Week 1 --- ati 3, 4, 7, & 32

Question 1

a nurse is caring for a client who decides not to have surgery despite significant blockages of the coronary arteries. Which ethical prinicple?

Answer 1

Autonomy

Question 2

A nurse offers pain medication to a client who is postop to a prior ambulation. the nurse understands this aspect of delivery care is an example of which ethical prinicple?

Answer 2

Beneficience

Question 3

When the nurse explains that all clients waiting for a kidney transplant have to meet the same qualifications, the newly licensed nurses should understand this aspect of care delivery is an example of which ethical principle?

Answer 3

Justice

Question 4

A nurse questions a medication prescription as too extreme in light of the client’s advanced age & unstable status. which ethical principle?

Answer 4

Nonmaleficence

Question 5

which situation should the nurse identify as an ethical dilemma?

Answer 5

A family has conflicting feelings about the initiation of enteral tube feedings for their father who is terminally ill.

Question 6

ethical theories

Answer 6

examine principles, ideas, systems, & philosophies that affect judgement

Question 7

examples of ethical theories

Answer 7

utilitarianism, deontology, consensus in bioethics, & ethics of care

Question 8

ethical principles

Answer 8

standards of what is right/wrong with regard to important social values or norms

Question 9

bioethics

Answer 9

application of ethics to health and life

Question 10

principles of ethics

Answer 10

advocacy
responsibility
accountability
confidentiality

Question 11

ethical principles for client care

Answer 11

autonomy
beneficence
fidelity
justice
nonmaleficence
veracity

Question 11

A nurse has noticed another nurse on the unit seemed drowsy & unable to focus. Today, the nurse was found asleep.. what action should the nurse take?

Answer 11

Report observations to the nurse manager on the unit

Question 11

a nurse is caring for a client who is about to undergo an elective surgical procedure. The nurse should take which of the following actions regarding informed consent?

Answer 11

Make sure the surgeon obtained the client’s consent

Witness the clients signature on the consent form

Question 12

Which of the following statements made by the client indicate an understanding of an advanced directive?

Answer 12

I plan to write that I don’t want them to keep me on a breathing machine

Question 13

Clients says, “I am leaving the hospital this morning whether the doctor discharges me or not.” The nurse believes this is not in the client’s best interest and prepares to administer a PRN sedative med….. what tort ?

Answer 13

False Imprisonment

Question 14

The nurse observes an assistive personnel reprimanding a client for not using a urinal properly. The AP tells the client that diapers will be used next time. What tort?

Answer 14

assault

Question 15

criminal law

Answer 15

individual vs government
ex: nurse falsifying a record

Question 16

examples of unintentional torts

Answer 16

negligence
malpractice

Question 17

examples of Quasi-intentional torts

Answer 17

breach of confidentiality
defamation of character

Question 18

examples of intentional torts

Answer 18

assault
battery
false imprisonment

Question 19

5 elements of Negligence

Answer 19

1. duty to provide care
2. Breach of duty by failure to meet standard
3. Foreseeability of harm
   4.Breach of duty has potential to cause harm
4. Harm occurs

Question 20

3 types of advanced directives

Answer 20

*living will
*durable power of attorney
*provider’s orders

Question 21

By the second postoperative day, a client has not achieved satisfactory pin relief. Which step is next according to the nursing process?

Answer 21

Reassess the client to determine the reasons for inadequate relief

Question 22

A charge nurse is observing a newly licensed nurse care for a client who reports pain. The nurse checked the client’s MAR & noted the last dose of pain med was 6hrs ago w/ prescription reading every 4hrs PRN for pain.The nurse administered medication & checked client who reported improvement 40 min later. What step of nursing process was missing?

Answer 22

Assessment

Question 23

Which of the following data should the nurse identify as objective data?

Answer 23

*Respiratory rate is 22/min w/ even, unlabored respirations
*the client’s skin is pink, warm, and dry
*the assistive personnel reports that the client walked with a limp

Question 24

primary subjective data example

Answer 24

what client tells the nurse

Question 25

secondary subjective data

Answer 25

*what others tell the nurse
*what the client has told them

Question 26

Primary Objective data

Answer 26

data nurse obtains through examination & observation

Question 27

secondary objective data

Answer 27

data nurse collects from other sources

Question 28

3 planning types in nursing process

Answer 28

1.comprehensive plan
2. ongoing plan
3.discharge plan

Question 29

a client states “I have to check with my partner & see if they think I am ready to go home.” The nurse replies, “How do you feel about going home today?” Which clarifying technique is the nurse using to enhance communication?

Answer 29

Reflecting

Question 30

Which of the following actions should the nurse take when demonstrating an empathic presence to a client?

Answer 30

*use an open posture
*establish & maintain eye contact
*sit facing the client

Question 31

a nurse is caring for a client who is concerned about being discharged with a new colostomy because of being an avid swimmer. which of the following statements should the nurse make?

Answer 31

• “your daily routines will be different when you get home”
• “tell me about the support system you’ll have after you leave the hospital”
• “It sounds like you are not sure how having a colostomy will affect swimming”

Question 32

which of the following strategies should the nurse use to establish a helping relationship with a client?

Answer 32

Encourage the client to communicate their thoughts and feelings

Question 33

A nurse is caring for a school-aged child who. is sitting in a chair. To facilitate effective communication, which of the following actions should the nurse take?

Answer 33

sit at eye level with the child

Question 34

Intrapersonal vs
Interpersonal communication

Answer 34

Intra– self talk within an individual
Inter–2 people

Question 35

Referent

Answer 35

incentive or motivation for communication between 2 people

Question 36

4 types of nonverbal communication

Answer 36

1.appearance, posture, gait
2. face expressions, eye contact, gestures
3. sounds
4.territoriality, personal space

Question 37

4 clarifying techniques

Answer 37

1.restating
2. reflecting
3. paraphrasing
4. exploring