Practice Question ch 2

Question 1

The newly licensed practical / vocational nurse (LPN / LVN) has reviewed the nurse practice act ( NPA) of the state of licensure . What is the purpose of this documentation ?

1. Determine the quality of nursing care
2. Enforce the standards of nursing practice
3. Define the scope of nursing practice
4. Set the nurse’s educational requirements

Answer 1

3

Question 2

The nurse working in a nursing home correctly recognizes that duties include patient advocacy . Which role is considered a primary duty of patient advocacy ?

1. To complete all nursing responsibilities on time
2. To maintain the patient’s right to privacy
3. To safeguard the well-being of every patient 4. To act as the patient’s legal representative

Answer 2

3

Question 3

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?

1. The nurse will be found guilty of malpractice. 2. The nurse will be guilty of negligence.
2. The nurse will be charged with technical battery.
3. The nurse will not be found liable for any harm.

Answer 3

2

Question 4

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 :

1. the principle of beneficence .
2. the doctrine of negligence.
3. specific nurse practice acts.
4. the Patient Self- Determination Act.

Answer 4

4

Question 5

The LPN/LVN knows that one of the best defenses against a lawsuit is for a nurse to?

1. work only in a large hospital or nursing home.
2. provide for every patient’s needs as quickly as possible .
3. promote a positive nurse - patient relationship .
4. carry individual professional liability insurance .

Answer 5

3

Question 6

The nurse believes that all patients should be treated as individuals . The ethical principle that this belief reflects is ?

1. autonomy
2. beneficence .
3. nonmaleficence .
4. respect for people .

Answer 6

1

Question 7

LPN/LVNs have a code of professional and personal ethics to follow. The purpose of a code of ethics is to:

1. establish penalties for any unethical behavior.
2. promote trustworthy, accountable LPN/LVNs.
3. make certain that all nurses are competent and always honest.
4. give the nurse guidelines for ethical decision making.

Answer 7

2

Question 8

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

Answer 8

1

Question 9

The nurse’s first job as an LPN/LVN is on a unit that cares for 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

Answer 9

3

Question 10

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.

Answer 10

2

Question 11

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.

Answer 11

2

Question 12

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 assault.
4. invasion of privacy.

Answer 12

1

Question 13

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 to privacy.
2. He failed to get proper medical clearance.
3. He performed an act of nursing malpractice.
4. He legally obtained a realistic picture.

Answer 13

1

Question 14

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 (HIPAA).

Answer 14

4

Question 15

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 catheterization in the unit’s resource area and see the assistance of another experienced nurse for help 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.

Answer 15

2

Question 16

. 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. A supervisor is required to assess the performance of their staff to ensure competency .
5. Employer liability is limited to cases in which a death occurs .”

Answer 16

3,4

Question 17

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

Answer 17

1,3,4

Question 18

. 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 have fewer violations than posting on large websites .”

Answer 18

2,4

Question 19

Online practice 1-10

Answer 19

ch 2