Legal, Ethical And Cultural Considerations Quiz

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Are you a nursing student and need some practice for your coursework? Here is an interestinglegal, ethical, and cultural considerations quiz that will help you learn more about legal, ethical, and cultural considerations. Being a nurse is not just about giving care to the ailing; some legal, ethical, and cultural rules must follow while they meet their mandate. Take the quiz and learn interesting facts.

The best explanation of what Title VI of the Civil Rights Act mandates is the freedom to:

Explanation
Title VI of the Civil Rights Act prohibits discrimination on the basis of race, color, or national origin in programs and activities that receive federal financial assistance. It mandates that all individuals have equal access to healthcare services, regardless of their race or religion. This means that healthcare providers cannot deny or limit services based on these factors, ensuring that everyone has fair and equal access to medical care.

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Which statement would best explain the role of the nurse when planning care for a culturally diverse population? The nurse will plan care to:

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.

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.

Explanation
2. D. Without understanding one’s own beliefs and values, 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 identifying the choices by the nurse to meet the specific needs/outcomes of that client. Therefore identification of values, beliefs, and practices allows for planning meaningful and beneficial care specific for this client.

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A retired nurse stops to help in an emergency at the scene of an accident if the injured party files suit and the nurse would probably be covered by:

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Which factor is least significant during assessment when gathering information about cultural practices?

Which factor is least significant during assessment when gathering information about cultural practices?

Explanation
C. Cultural practices do not influence bio-cultural needs because they are inborn risks that are related to a biological need and not a learned cultural belief or practice.

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Obtaining informed consent is the responsibility of:

Explanation
The physician is RESPONSIBLE for obtaining informed consent. The nurse can witness that the signature was obtained by the patient.

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Transcultural nursing implies:

Using a comparative study of cultures to understand similarities and differences across human groups to provide specific individualized care that is culturally appropriate.

Combining all cultural beliefs into a practice that is a non-threatening approach to minimize cultural barriers for all clients’ equality of care.

Correct Answer
B. Using a comparative study of cultures to understand similarities and differences across human groups to provide specific individualized care that is culturally appropriate.

Explanation
B. 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.

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The nurse notes that an advance directive is in the client's medical record. Which of the following statements represents the best description of guidelines a nurse would follow in this case?

A durable power of attorney for health care is invoked only when the client has a terminal condition or is in a persistent vegetative state.

A living will allows an appointed person to make health care decisions when the client is in an incapacitated state.

A living will is invoked only when the client has a terminal condition or is in a persistent vegetative state.

The client cannot make changes in the advance directive once the client is admitted into the hospital.

Correct Answer
C. A living will is invoked only when the client has a terminal condition or is in a persistent vegetative state.

Explanation
A living will direct the client’s healthcare in the event of a terminal illness or condition. A durable power of attorney is invoked when the client is no longer able to make decisions on his or her own behalf. The client may change an advance directive at any time.

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What should the nurse do when planning nursing care for a client with a different cultural background? The nurse should:

Explain how the client must adapt to hospital routines to be effectively cared for while in the hospital.

Explanation
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.

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As an advocate for the client, the nurse must make sure that "safe, effective care" is given in conformity with the:

Explanation
The nurse must ensure that "safe, effective care" is provided in accordance with the Nurse Practice Act (NPA). The NPA is a set of laws and regulations that govern the practice of nursing in a specific state or jurisdiction. It outlines the scope of practice, defines the legal responsibilities and obligations of nurses, and sets standards for safe and competent care. By adhering to the NPA, the nurse ensures that they are practicing within the legal and ethical boundaries of their profession, promoting patient safety, and providing high-quality care. The other options, such as the American Nursing Association (ANA), National Council for Licensure Examinations, and State Board of Licensure, may provide guidance and support for nursing practice, but the NPA is the primary authority that governs nursing practice.

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Ethical principles for professional nursing practice in a clinical setting are guided by the principles of conduct that are written as the:

Explanation
7. A. 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.

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Nurses are bound by a variety of laws. Which of the following descriptions of types of law is correct?

Statutory law is created by elected legislatures, such as the state legislature that defines the Nurse Practice Act (NPA).

Regulatory law provides for prevention of harm to the public and punishment when those laws are broken.

Correct Answer
A. Statutory law is created by elected legislatures, such as the state legislature that defines the Nurse Practice Act (NPA).

Explanation
Statutory law is created by legislatures. These bodies enact statutes such as the NPA, which defines the role of the nurse and expectations of the nurse's performance of his or her duties and explains what is contraindicated as guidelines for the breach of those regulations. Regulatory law or administrative law is created by an administrative body such as the Board of Nursing, which passes rules and regulations. Common law is created by judicial decisions in court based on individual cases that are decided. Criminal law prevents harm to society and provides punishment for crimes.

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A bioethical issue should be described as:

A research project that included treating all the white men and not treating all the black men to compare the outcomes of specific drug therapy.

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.

After the client gives permission, the physician’s disclosing all information to the family for their support in the management of the client.

Correct Answer
B. A research project that included treating all the white men and not treating all the black men to compare the outcomes of specific drug therapy.

Explanation
B. The ethical issue was the inequality of treatment based strictly upon racial differences. Secondly, the drug was deliberately withheld even after results showed that the drug was working to cure the disease process in the white men for many years. So after many years, the black men were still not treated despite the outcome of the research process that showed the drug to be effective in controlling the disease early in the beginning of the research project. Therefore harm was done. Nonmaleficence, veracity, and justice were not followed.