chapter 3 - Chapter 3: Legal and Ethical Considerations...

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Chapter 3: Legal and Ethical Considerations MULTIPLE CHOICE 1. A good friend of the LPN confides that she is in a serious romantic relationship with a man the LPN had as a patient when he was diagnosed with HIV. HIPPA policies prevent the nurse from warning her friend. This situation is a moral: 1. dilemma. 2. uncertainty. 3. distress. 4. outrage. ANS: 3 Moral distress occurs when a nurse feels powerless because moral beliefs cannot be honored because of institutional or other barriers. PTS: 1 DIF: Cognitive Level: Application REF: 26 OBJ: 1 TOP: Moral Distress KEY: Nursing Process Step: N/A MSC: NCLEX: Psychosocial Integrity 2. The nurse reminds a resident in a long-term care facility that he has autonomy in many as- pects of his institutionalization. One example is: 1. selection of medication times. 2. availability of his own small electrical appliances. 3. smoking in the privacy of his own room. 4. application of advance directives. ANS: 4 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. PTS: 1 DIF: Cognitive Level: Comprehension REF: 27 OBJ: 2 TOP: Autonomy KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity 3. The LPN may exhibit accountability by: 1. adhering to agency policy. 2. working extra shifts during a staff shortage. 3. teaching clients skills for self-care. 4. joining NAPNES. ANS: 1 Adherence to agency policies demonstrates that the LPN is accountable to her obligations of employment. Working extra shifts, teaching, and membership in NAPNES are personal val- ues, not accountability. PTS: 1 DIF: Cognitive Level: Application REF: 27 OBJ: 2 TOP: Accountability KEY: Nursing Process Step: N/A MSC: NCLEX: Psychosocial Integrity
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4. The LPN reminds a group of students that the values they demonstrate in their practice have their roots in: 1. nursing school education. 2. family influence. 3. peer relationships. 4. agency policies. ANS: 2 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. PTS: 1 DIF: Cognitive Level: Comprehension REF: 28 OBJ: 3 TOP: Values KEY: Nursing Process Step: N/A MSC: NCLEX: Psychosocial Integrity 5. One OB nurse remarks, “I don’t see how these young single women can keep on having ba- bies without being married. Everyone knows a child needs a father.” This nurse is exhibit-
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chapter 3 - Chapter 3: Legal and Ethical Considerations...

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