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Nursing as a profession, ethics, law and professional organisations

50 Kerala PSC Staff Nurse Gr II practice questions on Nursing as a profession, ethics, law and professional organisations, part of Professional Trends and Nursing Administration. The first 25 are below; the first 5 with answers and explanations (tap Show answer after you have chosen), the rest in Learn with a free account.

  1. Question 1 · Medium

    When time allows, the most appropriate person to record a dying declaration is a:

    1. AStaff nurse
    2. BPolice officer
    3. CMagistrate
    4. DClose relative
    Show answer

    Answer: C · Magistrate

    A dying declaration is a statement by a person about the cause or circumstances of his death, admissible under the Indian Evidence Act. A magistrate's recording carries the most weight. If death is imminent and no magistrate can come, the doctor or even a nurse may record it in the person's own words, with witnesses. The doctor certifies that the patient is fit to give the statement.

    • A: A nurse records it only when there is no time to call a magistrate.
    • B: A police recording carries less weight than a magistrate's.
    • D: A relative is an interested party and not preferred.
  2. Question 2 · Medium

    Which is NOT a characteristic of a profession?

    1. AA code of ethics for members
    2. BAutonomy in its own practice
    3. CSkills learned only by apprenticeship
    4. DA specialised body of knowledge
    Show answer

    Answer: C · Skills learned only by apprenticeship

    A profession has a body of specialised knowledge gained through long higher education, a service orientation, a code of ethics, autonomy, and a professional organisation that controls standards. Learning only by watching others, without a theoretical basis, marks a trade or occupation. Nursing has moved from apprenticeship training to college education.

    • A: A code of ethics is a characteristic.
    • B: Autonomy is a characteristic.
    • D: A specialised body of knowledge is a characteristic.
  3. Question 3 · Hard

    A patient admitted with chest pain insists on going home. He is alert and oriented. The doctor has explained the risk of a heart attack, but he still wants to leave. The nurse should:

    1. AGet his signature on a LAMA form and document
    2. BLet him go without recording anything
    3. CLock the ward door until he agrees to stay
    4. DAsk the doctor to sedate him so he stays in bed
    Show answer

    Answer: A · Get his signature on a LAMA form and document

    A competent adult may leave against medical advice. The nurse makes sure the doctor has explained the risks, asks him to sign a 'left against medical advice' (LAMA) form, informs the doctor and documents the event. If he refuses to sign, this is recorded and witnessed. Detaining or sedating him would be false imprisonment and battery.

    • B: Failing to document leaves the nurse and hospital unprotected.
    • C: Locking him in is false imprisonment.
    • D: Sedating without consent is battery.
  4. Question 4 · Medium

    Under the 2019 amendment of the Motor Vehicles Act, a nurse who stops to give first aid to a road accident victim:

    1. AIs liable if the victim later dies in hospital
    2. BMust pay the cost of the ambulance
    3. CMust give her name and address to the police
    4. DIs protected from civil and criminal liability
    Show answer

    Answer: D · Is protected from civil and criminal liability

    Section 134A of the Motor Vehicles Act, added in 2019, protects a Good Samaritan who helps an accident victim in good faith from civil or criminal liability. She is not forced to give her identity or to be a witness. This encourages bystanders, including off-duty nurses, to give emergency help.

    • A: Good-faith help gives protection even if the victim dies.
    • B: A helper is not required to pay for transport.
    • C: Disclosure of identity is voluntary.
  5. Question 5 · Medium

    A nurse ties a confused but non-violent patient to the bed for her own convenience, without any order. Legally this may be:

    1. AInvasion of privacy
    2. BContributory negligence
    3. CFalse imprisonment
    4. DDefamation
    Show answer

    Answer: C · False imprisonment

    False imprisonment is unjustified restraint of a person's freedom of movement. Restraints used without an order, without clinical need or for staff convenience can amount to it. Restraints must be the last resort, ordered, monitored and documented. Less restrictive measures such as supervision come first.

    • A: Invasion of privacy is unwarranted exposure of a person or information.
    • B: Contributory negligence is the patient's own share of fault.
    • D: Defamation is harm to reputation by false statements.
  6. Question 6 · Easy

    The 'Code of Ethics for Nurses in India', which guides nursing practice in the country, is issued by the:

    1. AKerala Nurses and Midwives Council
    2. BTrained Nurses' Association of India
    3. CInternational Council of Nurses
    4. DIndian Nursing Council

    Answer and explanation in LearnFree account

  7. Question 7 · Hard

    A caller says he is a patient's brother and asks the nurse for the patient's HIV test result. The patient has asked that no one be told. The most appropriate response is:

    1. APolitely decline to give any result
    2. BAsk the patient to phone back with it
    3. CGive the result once he confirms the name
    4. DGive it if he says he is the next of kin

    Answer and explanation in LearnFree account

  8. Question 8 · Hard

    A 76-year-old alert woman with gangrene refuses a below-knee amputation after the risks are explained. Her son asks the staff to go ahead anyway. The nurse should:

    1. AAsk the son to sign the consent form
    2. BWait until she becomes confused, then proceed
    3. CPrepare her for surgery as the son asks
    4. DRespect her refusal and inform the doctor

    Answer and explanation in LearnFree account

  9. Question 9 · Easy

    The Florence Nightingale Pledge was composed by:

    1. AMary Seacole
    2. BFlorence Nightingale
    3. CVirginia Henderson
    4. DLystra Gretter

    Answer and explanation in LearnFree account

  10. Question 10 · Easy

    Touching or treating a patient without his consent is legally termed:

    1. ABattery
    2. BSlander
    3. CLibel
    4. DAssault

    Answer and explanation in LearnFree account

  11. Question 11 · Medium

    All of the following are functions of the Indian Nursing Council EXCEPT:

    1. ARecognising nursing qualifications
    2. BPrescribing syllabi for nursing programmes
    3. CInspecting nursing training institutions
    4. DRegistering nurses to practise in each state

    Answer and explanation in LearnFree account

  12. Question 12 · Easy

    The Kerala Nurses and Midwives Council functions under which Act?

    1. ATravancore-Cochin Medical Practitioners Act, 1953
    2. BTravancore-Cochin Nurses and Midwives Act, 1953
    3. CClinical Establishments Act, 2010
    4. DKerala Public Health Act, 2023

    Answer and explanation in LearnFree account

  13. Question 13 · Medium

    In Jacob Mathew v. State of Punjab (2005), the Supreme Court held that a health professional is criminally liable for negligence only when it is:

    1. AGross or reckless
    2. BA breach of hospital rules
    3. CAny error of judgement
    4. DReported by the family

    Answer and explanation in LearnFree account

  14. Question 14 · Medium

    Malpractice differs from ordinary negligence because malpractice is:

    1. AA wrong that never causes physical injury
    2. BA crime that always leads to imprisonment
    3. CAn intentional act done to harm a patient
    4. DNegligence by a professional at work

    Answer and explanation in LearnFree account

  15. Question 15 · Easy

    A nurse writes false and damaging remarks about a colleague in a public post. This is:

    1. AMalpractice
    2. BBattery
    3. CSlander
    4. DLibel

    Answer and explanation in LearnFree account

  16. Question 16 · Medium

    One ICU bed is free and two patients need it. Allocating it to the patient with the greater clinical need, regardless of status or wealth, applies the principle of:

    1. AVeracity
    2. BJustice
    3. CFidelity
    4. DAutonomy

    Answer and explanation in LearnFree account

  17. Question 17 · Hard

    A 15-year-old boy is admitted for a planned tonsillectomy. He says he agrees to surgery, and both parents are in the ward. Valid consent for the operation should be given by:

    1. AThe surgeon
    2. BOne of his parents
    3. CThe ward nurse
    4. DThe boy himself

    Answer and explanation in LearnFree account

  18. Question 18 · Easy

    According to the ICN Code of Ethics, nurses have four fundamental responsibilities: to promote health, to prevent illness, to restore health and to:

    1. AProlong life
    2. BAlleviate suffering
    3. CEnsure a cure
    4. DReduce hospital costs

    Answer and explanation in LearnFree account

  19. Question 19 · Easy

    Negligence, defamation and false imprisonment fall under which branch of law?

    1. AContract law
    2. BCriminal law only
    3. CConstitutional law
    4. DTort (civil wrong)

    Answer and explanation in LearnFree account

  20. Question 20 · Medium

    A nurse who accepts that she must answer for the outcome of her own nursing actions and decisions is showing:

    1. AAccountability
    2. BDelegation
    3. CAuthority
    4. DAdvocacy

    Answer and explanation in LearnFree account

  21. Question 21 · Medium

    B.Sc. nurses with the Certificate in Community Health can work in Ayushman Arogya Mandirs (Health and Wellness Centres) as:

    1. AMedical Officers
    2. BDistrict Nursing Officers
    3. CCommunity Health Officers
    4. DJunior Public Health Nurses

    Answer and explanation in LearnFree account

  22. Question 22 · Easy

    The headquarters of the International Council of Nurses (ICN) is located in:

    1. ANew York
    2. BNew Delhi
    3. CGeneva
    4. DLondon

    Answer and explanation in LearnFree account

  23. Question 23 · Medium

    A nurse makes a wrong entry in the patient's chart. The correct way to correct it is to:

    1. ATear out the page and copy the notes again
    2. BCover it with correction fluid and rewrite
    3. CErase it carefully and rewrite the entry
    4. DDraw one line through it, initial and date it

    Answer and explanation in LearnFree account

  24. Question 24 · Easy

    Under the doctrine of 'respondeat superior', liability for a staff nurse's negligent act at work also falls on the:

    1. ANursing school
    2. BEmploying hospital
    3. CPatient's relatives
    4. DNursing council

    Answer and explanation in LearnFree account

  25. Question 25 · Hard

    A nurse photographs a patient's unusual pressure ulcer to share in a nursing WhatsApp group for learning. The patient's face is not shown. Before sharing, she must:

    1. AMake sure the image is clear
    2. BGet the patient's informed consent
    3. CAdd the patient's diagnosis
    4. DAsk her colleagues' permission

    Answer and explanation in LearnFree account

25 more Nursing as a profession, ethics, law and professional organisations questions

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