Ethics and Legal Safety

Question 1

What is the role of Nursing Council?

Answer 1

The role of the Nursing Council is to protect the health and safety of the public by setting standards and ensuring that nurses are competent to practise under the Health Practitioners Competence Assurance Act (2003).

Question 2

Richard a 25 year old mildly retarded person was admitted to accident and emergency due to multiple fractures after a motor bike accident. Richard is to have an emergency laparotomy due to internal bleeding. What does the Crimes Act states regarding consent in this case?
A. Implied from the circumstances surrounding the case and the need to take immediate action for the welfare of the individual
B. Written and must be freely given and fully understood if major surgery was to be performed
C. Mentally ill and demented clients must have a consent of a parent or a guardian or significant others representing them
D. Valid only if the client is 16 years and over or if married

Answer 2

A. Implied from the circumstances surrounding the case and the need to take immediate action for the welfare of the individual

Question 3

Culturally safe nursing care can best be achieved when the nurse has?
A. An in depth knowledge of the treaty of Waitangi
B. An awareness of Māori perspectives of health
C. An awareness and acceptance of your own limits in meeting someone’s else’s health and cultural needs
D. A knowledge of Māori protocol

Answer 3

C. An awareness and acceptance of your own limits in meeting someone’s else’s health and cultural needs

Question 4

In addition to providing informational support, which of the following nursing activities is an integral part of the role of the nurse advocate
A. Maintaining the patient in a dependent role
B. Assuming responsibility for directing the patients care
C. Assisting the patient to make sound health care decisions
D. Persuading the patient to choose exactly what the health care team recommends

Answer 4

C. Assisting the patient to make sound health care decisions

Question 5

What is the responsibility of the nurse who, for two days, has observed the nurse manager putting several syringes into her pocket
A. Report the matter to another nurse manager
B. Discuss the matter with your nursing colleagues
C. Watch the nurse manager to see if it happens again
D. Ignore the incident as a nurse manager is a responsible person

Answer 5

A. Report the matter to another nurse manager

Question 6

For the Nursing Council to find a RN guilty of negligence, it would have to prove that the nurse
A. Failed to do what another careful registered nurse would have done in a similar situation
B. Did not give competent care as defined by colleagues with the same level of experience
C. Did not give an appropriate level of care as defined by the NZNO standards for nursing practice
D. Did not give an appropriate level of care as defined by the NZNO code of practice for nurses

Answer 6

C. Did not give an appropriate level of care as defined by the NZNO standards for nursing practice

Question 7

Ageism is an important concept for the nurse to understand because it?
A. May damage the self esteem of the elderly
B. Increases social awareness of the needs of the elderly
C. Provides statistical information regarding the elderly population
D. Promotes consideration of the diversity of the elderly population

Answer 7

A. May damage the self esteem of the elderly

Question 8

A middle aged woman enjoys orienting new young women and men at work. She enjoys being a teacher and mentor and feels she should pass down her legacy of knowledge and skills to the younger generation. The nurse recognizes that the woman is involved in the behaviour described by Erikson as?
A. Generativity
B. Ego integrity
C. Identification
D. Valuing wisdom

Answer 8

A. Generativity

The term generativity was coined by the psychoanalyst Erik Erikson in 1950 to denote “a concern for establishing and guiding the next generation.”

Question 9

For the nursing council to find a registered nurse guiltilty of malpractice following an assault on a client, it would have to prove that the nurse?
A. Intended to cause bodily harm to the client
B. Actually assaulted the client
C. Did not establish a therapeutic relationship with the client
D. Committed a felony against the client

Answer 9

A. Intended to cause bodily harm to the client

Question 10

A registered nurse stops to assist at the scene of an accident but the injured man dies before the ambulance arrives. What should the RN understand in this case?
A. She should leave the scene before the ambulance arrives
B. She will be covered by her actions by the good Samaritan laws
C. Has a legal duty of care to perform at a competent level as a registered nurse
D. Should pronounce the person dead at the scene

Answer 10

C. Has a legal duty of care to perform at a competent level as a registered nurse

Question 11

A colleague comments saying “what is the relevance of the Treaty of Waitangi to Māori health?”
A. Māori people view the Treaty of Waitangi as a health document
B. Nursing practice in New Zealand is congruent with the Treaty of Waitangi
C. The right to health is guaranteed to Māori under article two of the Treaty of Waitangi
D. The right to Māori involvement in health is guaranteed

Answer 11

B. Nursing practice in New Zealand is congruent with the Treaty of Waitangi

Question 12

Ana’s husband offers to bless the room. State the most appropriate action in this situation
A. Accept the offer to bless the room
B. Seek the hospital chaplains permission first
C. Insist on contacting the Māori chaplain
D. The blessing will not be necessary

Answer 12

A. Accept the offer to bless the room

Question 13

Ana is told by her doctor that she has terminal cancer. He offers palliative radiotherapy. Ana and her husband refuse this treatment and wish to go home. What is your first nursing responsibility?
A. Support them in their decision
B. Document their decision in the nursing notes
C. Contact the doctor immediately
D. Contact the hospital social worker

Answer 13

A. Support them in their decision

Question 14

Ana has terminal cancer and refused palliative radiotherapy as she wished to go home. A couple weeks later, the district nurse visits Ana. She is distressed about the number of visitors smoking in the house. What is the most appropriate action to take?
A. Explain the Ana’s husband of his wife’s concern
B. Ask those who are smoking to leave the room
C. Politely tell the smokers to smoke outside
D. Telephone for advise from a Māori community worker

Answer 14

A. Explain the Ana’s husband of his wife’s concern

Question 15

Emma has school sores and is being treated by her grandmother, using natural medications. Because of this, Emma has not been taking her prescribed antibiotics. What should your response be?
A. Tell Wiremu that Emma should take the prescribed antibiotics
B. Acknowledge the value of Māori health remedies
C. Express your concern that Emma will infect other children
D. Discuss how both treatments are of value in curing Emma

Answer 15

D. Discuss how both treatments are of value in curing Emma

Question 16

A colleague shares her concerns about a elderly client, Moana, who identifies as Māori. Moana is in early stages of Alzheimer’s disease and is wandering away from her home. Your colleague believes Moana should be cared for in an institution where she is less likely to harm herself. What should be your reply to your colleague?
A. “Yes, I agree she would be safer in an institution”
B. “Has she been assessed by her GP?”
C. “Has she got family involved in her care?”
D. “I would call in a social worker to help”

Answer 16

C. “Has she got family involved in her care?”

Question 17

Culturally safe nursing practice involves?
A. Asking clients about their knowledge of their cultural heritage
B. Relating to all clients in a neutral manner regardless of their culture
C. Ensure clients are nursed by nurses of their own culture
D. Use of appropriate resources to meet clients identified cultural needs

Answer 17

D. Use of appropriate resources to meet clients identified cultural needs

Question 18

The internal migration of Māori people from rural to urban life since the mid 1940s has adversely affected Māori health. What is the most likely reason for this?
A. Over crowding within urban communities
B. Increased exposure to infectious diseases
C. Dietary changes from naturally produced to processed food
D. Loss of cultural, social, and spiritual ties

Answer 18

D. Loss of cultural, social, and spiritual ties

Question 19

Taonga (in Māori culture) means?

Answer 19

An object or natural resource which is highly prized.

Question 20

Traditional Māori health practices were outlawed by which of the following acts of parliament?
A. Suppression of Rebellion Act 1860
B. Native Lands Act 1865
C. Suppression of Tohunga Act 1908
D. Constitution Act 1852

Answer 20

Suppression of tohunga act 1908

Question 21

Iris a 55 year old woman, who identifies as Māori, is admitted to the emergency department with severe chest pains. Her whanau are with her. What immediate nursing action is the most appropriate to take?
A. Show the whanau where the waiting room is
B. Interview the whanau regarding Iris’s previous history
C. Carry out a physical examination in a non threatening manner
D. Administer oxygen and monitor her blood pressure and pulse

Answer 21

D. Administer oxygen and monitor her blood pressure and pulse

Question 22

Hine is returned to her room and her whanau ask to stay the night. The nursing staff state “it’s not appropriate for a large number to stay.” What action should you take?
A. Negotiate other suitable accommodation for whanau
B. Explain politely that the nurse in charge disagrees
C. Tell them that only two people can stay at one time
D. Explain there are no extra mattresses

Answer 22

A. Negotiate other suitable accommodation for whanau

Question 23

Tui’s employers have stated that all staff must undertake bicultural workshops. She is asked to relate how the Treaty of Waitangi relates to Māori health. How best would Tui respond?
A. We are all one people with equal rights to health care
B. Because you are Māori, Treaty of Waitangi gives you priority health care
C. The Treaty of Waitangi guarantees the rights of Māori to decide their own health needs
D. Article 3 of Treaty of Waitangi guarantees the right to equitable health care

Answer 23

A. We are all one people with equal rights to health care

Question 24

Remi, who identifies as Māori, is a 32 year old single father. His wife passed away a year ago. He is caring for 8 year old Hone and 4 year old Ana. Hone’s teacher is concerned about his disruptive behaviour at school and wants to discuss this with Remi. The most appropriate action to take is?
A. Send a letter to Remi asking him to meet you at the school
B. Go to see Remi at his home
C. Organise a family meeting at the school
D. Ring Remi to explain why you wish to see him

Answer 24

C. Organise a family meeting at the school

Question 25

The Māori community health committee approaches you for input into their health care submission for the regional health authority. Your response would be?
A. “How can I best assist your committee?”
B. “I do not feel qualified to do that.”
C. “I will write up a draft copy for you.”
D. “I will discuss this with my colleagues first.”

Answer 25

A. “How can I best assist your committee?”

Question 26

Raewyn is very excited about the upcoming marae visit. Two days prior to the event, she comes to you saying “as 1993 was women’s suffrage year, I want to make a speech during the welcome’. Your response should be?
A. Tell her she should talk to the elders of the community
B. “That’s exciting, which song do you want me to sing in support?”
C. We should discuss this with the Māori elders involved with our research project
D. Contact a Māori nurse in the community to support her

Answer 26

A. Tell her she should talk to the elders of the community

Question 27

The Treaty of Waitangi was signed by?

Answer 27

A representative of the British crown and Mario chiefs

Question 28

Margaret a Kaiako (a teacher) at the Kohanga Reo tells you that Tami has fallen and grazed his knee. Tami has hepatitis B. What advice should the nurse give to the teacher?
A. Wash your hand before and after attending to Tami
B. Keep Tami’s eating utensils separate from others
C. Cover the graze with a waterproof dressing
D. Keep Tami at home until the graze heals

Answer 28

C. Cover the graze with a waterproof dressing

Question 29

How do you relate the Treaty of Waitangi, to the importance of Pepe being discharge to his whanau?
A. The institution could no longer provide for his care
B. It ensures that Pepe’s cultural heritage is protected
C. That pepe will be safer in a Māori community
D. That the principle of tino rangatiratanga (self-determination) is maintained

Answer 29

D. That the principle of tino rangatiratanga (self-determination) is maintained

Question 30

Cloe’s whanau are very anxious about her condition. What is the most appropriate action to take?
A. Identify the spokesperson and explain what is happening
B. Take the whanau to a quiet room and discuss their concerns
C. Acknowledge their anxiety and allow a whanau member to stay
D. Assure them that the doctors will do everything they can

Answer 30

C. Acknowledge their anxiety and allow a whanau member to stay

Question 31

Eve’s condition deteriorates and she dies. What is the most appropriate nursing action to help the whanau?
A. Ensure privacy for the family to have karakia (prayers)
B. Allow a spokesperson to contact the rest of the family
C. Move Eve’s body to a side room
D. Offer the whanau to go to a quiet room for a cup of tea

Answer 31

A. Ensure privacy for the family to have karakia (prayers)

Question 32

Tao’s mother reports that she has been unhappy with his previous care. How best would you ensure the whanau are satisfied with the standard of care?
A. Tell the whanau to visit daily
B. Arrange an appointment for the whanau to see the doctor
C. Involve the whanau in all decision making
D. Make sure whanau are familiar with ward procedure

Answer 32

C. Involve the whanau in all decision making

Question 33

Nursing 8 Code Of Ethics

Answer 33

Autonomy - self-determination
Beneficence - doing good
Non-maleficence - doing no harm
Justice - fairness
Veracity - truthfulness
Confidentiality - privacy
Fidelity - faithfulness
Guardianship - guardianship of environment and its resources

Question 34

The Treaty Of Waitangi was signed when?

Answer 34

6 February 1840

Question 35

Vulnerable Children’s Act

Answer 35

Vulnerable Children’s Act 2014 introduced measures that ensure that children can be better protected from abuse and neglect both in their homes and in their community

Question 36

Privacy Act

Answer 36

Privacy Act 2020 - the purpose us to promote and protect individual privacy

Question 37

Oranga Tamariki Act 1989

Answer 37

Determines how the state intervenes to protect children from abuse and neglect, and to prevent and address child and youth offending

Question 38

How does the Crimes Act 1961 relate to the safety of children and vulnerable adults?

Answer 38

Section 195A of the Crimes Amendment Act states ‘failure to protect a child or vulnerable adult is liable for the offence of failing to take responsible steps to protect them.

Question 39

Which Act introduced measures that will ensure that children can be better protected from abuse and neglect both in their homes and in the community?

Answer 39

Vulnerable Children’s Act 2014

Question 40

Mental Health Act sections…

Question 41

The role of the Nursing Council of New Zealand is?
A. To protect the unregulated and regulated health workforce
B. To regulate doctors to protect public safety
C. To regulate nursing to protect public safety
D. To protect the nursing workforce.

Answer 41

C. To regulate nursing to protect public safety

Question 42

In regards to scope of practise, what must a Registered Nurse take into consideration when directing and delegating to an Enrolled Nurse?

Answer 42

Right activity
Right person
Right circumstance
Right communication
Right direction

Question 43

What are the 3 P’s of Treaty of Waitangi?

Answer 43

Protection
Partnership
Participation

Question 44

Principles of the Treaty of Waitangi

Answer 44

Self-determination
Options
Active protection
Partnership
Equity

Question 45

Who is the current Ministry of Health?

Answer 45

Dr. Diana Sarfati

Question 46

What law assists in ensuring that Registered Nurses are competent to practise?

Answer 46

Health Practitioners Competence Assurance Act 2003

Question 47

Health and Safety at Work Act 2015

Answer 47

Establishes the duty of the employers to provide a safe work environment for employees, including nursing.
Required nurses to comply with health and safety policies, procedures and guidelines.
Places obligations on nurses to report any hazards or incidents that may impact their own or others’ health and safety

Question 48

You discover more than half the children at Kohanga Reo have not been vaccinated against hepatitis. What should your first action be?
A. Discuss with the caregivers and parents what they wish to do about this
B. Give these children hepatitis B vaccinations explaining that it is essential for their protection
C. Report your findings to the health department as soon as possible
D. Inform the Ministry of Education to gain funding for them to be immunised

Answer 48

A. Discuss with the caregivers and parents what they wish to do about this

It is important to engage in open communication with the caregivers and parents to understand their concerns, provide information about the importance of hepatitis B vaccination, and address any barriers or misconceptions they may have. This collaborative approach will help in making informed decisions regarding the vaccination of the children.