Block 1 I RBE Part 2: NUR 104 HEALTH

CARE ETHICS (BIOETHICS) SY 21-22

When a woman agrees to carry a baby to term and give up to another parent is known
as? *
1 point

Adoption
Surrogacy
In vitro fertilization
Artificial Insemination

This is a procedure which eggs are removed from a woman and fertilized in a
laboratory dish? *
1 point

Surrogacy
Adoption
Artificial Insemination
In vivo fertilization

The following are all principles of bioethics except: *

1 point

Beneficence
Nonmaleficence
Justice
Autonomy
Confidentiality

The community health nurse is religiously opposed to homosexuality and refuses to

take care of a client diagnosed with Human Immunodefficiency Virus (HIV). The nurse
then leaves the client's home. Which statements accurately describes the nurse's
rights and obligations? Select all that apply: *
1 point

the nurse has the moral right to leave the client's home anytime.
the nurse has the legal right to inform the client of any barriers to providing care.
the nurse has a duty to protect self from client care situations that are morally repellent
the nurse has a duty to provide competent care to clients assigned in a non discriminatory
manner.
the nurse has a right to refuse to care for any client on religious grounds if competent care
coverage is arranged.
A client asks the nurse to act as a witness for an advance directive. Which is the best
intervention for a nurse to implement? *
1 point

suggest the head nurse as a witness

agree to sign the documents as a witness
notify the provider of the client's request
help the client find an unrelated third party

A client diagnosed with leukemia asks the nurse questions about preparing for a living
will. Which recommendation from the nurse should be the best method in preparing
this document? *
1 point

talk to the hospital chaplain

obtain advice from an attorney
Consult an oncologist
discuss the request with the primary health care provider

Which clinical situation should the nurse identify as an example of slander? *

1 point

The primary health care provider tells a client that the nurse "does not know anything".
The nurse tells a client that the nasogastric tube will be inserted if the client continues to refuse to
eat.
The laboratory technician restrains the arms of the client who refuses to have his blood drawn so
that the specimen can be obtained.
The nurse restrains a client at bedtime because the client gets up during the night and wanders
around.

During the admission process of a client being admitted for surgery, the client asks the
nurse if a living will, prepared 3 years ago, remains in effect. Which response is most
appropriate for the nurse to provide the client? *
1 point

"Yes, a living will never expire".

"You need to speak with an attorney."
"I will call someone to answer your question."
"If it accurately reflects your situation and wishes."

The nurse does not intervene when a client becomes hypotensive after surgery. As a
result, the client requires emergency surgery to stop post operative bleeding later that
night. The nurse could potentially face which types of prosecution for failing to act?
Select all that apply. *
1 point
Felony
Torts
Malpractice
Statutory law
Misdemeanor

It is the ending of a pregnancy by removal or expulsion of an embryo or fetus before it

can survive outside the uterus. *
1 point

Expulsion
Abortion
In vitro fertilization
Surrogacy

In certain cases of brain trauma, we can keep the remainder of the body’s cells alive
for days and months with no brain activity present. This case is considered as? *
1 point

Persistent Vegitative State

Brain Death
Bedridden
Brain Activity

Procedure, medicine or treatment given to a patient offered no reasonable hope of

benefit is an example of care? *
1 point

Extraordinary
Advanced
Ordinary
Exceptional

A 50-year old woman is dying of cancer. She has only few days to live. She has
severe anemia due to the cancer. Even though blood transfusion is the usual
treatment for severe anemia, the decision is made not to give. What care does this
case involve? *
1 point

Advanced care
Ordinary care
Extraordinary care
None of the above
A client asks the home nurse to witness the client's signature on a living will with the
client's attorney in attendance. Which action is most appropriate for the nurse to
implement? *
1 point

Decline to witness the signature on the living will

Sign the living will as a witness to the signature only
Notify the supervisor that a living will is being witnessed
Sign the living will with identifying credentials and employment agency

The nurse gives medical information regarding the client's condition to a person who is
assumed to be a family member. Later the nurse discovers that this person is not a
family member and realizes that this violated which legal concepts of the nurse-client
relationship? Select all that apply. *
1 point

Duty to provide care

Client's right to privacy
Client's right of autonomy
Client's right to confidentiality
Duty to comply with nursing standards

Which clinical situation should justifiably be viewed as an assault? *

1 point

The nurse threatens to apply restraints to a client who is exhibiting aggressive behavior.
The clients requests a medical discharge, but the nurse physically forces the client to stay.
The charge nurse sends an email to a staff member that includes a poor performance evaluation
about another person
The nurse overhears the primary health care provider making derogatory remarks to the client
about the nurse's level of competency.

The nurse caring for a client with a diagnosis of end-stage kidney failure is asked by a
family member about advance directives. Which statements should the nurse include
when discussing advance directives with the client's family member? Select all that
apply. *
1 point

A health care proxy can write a living will for a client if the client becomes incompetent and
unable to do so.
Two witnesses, either a relative or primary health care provider, are needed when the client signs
a living will.
The determination of decisional capacity of a client is usually made by the primary health care
provider and family
Living wills are written documents that direct treatment in accordance with a client's wishes in the
event of a terminal illness or condition.
For advance directives to be enforceable, the client must be legally incompetent or lack
decisional capacity to make decisions regarding health care treatment.

After receiving detailed information about a colonoscopy from the primary health care
provider, the nurse asks the client to sign the informed consent form and discovers
that the client cannot write. Which is the best intervention for the nurse to
implement? *
1 point

Contact the provider to obtain informed consent.

Obtain a verbal informed consent from the client
Have two nurses witness the client sign with an X.
Clarify information to the client with another nurse.

An adult client who has a severe neurocognitive impairment is scheduled for

gallbladder surgery. With regard to the informed consent, which should the nurse
implement first to facilitate surgery? *
1 point

Check for the identity of the client's legal guardian.

Inform the legal guardian about advance directives.
Arrange for teh surgeon to provide informed consent.
Ensure that the legal guardian signed the informed consent.

This refers to the practice in a hospital or other medical center to purposely respond
slowly or incompletely to a patient in cardiac arrest, particularly in situations for which
CPR is of no medical benefit. *
1 point

No code
Chemical code
Code
Slow code

Which of the following are included in the DNR Guidelines? *

1 point

DNR status should be reviewed on a regular basis.

DNR orders should be documented in the written medical record.
Decisions to withhold CPR should be discussed with the health care team.
All of the above.

Silco, a 54 years old patient in coma has a DNR order placed in his medical chart to
avoid the use of CPR. DNR means? *
1 point
Do Not Regurgitate
Do Not Revive
Do Not Resuscitate
Do Not Rap

Failing to revive a patient who has signed a DNR order is an example of what type of
euthanasia? *
1 point

Active euthanasia
Involuntary euthanasia
Passive euthanasia
All of the above

It is the first modern industrialized nation to fully sanction physician-assisted suicide. *

1 point

Belgium
Germany
Netherlands
United States

A hospitalized client wants to leave the hospital before being discharged by the
primary health care provider. Which action should be the next intervention for the
nurse to implement? *
1 point

Notify the nursing supervisor of the client's plan to leave

Ask the client about transportation plans from the hospital
Arrange medication prescriptions at the client's preferred pharmacy
Discuss the potential consequences of the plans for leaving with the clients

These programs are set up to provide palliative care, abatement of pain and an
environment that encourages dignity, but they do not cure or treat intensively. *
1 point

Palliative programs
Hospice programs
Rehabilitation programs
None of the above

Euthanasia is synonymously known as which means putting a person to death

painlessly or allowing to die,as withholding extreme medical measures a person is
suffering from an incurable disease or condition? *
1 point

Mercy killing
Suicide
Homicide
Killing me softly

This care is given for people living with a serious illness to relieve pain and alleviate
their suffering, example is patient with terminal cancer? *
1 point

Rehabilatative care
Primary care
Secondary care
Palliative care

The nurse is working in the emergency department of a small local hospital when a
client with multiple stab wounds arrives by ambulance. Which action by the nurse is
contraindicated when handling potential legal evidence? *
1 point

Initiating a chain of custody log

giving clothing and wallet to the family
Putting clothing along seams, avoiding stab holes.
Placing personal belongings in a labeled, sealed paper bag.

The nurse is caring for a dying client who states, "will you be the executor of my will?"
How should the nurse best respond to this client? *
1 point

"I must decline your offer because I am your nurse."

"I will carry out your will according to your wishes."
"It is an honor to be named the executor of your will."
"Tell me more so that I can understand your thinking."

The nurse fails to recognize that a client's vital signs have deteriorated over the past 4
hours after surgery. Later, the client requires emergency surgery. Which legal
consequence does the nurse potentially face because of a failure to act? *
1 point

Tort
Statutory law
common Law
Misdemeanor

The study of methods for controlling the characteristics of future human populations
through selective breeding? *
1 point
Human enhancement
Cryogenics
Eugenics
Genetic therapy

Which of the following is an example of a genetic disease? *

1 point

Huntington’s Disease
Cystic fibrosis
Down syndrome
All of the above

Which of the following provides a complete list of a chemical letters that compose the
map of a human genome? *
1 point

Eugenics project
Stem cell research
Regenerative medicine
Human genome project

Whose psychologist quoted that “For almost every behavioral trait so far investigated,
from reaction time to religiosity,an important fraction of the variation among people
turns out to be associated with genetic variation.” *
1 point

Thomas Bouchard
Dan Abnett
Dr. Fautus
None of the above

Nurses who follow orders that are incomplete or incorrect are the leading cause of
litigation in the hospital. *
1 point

True
False

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

Include care that is culturally congruent with the staff from predetermined criteria.
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.
Focus only on the needs of the client, ignoring the nurse’s beliefs and practices
Provide care while aware of one’s own bias, focusing on the client’s individual needs rather than
the staff’s practices.

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: *
1 point

Her homeowner's insurance

Her automobile insurance
The Good Samaritan Law
National Care Act

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

Allow the family to provide care during the hospital stay so no rituals or customs are broken.
Speak slowly and show pictures to make sure the client always understands.
Identify how these cultural variables affect the health problem.
Explain how the client must adapt to hospital routines to be effectively cared for while in the
hospital.

A bioethical issue should be described as: *

1 point

The physician’s making all decisions of client management without getting input from the client.
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.
After the client gives permission, the physician’s disclosing all information to the family for their
support in the management of the client.
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.

Transcultural nursing implies: *

1 point

Working in another culture to practice nursing within their limitations.

Combining all cultural beliefs into a practice that is a non-threatening approach to minimize
cultural barriers for all clients’ equality of care.
Using a comparative study of cultures to understand similarities and differences across human
groups to provide specific individualized care that is culturally appropriate.
Ignoring all cultural differences to provide best-generalized care to all clients.

A genetically determined susceptibility to certain health problems is called? *

1 point

Recessive gene
Recombinant gene
Genetic carriers
Genetic predisposition

Genetic testing is generally performed for the following reason, EXCEPT? *

1 point

Maternal testing
Newborn screening
Carrier screening
Prenatal diagnosis screening

A variant form of a given gene, which may determine a trait such as having type O or
type A Blood. *
1 point

Eugenics
Heterozygous
Genetic testing
Allele

This is one of the most productive and promising applications of genetic engineering. *
1 point

Gene therapy
Genetic pharmacy
Genetic testing
All of the above

The taking of a somatic cell from an adult animal, inserting it into an egg, and growing
an identical twin is an example of? *
1 point

Cloning
Stem cell
Xenografting
All of the above

An endocrinologist prescribed Human Growth Hormone to young boy who is 4 feet tall
and he grew 5 ft. and 7 inches by the age of 16. This situation is an example of? *
1 point

Stem cell
Eugenics
Human engineering
Human enhancement

These are immature cells that function as blank slate capable of becoming any cell in
the body? *
1 point

heterozygous
Recessive
Stem cells
All of the above

When a nurse identifies a moral problem but is unsure of the ethically correct actions,
this is called: *
1 point

moral distress
moral uncertainty
moral outrage
all of the above

Self-Awareness involves the determination to be conscious of our: *

1 point

thoughts
feelings
physical and emotional responses
all of the above