Week 3 Flashcards
Which term refers to an accepted set of social standards or morals that guide behavior? A- ethical decision B- morality C- practical ethics D- obligations
Morality
Which of the following best defines ethical decision making? Ethical decision making:
A- helps an individual recognize when there is an ethical problem in a given situation
B- is a process that enables an individual to think critically to rank ethical obligations
C- is a method for ensuring that the action an individual that’s is well reasoned and can be justified
D- is a process in which an individual examines his or her own moral beliefs and actions
C- is a method for ensuring that the action an individual takes is well reasoned and can be justified
Which type of ethics deals with very specific judgments about right and wrong in everyday actions? A- metaethics B- normative ethics C- practical ethics D- applied ethics
B- normative ethics
__________ is a minimum standard of behavior to which all members of society are held.
Law
The code of ethics for nursing is an example of which type of ethics? A- societal ethics B- organizational ethics C- professional ethics D- personal ethics
C- professional ethics
Which type of ethics is involved with decision making regarding patient specific issues and decision making at the patients bedside? A- clinical ethics B- bioethics C- research ethics D-personal ethics
A- clinical ethics
Where do most nurses first learn about ethics and their ethical comfort zone
A- at home within their family
B- at church within their religion
C- at elementary school with their peers
D- at college with their nursing classmates
A- at home within their family
Nurses should act in ways that avoid harm to patients. Which term best describes this expectation of nurses? A- beneficence B- nonmaleficence C- justice D- fidelity
B- nonmaleficence
When a nurse keeps promises, does what is expected, performs his or her duties, and behaves in a trustworthy manner, which ethical principle is the nurse carrying out? A- beneficence B- nonmaleficence C- justice D- fidelity
D- fidelity
End of life patient situation often cause moral distress for nurses.
True or false
True
The nurse is caring for an older adult client who has refused a bath for several days and has now developed a rash on the buttocks. What is the priority nursing intervention?
Encourage the client to help with self-hygiene as able.
Offer a choice of types of soap and shampoo.
Schedule a bath in the morning or evening according to client’s preferred bathing time.
Explain that cleanliness helps to remove bacteria from skin, which can prevent infection.
Explain that cleanliness helps to remove bacteria from skin, which can prevent infection.
The nurse is helping a client perform oral hygiene. When asked whether the client flosses, the client states, “I don’t like to floss because it makes my gums bleed.” What is the appropriate nursing response? Select all that apply.
“You can use flossing in place of brushing teeth.”
“I understand; flossing makes my gums bleed too.”
“The chance of tooth and gum disease can be reduced by flossing.”
“Flossing removes plaque and food debris that a toothbrush may miss.”
“When flossing, be certain to choose waxed floss.”
“The chance of tooth and gum is ease can be reduced by flossing”
“Flossing removes plaque and food debris that a toothbrush may miss”
The nurse is caring for a client who is on warfarin therapy. Which teaching will the nurse provide?
Use an electric razor for shaving purposes.
Take aspirin for headaches that develop.
Buy a hard-bristled toothbrush to ensure proper oral hygiene.
Reassure the client that prolonged bleeding of wounds and gums is normal.
Use an electric razor for shaving purposes
A nurse is examining an adult client with inflammation of the gums. The nurse observes bleeding gums. What additional information should the nurse acquire to help determine next steps?
The client’s history of oral surgery
How often the client sees the dentist for oral care
How many cavities the client has had
How often the client brushes and flosses the teeth
How often the client brushes and flosses the teeth.
A nurse on an acute medical unit is responsible for providing assistance with hygiene for clients who are unable to do so independently. The nurse should be aware that the use of a safety razor for shaving is contraindicated for which client?
a man who has a decreased level of consciousness due to a stroke that he suffered several days earlier
a man who is receiving antibiotics through a central venous catheter that is situated in his right jugular vein
a man who is receiving an intravenous infusion of an anticoagulant for the treatment of a pulmonary embolism
a man who requires frequent opioid analgesics to control the pain associated with acute pancreatitis
A man who is receiving an intravenous infusion of an anticoagulant for the treatment of a pulmonary embolism.
A nurse needs to clean and bathe a client who has undergone surgery following a motor vehicle accident. What type of bath will negate the need to rinse the client?
shower
bag bath
bed bath
tub bath
Bag bath.
An elderly client has worn an artificial eye since advanced glaucoma necessitated enucleation (removal of the eye). What action should the nurse perform immediately before assisting the client with reinsertion of the artificial eye?
Apply a water-based lubricant to the perimeter of the client’s eye socket.
Gently rinse the client’s eye socket with clean water or normal saline.
Apply a thin, even layer of antibiotic ointment to the surface of the artificial eye.
Carefully wash the artificial eye and apply a layer of petroleum jelly to the surfaces that will contact the client’s skin.
Gently rinse the clients eye socket with clean water or normal saline.
A 79-year-old client reports brittle fingernails. What may be the cause of the client’s problem?
lack of skin near the nails
presence of dry skin near the nails
concentrated amount of keratin
lack of keratin on the nails
Lack of keratin on the nails.
The nurse has completed teaching regarding pediculosis. Which client statement requires further nursing teaching?
“I will use conditioner so that the lice eggs will slide off my hair.”
“A pediculicide shampoo is needed to treat this condition.”
“Lice can be spread by direct contact.”
“I will look for eggs on hairs ¼ to ½ in (0.5 to 1.5 cm) from the scalp and skin surfaces.”
“I will use conditioner so that the lice eggs will slide off of my hair.”
A nurse is caring for a client who is receiving care for a traumatic head injury that has rendered the client unconscious. When providing mouth care for this client, the nurse must be cognizant of the client’s risk for:
aspiration.
dental caries.
fluid volume overload.
coughing.
Aspiration
The nurse working at a long-term care facility supervises while the unlicensed assistive personnel (UAP) bathes an older adult client. The nurse determines the UAP requires intervention when the UAP:
bathes the client using gentle patting motions.
places a large quantity of soap on the washcloth.
inspects the feet while bathing the client.
tests the water temperature prior to helping the client into the tub.
Places a large quantity of soap on the washcloth.
A client who has been admitted in the health care facility has had surgery and is unconscious. The nurse needs to take care of the client’s hygiene and oral care daily. The client’s teeth and lips show dry crusts when there is a day’s gap in the oral hygiene. What can best describe the client’s oral condition?
gingivitis
sordes
caries
periodontal disease
Sordes
A 76-year-old client is admitted to the health agency with a stroke. The nurse, while bathing the client, starts wiping and cleaning the body from feet upward. The client is incapable of assisting the nurse in the bathing process. Which technique is the nurse using to bathe the client?
partial bath
tub bath
towel bath
bed bath
Towel bath
During a regular dental checkup the client expresses concern to the nurse regarding discoloration of the teeth. Consumption of what food would be the most likely reason for the discoloration of the client’s teeth?
coffee
alcohol
juice
sweets
Coffee
A nurse at a long-term care facility is planning to trim the toenails of many residents, most of whom are unable to do this hygiene task independently. The nurse should consult with a podiatrist before cutting the toenails of a resident:
who is currently taking oral antibiotics for the treatment of a skin infection.
whose dementia has resulted in several aggressive outbursts in recent weeks.
who has a history of type 1 diabetes.
who has not received a seasonal influenza vaccination.
Who has a history of type 1 diabetes
A nurse is caring for a female client with diarrhea. What information does the nurse teach the client about perineal care and self-care?
Insert any suppository medication prior to cleaning the perineal area.
Wear gloves while performing perineal self-care.
Clean the perineal area from the front to back.
Bathe the perineal area with a mild soap and water.
Clean the perineal area from the front to back.
A nurse is caring for an older adult client who is weak and unable to care for his glasses and dentures. When assisting with cleaning the dentures, the nurse should:
clean the dentures over a plastic basin or towel.
don gloves and free the dentures from the client’s mouth.
store the dentures in an open cup containing only mouthwash.
avoid the use of a toothbrush to clean removable bridges.
Clean the dentures over a plastic basin or towel
The nurse is preparing to delegate a bath for a 90-year-old client who is nonresponsive and has mild skin breakdown. Which type of bath will the nurse delegate to the unlicensed assistive personnel (UAP)?
shower with assist
tub bath
traditional bed bath with linen change
bag bath
Traditional bed bath with linen change.
Upon assessment, the nurse notes that a client has eroding tooth enamel. The nurse documents and teaches the client that this is a risk factor for which condition?
gingivitis
caries
periodontal disease
tartar
Caries
The nurse is providing hygiene education for a family who will soon take an older adult client home from the hospital. Which statement by a family member requires further nursing instruction?
“I should obtain a tub or shower seat because my loved one has mobility issues.”
“I should install grab bars in the shower or tub at arm level of my loved one.”
“I should check the bath water temperature before allowing my loved one to bathe.”
“I should provide soap for daily bathing to remove debris and keep my loved one’s skin moist.”
“I should provide soap for daily bathing to remove debris and keep my loved ones skin moist.”
A sitz bath would be most appropriate for which client?
57-year-old who has just had surgery to repair a hernia
33-year-old who is one day postpartum
69-year-old with impaired circulation to the lower extremities
41-year-old with intractable migraines
33 year old who is one day postpartum.
A public health nurse has been doing research in preparation for an influenza vaccination campaign and has learned that among adults in the community, 73 people out of every 1000 were infected with influenza last year. This epidemiological statistic represents:
the pervasiveness of influenza.
the prevalence of influenza.
the morbidity of influenza.
the mortality rate of influenza.
The morbidity of influenza
The nurse is providing prenatal counseling for a pregnant client regarding the prevention of congenital disorders during pregnancy. Which statement made by the client indicates that the education provided was effective?
“It should be all right if I only have a glass or two of wine with dinner.”
“As long as I do not take any prescription medications during my pregnancy, my baby will be fine.”
“My sister was born with cystic fibrosis and my baby could be born with that also.”
“My baby is most vulnerable if I take anything in the first 3 months of pregnancy.”
“My baby is most vulnerable if i take anything in the first 3 months of pregnancy.”
The nurse is caring for a client who has recovered from injuries incurred from a motor vehicle accident where two other family members did not survive. The client informs the nurse that he or she will grieve without demonstrating ineffective coping mechanisms. Which type of health behaviors does the nurse identify the client is exhibiting?
spiritual health
social health
emotional health
physical health
Emotional health
In a nursing unit, the nurse-in-charge delegates nursing duties as follows: one nurse is assigned to assist clients with nasogastric feeds; another nurse is assigned to wound dressings, and another nurse for giving medications. Which type of nursing care is being implemented?
team nursing
nurse-managed care
primary nursing
functional nursing
Functional nursing
A recent nursing graduate has been making a concerted effort to ensure that clients receive holistic nursing care. Which action best demonstrates the principle of holism?
The nurse ensures that every client receive equal care, regardless of diagnosis or acuity.
The nurse seeks input and evaluation from clients after an intervention is performed.
The nurse prioritizes assessments, diagnoses, and interventions that are at the peak of Maslow’s hierarchy of needs.
The nurse attempts to meet the physical, social, emotional, and spiritual health needs of clients.
The nurse attempts to meet the physical, social, emotional, and spiritual health needs of clients.
Ventricular septal defect is a congenital disorder. The nurse understands that congenital disorders are due to:
any primary illness.
unexplained causes.
genetic causes.
faulty embryonic development.
Faulty embryonic development
The nurse understands that mortality denotes the number of people who died of a particular disease or condition. What does an infant mortality rate of 15 indicate?
15 infant deaths per 100 live births
15 infant deaths per 100 deliveries
15 infant deaths per year
15 infant deaths per 1,000 live births
15 infant deaths per 1000 live births
The nurse understands that Huntington’s chorea is a neurologic disorder that manifests itself at adulthood. Which category of illness best defines Huntington’s chorea?
chronic illness
primary illness
idiopathic illness
hereditary illness
Hereditary illness
The nurse understands that an idiopathic illness is a condition whose cause is unexplained. Which is an example of idiopathic illness?
juvenile rheumatoid arthritis
patent ductus arteriosus
fever of undetermined origin
inflammatory bowel disease
Fever of undetermined origin
The nurse manager of the acute care unit has decided to implement a team nursing approach for client care. One of the staff members asks, “Will we each take care of our own clients?” What is the appropriate response by the manager?
“One person will provide skilled care, one will give medications, and one will help with hygienic needs.”
“Each registered nurse (RN) will be assigned a client and be responsible for planning and evaluating care.”
“The care will be divided and the registered nurse (RN) will have a licensed practical/vocational nurse (LPN/LVN) and unlicensed assistive personnel (UAP) to provide care together.”
“I will plan the care based on the client’s diagnosis or type of case.”
“The care will be divided and the registered nurse (RN) will have a licensed practical/vocational nurse (LPN/LVN) and unlicensed assistive personnel (UAP) to provide care together.”
The nurse is preparing a plan of care for a client with nutritional deficits. Which is the priority intervention for this client?
acknowledging weight problems
teaching about weight loss programs
teaching about intake of food and vitamins
teaching about binge eating
Teaching about intake of food and vitamins.
All the following symptoms are present in a client. Which is the priority for nursing care?
fever
anxiety
low confidence
low self-esteem
Fever
Which nursing activity reflects secondary prevention?
Discussing the use of drugs and alcohol
Promoting the use of seat belts
Making a referral for a mammogram
Promoting the use of helmets while riding motorcycles or bicycles
Making a referral for a mammogram
A nurse is caring for a client with end-stage liver failure. Which healthcare agency should the nurse recommend for continuity of care?
Emergency department
PPO
HMO
Extended care
Extended care
An exacerbation refers to the reactivation of a disease. Which condition is associated with exacerbation?
Congenital illness
Acute illness
Hereditary illness
Chronic illness
Chronic illness
The nurse is caring for a client with a diagnosis of heart failure. This admission is the client’s third admission within 90 days. The nurse educates the client with the goal of preventing readmission. Which nursing activity for this client would represent tertiary level prevention?
Screening for breast cancer every 5 years
Teaching about adhering to a low-sodium diet
Screening for tuberculosis
Assessing for risk factors for heart disease
Teaching about adhering to low sodium diet
Which nursing activity provides an example of primary prevention?
Screening school-aged children for exposure to lead
Suggesting alternative housing options for a family after a case of lead poisoning
Assessing the home environment for evidence of lead paint
Teaching a family how to recognize and avoid environments containing lead paint
Teaching a family how to recognize and avoid environments containing lead paint.
The client is admitted with a gastrointestinal bleed. The physician ordered a colonoscopy. Which level of care encompasses this procedure?
Primary
Quaternary
Tertiary
Secondary
Secondary
