Deck 4: Cultural, Legal, and Ethical Considerations

Question 1

For which cultural group must the health care provider respect the value placed on preserving harmony with nature and the belief that disease is a result of ill spirits?

A) Hispanics
B) Asian Americans
C) Native Americans
D) African Americans

Answer 1

Native Americans

Question 2

The nurse is performing an admission assessment. Which findings reflect components of a cultural assessment?

A) The patient uses aspirin as needed for pain.
B) The patient has a history of hypertension.
C) The patient uses herbal tea to relax in the evenings.
D) The patient does not speak English.
E) The patient is allergic to shellfish.
F) The patient does not eat pork products because of religious beliefs.

Answer 2

The patient uses aspirin as needed for pain.
The patient uses herbal tea to relax in the evenings.
The patient does not speak English.
The patient does not eat pork products because of religious beliefs.

Question 3

A patient has been selected as a potential recipient of an experimental drug for heart failure. The nurse knows that when informed consent has been obtained, it indicates which of these?

A) The patient has been informed that he or she will need to stay in the study until it ends.
B) The patient will be informed of the details of the study as the research continues.
C) The patient will receive the actual drug during the experiment.
D) The patient has had the study's purpose, procedures, and possible benefits as well as risks involved explained to him.

Answer 3

The patient has had the study's purpose, procedures, and possible benefits as well as risks involved explained to him.

Question 4

During discharge patient teaching, the nurse reviews prescriptions with a patient. Which statement is correct about refills for an analgesic that is classified as Schedule C-III?

A) No prescription refills are permitted.
B) Refills are allowed only by written prescription.
C) The patient may have no more than five refills in a 6-month period.
D) Written prescriptions expire in 12 months.

Question 5

The nurse is reviewing the concept of drug polymorphism. Which factors contribute to drug polymorphism?

A) The number of drugs ordered by the physician
B) Inherited factors
C) The patient's diet and nutritional status
D) Different dosage forms of the same drug
E) The patient's cultural practices
F) The patient's drug history
G) The various available forms of a drug

Question 6

The nurse is reviewing facts about pharmacology for a review course. The term legend drug refers to which item?

A) Over-the-counter drugs
B) Prescription drugs
C) Orphan drugs
D) Older drugs

Question 7

The nurse is reviewing a list of scheduled drugs and notes that Schedule C-I drugs are not on the list. Which is a characteristic of Schedule C-I drugs?

A) No refills are permitted.
B) They may be obtained over-the-counter with a signature.
C) They are available only by written prescription.
D) They are used only with approved protocols.

Question 8

During a busy night shift, a new nurse administered an unfamiliar medication without checking it in a drug handbook. Later that day, the patient had a severe reaction because he has renal problems, which was a contraindication to that drug. The nurse may be liable for which of these?

A) Medical negligence
B) Nursing negligence
C) Nonmaleficence
D) Autonomy

Question 9

The nurse is assessing an elderly Hispanic woman who is being treated for hypertension. During the assessment, what is important for the nurse to remember about cultural aspects?

A) The patient should be discouraged from using folk remedies and rituals.
B) The nurse will expect the patient to value protective bracelets and "root doctors" as healers.
C) The nurse will remember that the balance among body, mind, and environment is important for this patient's health beliefs.
D) The nurse's assessment needs to include gathering information regarding religious practices and beliefs regarding medication, treatment, and healing.

Question 10

A member of an investigational drug study team is working with healthy volunteers whose participation will help to determine the optimal dosage range and pharmacokinetics of the drug. The team member is participating in what type of study?

A) Phase I
B) Phase II
C) Phase III
D) Phase IV

Question 11

During the development of a new drug, which would be included in the study by the researcher to prevent any bias or unrealistic expectations of the new drug's usefulness?

A) A placebo
B) FDA approval
C) Informed consent
D) Safety information

Question 12

A patient is undergoing major surgery and asks the nurse about a living will. He states, "I don't want anybody else making decisions for me. And I don't want to prolong my life." The patient is demonstrating which ethical term?

A) Autonomy
B) Beneficence
C) Justice
D) Veracity

Question 13

When reviewing the various schedules of controlled drugs, the nurse knows that which description correctly describes Schedule II drugs?

A) Drugs with high potential for abuse that have accepted medical use
B) Drugs with high potential for abuse that do not have accepted medical use
C) Medically accepted drugs that may cause moderate physical or psychologic dependence
D) Medically accepted drugs with limited potential for causing physical or psychologic dependence

Question 14

Nurses have the ethical responsibility to tell the truth to their patients. What is this principle known as?

A) Justice
B) Veracity
C) Beneficence
D) Autonomy