Question 1

The nurse reminds a resident in a long-term care facility that he has autonomy in many aspects of his institutionalization.One example is:

Accepted Answer

The application of advance directives is an autonomous decision.Agency protocols relative to medication times,access to private electrical devices,and smoking are rarely waived; these policies are not in the control of the resident.

Question 2

The LPN/LVN explains to a patient that the hospital has an Institutional Ethics Committee whose main function is to:

Accepted Answer

The main job of the Institutional Ethics Committee is to preside over the implementation of agency policy.

Question 3

The LPN/LVN has trimmed the toenails of a patient with diabetes too short,which resulted in a toe amputation from infections.This LPN/LVN is guilty of:

Accepted Answer

Malpractice occurs when an unintentional tort causes an injury to a patient.

Question 4

The LPN/LVN charted that "the patient was drunk and acted in a crazy manner." The team leader has cautioned that such documentation would leave the LPN/LVN open to charges of commission of the intentional tort of:

Accepted Answer

Charting or saying unsupported defamatory statements can lead to tort litigation.

Question 5

One obstetric nurse remarks,"I don't see how these young single women can keep on having babies without being married.Everyone knows a child needs a father." This nurse is exhibiting:

Accepted Answer

Ethnocentricity is the belief that one's own culture and values are superior to those of another.Such statements are based on values clarification and,perhaps,on moral outrage.

Question 6

A good friend of the licensed practical/vocational nurse (LPN/LVN)confides that she is in a serious romantic relationship with a man the LPN/LVN had as a patient when he was diagnosed with the human immunodeficiency virus (HIV).The policies of the Health Insurance Portability and Accountability Act (HIPAA)prevent the nurse from warning her friend.This situation is a moral:

Accepted Answer

Moral distress occurs when a nurse feels powerless because moral beliefs cannot be honored because of institutional or other barriers.

Question 7

The LPN/LVN explains to a patient that health care ethics are based on:

Accepted Answer

Health care ethics are based on autonomy,fidelity,beneficence,justice,and nonmaleficence

Question 8

The LPN/LVN may exhibit beneficence by:

Accepted Answer

Beneficence means promoting good and reducing harm.Removing defective equipment demonstrates that the LPN/LVN is reducing possible harm to the patient.Working extra shifts,adhering to policy,and joining NAPNES are personal values,not beneficence.

Question 9

The LPN/LVN acquiring a signature on a surgical informed consent document must ensure that the:

Accepted Answer

Before surgery,the consent form must be signed before any preoperative sedation is administered.A sedated person cannot give a valid consent.

Question 10

When the LPN/LVN assists an older woman to stand after a fall in a shopping mall parking lot,the woman twists and sprains her ankle.The LPN/LVN is protected from litigation or an unintentional tort by:

Accepted Answer

The Good Samaritan law protects individuals who assist at an accident scene if they act in good faith.Professional insurance is not in effect because the actions were not performed while the LPN/LVN was on duty.

Question 11

When a student asks the instructor to define the philosophic stand of utilitarianism,the instructor gives the example of:

Accepted Answer

The sacrifice of six to save 100 is an example of the greater good.The other options are based on the philosophy of deontology.

Question 12

Prioritize the steps in solving an ethical dilemma.
A) Evaluate the outcome.
B) Plan an approach.
C) Visualize the consequences.
D) Take action.
E) Identify the problem.

Accepted Answer

The answer of Prioritize the steps in solving an ethical...

Question 13

The LPN/LVN reminds a group of nursing students that the values they demonstrate in their practice have their roots in:

Accepted Answer

The family shapes values that are demonstrated in later life.These values may be enhanced or challenged by life experiences,but the base is forged in the family.

Question 14

The values that direct human behavior and are concerned with defining right from wrong are known as ____________________.

Accepted Answer

The answer of The values that direct human behavior and...

Question 15

The physician has written an order for morphine sulfate,100 mg.The LPN/LVN inquires if he meant to write 10 mg.The physician confirms that he meant 100 mg.The LPN/LVN should:

Accepted Answer

In the event of a physician's refusal to clarify a questionable order,the LPN/LVN should notify the nursing supervisor to intervene.

Question 16

The LPN/LVN arrives on duty at 7 AM and is faced with the ethical dilemma of inadequate staffing for the day shift.The LPN/LVN should invoke a "safe harbor" by:

Accepted Answer

Filing a written protest relative to short staffing provides the "safe harbor" for the LPN/LVN and protects his or her license.Nonacceptance of the assignment or leaving duty is considered abandonment.Suggesting that the NA file a similar protest is an effective action.

Question 17

The nurse is aware that values clarification supports nursing practice by:

Accepted Answer

Values clarification gives a person a foundation for moral decisions and insight into self and others.

Question 18

The physician has written an order for Synthroid,137 mg.The LPN/LVN is aware that the drug is measured in micrograms.The nurse should:

Accepted Answer

The LPN/LVN may call the physician to clarify the order but may not alter the written order in any way.The order for the correct dose will be written as a new order.

Quiz 3: Legal and Ethical Considerations