Page 1 of 101
NCLEX - LEGAL & ETHICAL, NURSING JURISPRUDENCE:
LEGAL AND ETHICAL CONSIDERATIONS NCLEX
PRACTICE QUIZ, LEGAL AND ETHICAL ISSUES IN
NURSING, NCLEX QUESTIONS-ETHICAL AND LEGAL
ISSUES, NCLEX STYLE REVIEW QUESTIONS FOR NURSE
PROCESS, LEGAL, PROFESSIONALIS...EXAM
The healthcare provider asks the nurse to assist in obtaining informed consent
for a procedure from the client. Which action does the nurse take to obtain
informed consent form the client who is declared mentally incompetent?
A) contact the client's next of kin to obtain consent.
B) consult with the client's psychiatrist to determine if the client is able to sign
the form.
C) contact the client's legal guardian or health care surrogate.
D) have the client's health care provider obtain informed consent from the
client.
C) contact the client's legal guardian or health care surrogate.
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
, Page 2 of 101
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
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.
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
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.
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
, Page 3 of 101
D. Ignoring all cultural differences to provide the best generalized care to all
clients
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.
What should the nurse do when planning nursing care for a client with a
different cultural background? The nurse should:
A. Allow the family to provide care during the hospital stay so no rituals or
customs are broken
B. Identify how these cultural variables affect the health problem
C. Speak slowly and show pictures to make sure the client always understands
D. Explain how the client must adapt to hospital routines to be effectively
cared for while in the hospital
Answer: B. Identify how these cultural variables affect the health problem
Without assessment and identification of the cultural needs, the nurse cannot begin
to understand how these might influence the health problem or health care
management.
Which activity would not be expected by the nurse to meet the cultural needs
of the client?
A. Promote and support attitudes, behaviors, knowledge, and skills to
respectfully meet client's cultural needs despite the nurse's own beliefs and
practices
B. Ensure that the interpreter understands not only the language of the client
but feelings and attitudes behind cultural practices to make sure an ethical
balance can be achieved
C. Develop structure and process for meeting cultural needs on a regular basis
, Page 4 of 101
and means to avoid overlooking these needs with clients
D. Expect the family to keep an interpreter present at all times to assist in
meeting the communication needs all day and night while hospitalized
Answer: D. Expect the family to keep an interpreter present at all times to assist in
meeting the communication needs all day and night while hospitalized
It is not the family's responsibility to assist in the communication process. Many
families will leave someone to help at times, but it is the hospital's legal obligation to
find an interpreter for continued understanding by the client to make sure the client is
fully informed and comprehends in his or her primary language.
Ethical principles for professional nursing practice in a clinical setting are
guided by the principles of conduct that are written as the:
A. American Nurses Association's (ANA's) Code of Ethics
B. Nurse Practice Act (NPA) written by state legislation
C. Standards of care from experts in the practice field
D. Good Samaritan laws for civil guidelines
Answer: A. American Nurses Association's (ANA's) Code of Ethics
This set of ethical principles provides the professional guidelines established by the
ANA to maintain the highest standards for ideal conduct in practice. As a profession,
the ANA wanted to establish rules and then incorporate guidelines for accountability
and responsibility of each nurse within the practice setting.
A bioethical issue should be described as:
A. The physician's making all decisions of client management without getting
input from the client
B. A research project that included treating all the white men and not treating
all the black men to compare the outcomes of a specific drug therapy.
C. The withholding of food and treatment at the request of the client in a
written advance directive given before a client acquired permanent brain
damage from an accident.
D. After the client gives permission, the physician's disclosing all information
to the family for their support in the management of the client.
NCLEX - LEGAL & ETHICAL, NURSING JURISPRUDENCE:
LEGAL AND ETHICAL CONSIDERATIONS NCLEX
PRACTICE QUIZ, LEGAL AND ETHICAL ISSUES IN
NURSING, NCLEX QUESTIONS-ETHICAL AND LEGAL
ISSUES, NCLEX STYLE REVIEW QUESTIONS FOR NURSE
PROCESS, LEGAL, PROFESSIONALIS...EXAM
The healthcare provider asks the nurse to assist in obtaining informed consent
for a procedure from the client. Which action does the nurse take to obtain
informed consent form the client who is declared mentally incompetent?
A) contact the client's next of kin to obtain consent.
B) consult with the client's psychiatrist to determine if the client is able to sign
the form.
C) contact the client's legal guardian or health care surrogate.
D) have the client's health care provider obtain informed consent from the
client.
C) contact the client's legal guardian or health care surrogate.
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
, Page 2 of 101
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
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.
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
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.
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
, Page 3 of 101
D. Ignoring all cultural differences to provide the best generalized care to all
clients
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.
What should the nurse do when planning nursing care for a client with a
different cultural background? The nurse should:
A. Allow the family to provide care during the hospital stay so no rituals or
customs are broken
B. Identify how these cultural variables affect the health problem
C. Speak slowly and show pictures to make sure the client always understands
D. Explain how the client must adapt to hospital routines to be effectively
cared for while in the hospital
Answer: B. Identify how these cultural variables affect the health problem
Without assessment and identification of the cultural needs, the nurse cannot begin
to understand how these might influence the health problem or health care
management.
Which activity would not be expected by the nurse to meet the cultural needs
of the client?
A. Promote and support attitudes, behaviors, knowledge, and skills to
respectfully meet client's cultural needs despite the nurse's own beliefs and
practices
B. Ensure that the interpreter understands not only the language of the client
but feelings and attitudes behind cultural practices to make sure an ethical
balance can be achieved
C. Develop structure and process for meeting cultural needs on a regular basis
, Page 4 of 101
and means to avoid overlooking these needs with clients
D. Expect the family to keep an interpreter present at all times to assist in
meeting the communication needs all day and night while hospitalized
Answer: D. Expect the family to keep an interpreter present at all times to assist in
meeting the communication needs all day and night while hospitalized
It is not the family's responsibility to assist in the communication process. Many
families will leave someone to help at times, but it is the hospital's legal obligation to
find an interpreter for continued understanding by the client to make sure the client is
fully informed and comprehends in his or her primary language.
Ethical principles for professional nursing practice in a clinical setting are
guided by the principles of conduct that are written as the:
A. American Nurses Association's (ANA's) Code of Ethics
B. Nurse Practice Act (NPA) written by state legislation
C. Standards of care from experts in the practice field
D. Good Samaritan laws for civil guidelines
Answer: A. American Nurses Association's (ANA's) Code of Ethics
This set of ethical principles provides the professional guidelines established by the
ANA to maintain the highest standards for ideal conduct in practice. As a profession,
the ANA wanted to establish rules and then incorporate guidelines for accountability
and responsibility of each nurse within the practice setting.
A bioethical issue should be described as:
A. The physician's making all decisions of client management without getting
input from the client
B. A research project that included treating all the white men and not treating
all the black men to compare the outcomes of a specific drug therapy.
C. The withholding of food and treatment at the request of the client in a
written advance directive given before a client acquired permanent brain
damage from an accident.
D. After the client gives permission, the physician's disclosing all information
to the family for their support in the management of the client.
