NUR3829 Ethical & Legal Issues EXAM Q & A 2024, Exams of Nursing

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NUR

Ethical & Legal

Issues

EXAM Q & A

1. A nurse is caring for a patient who has been diagnosed

with terminal cancer and has expressed a wish to end his

life with medical assistance. The nurse's personal beliefs are

opposed to euthanasia. What is the most appropriate action

for the nurse to take in this situation?

a) Refuse to participate in the patient's care and request a

different assignment.

b) Try to persuade the patient to change his mind and seek

palliative care instead.

c) Respect the patient's autonomy and support his decision,

while maintaining professional boundaries.

d) Report the patient's request to the ethics committee and

the legal authorities.

*Answer: c) Respect the patient's autonomy and support his

decision, while maintaining professional boundaries.*

Rationale: The nurse has a duty to respect the patient's right

to self-determination and to provide compassionate care,

even if the nurse disagrees with the patient's choice. The

nurse should not impose his or her own values on the

patient or abandon the patient. The nurse should also not

interfere with the patient's legal right to request medical

assistance in dying, unless there is evidence of coercion or

lack of capacity. The nurse should consult with the ethics

committee and the legal authorities only if there is

uncertainty or conflict about the patient's request.

2. A nurse is working in a long-term care facility that has

implemented a policy of mandatory influenza vaccination

for all staff members. The nurse has a history of severe

allergic reaction to the vaccine and has a medical exemption

from her physician. However, the facility's administrator

has threatened to fire the nurse if she does not comply with

the policy. What is the best course of action for the nurse to

take in this situation?

a) Accept the risk of anaphylaxis and get vaccinated

anyway.

b) Quit her job and look for another position elsewhere.

c) File a complaint with the human rights commission and

seek legal advice.

d) Agree to wear a mask and follow infection control

measures during flu season.

*Answer: c) File a complaint with the human rights

commission and seek legal advice.*

Rationale: The nurse has a right to refuse a medical

intervention that poses a serious threat to her health and

well-being. The facility's policy of mandatory vaccination

may be discriminatory and violate the nurse's human rights,

The nurse should educate

the participants about

the possible consequences of

their actions and ask them to adhere

to

the research protocol. If

the participants refuse or continue

to use other treatments, then

the nurse may have

to exclude them from

the study or terminate

the study altogether, depending on

the severity of

the situation.

B:

Which of these credentials is mandatory for certain health professionals to practice in their field? Selected Answer: licensure Correct Answer: licensure

- Question 5 2 out of 2 points When health professionals believe their clients may be abusing or misusing substances, such as drugs and alcohol, their role includes the following: Selected Answer: All^ of^ the above Correct Answer: All^ of^ the above

- Question 6 2 out of 2 points Which organization assumes responsibility for the collection and publication of data concerning nationally notifiable diseases? Selected Answer: CD C Correct Answer: CD C - Question 7 Which of the following statements is true concerning substance abuse? Which of the following statements is true concerning substance abuse? a. Substance abuse is on the decline in affluent suburbs. b. Prescription pads should be kept in the examination room. c. Substance abuse need not be reported to law enforcement authorities. 2 out of 2 points

Selected Answer: safe^ haven law Correct Answer: safe^ haven law

- Question 12 2 out of 2 points A teenager who is pregnant receives an abortion without parental notice due to "judicial bypass." What does this term signify? Selected Answer: The teenager has obtained approval from a judge for the abortion without parental notification. Correct Answer: The teenager has obtained approval from a judge for the abortion without parental notification. - Question 13 2 out of 2 points A patient has been diagnosed with incurable lung cancer and it is determined that death is imminent. What type of care would best serve this patient? Selected Answer: palliati ve Correct Answer: palliati ve - Question 14 2 out of 2 points According to the Uniform Determination of Death Act, which of the following is a criteria for death? Selected Answer: entire brain ceases to function Correct Answer: entire brain ceases to function

- Question 15 Technically, it can be said that death results from a lack of: Selected Answer: oxygen Correct Answer: oxygen - Question 16 2 out of 2 points 2 out of 2 points Increasingly, schools that train health care providers are offering courses in thanatology. What is the focus of this course of study? Selected Answer: death^ and^ psychological^ methods^ of coping with it Correct Answer: death^ and^ psychological^ methods^ of coping with it - Question 17 2 out of 2 points In some countries, women who are not allowed to work outside the home are an example of: Selected Answer: gend er Correct Answer: gend er - Question 18 2 out of 2 points Elderly persons who are classified as being hard of hearing, forgetful, and set in their ways is an example of: Selected Answer: ageis m Correct Answer: ageis m - Question 19 2 out of 2 points Entering into a new culture of mutual respect and teamwork, the health-care professional will find: Entering into a new culture of mutual respect and teamwork, the health-care professional will find:

- Question 24 Genetic testing can be used for the following reason(s): Selected Answer: All^ of^ the above 2 out of 2 points Correct Answer: All^ of^ the above - Question 25 2 out of 2 points Recent scientific and technologic innovations in assisted reproduction have caused rethinking of the concepts of family, parenthood, and human sexuality. Recent scientific and technologic innovations in assisted reproduction have caused rethinking of the concepts of family, parenthood, and human sexuality. Selected Answer: True Correct Answer: Tru e - Question 26 2 out of 2 points In 1984, President Ronald Reagan established a federal rule that blocked U.S. funds being given to international family-planning groups that offered abortion and abortion counseling. This federal rule is called the: Selected Answer: Global Gag Rule Correct Answer: Global Gag Rule - Question 27 2 out of 2 points Viability refers to a fetus that has reached a certain gestational age and weight and is capable of living outside the uterus. Selected Answer: True Correct Answer: Tru e - Question 28 2 out of 2 points The U.S. Supreme Court through Roe v Wade has determined all but one of the following is true:

Selected Answer: states must provide abortions to pregnant women on Medicaid Correct Answer: states must provide abortions to pregnant women on Medicaid

- Question 29 Hospice: Selected Answer: all the above Correct Answer: all the above - Question 30 The durable power of attorney for health care: Selected 2 out of 2 points 2 out of 2 points Answer: allows a medical proxy to make health-care decisions for another Correct Answer: allows a medical proxy to make health-care decisions for another