Fundamentals of Nursing NCLEX
Practice Questions Quiz #8 | 80
Questions
Questions related to Nursing Jurisprudence: Legal and Ethical
Considerations
FNDNRS-08-001
The best explanation of what Title VI of the Civil Rights Act mandates is the
freedom to:
A. Pick any physician and insurance company despite one’s income.
B. Receive free medical benefits as needed within the county of residence.
C. Have equal access to all health care regardless of race and religion.
D. Have basic care with a sliding scale payment plan from all healthcare
facilities.
Correct Answer: C. Have equal access to all health care regardless of race
and religion.
Title VI of the Civil Rights Act of 1964 states that “No person in the United States
shall, on the ground of race, color, or national origin, be excluded from
participation in, be denied the benefits of, or be subjected to discrimination
under any program or activity receiving Federal financial assistance.”
Option A: The Affordable Care Act puts consumers back in charge of their
health care. Under the law, a new “Patient’s Bill of Rights” gives the
American people the stability and flexibility they need to make informed
choices about their health. Through this bill, the client may choose the
primary care physician he wants from his plan’s network.
Option B: Since the Patient’s Bill of Rights was enacted, the Affordable
Care Act has provided additional rights and protections. The health care
law covers preventive care at no cost. Clients may be eligible for
recommended preventive health services without a copayment.
, Option D: Under the Patient’s Bill of Rights, a client’s premium dollars are
ensured to be spent on primary healthcare, not on administrative costs.
Also, the bill removes insurance company barriers to emergency services
that are outside of their health plan’s network.
FNDNRS-08-002
Which statement would best explain the role of the nurse when planning care for
a culturally diverse population? The nurse will plan care to:
A. Include care that is culturally congruent with the staff from
predetermined criteria.
B. Focus only on the needs of the client, ignoring the nurse’s beliefs and
practices.
C. Blend the values of the nurse that are for the good of the client and
minimize the client’s individual values and beliefs during care.
D. Provide care while aware of one’s own bias, focusing on the client’s
individual needs rather than the staff’s practices.
Correct Answer: D. Provide care while aware of one’s own bias, focusing on
the client’s individual needs rather than the staff’s practices.
Without understanding one’s own beliefs and values, a bias or preconceived
belief by the nurse could create an unexpected conflict or an area of neglect in
the plan of care for a client (who might be expecting something totally different
from the care). During assessment values, beliefs, practices should be identified
by the nurse and used as a guide to identify the choices by the nurse to meet
specific needs/outcomes of that client. Therefore identification of values, beliefs,
and practices allows for planning meaningful and beneficial care specific for this
client.
Option A: As nurses strive to learn more about becoming culturally
sensitive nurses, they should also let others know what they are doing and
why. Encourage co-workers to provide more culturally competent care.
Approach sharing awareness with openness and positivity, rather than from
a critical point of view.
, Option B: Cultural competency in the health care sector supports positive
patient outcomes and improves medical research accuracy. Cultural
competence is learning about how cultural differences may impact
healthcare decisions and being able to modify care to align with that
patient’s culture.
Option C: Active listening in the healthcare community is imperative,
especially when individuals of different racial or cultural backgrounds are
involved. It’s important that patients feel heard and validated, particularly
when they are in a vulnerable position.
FNDNRS-08-003
Which factor is least significant during assessment when gathering information
about cultural practices?
A. Language, timing
B. Touch, eye contact
C. Biocultural needs
D. Pain perception, management expectations
Correct Answer: C. Biocultural needs
Cultural practices do not influence biocultural needs because they are inborn
risks that are related to a biological need and not a learned cultural belief or
practice. Culturally competent healthcare professionals learn about different
groups and the values that drive them. They develop nonjudgmental acceptance
of cultural and noncultural differences in patients and coworkers, using diversity
as a strength that empowers them to achieve mutually acceptable healthcare
goals.
Option A: When a patient doesn’t speak English and there is no
interpreter, spend more time visiting to allay patients’ anxiety. Learn key
phrases from the family and use flashcards to enhance communication.
When all else fails, sign language does work. Remember that making the
effort shows the patient that you care. You are using the language of the
heart and building trust.
, Option B: Both the clinician and the interpreter must pay particular
attention to nonverbal feedback during communication with the patient to
ensure understanding of the patient’s concerns and desires. During the
exchange, the clinician and the interpreter must be able to convey caring
and support to gain patients’ confidence and trust, particularly when they
are revealing sensitive information.
Option D: Culture influences patients’ perceptions of illness, pain, and
healing. These perceptions may conflict with clinicians’ views based on the
medical model. Keep an open mind and listen actively to what patients say
about their illness.
FNDNRS-08-004
Transcultural nursing implies:
A. Using a comparative study of cultures to understand similarities and
differences across human groups to provide specific individualized care
that is culturally appropriate.
B. Working in another culture to practice nursing within their limitations.
C. Combining all cultural beliefs into a practice that is a non-threatening
approach to minimize cultural barriers for all clients’ equality of care.
D. Ignoring all cultural differences to provide the best-generalized care to
all clients.
Correct Answer: A. Using a comparative study of cultures to understand
similarities and differences across human groups to provide specific
individualized care that is culturally appropriate.
Transcultural care means that by understanding and learning about specific
cultural practices the nurse can integrate these practices into the plan of care for
a specific individual client who has the same beliefs or practices to meet the
client’s needs in a holistic manner of care.
Option B: Nurses should explore new ways of providing cultural care in
multicultural societies, understand how culture affects health-illness
definitions, and build a bridge for the gap between the caring process and
the individuals in different cultures.
Practice Questions Quiz #8 | 80
Questions
Questions related to Nursing Jurisprudence: Legal and Ethical
Considerations
FNDNRS-08-001
The best explanation of what Title VI of the Civil Rights Act mandates is the
freedom to:
A. Pick any physician and insurance company despite one’s income.
B. Receive free medical benefits as needed within the county of residence.
C. Have equal access to all health care regardless of race and religion.
D. Have basic care with a sliding scale payment plan from all healthcare
facilities.
Correct Answer: C. Have equal access to all health care regardless of race
and religion.
Title VI of the Civil Rights Act of 1964 states that “No person in the United States
shall, on the ground of race, color, or national origin, be excluded from
participation in, be denied the benefits of, or be subjected to discrimination
under any program or activity receiving Federal financial assistance.”
Option A: The Affordable Care Act puts consumers back in charge of their
health care. Under the law, a new “Patient’s Bill of Rights” gives the
American people the stability and flexibility they need to make informed
choices about their health. Through this bill, the client may choose the
primary care physician he wants from his plan’s network.
Option B: Since the Patient’s Bill of Rights was enacted, the Affordable
Care Act has provided additional rights and protections. The health care
law covers preventive care at no cost. Clients may be eligible for
recommended preventive health services without a copayment.
, Option D: Under the Patient’s Bill of Rights, a client’s premium dollars are
ensured to be spent on primary healthcare, not on administrative costs.
Also, the bill removes insurance company barriers to emergency services
that are outside of their health plan’s network.
FNDNRS-08-002
Which statement would best explain the role of the nurse when planning care for
a culturally diverse population? The nurse will plan care to:
A. Include care that is culturally congruent with the staff from
predetermined criteria.
B. Focus only on the needs of the client, ignoring the nurse’s beliefs and
practices.
C. Blend the values of the nurse that are for the good of the client and
minimize the client’s individual values and beliefs during care.
D. Provide care while aware of one’s own bias, focusing on the client’s
individual needs rather than the staff’s practices.
Correct Answer: D. Provide care while aware of one’s own bias, focusing on
the client’s individual needs rather than the staff’s practices.
Without understanding one’s own beliefs and values, a bias or preconceived
belief by the nurse could create an unexpected conflict or an area of neglect in
the plan of care for a client (who might be expecting something totally different
from the care). During assessment values, beliefs, practices should be identified
by the nurse and used as a guide to identify the choices by the nurse to meet
specific needs/outcomes of that client. Therefore identification of values, beliefs,
and practices allows for planning meaningful and beneficial care specific for this
client.
Option A: As nurses strive to learn more about becoming culturally
sensitive nurses, they should also let others know what they are doing and
why. Encourage co-workers to provide more culturally competent care.
Approach sharing awareness with openness and positivity, rather than from
a critical point of view.
, Option B: Cultural competency in the health care sector supports positive
patient outcomes and improves medical research accuracy. Cultural
competence is learning about how cultural differences may impact
healthcare decisions and being able to modify care to align with that
patient’s culture.
Option C: Active listening in the healthcare community is imperative,
especially when individuals of different racial or cultural backgrounds are
involved. It’s important that patients feel heard and validated, particularly
when they are in a vulnerable position.
FNDNRS-08-003
Which factor is least significant during assessment when gathering information
about cultural practices?
A. Language, timing
B. Touch, eye contact
C. Biocultural needs
D. Pain perception, management expectations
Correct Answer: C. Biocultural needs
Cultural practices do not influence biocultural needs because they are inborn
risks that are related to a biological need and not a learned cultural belief or
practice. Culturally competent healthcare professionals learn about different
groups and the values that drive them. They develop nonjudgmental acceptance
of cultural and noncultural differences in patients and coworkers, using diversity
as a strength that empowers them to achieve mutually acceptable healthcare
goals.
Option A: When a patient doesn’t speak English and there is no
interpreter, spend more time visiting to allay patients’ anxiety. Learn key
phrases from the family and use flashcards to enhance communication.
When all else fails, sign language does work. Remember that making the
effort shows the patient that you care. You are using the language of the
heart and building trust.
, Option B: Both the clinician and the interpreter must pay particular
attention to nonverbal feedback during communication with the patient to
ensure understanding of the patient’s concerns and desires. During the
exchange, the clinician and the interpreter must be able to convey caring
and support to gain patients’ confidence and trust, particularly when they
are revealing sensitive information.
Option D: Culture influences patients’ perceptions of illness, pain, and
healing. These perceptions may conflict with clinicians’ views based on the
medical model. Keep an open mind and listen actively to what patients say
about their illness.
FNDNRS-08-004
Transcultural nursing implies:
A. Using a comparative study of cultures to understand similarities and
differences across human groups to provide specific individualized care
that is culturally appropriate.
B. Working in another culture to practice nursing within their limitations.
C. Combining all cultural beliefs into a practice that is a non-threatening
approach to minimize cultural barriers for all clients’ equality of care.
D. Ignoring all cultural differences to provide the best-generalized care to
all clients.
Correct Answer: A. Using a comparative study of cultures to understand
similarities and differences across human groups to provide specific
individualized care that is culturally appropriate.
Transcultural care means that by understanding and learning about specific
cultural practices the nurse can integrate these practices into the plan of care for
a specific individual client who has the same beliefs or practices to meet the
client’s needs in a holistic manner of care.
Option B: Nurses should explore new ways of providing cultural care in
multicultural societies, understand how culture affects health-illness
definitions, and build a bridge for the gap between the caring process and
the individuals in different cultures.
