

c. Loaning the patient’s razor to another patient without permission.

Question 19

Reflection is essential for nurses because

Select one:

a. It gives something for students to complete for their portfolios
b. Reflection helps nurses make sense of situations and increase knowledge as a result
c. Reflection helps nurses a way to release their anger about situations
d. All of the above

Answer 19

b. Reflection helps nurses make sense of situations and increase knowledge as a result

Question 20

Health professionals need to recognise the potential harms that can arise out of multiple relationships with clients (more than the therapeutic relationship). Potential harms include:

Select one:

a. the health professional trivialises or discounts the multiple roles as having any impact on the client.
b. emphasising the benefits and not acknowledging potential harms to the client.
c. the client can be exploited with claims they had a choice about participating in non-professional roles in the relationship.
d. all of the above statements are correct.

Answer 20

d. all of the above statements are correct.

Question 21

On her way home from work a nurse comes across a car accident. Which of the following statements about duty of care by rescuers is correct?

Select one:

a. Health practitioners have a duty of care to go to the aid of those injured in an accident.
b. Health Practitioners have a duty of care to assist in an accident if their CPR certification is up-to-date.
c. If a health practitioner assists at an accident then they have a duty of care towards those they assist.
d. Only paramedics have a duty of care when attending an acccident.

Answer 21

c. If a health practitioner assists at an accident then they have a duty of care towards those they assist.

Question 22

A mental health patient tells the nurse ‘I’m going to kill my flatmate when I get out of here at the weekend.’ Under the rules of the Health Information Privacy Code can the nurse disclose this threat to his flatmate?

Select one:

a. No, because health professionals may never disclose health information without the patient’s consent.
b. No, because health professionals may only disclose health information to another registered health professional.
c. Yes, because disclosure is necessary to lessen a serious and imminent threat to a person.
d. No, because health professionals must maintain patient confidentiality at all times.

Answer 22

c. Yes, because disclosure is necessary to lessen a serious and imminent threat to a person.

Question 23

An elderly patient is admitted with a suspected acute infection and delirium so her ability to communicate clearly is impaired. Under these circumstances the Health Information Privacy Code recommends the nurse should collect health information from:

Select one:

a. the woman when her mental state improves.
b. her doctor and practice nurse.
c. the woman, she may be able to answer some questions clearly.
d. her representative (family member).

Answer 23

d. her representative (family member).

Question 24

A police officer arrives to interview a patient who was in a serious car crash. The doctor has agreed the person is fit enough to be interviewed. Under these circumstances the nurse should:

Select one:

a. refer the police officer to the doctor treating the patient.
b. comply with the police officer’s request to interview the patient about the accident.
c. tell the police officer he will have to interview the pateint when he is discharged.
d. Call security to have the police officer removed.

Answer 24

b. comply with the police officer’s request to interview the patient about the accident.

Question 25

The Human Rights Act 1993 aims to protect which of the following individual freedoms in health care?

Select one:

a. right to be deprived of life.
b. right to be subjected to cruel treatment.
c. right to be subjected to medical or scientific experimentation.
d. right to refuse to undergo any medical treatment.

Answer 25

d. right to refuse to undergo any medical treatment.

Question 26

In regards to the law, what rights do health practitioners have?

Select one:

a. Not to question an employer’s instructions
b. The right to a fair hearing after any adverse action is taken
c. The right not to be unfairly dismissed or punished
d. The right to be discriminated against

Answer 26

c. The right not to be unfairly dismissed or punished

Question 27

Nurses can be investigated for professional misconduct under which act?

Select one:

a. Health Act (1956) Reprint 2012
b. Health and Safety in Employment Act (1992)
c. Health Practitioners Competence Assurance Act (2003)
d. The Privacy Act (1993)

Answer 27

c. Health Practitioners Competence Assurance Act (2003)

Question 28

What are the likely legal penalties if an HIV positive person knowingly has unprotected sex with another person?

Select one:

a. Nothing - if the sex is consensual then it doesn’t matter if one persons HIV status was disclosed or not
b. Under the health act it is an offence to knowingly infect any other person with a veneral disease
c. The HIV person will be charged under the Mental Health Act
d. Nothing - the person is protected by the Privacy Act

Answer 28

b. Under the health act it is an offence to knowingly infect any other person with a veneral disease

Question 29

Referring to the above scenario about the woman changing her mind with regards to a termination, what right, from the Code of Rights (1996) best fits this situation?

Select one:

a. Right 7 - the right to make informed choices and give informed consent
b. Right 8 - the right to support
c. Right 9 - Rights when taking part in teaching and research
d. Right 10 - the right to complain

Answer 29

a. Right 7 - the right to make informed choices and give informed consent

Question 30

The Health Practitioners Competence Assurance Act (2003) is responsible for what?

Select one:

a. Requirements for being registered as a nurse
b. Assessing ongoing competence of nurses
c. Maintaining nurses annual practicing certificates
d. All of the above

Answer 30

d. All of the above

Question 31

Which piece of legislation promotes the prevention of harm to all persons at work?

Select one:

a. Health Act (1956) Reprint 2012
b. Health and Safety at work Act (2005)
c. Health Practitioners Competence Assurance Act (2003)
d. The Privacy Act (1993)

Answer 31

b. Health and Safety at work Act (2005)

Question 32

Demonstrating your ability to work within the scope of the Treaty of Waitangi comes under which domain of the Nursing Council Competencies for Registered Nurses?

Select one:

a. Domain 1 - Professional Responsibility
b. Domain 2 - Management of Nursing Care
c. Domain 3 - Interpersonal Relationships
d. Domain 4 - Interprofessional healthcare and quality improvement

Answer 32

a. Domain 1 - Professional Responsibility

Question 33

Signs of over involvement in a nurse-client relationship is discussed in which Nursing Council document?

Select one:

a. Code of Conduct (2012)
b. Professional Boundaries (2012)
c. Social Media and Electronic Communication (2012)
d. Guidelines for cultural safety, the Treaty of Waitangi, and Maori health in nursing education and practice

Answer 33

b. Professional Boundaries (2012)

Question 34

Under which domain do nurses have to ensure that their documentation is accurate?

Select one:

a. Domain 1 - Professional Responsibility
b. Domain 2 - Management of Nursing Care
c. Domain 3 - Interpersonal Relationships
d. Domain 4 - Interprofessional healthcare and quality improvement

Answer 34

b. Domain 2 - Management of Nursing Care

Question 35

What is one of the learning theories that underpin mentoring, especially related to nursing practice?

Select one:

a. Communities of practice
b. Primacy of Caring
c. Epistemology
d. Grounded Theory

Answer 35

a. Communities of practice

Question 36

Benefits of advance directives include:
Select one:
a. preservation of patient wellbeing and protection from futile medical treatments
b. promote patient autonomy and self determination
c. enabling patients to plan and prepare for death and dying
d. All of the above

Answer 36

d. All of the above

Question 37

A resident in an aged care facility complained that the HCA always got her up last and she was missing out on activities that she enjoyed. The RN discussed with the HCA the need for getting this resident up earlier on particular days to ensure fairer treatment. Which ethical principle best informed the RN's decision-making?
Select one:
a. Respect for fidelity
b. Respect for beneficence
c. Respect for justice 
d. Respect for autonomy

Answer 37

c. Respect for justice

Question 38

A resident in an aged care facility woke up feeling unwell and requested to stay in bed for the day. The HCA told her she had to get up. THe RN agreed to the resident's request. Which ethical principle best informed the RN's decision-making?
Select one:
a. Respect for beneficence
b. Respect for fidelity
c. Respect for justice
d. Respect for autonomy

Answer 38

d. Respect for autonomy

Question 39

Ethics is evident throughout the Nursing Council competencies for RN’s. It is most evident however in which domain?
Select one:
a. Domain 4 - Inter-professional health care and quality improvement
b. Domain 1 - Professional Responsibility
c. Domain 3 - Interpersonal relationships
d. Domain 2 - Management of nursing care

Answer 39

b. Domain 1 - Professional Responsibility

Question 40

A dying patient is very restless and groaning loudly which suggests he may be experiencing uncontrolled pain. His family pleads with the nurse to give him more morphine even though it is only half an hour since his last dose. The nurse administers another dose of PRN morphine as prescribed knowing it may hasten his death. The nurse understands that legally this is acceptable because:
Select one:
a. giving the morphine is unlikely to endanger his life.
b. The intention is to achieve a ‘good death’.
c. euthanasia is legal for terminally patients.
d. the intention is to relieve pain and suffering; not hasten his death.

Answer 40

d. the intention is to relieve pain and suffering; not hasten his death.

Question 41

The Crimes Act 1961 sets out a number of legal duties that may apply to nurses:

Select one:

a. to provide the patient with the necessaries of life.
b. to have and use reasonable skill and care when giving nursing care.
c. to avoid any act or ommission that may endanger life.
d. all of the above duties.

Answer 41

d. all of the above duties.

Question 42

A patient was admitted to ER unconscious and with life threatening injuries. The doctor stabilised the patient and then sent her for urgent neurosurgery. There was no family or other representative available to give consent. When the health care provider provides emergency care without consent the ethical principle that best informs their decision-making is?
Select one:
a. Respect for fidelity.
b. Respect for autonomy
c. Respect for justice.
d. Respect for beneficence.

Answer 42

d. Respect for beneficence.

Question 43

The Ministry of Health expects nurses to promote vaccination against serious childhood diseases as part of health promotion and prevention of disease. Achieving high immunisation rates protects children and adults in the community from these diseases.This is an example of which aspect of ethical theory being applied to health policy and practice?
Select one:
a. doing what is best for the individual
b. deontology
c. following absolute rules
d. doing what is for the greater good

Answer 43

d. doing what is for the greater good

Question 44

the NZNO Code of Ethics are an example of which type of ethics?
Select one:
a. Normative ethics
b. Non-normative ethics

Answer 44

a. Normative ethics

Question 45

Doing our duty regardless of the consequences is an example of which ethical theory?
Select one:
a. Deontology 
b. the ethic of care
c. feminist ethics
d. Utilitarian

Answer 45

a. Deontology

Question 46

The general welfare of people as a whole rather than that of individuals is an example of which ethical theory? 
Select one:
a. Deontology
b. feminist ethics
c. the ethic of care
d. Utilitarian

Answer 46

d. Utilitarian

Question 47

The Gillick competent child states that:
Select one:
a. a child under the age of consent must always have a parent or guardian to give consent for them
b. Is only relevant to females
c. is only relevant to consent relating to contraception advice
d. Where a child under the age of consent has maturity and understanding of the situation may or may not give consent

Answer 47

d. Where a child under the age of consent has maturity and understanding of the situation may or may not give consent

Question 48

A person is competent to give consent if they:
Select one:
a. Can comprehend and retain the necessary information about the procedure or treatment
b. is able to believe it
c. is able to weigh the information, balancing risks and needs, and so arrive at a choice
d. All of the above

Answer 48

d. All of the above

Question 49

The difference between law and ethics is:
Select one:
a. people obey ethical rules because it is the right thing to do but they obey the law to avoid imprisonment.
b. the law is enforceable but ethics is not.
c. breaking ethical rules may make the person feel guilty but they are not guilty at law.
d. all of the above

Answer 49

d. all of the above

Question 50

Informed consent is an example of what relationship between law and ethics:
Select one:
a. ethical and illegal
b. ethical and legal 
c. unethical and illegal
d. unethical and legal

Answer 50

b. ethical and legal

Question 51

Murder is an example of what relationship between law and ethics :
Select one:
a. ethical and legal
b. ethical and illegal
c. unethical and legal
d. unethical and illegal

Answer 51

d. unethical and illegal

Question 52

The War Crimes trial in Nuremburg, Germany, achieved the following:
Select one:
a. The development of the Nuremburg code which must be obeyed when developing research
b. The acquittal of a group of German Drs who were charged with crimes against humanity
c. The Nuremburg code which is considered the foundation for guidelines of legitimate and ethical research

Answer 52

c. The Nuremburg code which is considered the foundation for guidelines of legitimate and ethical research

Question 53

The Office of the Health and Disability Commissioner was established after which significant research that was not undertaken ethically?
Select one:
a. The Nuremburg trial
b. The Cartwright Inquiry, 1988
c. There was no research in particular which instigated the establishment of this office
d. The Greenlane Heart babies

Answer 53

b. The Cartwright Inquiry, 1988

Question 54

When the researcher notifies a person of any proposed participation in research, which of the following ethical requirements is being met?
Select one:
a. respect for privacy
b. respect for autonomy 
c. respect for justice
d. beneficence

Answer 54

b. respect for autonomy

Question 55

The qualitative researcher used pseudonyms when quoting the participants narrative in the published study so met the requirement for:
Select one:
a. beneficence
b. respect for autonomy
c. respect for privacy 
d. respect for justice and equity

Answer 55

c. respect for privacy

Question 56

By selecting only unemployed men for the study and promising to pay them a substantial amount of money to be in the experimental group, the researcher did not meet the requirement for:
Select one:
a. beneficence
b. respect for justice and equity 
c. respect for autonomy
d. respect for privacy

Answer 56

b. respect for justice and equity

Question 57

The researcher acknowledged in the information sheet that talking about experiences of the death of a child might be emotionally painful. By setting up access to counselling services for participants, the researcher met the requirement for:
Select one:
a. respect for privacy
b. respect for justice
c. respect for autonomy
d. beneficence

Answer 57

d. beneficence

Question 58

The terminally ill patient of sound mind wanted to die and signed a witnessed declaration that they did not want CPR, any active treatment or food. This is an example of:

Select one:

a. involuntary passive euthanasia
b. involuntary, passive euthanasia
c. voluntary, passive euthanasia
d. voluntary, active euthanasia

Answer 58

c. voluntary, passive euthanasia

Question 59

A 14 year old female was admitted for termination of pregnancy and requested that nobody should be told why she is there. Her mother rang the Day Surgery ward and asked what procedure her daughter was having. What is the nurse’s best response in this situation?
Select one:
a. You will need to discuss this with her doctor.
b. I am sorry but for privacy reasons I cannot tell you what procedure she is having.
c. Your daughter is having an abortion and will be discharged later today.
d. Since your daughter is under 16 I can tell you that she is here for an abortion.

Answer 59

b. I am sorry but for privacy reasons I cannot tell you what procedure she is having.

Question 60

Informed consent in research involves:
Select one:
a. a person signing a consent form for a research study after receiving information about the nature of the study and what it will involve for them personally
b. a person being informed that they are a study participant and about the nature of the study
c. a person agreeing to participate in a study after receiving information about the nature of the study and being told the experimental drug may cure them
d. a person freely agreeing to participate in a study after receiving information about the nature of the study and what it will involve for them personally

Answer 60

d. a person freely agreeing to participate in a study after receiving information about the nature of the study and what it will involve for them personally

Question 61

Informed consent must be free from:
Select one:
a. coercion
b. undue influence
c. External restraint
d. All of the above

Answer 61

d. All of the above

Question 62

In the issue of abortion, the conservative position states that:
Select one:
a. Abortion is justified on the grounds of self defence, unavoidability or rape
b. Abortion is an absolute moral wrong
c. Abortion is morally permissible on demand
d. is a moral wrong but may be overridden by stronger moral considerations

Answer 62

b. Abortion is an absolute moral wrong

Question 63

The NZ Health Research Council is the agency responsible for:
Select one:
a. managing the governments investment in health research
b. Approving all local ethics applications
c. Is an agency that gives advice about research only
d. All of the above

Answer 63

a. managing the governments investment in health research

Question 64

Research involving indigenous people has special ethical concerns because:
Select one:
a. such groups have leaders who may refuse access to participants
b. such groups are a different culture from the rest of the population
c. such groups tend to live in remote areas
d. such groups have been exploited by researchers in the past

Answer 64

d. such groups have been exploited by researchers in the past

Question 65

Research misconduct refers mainly to:
Select one:
a. a study that has been poorly conducted
b. a study that is unscientific
c. fabrication or falsification of research results
d. errors in data analysis or interpretation

Answer 65

c. fabrication or falsification of research results

Question 66

The statement about vulnerable participants that is not true is:
Select one:
a. vulnerable participants are less able to understand what is involved if they take part in the study
b. vulnerable participants are those people less likely to be harmed
c. vulnerable participants find it difficult to understand how risky the study may be
d. vulnerable participants cannot communicate their wishes about taking part in the study

Answer 66

b. vulnerable participants are those people less likely to be harmed

Question 67

Therapeutic research is:
Select one:
a. research that gives the patient an opportunity to receive experimental treatment that may have beneficial effects
b. research that ay benefit future patients but not those acting as research participants
c. research investigating different forms of treatment that ranks the most effective (therapeutic) to the least effective treatment
d. the therapeutic effect experienced by participants sharing distressing experiences in qualitative studies

Answer 67

a. research that gives the patient an opportunity to receive experimental treatment that may have beneficial effects

Question 68

We should always do what the patient wants as this is an example of beneficence
Select one:
True
False

Answer 68

False

Question 69

Consent is the legal expression of the moral principle of autonomy
Select one:
True
False

Answer 69

True

Question 70

Any female, regardless of age, can give or not give consent to an abortion
Select one:
True
False

Answer 70

True

Question 71

For an act to be euthanasia it must satisfy five of the following conditions:
Select one:
a. accidental, suffering, humanitarian, painless, non-fetal humanity.
b. intentionality, evidence of suffering, motivated by beneficence, painlessness, non-fetal-humanity.
c. intentional, probable suffering, humanitarian, painless, not a fetus
d. intentional death, evidence of suffering, humanitarian, painless, fetal

Answer 71

b. intentionality, evidence of suffering, motivated by beneficence, painlessness, non-fetal-humanity.