‼️MIDTERM‼️

Question 1

A nursing professor is doing a lecture and the professor asked the nurse student to identify an example of invasion of client privacy

Answer 1

Observing care without the clients permission

Question 2

Nurse comes to work and told that they will be floating to the ICU because they are short staffed, but the nurse have never worked in the ICU before. What action should be done?

Answer 2

Action to be done is identify what task can be performed safely in the ICU

Question 3

Nurse puts a patient back in bed after a fall. Patient has already been assessed by nurse and provider. The patient is not injured. The nurse made a report what should be done next?

Answer 3

The nurse should reassess the client

Question 4

Patient brought in to the ER by EMS. The patient’s name is unknown unconscious with a severe head injury and fractures. An emergency craniotomy needs to be done with informed consent. What is the best action?

Answer 4

Transport the patient to surgery
(the surgeon will sign the informed consent)

Question 5

An RN is planning assignments, what will the AP job be?

Answer 5

To collect a client’s urine specimen

Question 6

Consideration when delegating task should not include?

Answer 6

How short staffed a unit is

Question 7

Which of the delegations require charge RN to step in?

Answer 7

A LPN is assessing a patient after a fall

Question 8

A RN and CNA takes care of four patients, which should the nurse assess.

Answer 8

A patient that received morphine 30 minutes ago with the call light on

Question 9

If you think a coworker is impaired, what should you do?

Answer 9

Call your supervisor

Question 10

A nurse manager is developing an orientation plan for a newly licensed nurse (select all that apply)

Answer 10

Budgetary principles is WRONG
Every other answer is correct

Question 11

Which client is most appropriately assigned to an LPN?

Answer 11

Client requiring abdominal wound irrigation/dressing change every 3 hours

Question 12

Regarding the nursing model of practice implemented in the health care facility. The nurse has been told that the model is a team nursing approach. The nurse understands that planning care delivery will be based on what which characteristic of this type of nursing model of practice?

Answer 12

Registered nurse leads nursing personnel in providing care to a group of clients

Question 13

A nursing instructor delivers a lecture to a nursing student regarding the issue of
client rights and asks the nursing student to identify a situation that represents an
example of invasion of client privacy

Answer 13

Observing care provided to the client without the clients permission

Question 14

Which of the following is a policy that pertains to the governing of workplaces?

Answer 14

Institutional

Question 15

Which console purpose is to provide a forum for shared decision making in nursing practice and best practice initiatives across the organization by representatives from UVCs and central shared governance?

Answer 15

Nursing practice coordination console

Question 16

Which consult is preparing with management with resources as defined in the strategic plan and nursing consensual framework?

Answer 16

Nurse executive console

Question 17

Shared governance processes results in all of the following except?

Answer 17

Lower retention

Question 18

Identify considerations when delegating a task. The one task that is non applicable is?

Answer 18

How short staffed a unit is

Question 19

Several laws have been implemented to ensure that there are equal employment opportunities for all individuals regardless of race, color, national origin, religion, sexual orientation, or disability. Thinking about this, what is important for the nurse to know?

Answer 19

To be aware of the different acts, laws to protect employees

Question 20

An effective team leader will? (SATA)

Answer 20

a. Organize the team
b. Articulate clear goals
c. State clear goals

Question 21

Identify 3 ways the nurse develops professionally (SATA)

Answer 21

a. Joining a professional organization
b. Reading journals
c. Attending conferences

Question 22

There are 4 major areas of political action in nursing. They are: (SATA)

Answer 22

a. The workplace
b. Government
c. Professional organizations
d. Community

Question 23

Choose the statement that best describes malpractice.

Answer 23

Lack of skill in carrying out professional responsibilities

Question 24

Hospitals are legally and ethically obligate to uphold patient rights. Which includes the right to?

Answer 24

Participate in treatment decisions and to provide consent to treatment

Question 25

Self governance?

Answer 25

Occurs at the point of care

Question 26

Who is responsible for answering to the board of trustees for an institution?

Answer 26

Chief executive officer

Question 27

expressing ownership for decisions

Answer 27

Accountability

Question 28

transfer of responsibility retains accountability for the performance of the task

Answer 28

Delegation

Question 29

delegation of work to a select group of patient caregivers

Answer 29

Assignment

Question 30

decision making within your role

Answer 30

Authority

Question 31

active process of directing, guiding, and influencing the outcome of an individuals performance

Answer 31

Supervision

Question 32

the recognition and acceptance of the importance of everyone’s work

Answer 32

Ownership

Question 32

One reason a team maybe ineffective is?

Answer 32

The team maybe “owned” by a few individuals who make most of the decisions

Question 33

shared decision making based on the principles of partnership, equity, accountability, and ownership

Answer 33

Shared governance

Question 34

collaborative relationship between all stake holders and nurses

Answer 34

Partnership

Question 35

generation of new knowledge

Answer 35

Research

Question 36

decision making model for patient care

Answer 36

EBP

Question 37

Looking at the hierarchy of evidence of these choices, which has the highest validity or carries the most strength?

Answer 37

Double blind randomized controlled studies

Question 38

Identify the problem gather relevant information, identify the alternatives, weigh the evidence, choose among alternatives, take actions, review your decision, and evaluate the consequences are the steps for?

Answer 38

Decision making

Question 39

private or civil law

Answer 39

Tort

Question 40

principles of right or wrong, good or bad

Answer 40

Ethics

Question 41

responsibility of one, for their actions or inactions

Answer 41

Personal liability

Question 42

threatening behavior

Answer 42

Assault

Question 43

any unlawful physical contact with another person

Answer 43

Battery

Question 44

What does the care delivery model describe?

Answer 44

The manner in which care is delivered, the context of care, and the expected outcomes of care

Question 45

The number of activities that are to be performed by the CNA, LPN, and RN during a clinical shift. Which of the following can ONLY be done by a RN?

Answer 45

Patient teaching of wound care

Question 46

A sentinel event is usually one that results in an unexpected outcome for the patient. Which of the following would be considered a sentinel event?

Answer 46

A patient falls and fractures his hip

Question 47

A document that allows a competent person to make choices about healthcare before needs?

Answer 47

An advance directive or living will

Question 48

patients best interest

Answer 48

Beneficence

Question 49

avoiding deliberate harm

Answer 49

Nonmalfesance

Question 50

everyone is treated fairly

Answer 50

Justice

Question 51

to keep one’s word

Answer 51

Fidelity

Question 52

To identify the rights of delegation (SATA)

Answer 52

a. Supervision b. Task c. Person d. Communication

Question 53

A client is participating in a research study. If 3 treatments the experimental medication is discontinued because the evidence is shown that there has been a high rate of complications during the study. Discontinuing this medication demonstrates which ethical principle?

Answer 53

Non malfeasance

Question 54

What is the purpose of clinical ladders?

Answer 54

To provide career advancement while allowing nurses to remain at the bedside

Question 55

A nurse administers an incorrect medication to a client and does not complete incident report. Which ethical principle did the nurse violate?

Answer 55

Veracity

Question 56

If you do not keep mandatory skills up to date, which ethical principle are you violating?

Answer 56

Nonmalfesance

Question 57

Which employee law prohibits employment discrimination based on the race, color, national origin, religion, sexual orientation, age, or disability?

Answer 57

Title VII (7) civil rights act of 1964

Question 58

What is the first step in conflict management?

Answer 58

Identify the conflict

Question 59

Which organization requires hospitals to provide the right number of competent staff to meet the needs of patients?

Answer 59

Joint Commission

Question 60

Scheduling done by the unit manager is called?

Answer 60

Decentralized scheduling

Question 61

A nursing staffing matrix consists of 4 different elements? Choose the group that best represents elements of staffing matrix

Answer 61

a. Healthcare setting b. Patient acuity c. Care delivery model d. Nursing staff and skill mix

Question 62

As a nurse who may be asked to review policies and to make suggestions for changes, how often is policy evaluation occur?

Answer 62

Every 3 years

Question 63

Concerns that are frequently addressed by ethics committee are: (SATA)

Answer 63

a. Futility of care issues b. Organ donation c. End of life decisions

Question 64

A nurse is caring for a competent patient with end stage heart failure. The health provider has spoken to the patient and family and said that there are no further options for care. The patient and the family has decided on a DNR status. So select the true statements about DNR orders: (SATA)

Answer 64

a. A DNR allows the administration of antibiotics if indicated b. A DNR order allows nutrition c. A DNR order must be written and signed by the HCP to be active

Question 65

A nurse manager is reviewing the good Samaritan laws with a group of newly licensed nurses. Which of the following statements by the nurse manager best describes good Samaritan laws:

Answer 65

Good Samaritan laws are written to encourage professionals to help in emergency, accident situation.

Question 66

The American nurses association code of ethics for nurses is primarily a statement in support of?

Answer 66

Ethical practice of nurses

Question 67

A nurse is caring for several clients for which situation should the nurse complete an incident report?

Answer 67

A client discovers that his dentures are missing

Question 68

Which example identifies a nurse demonstrating the ethical principle of justice?

Answer 68

Arranging for a translator to be present prior to a conversation with a practitioner regarding the diagnosis and treatment plan for a non English speaking patient

Question 69

A nurse caring for a client who has severe head injuries has been declared brain dead. The transplant coordinator has spoken with the client’s family about organ donation. The client’s spouse states: She is confused and does not know what she should do. From the choices, which is a reflective statement the nurse might use?

Answer 69

What do you think your spouse would have wanted?

Question 70

Nurse leaders can best be described as individuals who?

Answer 70

Motivates staff to meet institutional goals through positional power

Question 71

How might violence in the workplace best be addressed?

Answer 71

Through training and education

Question 72

legal document that indicates measures to be used if individuals ability to make decisions is lost

Answer 72

Living will

Question 73

appointed individual that acts on behalf of the individual should they become incapacitated

Answer 73

Durable power of attorney

Question 74

document that provides patients with information on how they can reasonably expect to be treated during the course of their hospital stay

Answer 74

Patient bill of rights

Question 75

gives seriously ill patients more control over end of life care

Answer 75

Physician order for life sustaining treatment (POLST)

Question 76

ownership

Answer 76

Accountability

Question 77

A manager puts an arm around a staff nurse and says “I bet you are a great lover” which of the following is an appropriate response by the nurse?

Answer 77

Speaking to me like that makes me uncomfortable

Question 78

A new graduate nurse is talking with her preceptor and she verbalizes that she has a complete understanding of how to prioritize care for her patient. Which statement below indicates that the new graduate nurse needs more education about time management?

Answer 78

I should review all the current issues and identify diagnoses for each patient prior to starting care

Question 79

A RN preparing to administer a soap suds enema to a patient who has constipation. As the nurse explains the procedure, the patient states the doctor didn’t tell me I was supposed to receive an enema. What should the nurse do?

Answer 79

Check the client’s medical record for the providers’ prescription or order

Question 80

Keeping ones word is an example of which ethical principle?

Answer 80

Fidelity

Question 81

Shared governance is?

Answer 81

Decision making based on the principles of partnership, ownership, equity, and accountability at the point of service

Question 81

A states nurse practice act defines the following: (SATA)

Answer 81

a. Sets educational standards b. Sets examination requirements c. Sets licensing requirements d. Defines rules and regulations for nurses

Question 82

one nurse assumes full accountability for the complete care of a group of patients

Answer 82

Total patient care

Question 83

one nurse assumes responsibility for care delivery by other personnel in a 24 hour period

Answer 83

Primary nursing care

Question 84

group of staff members lead by a nurse to provide care

Answer 84

Team Nursing

Question 85

nursing work is allocated according to specific tasks and technical skills

Answer 85

Functional nursing

Question 86

Identify the 4 areas of political influence in which nurses can effect change? (SATA)

Answer 86

a. Community b. Government c. Workplace d. Professional organizations

Question 86

Maintaining currency in a profession is achieved through? (select 3)

Answer 86

a. Academic inquiry b. Participation in professional organizations c. Participation in evidence based projects

Question 87

As a new nurse you will need to ask how your unit’s schedule is done. What type of scheduling is using the same schedule repeatedly?

Answer 87

Block scheduling