Fundamentals of Nursing NCLEX Practice Questions Quiz #8 | 80 Questions

Questions related to Nursing Jurisprudence: Legal and Ethical Considerations

FNDNRS-08-001

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

• A. Pick any physician and insurance company despite one’s income.
• B. Receive free medical benefits as needed within the county of residence.
• C. Have equal access to all health care regardless of race and religion.
• D. Have basic care with a sliding scale payment plan from all healthcare facilities.

Correct Answer: C. Have equal access to all health care regardless of race and religion.

Title VI of the Civil Rights Act of 1964 states that “No person in the United States shall, on the ground of race, color, or national origin, be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any program or activity receiving Federal financial assistance.”

• Option A: The Affordable Care Act puts consumers back in charge of their health care. Under the law, a new “Patient’s Bill of Rights” gives the American people the stability and flexibility they need to make informed choices about their health. Through this bill, the client may choose the primary care physician he wants from his plan’s network.
• Option B: Since the Patient’s Bill of Rights was enacted, the Affordable Care Act has provided additional rights and protections. The health care law covers preventive care at no cost. Clients may be eligible for recommended preventive health services without a copayment.
• Option D: Under the Patient’s Bill of Rights, a client’s premium dollars are ensured to be spent on primary healthcare, not on administrative costs. Also, the bill removes insurance company barriers to emergency services that are outside of their health plan’s network.

FNDNRS-08-002

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

• A. Include care that is culturally congruent with the staff from predetermined criteria.
• B. Focus only on the needs of the client, ignoring the nurse’s beliefs and practices.
• C. 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.
• D. 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.

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

• Option A: As nurses strive to learn more about becoming culturally sensitive nurses, they should also let others know what they are doing and why. Encourage co-workers to provide more culturally competent care. Approach sharing awareness with openness and positivity, rather than from a critical point of view.
• Option B: Cultural competency in the health care sector supports positive patient outcomes and improves medical research accuracy. Cultural competence is learning about how cultural differences may impact healthcare decisions and being able to modify care to align with that patient’s culture.
• Option C: Active listening in the healthcare community is imperative, especially when individuals of different racial or cultural backgrounds are involved. It’s important that patients feel heard and validated, particularly when they are in a vulnerable position.

FNDNRS-08-003

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

• A. Language, timing
•