1.

The client states that she needs to exercise regularly, watch her weight, and reduce her fat intake.
This demonstrates that the client:
1. Values health promotion activities
2. Believes she will not become sick
3. Believes she will have a heart attack
4. Has unrealistic expectations for herself
ANS: 1
A value is a personal belief about the worth of a given idea, attitude, custom, or object that sets
standards that influence behavior. The client is expressing her value of health promotion
activities. A belief is a conviction of the truth or reality of a thing. The client does not state she
believes these health promotion activities will keep her from becoming sick. A belief is a
conviction of the truth of a thing. The clients statement does not indicate she believes she will
have a heart attack. These are not unrealistic expectations.
immediate follow-up by the nurse manager?
s placed on the organ donor registry according to his current health needs, this is an example of ethical:
1. Justice
2. Fidelity
3. Beneficence
4. Nonmaleficence
ANS: 1
Health care providers agree to strive for fairness in health care. Criteria set by a national
multidisciplinary committee make every effort to ensure justice by ranking client organ
recipients according to need. The remaining options refer to keeping a promise, kindness, and
doing no harm.
DIF: A
REF: 314
OBJ: Comprehension
TOP: Nursing Process: Evaluation
MSC: NCLEX test plan designation: Safe, Effective Care Environment
27. Abandoning a client would be an example of a nurses failure to professionally display:
1. Justice
2. Fidelity
3. Beneficence
4. Nonmaleficence
ANS: 2
Fidelity refers to the agreement to keep promises. A commitment to fidelity supports the
reluctance to abandon clients. The remaining options refer to fairness, kindness, and doing no
harm.
DIF: A
REF: 314
OBJ: Comprehension
TOP: Nursing Process: Evaluation
MSC: NCLEX test plan designation: Safe, Effective Care Environment
28. The nursing professional code of ethics is best defined as:
Mosby items and derived items 2009, 2005 by Mosby, Inc., an affiliate of Elsevier Inc.

Test Bank
1.
2.
3.
4.

22-2

The criteria for judging nursing professionalism

A benchmark for professional nursing deeds and actions
The nursing professions expectations of its members behavior
A document that holds nurses responsible for professional behavior

ANS: 3
It is a collective statement about the groups expectations and standards of behavior. The
remaining options are not accurate or complete descriptions of the nursing professional code of
ethics.
DIF: C
REF: 314
OBJ: Analysis
TOP: Nursing Process: Evaluation
MSC: NCLEX test plan designation: Safe, Effective Care Environment
29. The nurse has successfully completed a distance learning class on ECG (electrocardiogram)
interpretation. This is an example of the nurse exhibiting the professional principle of:
1. Advocacy
2. Responsibility
3. Accountability
4. Confidentiality
ANS: 2
The word responsibility refers to a willingness to respect obligations and to follow through on
promises. The nurse has a responsibility to remain competent to practice so that he or she is able
to reliably follow through on responsibilities. The remaining options are reflective of other
professional principles.i
DIF: A
REF: 314-315
OBJ: Comprehension
TOP: Nursing Process: Evaluation
MSC: NCLEX test plan designation: Safe, Effective Care Environment
30. The nurse is explaining the rationale for seeking the familys permission to apply a physical
restraint to a combative client. This is an example of the nurse exhibiting the professional
principle of:
1. Advocacy
2. Responsibility
3. Accountability
4. Confidentiality
ANS: 3
Accountability refers to the ability to answer for ones own actions. Nurses should ensure that
their professional actions are explainable to their clients and to their employer. The remaining
options are reflective of other professional principles.
DIF: A
REF: 315
OBJ: Comprehension
TOP: Nursing Process: Evaluation
MSC: NCLEX test plan designation: Safe, Effective Care Environment

Mosby items and derived items 2009, 2005 by Mosby, Inc., an affiliate of Elsevier Inc.

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22-3

31. The nurse realizes that sharing ones computer password is a violation of which of the
professional nursing principles?
1. Advocacy
2. Responsibility
3. Accountability
4. Confidentiality
ANS: 4
When medical records are computerized, computer security measures include special access
codes for all authorized users; sharing private passwords is a breech of client confidentiality
because it allows unauthorized individuals to access client information. The remaining options
are reflective of other professional principles.
DIF: A
REF: 315
OBJ: Comprehension
TOP: Nursing Process: Evaluation
MSC: NCLEX test plan designation: Safe, Effective Care Environment
32. The belief that all life is sacred and must be preserved regardless of the quality of that life is an
example of:
1. Cultural bias
2. Personal value
3. Universal truth
4. Individual preference
ANS: 2
A value is a personal belief about the worth of a given idea, attitude, custom, or object that sets
standards that influence behavior. A cultural bias refers to interpreting and judging phenomena in
terms particular to ones own culture while a universal truth is so overwhelmingly true that all
mankind respects and acknowledges the validity of the statement. An individual preference is a
personal choice.
DIF: A
REF: 315
OBJ: Comprehension
TOP: Nursing Process: Evaluation
MSC: NCLEX test plan designation: Safe, Effective Care Environment
33. The nurse realizes that an individual clients value system is most affected by:
1. Life experiences
2. Economic status
3. Spiritual beliefs
4. Formal education
ANS: 1
Development of values begins in childhood, shaped by experiences within the family unit,
especially dramatic events during the formative years. The other options may influence the value
system, but not to the same extent.
DIF: C
REF: 316
TOP: Nursing Process: Evaluation

OBJ: Analysis

Mosby items and derived items 2009, 2005 by Mosby, Inc., an affiliate of Elsevier Inc.

Test Bank

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MSC: NCLEX test plan designation: Safe, Effective Care Environment

34. An older client is experiencing the greatest problem with the concept of autonomy when he has
difficulty:
1. Expressing his need for pain medication
2. Disagreeing with his health care provider
3. Participating in discussions regarding his treatment
4. Discussing his need for assistive living arrangements
ANS: 2
Older people are usually not as familiar with the concept of autonomy as people from younger
generations. As a result, older adults are sometimes uncomfortable disagreeing with doctors or
nurses. They view assertiveness as a violation of trust. The remaining options reflect autonomy
problems but management of personal health issues is the most important issue.
DIF: C
REF: 314
OBJ: Analysis
TOP: Nursing Process: Evaluation
MSC: NCLEX test plan designation: Safe, Effective Care Environment
MULTIPLE RESPONSE
1. Which of the following elements are essential among a group working towards the successful
resolution of a conflict of opinion? (Select all that apply.)
1. Similar value systems
2. Presumption of good will
3. Similar cultural background
4. Client-centered decision making
5. Strict adherence to confidentiality
6. Participation of all involved parties
ANS: 2, 4, 5, 6
The resolution of conflicting opinions works best when the following elements are part of the
process: the presumption of good will on the part of all participants, strict adherence to
confidentiality, client-centered decision making, and the welcome participation of families and
primary caregivers. The remaining options represent group characteristics that usually minimize
conflict in decision making.
DIF: C
REF: 319
OBJ: Analysis
TOP: Nursing Process: Evaluation
MSC: NCLEX test plan designation: Safe, Effective Care Environment
2. Although the American Nurses Associations (ANAs) code of ethics is reviewed and revised
regularly to reflect changes in nursing practice, the basic principles that remain constant are:
(Select all that apply)
1. Advocacy
2. Reliability
3. Responsibility
Mosby items and derived items 2009, 2005 by Mosby, Inc., an affiliate of Elsevier Inc.

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4. Accountability
5. Confidentiality
6. Professionalism
ANS: 1, 3, 4, 5
The American Nurses Association (ANA) established the first code of nursing ethics decades
ago. The ANA reviews and revises the Code regularly to reflect changes in practice. Basic
principles remain constant; however, responsibility, accountability, advocacy, and confidentiality.
Although admirable, the remaining options are not considered core principles of the code.
DIF: C
REF: 315
OBJ: Analysis
TOP: Nursing Process: Evaluation
MSC: NCLEX test plan designation: Safe, Effective Care Environment
3. The nurse knows that when making choices concerning the adoption of evidence-based practice,
the literature must be reviewed regarding its: (Select all that apply)
1. Content
2. Relevance
3. Reliability
4. Ethical soundness
5. Economic feasibility
6. Transcultural versatility
ANS: 1, 2, 3, 4
Nurses make choices regarding evidence-based practice proposals based on content, relevance,
reliability, and the ethical implications to their practice. The remaining options are not typically
considered when evaluating the global usefulness of research findings.
DIF: C
REF: 317
OBJ: Analysis
TOP: Nursing Process: Evaluation
MSC: NCLEX test plan designation: Safe, Effective Care Environment

Mosby items and derived items 2009, 2005 by Mosby, Inc., an affiliate of Elsevier Inc.