RPN Professional and Ethical Practice 4

Question 1

A client confides thoughts of self-harm to an RPN and asks the RPN not to tell anyone. The RPN's obligation is to:

Accepted Answer

Report the disclosure to the care team to ensure the client's safety

Answer

Safety supersedes confidentiality when there is risk of self-harm; the RPN must report to the interdisciplinary team immediately.

Question 2

Which behavior best demonstrates the RPN's professional accountability?

Accepted Answer

Acknowledging a clinical error, reporting it, and identifying steps to prevent recurrence

Answer

Accountability involves owning one's actions, including errors, and actively contributing to improvements in practice.

Question 3

An RPN is caring for a client from a culture with different health beliefs. The ethical approach is to:

Accepted Answer

Incorporate the client's cultural beliefs into the care plan after mutual discussion

Answer

Culturally competent, ethical care integrates the client's beliefs and values while ensuring safe, evidence-based treatment.

Question 4

A client with decision-making capacity requests discharge against medical advice (AMA). The RPN's role includes:

Accepted Answer

Ensuring the client is informed of risks and documenting the AMA appropriately

Answer

A capacitated client has the right to leave AMA; the RPN ensures informed refusal is documented and risks are communicated.

Question 5

What does 'duty of care' mean for an RPN in the context of professional ethics?

Accepted Answer

The legal and ethical obligation to provide competent care to clients under the RPN's responsibility

Answer

Duty of care is the legal and ethical standard requiring RPNs to act competently and reasonably toward clients in their care.

RPN - Registered Practical Nurse Practice Test