Ch 1and 2 Flashcards
(93 cards)
1
Q
A prospective nursing student questions what program accreditation means. What should be included in the information provided?
- Accreditation is a voluntary review by a given organization to determine whether the program meets that organization’s pre-established criteria.
- An accredited program is one that meets the minimal standards set by the respective state agencies responsible for overseeing educational programs.
- Program accreditation is necessary before the graduate is eligible to take the National Council Licensing Examination fir Practical Nursing (NCLEX-PN).
- Nursing program accreditation is a federally funded health care program that educates practical nurse students.
A
- Accreditation is a voluntary review by a given organization to determine whether the program meets that organization’s pre-established criteria.
2
Q
The nursing student is discussing the impact of preventive medicine. Which change has resulted from this focus?
- Anxiety over diagnostic workups such as colonoscopies or gynecologic examinations.
- The number of admissions for inpatient services.
- The length of a hospitalization stay.
- Knowledge and services to promote health and prevent illness (wellness-illness continuum)
A
- Knowledge and services to promote health and prevent illness (wellness-illness continuum)
3
Q
Growth and advancement of the nursing profession in the 21st century can be attributed to:
- growth of cities
- better education of nurses
- teachings of Christianity
- improved conditions for women
A
- improved conditions for women
4
Q
Nursing education programs may seek voluntary accreditation by which agency?
- American Nurses Association
- International Council of Nurses
- Congress for Nursing Practice
- National League for Nursing
A
- American Nurses Association
5
Q
When developing a definition of “health,” a person should consider that health is:
- a condition of physical, mental, and social wellbeing and absence of disease.
- the ability to pursue activities of daily living
- a function of the physiologic state
- a static condition; the absence of pathology
A
- a condition of physical, mental, and social wellbeing and absence of disease.
6
Q
Which philosophy is described as comprehensive or total patient care that considers the physical, emotional, social, economic and spiritual needs of the person; the person’s response to illness; and the impact of the illness on the person’s ability to meet self-care needs?
- The wellness-illness continuum
- The Patient Care Partnership
- Holistic nursing
- The health care delivery system
A
- Holistic nursing
7
Q
The student nurse reviewing the history of nursing knows that “the lady with the lamp” is
- Clara Barton
- Florence Nightingale
- Phoebe
- Lavinia Dock
A
- Florence Nightingale
8
Q
The American Society of Superintendents of Training Schools of Nursing was established in 1894. What was the major goal of the organization?
- To promote the development of new schools of nursing
- To train nursing leaders
- To set educational standards for nurses
- To develop standards for licensure
A
- To set educational standards for nurses
9
Q
Nurses correctly recognize what as the key determinant of their scope of practice?
- The nursing process
- The agencies policies
- The Hippocratic Oath
- The nurse practice act
A
- The nurse practice act
10
Q
Nursing theorists are helpful in enabling the nursing profession to problem solve and establish standards. Who is largely recognized as the first nursing theorist?
- Phoebe
- Clara Barton
- Florence Nightingale
- Theodore Fliedner
A
- Florence Nightingale
11
Q
The most commonly used model that assists in the understanding of the patient’s place on the wellness-illness continuum is that of:
- Abraham Maslow
- Dorothea Dix
- Clara Barton
- Theodore Fliedner
A
- Abraham Maslow
12
Q
Which was the first nurse to train in America?
- Lavinia Dock
- Linda Richards
- Clara Barton
- Mary Breckenridge
A
- Linda Richards
13
Q
Which was the first school dedicated to the training of the practical nurse in the United States?
- The Ballard School
- The Young Women’s Christian Association
- The Thompson Practical Nursing School
- The Shepard-Gill School
A
- The Ballard School
14
Q
What is health?
- The absence of illness
- The state of complete physical, mental and social well-being
- A condition between disease and good health
- The opposite of disease
A
- The state of complete physical, mental and social well-being
15
Q
When reviewing the role/impact of men in nursing, which statement is most correct?
- Men were not permitted to serve in the military
- The prominence of men in nursing increased during the civil war
- The number of men in the profession is decreasing
- Men are regaining their historical position in the profession as nurses
A
- Men are regaining their historical position in the profession as nurses
16
Q
The nurse is reviewing the planned health promotion activities for a local community center. Which primary prevention activities may be included? select all that apply
- Screening for complications of diabetes
- Dietary teaching focused on prevention of obesity
- Support group development for the victims of partner violence
- Weight loss programs for patients with diabetes
- Exercise programs for teens
A
- Screening for complications of diabetes
- Dietary teaching focused on prevention of obesity
- Exercise programs for teens
17
Q
Which factors affect male students’ success in nursing programs? select all that apply.
- Men have more difficulty studying for examinations.
- Men may feel isolated in the nursing program.
- Many men have difficulty showing their feelings of care and empathy
- There are limited role models for men in nursing
- Instructor attitudes may not embrace male students.
A
- Men may feel isolated in the nursing program.
- There are limited role models for men in nursing
- Instructor attitudes may not embrace male students.
18
Q
The newly licensed practical/vocational nurse (LPN/LVN) has reviewed the nurse practice act (NPA) of the states licensure. What is the purpose of the documentation?
- Determine the quality of nursing care
- Enforce the standards of the nursing practice
- Define the scope of nursing practice
- Set the nurses educational requirements
A
- Define the scope of nursing practice
19
Q
The nurse working in a nursing home correctly recognizes that duties include patient advocacy. Which role is considered a primary duty of patient advocacy?
- To complete all nursing responsibilities on time.
- To maintain the patient’s right to privacy
- To safeguard the well-being of every patient
- To act as the patient’s legal representative
A
- To safeguard the well-being of every patient
20
Q
The health care provider’s order read “assist the patient with walking.” The nurse allowed the patient to walk alone. The patient fell, fracturing the humerus. Which verdict is the most likely occurrence?
- The nurse will be found guilty of malpractice.
- The nurse will only be guilty of negligence.
- The nurse will be charged with technical battery.
- The nurse will not be found liable for any harm.
A
- The nurse will only be guilty of negligence.
21
Q
The patient refused to take the medication his doctor ordered for relief of pain. The LPN/LVN knows this is a patient right established by:
- The principle of beneficence
- The doctrine of negligence
- Specific nurse practice acts
- The Patient Self-Determination Act
A
- The Patient Self-Determination Act
22
Q
The LPN/LVN knows that one of the best defenses against a lawsuit is for a nurse to:
- work only in a large hospital or nursing home.
- Provide for every patient’s needs as quickly as possible.
- Promote a positive nurse-patient relationship.
- Carry individual professional liability insurance
A
- Promote a positive nurse-patient relationship.
23
Q
The nurse believes that all patients should be treated as individuals. The ethical principle that this belief reflects is:
- Autonomy
- Beneficence
- Nonmaleficence
- Respect for people
A
- Autonomy
24
Q
LPN/LVNs have a code of professional and personal ethics to follow. The purpose of a code of ethics is to:
- Establish penalties for any unethical behavior.
- Promote trustworthy, accountable LPN/LVNs.
- Make certain that all nurses are competent and always honest.
- Give the nurse guidelines for ethical decision making.
A
- Give the nurse guidelines for ethical decision making.
25
The patient admitted for surgery has a lump in her breast. The patient's daughter asks the LPN/LVN if her mother should have the surgery. Which issue must be considered before responding?
1. Confidentiality and invasion of privacy
2. Informed consent, beneficence, and respect
3. Respect for people and personal autonomy
4. Nonmaleficence, justice, and liability
3. Respect for people and personal autonomy
26
The nurse's first job as LPN/LVN is on a unit that cares terminally ill children. What action should be taken by the nurse before helping families cope with their children's illnesses?
1. Study the nurse practice act to find rules relating to the medical care of terminally ill children.
2. Spend time performing value clarification to aid in identifying her feelings about this new role.
3. Evaluate her own personal mores and customs that may affect the practice of nursing in general
4. Review the state and federal laws that prescribe how a child may be treated when near death.
3. Evaluate her own personal mores and customs that may affect the practice of nursing in general
27
The LPN/LVN is reviewing the patient's medical record. The nurse notes the presence of an advance directive. The nurse recognizes that the purpose of this documentation is to:
1. Help every person exercise the right to die with dignity.
2. Encourage a person to determine how he or she will die.
3. Allow a patient to exercise the right of autonomy.
4. Provide a means to prevent medical maltreatment.
1. Help every person exercise the right to die with dignity.
28
The nurse knows that all patients have the right to nursing interventions regardless of their race, religion, or gender. The ethical principle that best describes this concept is:
1. Nonmaleficence
2. Justice
3. Autonomy
4. Beneficence
2. Justice
29
An alert adult patient has refused an intramuscular injection. The nurse waits until the patient is asleep and gives the injection anyway. The nurse could be charged with:
1. Civil battery
2. Malicious homicide
3. Criminal negligence
4. Invasion of privacy
1. Civil battery
30
The nurse loves photography and brings his camera to work at the nursing home. He takes a picture of one of his coworkers walking a patient. What best describes the actions taken by the nurse?
1. He violated the patient's right of privacy.
2. He failed to get proper medical clearance.
3. He performed an act of nursing practice.
4. He legally obtained a realistic picture.
1. He violated the patient's right of privacy.
31
The nurse gets a report, puts his patient assignment notebook in his pocket, and goes on break. His notebook has very specific information about his patients and is missing from his pocket when he returns to the unit. The book is found later on the floor in the cafeteria by a visitor and is returned to the information desk. The nurse:
1. May have breached the Patient Self-Determination Act.
2. Is guilty of criminal misconduct
3. Could be fired for malpractice.
4. Has violated the Health Insurance Portability and Accountability Act of 1996 (HIPPA).
4. Has violated the Health Insurance Portability and Accountability Act of 1996 (HIPPA).
32
The newly licensed nurse is assigned a patient who needs catheterization. The nurse has not performed the procedure before. What would be the best action for the nurse?
1. Contact the nursing supervisor and explain that the procedure will need to be done by another nurse.
2. Review the agency procedure for male catheterization in the unit's resource area and ask another experienced nurse to supervise her during the procedure.
3. Immediately advise the charge nurse that someone else will need to assume care of this patient.
4. Promptly notify the staff development office that an instructor needs to do this procedure.
2. Review the agency procedure for male catheterization in the unit's resource area and ask another experienced nurse to supervise her during the procedure.
33
A nurse who has recently been promoted to unit manager questions her immediate supervisor if there is any potential liability for her as a result of the actions of her nursing staff member. What information included in the supervisor's response would be appropriate? (Select all that apply)
1. "An individual nurse is solely responsible for their actions."
2. "As long as you are working in good faith you cannot be found liable."
3. "As a supervisor there is some liability if measures are not followed to ensure staff understand how to utilize the care equipment."
4. "Employer liability is limited to cases in which death occurs."
5. "A supervisor is required to assess the performance of their staff to ensure competency."
3. "As a supervisor there is some liability if measures are not followed to ensure staff understand how to utilize the care equipment."
5. "A supervisor is required to assess the performance of their staff to ensure competency."
34
Social media use can have positive benefits including which outcomes? (Select all that apply.)
1. Networking between professionals
2. Reduction in the amount of lateral violence between staff members
3. Provides readily available education opportunities
4. Access to mentoring answer
5. Use of social media is an inexpensive answer
1. Networking between professionals
3. Provides readily available education opportunities
4. Access to mentoring answer
35
A nurse reported that she did post on a social media site about her clinical experiences. The nurse reports she did not use the patient's name. Which information should be given to the nurse? (Select all that apply.)
1. "Names are the only identifiers that are of concern when considering patient privacy."
2. "Any patient information that can aid in the identification of the patient's identity can be problematic and a violation."
3. "As long as the information is erased there is not a problem."
4. "Any distribution of information regarding the patient or clinical assignment is a violation of confidentiality."
5. "Personal emails are lesser violations that posting on large websites."
2. "Any patient information that can aid in the identification of the patient's identity can be problematic and a violation."
4. "Any distribution of information regarding the patient or clinical assignment is a violation of confidentiality."
36
Dorthea Dix
Pioneer crusader for elevation of standards of care for the mentally ill.
Superintendent of Female Nurse of the Union Army
37
Clara Baton
Developed the American Red Cross in 1881
38
Marry Ann Ball
Championed the rights and comforts of the soldiers; organized diet kitchens, laundries, ambulance service
39
Linda Richards
Credited with the development of the first nursing and hospital records.
40
Isabella Hampton Robb
Organized the first graded system of theory and practice in the schools of nursing
41
Lavinia Dock
Responsible, with Robb, for the organization of the American Society of Superintendents of Training Schools, which evolved into the National League for Nursing Education
42
Mary Eliza Mahoney
Worked for acceptance of African Americans in the nursing profession
43
Lillian D. Wald
Responsible for the development of public health nursing in the US through the founding of the Henry Street Settlement in NYC
44
Mary Adelaide Nutting
Developed curriculum concepts and guidelines for student nurses.
45
Mary Breckenridge
Pioneer in nurse-midwifery
46
Maslow's Hierarchy of Needs
Physiologic
Safety and Security
Love and belonginess
Esteem
Self-Actualization
47
Physiologic
are biological requirements for human survival, e.g., air, food, drink, shelter, clothing, warmth, sex, and sleep.
48
Safety and Security
Needs for a sense of security and predictability in the world. Tries to maintain the conditions that allow them him or her to feel safe and avoid danger
49
Love and belonginess
Longings for an intimate relationship with another person as well as the need to belong to a group and to feel accepted.
50
Esteem
Include both self esteem and the esteem of others. self esteem is the feeling that one is worthwhile, competent and independent. The esteem of others involves feeling that other people respect and appreciate the person.
51
Self-Actualization
Realizing one's full potential. Person focuses on doing what he or she is meant to do in life and developing his or her talents and abilities to their fullest extent.
52
One of the major problems of hospitals of the early 19th Century has been addressed by which measure in contemporary health care?
1. Focusing on women's health issues, such as heart disease.
2. Using Standard Precautions and improving hygienic practices
3. Encouraging men to enter the nursing profession
4. Reducing the nursing shortage during war-time.
2. Using Standards Precautions to address hygienic practices
53
Which patient typifies the demographic changes of the population in the 21st Century & represents an increased need for nursing care?
1. A 3-month-old infant with developmental disabilities
2. A 15-year-old homeless adolescent
3. A 45-year-old man with diabetes
4. A 78-year-old woman with chronic illness
4. A 78-year-old woman with chronic illness
54
Which nursing action reflects Florence Nightingale's vision of how to improve patient care?
1. Includes the family in the patient education sessions
2. Considers the patient's cultural and ethnic background
3. Attend an in-service to learn about a new infusion pump
4. Safegaurds patient's privacy by maintaining confidentiality.
3. Attends an in-service to learn about a new infusion pump
55
Which situation includes the four major concepts that are the basis of nursing theories & models?
1. The home health nurse assesses the patient's health and the home setting
2. the nurse studies nursing theory in an advanced-practice nursing curriculum
3. Nursing programs draw from several psychosocial and nursing theories
4. The patient is treated for hypertension, diabetes, and obesity
1. The home health nurse assesses the patient's health & the home setting.
56
Which patient is most at risk for being one of the "medically underserved" in the United States?
1. A 30-year-old woman with newly diagnosed breast cancer
2. An 86-year-old man who resides in a long-term care facility
3. A 3-year-old whose parents recently emigrated for work
4. A 60-year-old Vietnam veteran who lives on the street
4. A 60-year-old Vietnam veteran who lives on the street
57
Utilizing Maslow's hierarchy of needs, the nurse gives priority to which problem?
1. loneliness due to being away from family during hospitalization
2. inability to eat because of difficulty chewing and swallowing
3. anxiety due to recent diagnosis of cancer with poor prognosis
4. safety related to difficulty with balance during position change
2. Inability to eat because of difficulty with chewing & swallowing
58
A mother tells the nurse that her 17-year-old son, who is wheelchair-bound for one year following an accident, has been depressed because basketball season is starting & he was a star player for his high school team. Utilizing Maslow's hierarchy of needs, which intervention would address the son's priority need?
1. Advise the mother to check the wheelchair access ramps for safe access to the gym
2. explore other interests and activities that would increase his self-esteem
3. initiate a review of body systems to identify the cause of depression
4. suggest the mother and son seek out a wheelchair basketball team
4. Suggest the mother and son to seek out a wheelchair basketball team
59
The nurse has identified that a 56-year-old woman has an increased risk for heart problems because of family history. Which modifiable factor(s) should be included in the teaching plan to promote health & self-help practices for wellness for the patient?
1. smoking cessation and stress reduction
2. use of advanced technology and new medications
3. weight reduction and decreased alcohol consumption
4. cost of health insurance and specialist care
5. control over decision-making that affects the patient's own body and health
1. Smoking cessation & stress reduction
3. weight reduction & decreased alcohol consumption
5. control over decision-making that affects own body & health
60
Which set of tasks should be assigned to a UAP (unlicensed assistive personal) who has been cross-trained as a unit secretary?
1. Direct visitors and give out patient information
2. take vital signs and restock medications
3. validate transcriptions and interpret vital signs
4. ambulate patients and order unit supplies
4. Ambulate patients & order unit supplies
61
Which action best demonstrates the nurse's consistent effort to contribute to cost-containment?
1. Obtains malpractice insurance
2. Uses time and materials
economically
3. Questions excessive diagnostic testing
4. Ambulate patients and order unit supplies
2. Uses time & materials economically
62
The nurse is caring for a patient with immobility related to a chronic musculoskeletal disorder. Using Orem's theory of nursing, the nurse would:
1. Monitor for self-care deficits.
2. Arrange pillows to provide joint protection.
3. Support existing coping mechanisms
4. Encourage ambulation down the hallway
1. Monitor the patient's self-care deficits.
63
The nurse is caring for several patients on the medical-surgical unit. Which action(s) indicate(s) that the nurse is providing care that adheres to the Patient's Bill of Rights?
1. Ensures that the housekeeping staff empties the trash receptacles in a timely fashion
2. Assists a patient to make a list of questions to ask about a surgical procedure
3. Identifies a problem with a broken side rail and contacts the maintenance department
4. Keeps up to date with the latest information on medications and side effects
5. Ensures that every patient gets a private room with a window and private bathroom
6. Contacts the hospital's financial counselor if a patient has questions about the bill.
1. Ensures that the housekeeping staff empties the trash receptacles in a timely fashion
2. Assists the patient to make a list of questions to ask about a surgical procedure
3. Identifies a problem with a broken side rail and contacts the maintenance department
4. keeps up to date with the latest information on medication and side effects
6. Contacts the hospital's financial counselor if a patient has questions about the bill
64
An intoxicated patient comes to the walk-in clinic and verbally threatens a nurse with bodily harm. The nurse refuses to care for the patient and informs the supervisor about the threats. Which document/concept supports the nurses right to refuse to care for this patient?
1.Patient Care Partnership
2. Position Paper of the American Nurses Association
3. Health Care Provider's Rights
4. Resident's Bill of Rights
3. Health Care Providers' Rights
65
Which action is outside the scope of practice for the LPN/LVN?
1. Offers suggestions too improve the patient's fluid intake
2. Collects data on the patient while giving medication
3. Makes independent decision about altering the care plan
4. Uses therapeutic communication with patient's family
3. Makes independent decision about altering the care plan
66
Which action would the LPN/LVN perform for primary prevention?
Offers the patient brochures on colonoscopy and mammogram for cancer screening.
67
A patient suddenly becomes unresponsive; therefore, he is unable to make decisions about health care options. What is the health care team most likely to do to determine the patient's wishes?
1. contact the patient's closest adult relative
2. determine if the patient has a personal attorney
3. seek opinions from the patient's primary care provider
4. review the patient's advance directives.
4. Review the patient's advance directives.
68
Which statement by a male nursing student is most likely to represent a factor associated with the high attrition rate of male students from nursing education programs?
1. " The course of study is too prolonged and difficult."
2." I can make more money if I become a doctor."
3. "The nursing instructors claim that I am not caring."
4. "It's difficult for men to advance in the nursing profession."
3. "The nursing instructors claim that I am not caring."
69
Which nursing actions are appropriate to the roles/responsibilities of the LPN/LVN? Select all that apply.
1. Uses active listening techniques when interacting with a depressed patient
2. reports changes in vital signs to the health care provider in a timely fashion
3. takes initiative to create a comprehensive care plan for a newly admitted patient
4. ensures that the correct medication is given to the correct patient at the correct time
5. collects data from the patient, the family, and previous medical records
1. Uses active listening techniques when interacting with a depressed patient
2. reports changes in vital signs to the health care provider in a timely fashion
4. ensures that the correct medication is given to the correct patient at the correct time
5. collects data from the patient, the family, and previous medical records
70
In which setting are most LPN/LVNs employed?
Long-term facilities
71
Malpractice
professional negligence
72
accountability
being answerable for one's own actions
73
standards of care
define acts whose performance is required, permitted, or prohibited
74
liability
legal responsibility
75
value clarification
process of self-evaluation that helps gain insight into personal values
76
The nursing student needs to obtain patient information to prepare for the clinical experience and decides to stop and say hello to the patient. While they are talking, the patient suddenly stops breathing and becomes unresponsive. What should the student do first?
1. Call the nursing instructor and write an incident report.
2. Call the primary nurse and apply oxygen.
3. Call the Rapid Response Team and get the crash cart.
4. Call for help and initiate CPR.
4. Call for help and initiate CPR.
77
In which case is the nurse most likely to be charged with malpractice?
1. the nurse explains the restraint policy to the family and later the elderly patient climbs over the side rail and sustains a hip fracture.
2. The patient becomes very angry when the nurse refuses to give an additional dose of pain medication before the ordered time.
3. The family wants the health care provider called at 3:00 AM because "something is wrong," the nurse waits until 7:00 AM but the patient is unharmed.
4. The patient demanding and unpleasant, so the nurse ignores the call bell; the patient sustains tissue injury at the IV site.
4. The patient demanding and unpleasant, so the nurse ignores the call bell; the patient sustains tissue injury at the IV site.
78
The patient asked the UAP to apply a heating pad to her back, despite the fact that the home health nurse had instructed both to avoid using the device. The patient sustained a burn and decided to sue the UAP and the nurse. which documents is/are likely to be used in this case?
1. Policies and procedures
2. Standards of Care
3. Equipment maintenance records
4. Patient's Medical Records
5. UAP's personal health records
6. Personnel Files for UAP and nurse
1. Policies and procedures
2. Standards of Care
3. Equipment maintenance records
4. Patient's Medical Records
6. Personnel Files for UAP and nurse
79
The nurse recognizes that in today's health care climate there is an increased likelihood to be involved in litigation. What action could the nurse take to improve the overall situation in the work setting?
1. Agree to take a limited number of high-acuity patients.
2. Work on a committee to improve discharge teaching.
3. Work at a facility that covers nurses with malpractice insurance.
4. Ensure that others are accountable for their own actions.
2. Work on a committee to improve discharge teaching.
80
A new UAP is assigned to do a task that was reviewed and demonstrated in orientation and practiced on a manikin. The UAP tell the nurse that she does not know how to do the task. What should the nurse do first?
1. Ask the UAP to recite the steps of the task and assess readiness to perform.
2. Go with the UAP and perform the task while she observes.
3. Instruct the UAP to try and perform the task to the best of her ability
4. Pull the UAP's orientation file and see if competency is established.
1. Ask the UAP to recite the steps of the task and assess readiness to perform.
81
The LPN/LVN is instructed by a health care provider to start a unit of blood on a patient, but the institution's policy indicated that LPN/LVNs can monitor blood transfusions, but RNs must initiate blood transfusions. What should the LPN/LVN do?
1. Start the blood transfusion as ordered, because the health care provider is supervising.
2. Locate the RN in charge so that he/she can start the blood transfusion.
3. Tell the health care provider that hospital policy prohibits blood transfusion by LPN/LVNs.
4. Obtain the unit of blood and assist the health care provider as he/she initiates the transfusion.
2. Locate the RN in charge so that he/she can start the blood transfusion.
82
A nursing student must write a clinical report about the care that was given to a patient in the hospital. What should the student do to prevent HIPAA violation? (Select all that apply)
1. Do not use the patient's name in any section of the paper.
2. If laboratory data are used, make sure no ID numbers are included.
3. Avoid including the health care provider's name in the report.
4. Do not refer to the room number or the specific unit.
5. Do not include the patient's vital signs
6. Avoid using specific details of the patient's medical condition.
1. Do not use the patient's name in any section of the paper.
2. If laboratory data are used, make sure no ID numbers are included.
3. Avoid including the health care provider's name in the report.
4. Do not refer to the room number or the specific unit.
83
Which unaccompanied minor requires parental consent prior to the treatment?
1. A 17-year-old who wants prescription for insulin.
2. An 18-year-old who need sutures for a laceration to the hand
3. A 14-year-old who was sexually assaulted by a family member.
4. a 16-year-old who is independent and self-supporting and wants birth control.
1. A 17-year-old who wants prescription for insulin.
84
The nurse is working on the medical-surgical unit and answers the telephone. The caller wants to know, "How is Mr. Smith doing?" What is the most important factor that affects the nurse's response?
1. The identity of the caller
2. The stability of Mr. Smith's condition
3. The hospital's policy for releasing information
4. The nurse's knowledge of HIPPA
3. The hospital's policy for releasing information
85
A mother brings her 8-year-old son to the clinic for a broken arm. There are no other apparent injuries and the child and mother appear to have supportive relationship; however, review of the chart indicates that this child has frequently been treated for other fractures and injuries. What should the nurse do first?
1. Ask the social worker to consult for child abuse.
2. Call child protective services and make a report.
3. Point out the history of injuries to the health care provider.
4. Take the child aside and assess his true feelings.
3. Point out the history of injuries to the health care provider.
86
Which action by the nurse is the best step to avoid a lawsuit?
1. Remain current on practice developments.
2. Know the legal definition terms, such as negligence.
3. Obtain professional malpractice insurance.
4. Validate nursing actions with supervisor
1. Remain current on practice developments.
87
The nurse performs a dressing change on a surgical wound. The procedure is routine and there are no signs of infection or excessive damage. What should the nurse do about documentation?
1. If using charting by exception, "dressing changed" is adequate.
2. Document appearance of wound site and type of dressing used.
3. There is no need to document, because there are no problems with the wound.
4. Read the previous entry about the wound and document "unchanged as above"
2. Document appearance of wound site and type of dressing used.
88
The nurse has to go before the state board of nursing because there is a question about her nursing license. Which type of insurance will provide a qualified nurse attorney to represent the nurse?
1. Claims-made policy
2. Occurrence basis policy
3. "Tail" agreement for extended coverage.
4. Disciplinary defense insurance.
4. Disciplinary defense insurance.
89
An elderly patient begins to cry during the review of the advance directive information and refuses to sign. What should the nurse do first?
1. Encourage the patient to express his feelings about the advance directives.
2. Reassure the patient that his wishes will be respected above all else.
3. Alert the family to support the patient in the decision.
4. Document in the patient's record that the information was given and declined.
1. Encourage the patient to express his feelings about the advance directives.
90
A patient is in very critical condition and unable to make decisions about ongoing treatment. There is conflict among family members on what should be done. Which source, if followed, is most likely to protect the health care team from liability?
1. Agency's policy and procedure manual
2. Patient's living will
3. Patient Self-Determination Act
4. Accreditation criteria of the Joint Commission
2. Patient's living will
91
A mother and her pregnant 13-year-old daughter are arguing; the mother wants her to keep the baby and the girl wants to have an abortion. The nurse feels very angry toward the mother and very protective toward the girl. What should the nurse do first?
1. Take the girl aside and assess her feelings and wishes regarding the pregnancy.
2. Ask another nurse to assess the mother's rationale for opposing her daughter.
3. Seek advice from a supervisor about who can legally make decisions about the pregnancy.
4. Reflect on own feelings and ability to be supportive and caring towards this family.
4. Reflect on own feelings and ability to be supportive and caring towards this family.
92
Which action(s) indicate(s) that the nurse is acting within the code of ethics as developed by the National Federation of Licensed Practical/ Vocational Nurses?
1. Collects data about the patient's skin and reports it to the RN.
2. Gives change-of-shift report to the oncoming nurse and the nursing student
3. Wears professional attire and adheres to the facility's dress code.
4. Observed another nurse being rude and demeaning toward a patient.
5. Cares for a patient with an infectious disease and follows isolation precautions
6. Uses cellphone to text messages about another nurse's behavior toward coworkers.
1. Collects data about the patient's skin and reports it to the RN.
2. Gives change-of-shift report to the oncoming nurse and the nursing student
3. Wears professional attire and adheres to the facility's dress code.
5. Cares for a patient with an infectious disease and follows isolation precautions
93
Nurse A knows that Nurse B is stealing small items from elderly residents in the long-term care facility, but Nurse A hesitates to report Nurse B, because they are friends and Nurse B gives good care to the residents. Who should Nurse A talk to first?
1. Ask the residents if they have any complaints towards the nurse.
2. Speak to the families of residents to see if the thefts can be substantiated.
3. Speak to the supervisor and give facts only; do not offer suspicions.
4. Talk to an objective third party about personal values clarification.
3. Speak to the supervisor and give facts only; do not offer suspicions.
