COMPREHENSIVE EXAMINATION TEST 2026
QUESTIONS WITH ANSWERS 100% CORRECT
◉ Ethical Dilemma. Answer: Problems that involve more than one
choice and stem from differences in the values and beliefs of the
decision makes.
A problem is an ethical dilemma when...
1. A review of scientific data is not enough to solve it
2. It involves conflict between two moral imperatives
3. The answer will have a profound effect on the situation and the
client.
Example
A doctor gives a nurse an order to give a pt meds. The pt does not
want the meds, the doctor says give to her anyway.
◉ Ethical decision making. Answer: A process that has a balance
between science and morality.
◉ Ethics Committees. Answer: Address unusual or complex ethical
issues
,Example
- If you meet challenges at work go to the EC.
◉ Autonomy. Answer: Patient's right to make their own medical
decision, even when it might not be in their best interest.
◉ Beneficence. Answer: Action that promotes good for others
without any self-interest
◉ Fidelity. Answer: Fulfillment of promises
◉ Justice. Answer: Fairness in care delivery and use of resources
◉ Nonmaleficence. Answer: Commitment to do no harm
◉ Veracity. Answer: Commitment to tell the truth
◉ Civil law Aka Private law. Answer: Protects individual rights
Tort law relates to nursing
◉ Types of torts. Answer: 1. Unintentional Torts
,A. Negligence - A nurse fails to implement safety measures for a
client who has fall risk.
B. Malpractice - Unintentional. Give wrong med and patient dies.
2. Quasi-intentional torts
C. Break HIPPA
D. Defamation of character
3. Intentional Torts
A. Assault - One person makes another person fearful. Then nurse
says "Be quiet or I will hit you"
B. Battery - Wrongful/intentional physical contact - The patient is
still loud and you hit her.
C. False imprisonment - holding patient against their will
◉ State Laws. Answer: Each state has enacted statutes that define
the parameters of nursing practice and give the authority to regulate
the practice of nursing to its state board of nursing.
Boards have the right to ...
- Adopt rules and regulations that assist nursing practice.
- Issue and revoke nursing license.
, - Set standards for nursing programs and further delineate the scope
of practice for, RNs, PNs, and advanced practice nurses.
◉ Nurses role in informed consent. Answer: Witness the clients
signature on the informed consent form and ensure that the
provider has obtained the IC responsibly.
◉ Nurses base practice on established standards of care or legal
guidelines such as. Answer: 1. The Nurse Practice Act of each state.
2. Published standards of nursing practice from professional
organizations.
- ANA (American Nurses
Association)
- AACN (The American Association
of critical care nurses)
3. Health care facilities policies and procedures. They establish
detailed information about how the nurse should provide
care/respond while performing patient care.
◉ Advance Directives. Answer: Communicates a patient's wishes
regarding end-of-life care should the patient be unable to do so.
3 Types