NURSING LAW AND ETHICS JURIS color, creed or social oreconomic

OUTLINE statuse.Committed to promoting

individual,family , community and
Chapter 1- Overview nationalhealth goalsf.Committed to
involvement in ethical,legal and
political issues in thedelivery of
Nursing Profession
health careNURSING PROCESS-Use
nurse process as a tool in
 Process of constant change nursingpractice-Logical, systematic
 Etymological perspective it scientific problem-solving process
comes from the Latin word utilized by nurses todeliver total
meaning NUTRIX or nourish quality health careservices to
patientsCHARACTERIZED AS:a.Way
Nursing of thing as a nurseb.Framework of
interrelated activitiesresulting in
competent nursing carec.Dynamic
Art, a science and a social science-
and cyclical in natured.Scientific,
Being an art, deals with skills that
problem oriented approachto
require dexterity and proficiency-
patientNURSING CARE
Science : systematic and well-
PLANa.Assessmentb.Diagnosisc.Pla
definedbody of knowledge which
nningd.Implementatione.Evaluation
utilizes scientific methods and
NURSING AND ITS ORIGIN-Part of
procedures in the application of
human civilization since
nursing process-Social Science:
timeimmemorial-Origin: primeval
primordial interest is man whether
mother who cared forthe sick in her
well or sick-It is involved in total
family during theprimitive times-
quality patientcare when giving the
Tribal task of caring-Medieval
patientprescribed medication or
period ( 400-1400 AD;Augustinian
treatments-Primary focus is the
sisters which isconsidered the first
individual’sresponse to health
nursing order inthe Middle ages-
related problemsFOUR
Monastic orders all over the
FUNDAMENTAL RESPONSIBILITIES
world( present)-The Catholic
OFNURSINGa.Promote
church has influence overnursing
healthb.Prevent illnessc.Restore
because of St. ThomasAquinas’
health andd.To alleviate sufferings-
teachings ona.The need to preserve
Noble goal to promote the
lifeb.Need to procreatec.Need to
harmoniousor symphonic
know the truthd.Need to live in
interaction betweenmen and their
society-During the Protestant
environmentCHARACTERISTICS OF
period, dark agefor nursing , Middle
NURSINGa.Nursing is
of 19th century, downfall of
caringb.Involves close, personal
church’s influence-Social reforms
contact withthe recipient of
by the 19th
care;c.Concerned services
( humans asphysiological,
psychological andsociological century, British nurse Florence
organisms)d.Committed to Nightingale during the Crimean war
personalized servicesregardless of (1854- 1856), huge effect for 20th
century
This nursing practice delves into the ethico- moral, legal, spiritual, and
cultural aspects of practicing the nursing profession.

The scope of this 25- item test covers the following topics given:

 Nursing ethics
 Laws, principles, and rules governing nursing
 Legal liabilities in nursing practice
 Informed consent, incident report, and wills
1. Client Henry is to be discharged soon but is still not knowledgeable about
how to use his cane. What underlying principle in nursing ethics should guide
the nurse in doing his duty?

a. Responsibility
b. Competence
c. Accountability
d. Advocacy

2. The following statements are stated in the Dying Patient’s Bill of Rights,
except for one:

a. I have the right to feel the pain of dying.

b. I have the right to participate in decisions concerning my care.
c. I have the right to die in peace and dignity.
d. I have the right to have my questions answered honestly.

3. This corresponds to the personal belief of a client regarding a given idea,

custom, attitude, or anything that influences her behavior and decisions.

a. Ethics
b. Morals
c. Values
d. Bioethics.

4. This law focuses on the prevention and control of the Diabetes Mellitus
Act, known as:

a. R.A. No. 8172

b. R.A. No. 8976
c. R.A. No. 8187
d. R.A. No. 8191

5. Client Edwin was diagnosed with terminal cancer. His family asked his
physician to explain to him his illness on their behalf. What principle guides
this situation?
a. Autonomy
b. Veracity
c. Beneficence
d. The principle of double effect

6. The ethical principle stating that a registered nurse is the client’s advocate
is stated on what section of the code of ethics for registered nurses?

a. Section 11
b. Section 10
c. Section 9
d. Section 8

7. The Board of Nursing is composed of how many governing bodies?

a. 5
b. 6
c. 4
d. 7

8. Which is incorrect about the qualifications of a Nursing Service

Administrator?

a. A registered nurse in the Philippines

b. At least 5 years of experience in the managerial position in nursing
c. Possess a degree of Bachelor of Science in Nursing with at least 9 units in
management and administration courses at the graduate level
d. A member of good standing of the accredited professional organization of
nurses

9. Anna is a nurse and was asked to pose for a TV commercial wearing her
uniform. If she agrees to it, what will she violate?

a. R.A. No. 9173

b. R.A. No. 7164
c. The code of ethics for registered nurses
d. All of the above

10. Who of them below is considered an accessory to a crime?

a. Nurse Fred, who administered the wrong medication

b. Nurse Milo, who was there on the act of the incident
c. Nurse Manager Jeremy who arranged a discreet agreement with the
client’s folks to resolve the conflict
d. All of them
11. The following statements below are acts of nursing negligence, except for
one:

a. Use of defective equipment

b. Disagreeing with the physician
c. Careless execution of doctor’s order
d. Errors in administering medications

12. Situation: Client Zee is not compliant to his treatment ECT

(electroconvulsive therapy) and does not take his medications due to his
suspicious personality. His nurse was so hopeless that she threatened Client
Zee not to give him his regular meals if he will not submit himself to his
therapy and treatments. What kind of malpractice was committed in this
situation?

a. False imprisonment
b. Battery
c. Assault
d. Fraud

13. Informed consent is an agreement that allows a certain procedure to

happen. Which is true about it?

a. Sisa is being given all the relevant information of her chemotherapy.

b. Pepito, 18 years old, who refuses treatment, is allowed to sign his waiver
in the absence of his guardians.
c. Neneng, mother of Baby Timothy, signed the consent form for his blood
transfusion.
d. All of the Above

14. It is a kind of will that is entirely written, dated, and signed by the client
himself. It is called:

a. Notarial will
b. Nuncupative will
c. Holographic will
d. None of the above

15. Board of Nursing Resolution No. 110 s. 1998 is also known as:

a. Adoption of Nursing Specialty Certification Program

b. Adoption to a guide to evaluate compliance with Standards for Safe
Nursing Practice
c. Specialty training on intravenous injections for registered nurses
d. Promulgation of standards of safe nursing practice
16. The Unang Yakap Campaign advocates the interrupted mother and child
bonding through Rooming –in and early breastfeeding. What law governs
Rooming-in and Breastfeeding?

a. P.D. 148
b. R.A. 7600
c. R.A. 7432
d. R.A. 7877

17. You are one of the vaccinators in the Measles- Rubella Campaign. One
mother hesitated since she verbalized that it would hurt her son. As a well-
versed nurse about ethical considerations,you explained to the mother that it
might cause discomfort, but it will protect her son from acquiring the said
diseases. What principle did you utilize?

a. Nonmaleficence
b. Justice
c. Beneficence
d. Autonomy

18. Louie is an experienced registered nurse and wants to be a clinical

instructor. What qualification does he need to be one?

a. Have at least 2 years of experience in general nursing administration

b. Have 9 units in management and administration courses at the graduate
level
c. Have at least 5 years in teaching and supervising
d. Have a good standing in an accredited professional organization of nurses

19. Who among the individuals below cannot make a will?

a. NN who is 19 years old and has Leukemia.

b. RR, who is married and has prostate cancer.
c. GG who is 28 years old married, and is suffering postpartum psychosis.
d. JJ who is 18 years old and has acute renal failure.

20. Alex is to appear and testify in the court as a witness. What should she
receive prior to that?

a. Subpoena duces tecum

b. Subpoena testificandum
d. Subpoena ut des
d. None of the above

21. It refers to the act of adopting a foreigner and clothing him with the
privileges of a native citizen?
a. Alienation
b. Naturalization
c. Expatriation
d. Repatriation

22. According to the preamble of the code of ethics for registered nurses,
what are the fundamental aspects of nursing?

a. Restoration of health
b. Alleviation of suffering
c. Only answer A
d. A & B

23. As a nurse manager, one of your staff asked you about incident report.
What are you going to include in your explanation?

a. It is utilized to document any common nursing duties.

b. It is written in the nurse’s notes.
c. It is not a means of punishment.
d. It does not protect the person involved.

24. In order to pass the licensure examination, what is the general weighted
average to be reached by the test taker?

a. 75%
b. 60%
c. 65%
d. 70%

25. You are a public health nurse and there are cases of dengue fever in your
town. You should report this according to what law?

a. R.A. 7610
b. R.A. 1082
c. R.A. 3573
d. R.A. 1811

1. Answer: Accountability
Rationale: Accountability can be referred to as a nurse’s ability to answer
for his own actions. If the nurse knows that his client is still not
knowledgeable in using his cane, he might request for more hospitalization or
arrange with his caregiver to continue providing health teaching at home.

2. Answer:
Rationale: The statement should be: I have the right to be free from pain.
 3. Answer: Values
Rationale: Ethics refers to the study of what is good and just for clients,
while morals reflect the character of the social setting from where the client
bases his behavior. Bioethics, on the other hand, pertains to the study of
what is right and wrong behavior in the healthcare setting.

4. Answer: R.A. No. 8191

Rationale: Option A refers to the promotion of salt iodization; B pertains to
the Philippine Food Fortification Program; and C corresponds to the 7- day
Paternity leave.

5. Answer: Veracity
Rationale: Veracity guides the practice of truth. On the other hand,
autonomy is the client’s right to decision making; Beneficence refers to
actions that prevent harm, and the principle of double effect pertains to
outweighing the harmful secondary effects by the intended good outcomes.

6. Answer: Section 8
Rationale:  Section 11 involves the nursing ethics with his co-workers;
section 10 ethical guidelines requiring professional conformity with existing
laws; section 9 reflects that nurses should be aware that their actions have
corresponding ethical, moral, and legal aspects.

7. Answer: 7
Rationale:  According to the Philippine Nursing Act of 2002 or R.A. No.
9173, section 4. The Board created under section 3 of Article III of the said
nursing act is composed of a chairperson and 6 members.

8. Answer:
Rationale: Answer B refers to the qualification of a Chief Nurse/ Director of
Nursing

9. Answer: the code of ethics for registered nurses

Rationale:  Under section 10 of the code of ethics, a registered nurse must
not allow herself to be used in advertisements that should demean the image
of the profession.

10. Answer: Nurse Manager Jeremy

Rationale:  Nurse Fred was the Principal who committed the direct harm to
the client, while nurse Milo was an Accomplice. Nurse Manager Jeremy tried
to conceal the escape of his staff members by discreetly arranging the
resolution with the client’s family members.

11. Answer: Disagreeing with the physician

Rationale: Disagreeing with the physician; especially knowing what is good
and right for the client and rationalizing it to his physician, does not mean
negligence since there is no unreasonable risk for harming the client, there is
no failure to perform any task, and no physical, emotional, or mental
damage to the client.

12. Answer: Assault
Rationale:  Threatening the client to submit himself to therapy or treatment
he did not want is considered an assault as long as no physical harm was
done since it could then be referred to as battery.

13. Answer: All of the Above

Rationale: All the options above describe an informed consent. The client
must be informed of all the relevant information, They must be of legal age
reflected on option B, and parents sign the consent form for pediatric clients.

14. Answer: Holographic will

Rationale: A notarial will is only signed by the testator or by another person
in the presence of the testator, while a nuncupative will is also called an oral
will.

15. Answer:
Rationale: Option A refers to BON Res. No. 14 s. 1999, C corresponds to
BON Res. No. 08 s. 1994, and option D pertains to PRC- BON Res. No. 82 s.
1998.

16. Answer: R.A. 7600

Rationale: P.D. 148 is called Woman and child labor law; R.A. 7432 is about
Senior Citizen’s Act, and R.A. 7877 corresponds to Anti sexual harassment
act of 1995.

17. Answer: Beneficence
Rationale: Beneficence focuses on promoting the best interest of the client
despite some risks like discomfort.

18. Answer:
Rationale: To be a faculty of the college of nursing: one must be an R.N. in
the Philippines, have at least 1 year of clinical practice, a member of good
standing in an organization for nurses, and must have a master’s degree in
nursing, education, or any allied medical or health sciences.

19. Answer:
Rationale: GG is of legal age, but she has postpartum psychosis, implying
that she is not of sound mind. A person should have a sound mind at the
time of execution of the will.
 20. Answer: Subpoena testificandum
Rationale: This subpoena is given to witnesses and respondents to appear
in court while subpoena duces tecum is issued in order for respondents to
produce necessary documents.

21. Answer: Naturalization
Rationale: Expatriation is the voluntary act of abandoning one’s country and
become a citizen of another country; repatriation refers to regaining one’s
nationality after expatriation; an alien is also known as a foreigner or a
person born abroad.

22. Answer: A & B

Rationale:  The 4 fundamentals of nursing include promotion of health,
prevention of illness, alleviation of suffering, and restoration of health.

23. Answer:
Rationale:  An incident report is to document an unusual occurrence or
incident. It is not advised to be written in the nurse’s notes, is not a means
of punishment, and it is filed to protect the individual involved.

24. Answer: 75%
Rationale: According to section 15 of R.A. 9173, an examinee needs to
reach at least a 75% general average to pass the exam.

25. Answer: R.A. 3573

Rationale: It corresponds to reporting communicable diseases. R.A. 7610
refers to the law against child abuse, R.A. 1082 pertains to the Rural health
act, and R.A. 1811 pertains to strengthening health and dental services to
rural areas.