Week 5 Sherpath Flashcards
Florence Nightingale is attributed with developing statistical methods to evaluate health care, working long hours to care for the injured, and fighting against society’s perception of nursing. Those who depict her as a leader on the basis of these qualities are practicing which leadership theory?
Behavioral
Contemporary
Situational
Trait
Trait
A nurse manager who informs a nurse about being selected to go to an out-of-town nursing conference as a reward for excellent performance is demonstrating a concept from which leadership theory?
Democratic
Transactional
Transformational
Laissez-Faire
Transactional
Which statements are true about situational theories?
Select all that apply.
They state that different circumstances drive leaders to change their approach.
They focus on how leaders can be taught to be good leaders.
They are based on flexibility and critical thinking.
They propose that leaders are born with leadership traits.
They propose that leaders adapt their responses based on what is happening.
They state that different circumstances drive leaders to change their approach.
They are based on flexibility and critical thinking.
They propose that leaders adapt their responses based on what is happening.
A leader often keeps members in the dark about organizational goals while citing policy and rules as the rationale behind prescribed actions. Which leadership style does this describe?
Democratic
Laissez-faire
Autocratic
Bureaucratic
Bureaucratic
The charge nurse who takes responsibility for coordinating the staff schedule and asks the staff to develop their own schedule is demonstrating which type of leadership style?
Bureaucratic
Autocratic
Laissez-faire
Democratic
Laissez-faire
A leader on a hospital unit encourages nurses to form a leadership committee made up of staff members related to professional practice. This leader is exhibiting which leadership style?
Democratic
Autocratic
Laissez-faire
Bureaucratic
Democratic
As the nurse prepares to identify strategies to implement change on the new unit, which leadership style is she utilizing?
Bureaucratic
Autocratic
Democratic
Laissez-faire
Democratic
Which leadership quality is the nurse demonstrating when giving credit to those who achieve their goals?
Magnanimity
Dedication
Integrity
Openness
Magnanimity
When a nurse leader is willing to work an additional 4 hours to cover a portion of another staff member’s shift, which leadership quality is the nurse leader exhibiting?
Creativity
Dedication
Integrity
Openness
Dedication
If a nurse leader complains about patient assignments to another staff member within hearing distance of another patient’s family, which leadership quality would the manager need to develop?
Integrity
Humility
Magnanimity
Openness
Integrity
Which management function is similar to the first steps of the nursing process?
Planning
Organizing
Directing
Coordinating
Planning
A manager is ordering extra supplies and putting staff into groups to accomplish a task. Which management function is the manager performing?
Directing
Controlling
Planning
Organizing
Organizing
Which belief does the Theory X–style manager hold?
Personnel consider work like play.
Workers are capable of self-direction.
Staff members take initiative.
Employees are motivated by punishment.
Employees are motivated by punishment.
The nurse exhibits which role when actively monitoring patient costs and preventing waste?
Financial resource manager
Collaborative team member
Patient advocate
Case manager
Financial resource manager
Which role is the school nurse performing when coordinating the health care for a group of children to identify issues and overcome health care barriers?
Clinical nurse leader
Nurse educator
Collaborative team member
Case manager
Case manager
A nurse speaks up for a child to keep her favorite blanket, labels the blanket, and communicates both verbally and in the child’s electronic health record that the child will keep the blanket. Which role is the nurse exhibiting through these actions?
Patient advocate
Case manager
Financial resource manager
Clinical nurse leader
Patient advocate
The nurse consults with the UAP to determine if an assigned task was completed. Which of the Five Rights of Delegation does this represent?
Right Supervision
Right Person
Right Task
Right Circumstance
Right Supervision
Which statement represents the second principle of delegation?
The person to whom the assignment was delegated cannot delegate it to someone else.
The assignment must be within the delegatee’s scope of practice, knowledge, and skill level.
The patient’s condition must be such that it does not require ongoing or frequent assessment or intervention.
If the delegatee does not carry out the assignment in a satisfactory manner, the RN is responsible.
If the delegatee does not carry out the assignment in a satisfactory manner, the RN is responsible.
Which rights are included in the Five Rights of Delegation?
Select all that apply.
Task
Condition
Supervision
Assignment
Circumstance
Scope of practice
Task
Supervision
Circumstance
Which question would the nurse ask before delegating the task of ambulating the patient to a UAP?
Has the patient’s bed been made?
Will the UAP be able to judge the patient’s ability to walk without falling?
Is the assignment within the UAP’s ability to perform safely?
Is the patient a male or female?
Is the assignment within the UAP’s ability to perform safely?
When the RN gives the UAP specific instructions about an assignment, which right of delegation is the nurse demonstrating?
Right Circumstance
Right Supervision
Right Communication
Right Person
Right Communication
A nurse manager is concerned with restocking the emergency cart, creating the staff schedule, requesting floor stock from pharmacy, and checking the orders on patient charts. Based on contemporary leadership theories, which type of leader accurately describes this nurse?
Transactional
Servant
Transformational
Autocratic
Transactional
A new nurse manager is attending a week-long training course to learn to become a better leader. Which leadership theory best matches this nurse manager’s actions?
Transformational
Behavioral
Trait
Situational
Behavioral
The staff nurse who is recognized by peers as being a leader is demonstrating which type of leadership?
Appointed
Formal
Informal
Assumed
Informal
Which leadership style is most useful in reducing errors or during a health crisis situation in the workplace?
Autocratic
Bureaucratic
Democratic
Laissez-faire
Autocratic
Which leadership style is represented by a leader who believes that employees want little or no direction in obtaining organizational goals?
Bureaucratic
Laissez-faire
Autocratic
Democratic
Laissez-faire
A nurse manager is discussing nursing assignments with team members and makes the following statement: “We are going to do what I think is best.” Which leadership style is being demonstrated?
Autocratic
Bureaucratic
Democratic
Laissez-faire
Autocratic
Which qualities do effective nurse leaders possess?
Select all that apply.
Integrity
Humility
Education
Personality
Openness
Integrity
Humility
Openness
Match the leadership quality with the appropriate behavior.
Demonstrating clear ethical principles
Spending time needed to accomplish tasks
Giving credit where it is due
Appreciating others’ contributions
Answer choices
Humility
Integrity
Dedication
Magnanimity
Compassion
Empathy
Demonstrating clear ethical principles
Integrity
Spending time needed to accomplish tasks
Dedication
Giving credit where it is due
Magnanimity
Appreciating others’ contributions
Humility
Which characteristics of effective leaders inspire successful teams?
Select all that apply.
Uses excellent communication skills
Uses different leadership styles appropriately
Seeks multiple opinions
Identifies and supports change
Readily assigns blame
Displays understanding and empathy
Uses excellent communication skills
Uses different leadership styles appropriately
Seeks multiple opinions
Identifies and supports change
Displays understanding and empathy
Staff members recognize which skill in nurse managers who hold themselves accountable with the highest level of ethical behavior?
Business sense
Professionalism
Leadership aptitude
Communication
Professionalism
The manager who makes threats of writing up errors to motivate staff members is exhibiting which management style?
Situational
Theory X
Theory Y
Transformational
Theory X
A nurse manager is assessing the need to hold immunization clinics on Saturdays one month before school begins to increase immunization rates among children in the community. Which leadership function is demonstrated by the nurse manager?
Planning
Organizing
Directing
Controlling
Planning
Which nursing actions demonstrate human skills?
Select all that apply.
Maintaining competency and currency of clinical skills
Creating an open, nonthreatening environment
Acting as a willing expert or teacher of a psychomotor task
Understanding the needs of external customers
Maintaining honesty and integrity in work and relationships
Creating an open, nonthreatening environment
Maintaining honesty and integrity in work and relationships
Which role does the nurse exhibit by providing the newest evidence-based practice to other members of the health care staff in providing patient care?
Patient advocate
Case manager
Resource manager
Clinical nurse leader
Clinical nurse leader
A nurse who accepts the realities of complex health care systems is demonstrating skills in which area of effective leadership?
Conceptual
Technical
Human
Communication
Conceptual
The ANA describes delegation as the transfer of responsibility. Which action does the transfer of responsibility allow a competent person such as the UAP to do?
Make decisions about tasks to be delegated.
Reassign tasks to other qualified persons.
Perform a selected task in a selected situation.
Decide which similar tasks can be completed without supervision.
Perform a selected task in a selected situation.
Which reliable resources would a new nurse consult to learn how to safely delegate to others in the employment setting?
Select all that apply.
Job descriptions
The UAP
Another new nurse
Hospital policy manual
Nurse practice acts
Job descriptions
Hospital policy manual
Nurse practice acts
Which tasks might the nurse delegate to a UAP?
Select all that apply.
Assessing a 17-year-old’s pain
Shampooing a 23-year-old’s hair
Bathing a 41-year-old who is incontinent
Ambulating a steady 50-year-old after surgery
Taking vital signs on a 35-year-old with hypertension
Shampooing a 23-year-old’s hair
Bathing a 41-year-old who is incontinent
Ambulating a steady 50-year-old after surgery
Before delegating an assignment to an LPN/LVN or UAP, the nurse must identify which factors?
Select all that apply.
Task required
A safe environment
Medical diagnosis
Strengths and weaknesses of the delegatee
Ability to supervise the task
Task required
A safe environment
Strengths and weaknesses of the delegatee
Ability to supervise the task
Which application of the ethical principal of fidelity specific to the heart transplant case study is correct?
Entitlement of equal treatment for all regardless of poor past choices/decisions
The duty to do no harm to a teenager in need of a heart transplant for survival
Faithfulness and keeping the promise to do the best you can for the patient, regardless of the patient’s past history
Denying the heart transplant to maximize the chance of survival and increased likelihood of a good outcome for the next person on the wait list
Faithfulness and keeping the promise to do the best you can for the patient, regardless of the patient’s past history
Which phrase best describes the ethical principle of justice?
The greatest good for the greatest number of people
The belief that everybody is entitled to be treated fairly regardless of race, gender, or wealth
The belief that the rightness of the action is based on the outcome and is acceptable as long as it benefits many
The belief that those with more wealth have earned the right to be treated above others
The belief that everybody is entitled to be treated fairly regardless of race, gender, or wealth
Which statement best describes the ethical principle of utility?
The needs of one individual outweigh the needs of many.
Everybody is entitled to be treated fairly.
The equal distribution of a limited resource is priority.
It does not matter what the action is as long as the outcome is positive and benefits many.
It does not matter what the action is as long as the outcome is positive and benefits many.
Which phrases describe the ethical principle of beneficence?
Select all that apply.
Action equals a direct benefit
Maximizing of good
Doing what you feel is best for another
Promoting of good
Promoting a positive outcome
Action equals a direct benefit
Maximizing of good
Promoting of good
Promoting a positive outcome
Which ethical theory would best support the decision that the hospital was correct in obtaining state custody of a child to administer chemotherapy?
Deontology
Teleology
Rights-based theory
Virtue ethics
Deontology
Which description of rights-based ethical theory is accurate?
Consequentialist theory based on the belief that all individuals are entitled to certain rights that cannot be taken away
Nonconsequentialist theory based on the belief that all individuals are entitled to certain rights that cannot be taken away
Nonconsequentialist theory based on the belief that there are people in this world who are entitled to more rights and freedoms than others
Consequentialist theory based on the belief that some people in this world are entitled to more rights and freedoms than others
Nonconsequentialist theory based on the belief that all individuals are entitled to certain rights that cannot be taken away
Which statements describe the ethical theory of deontology?
Select all that apply.
Its aim is to have the right outcome.
It reflects the beliefs of nonconsequentialists.
It reflects the beliefs of consequentialists.
The primary intent of the action is judged, not the repercussions.
Its aim is to perform the right action.
It reflects the beliefs of nonconsequentialists
The primary intent of the action is judged, not the repercussions.
Its aim is to perform the right action.
The phrase “I just knew it was the right thing to do” is an example of using which ethical theory?
Intuitionist theory
Virtue ethics
Rights-based theory
Duty-based theory
Intuitionist theory
Which theories are examples of agent-based ethical theories?
Select all that apply.
Rights-based theory
Virtue ethics theory
Duty-based theory
Intuitionist theory
Utilitarianism
Virtue ethics theory
Intuitionist theory
Which actions apply to provision 1 of the ANA Code of Ethics: “The nurse practices with compassion and respect for the inherent dignity, worth, and unique attributes of every person”?
Select all that apply.
Building respectful, caring, and compassionate relationships with colleagues
Recognizing a person’s inalienable rights
Being responsible and accountable for one’s own nursing practice
Recognizing and caring for all humans with dignity and compassion regardless of disease, - disability, or religious or lifestyle choice
Maintaining professional competence and professional growth
Building respectful, caring, and compassionate relationships with colleagues
Recognizing a person’s inalienable rights
Recognizing and caring for all humans with dignity and compassion regardless of disease, - disability, or religious or lifestyle choice
The Code of Ethics for Nurses is composed and published by which organized group?
The American Medical Association
The National League for Nursing
The American Nurses Association
The National Institutes of Health
The American Nurses Association
Which statement about the American Nurses Association Code of Ethics is correct?
The ANA Code of Ethics is a reference for nurses that identifies the ethical ideals of the profession.
The ANA Code of Ethics is a written private document that dictates what is expected of a nurse.
The ANA Code of Ethics has the power to revoke a nursing license and assign financial penalties.
Following the appropriate guidelines, the ANA Code of Ethics can be amended if determined necessary.
The ANA Code of Ethics is a reference for nurses that identifies the ethical ideals of the profession.
Which information would be considered in an ethics consult based on the case study and the general guidelines for an ethics consult?
Select all that apply.
Child’s age
Religious influence
Nurse’s preference
Child’s life expectancy
Life expectancy after a heart transplant
Child’s age
Religious influence
Child’s life expectancy
Life expectancy after a heart transplant
Which actions are examples of how to encourage growth in the process of ethical decision-making?
Select all that apply.
Volunteering to serve on ethics committees
Identifying your own individual beliefs and moral values
Finding a coworker who understands your beliefs and is able to effectively communicate with others
Notifying the media of the ethical dilemma in hopes of gaining positive attention to the conflict
Distributing articles and information on ethical dilemmas to other team members involved in the conflict
Volunteering to serve on ethics committees
Identifying your own individual beliefs and moral values
Finding a coworker who understands your beliefs and is able to effectively communicate with others
Distributing articles and information on ethical dilemmas to other team members involved in the conflict
So Far No Objections (SFNO) is an easy acronym that you can use to help guide nurses at times of ethical decision-making. Which description correctly represents the SFNO process?
Stakeholders, Facts, Norms, and Opinions: Identifying who is involved, facts in conflict, how it normally would be resolved, and the opinions of all involved
Stakeholders, Facts, Norms, and Options: Identifying who is involved, facts in conflict, how it normally would be resolved, and all possible alternatives or solutions
Stakeholders, Fictions, Norms, and Opinions: Identifying who is involved, fictions or nontruths involved, how it normally would be resolved, and the opinions of all involved
Seniority, Fictions, Norms, Options: Identifying the most senior or most important people involved, fictions or nontruths involved, how it normally would be resolved, and all possible alternatives or solutions
Stakeholders, Facts, Norms, and Options: Identifying who is involved, facts in conflict, how it normally would be resolved, and all possible alternatives or solutions
When referencing the Staircase Model of Professional Development, which statement best describes how a nurse grows in expert ethical decision-making?
Nurses learn from experience in dealing with ethical dilemmas, slip and fall sometimes, but ultimately gain more knowledge from those experiences and continue to work toward their own professional ideal and the expectation of society.
Growing in expert ethical decision-making is a step-by-step process, with each step paving the way to the highest level of both society’s and the nurse’s professional ideal. Once a nurse has gained a step, he or she does not go back down because the nurse has already attained that level of expertise.
During the first few years of a nursing career, a nurse remains on the first level, but as experience is gained by dealing with ethical dilemmas, the nurse moves toward the top, never going back down. Once nurses reach the top, they understand that they have not only reached their own professional ideal but that of society’s as well.
Nurses begin their career at the top rung, gaining most of their knowledge during formal education. As the years progress, nurses continue working their way down the steps as ethical dilemmas undermine previously learned knowledge.
Nurses learn from experience in dealing with ethical dilemmas, slip and fall sometimes, but ultimately gain more knowledge from those experiences and continue to work toward their own professional ideal and the expectation of society.
Ethical issues in nursing can be divided into which three categories?
Select all that apply.
Cognitive
Emotional
Societal
Volitional
Physical
Cognitive
Societal
Volitional
Which statement explains the main difference between beneficence and nonmaleficence?
The focus in nonmaleficence is on preventing harm, and the focus in beneficence is on not inflicting harm.
There is actually no real difference beneficence and nonmaleficence.
The focus in nonmaleficence is on not inflicting harm, and the focus in beneficence is on promoting good.
The focus in nonmaleficence is on not inflicting harm, and the focus in beneficence is on the duty to do no harm.
The focus in nonmaleficence is on not inflicting harm, and the focus in beneficence is on promoting good.
Which situation is a common area of conflict with the ethical principle of beneficence seen in the nursing profession?
Refusing to follow through on a patient’s advance directive
Withdrawing life support of the patient at the request of the medical power of attorney
Not allowing overnight visitors in the intensive care unit
Initiating life support on a patient who has no advance directive
Refusing to follow through on a patient’s advance directive
Which characteristics are consistent with that of a surrogate decision-maker?
Select all that apply.
A surrogate decision-maker is expected to make the same decision as the person for whom he or she is making the decision.
The decision is based on the morals and values of the person in need of urgent medical care.
A surrogate decision-maker is used when the patient is able to make his or her own decisions.
A surrogate decision-maker is used during times of medical emergencies for persons who are unable to decide for themselves.
A surrogate decision-maker bases decisions on his or her moral values, not the values of the person needing decisions made for him or her.
A surrogate decision-maker is expected to make the same decision as the person for whom he or she is making the decision.
The decision is based on the morals and values of the person in need of urgent medical care.
A surrogate decision-maker is used during times of medical emergencies for persons who are unable to decide for themselves.
Which scenario is an example of the principle of autonomy in the health care field?
Refusing chemotherapy even though the treatment is known to be 90% effective
Refusing cancer treatment for your mother because you know her beliefs about chemotherapy even though it is known to be 90% effective
The health care provider prescribing a chemotherapy medication with a high success rate despite the patient’s statement of never wanting to receive chemotherapy
Recommending to your patient to take the prescribed medication because you realize the treatment’s benefits
Refusing chemotherapy even though the treatment is known to be 90% effective
Which scenario is an example of a therapeutic fib?
Telling your patient who has a terminal form of cancer that that the cancer has a 90% remission rate because you are uncomfortable with sharing the truth.
Telling your patient that the health care provider will be here in just a few minutes even though you know he is currently in surgery.
Telling a pediatric patient whose father has passed away, “Your dad isn’t here at the moment, but I’ll let you know when he gets here,” because his mother has requested that she tell her child the difficult news.
Telling your patient that the side effects of a medication are minimal even though you know the medication has significant side effects.
Telling a pediatric patient whose father has passed away, “Your dad isn’t here at the moment, but I’ll let you know when he gets here,” because his mother has requested that she tell her child the difficult news.
The statement “do what is right, regardless of the outcome” would fall under which ethical theories?
Select all that apply.
Teleology
Duty-based ethical theory
Nonconsequentialism
Consequentialism
Deontology
Duty-based ethical theory
Nonconsequentialism
Deontology
Which scenarios are examples that demonstrate the rights-based ethical theory?
Select all that apply.
Refusing chemotherapy
Refusing vaccinations
Demanding to be seen by the best neurosurgeon
Demanding that every effort be made to save your child
Requesting to die with dignity
Refusing chemotherapy
Refusing vaccinations
Demanding that every effort be made to save your child
Requesting to die with dignity
Which scenario is an example of deontology, or duty-based ethics?
A lifeguard has been told that a man who is drowning is a known pedophile, and letting the man drown might protect others from future harm. The lifeguard chooses to save the pedophile because letting him drown would not be the moral action.
A passenger plane crashes, and the nearest burn facility can only treat a limited number of patients. The patients with the best likelihood for survival are transported to the burn center, while those most likely not to survive are taken to a different medical facility.
Government health care resources give more money to finding a cure for cancer than finding a cure for anodontia (a genetic disorder defined as the absence of all teeth).
Childhood vaccines have a known possible side effect of causing fever and discomfort to infants yet are still recommended and encouraged by the American Academy of Pediatrics.
A lifeguard has been told that a man who is drowning is a known pedophile, and letting the man drown might protect others from future harm. The lifeguard chooses to save the pedophile because letting him drown would not be the moral action.
Match the description with the appropriate ethical theory.
Focuses on the actions involved in making the decision, not the outcome
Judges an action as moral or immoral and is not based on the outcome of the action
Aims to develop character and follow values such as kindness and caring
Believes that one’s character cannot be cultivated and is innate
Focuses on the overall ethical status of the individual making the decision
Answer choices
Teleology
Agent-based theory
Intuitionist theory
Rights-based theory
Deontology
Virtue ethics
Focuses on the actions involved in making the decision, not the outcome
Rights-based theory
Judges an action as moral or immoral and is not based on the outcome of the action
Deontology
Aims to develop character and follow values such as kindness and caring
Virtue ethics
Believes that one’s character cannot be cultivated and is innate
Intuitionist theory
Focuses on the overall ethical status of the individual making the decision
Agent-based theory
Which scenarios are examples of the ethical theory of utilitarianism?
Select all that apply.
Hospital isolation policy for infants with respiratory syncytial virus
Hospital visitation restrictions during influenza season for children younger than 12 years of age
Mandatory flu vaccination for all hospital employees
Restricted visitation for a patient with a closed head injury
Contact isolation for patients diagnosed with methicillin-resistant Staphylococcus aureus
Hospital isolation policy for infants with respiratory syncytial virus
Hospital visitation restrictions during influenza season for children younger than 12 years of age
Mandatory flu vaccination for all hospital employees
Contact isolation for patients diagnosed with methicillin-resistant Staphylococcus aureus
Which categories are addressed in the ANA Code of Ethics for Nurses?
Select all that apply.
Fundamental values and obligations of the nurse
Duty and loyalty both to self and others
Responsibility for the health care environment and setting
Duty to protect the image of colleagues
Duty to go beyond solely patient care
Fundamental values and obligations of the nurse
Duty and loyalty both to self and others
Responsibility for the health care environment and setting
Duty to go beyond solely patient care
Provisions 4, 5, and 6 of the ANA Code of Ethics for Nurses address issues of duty and loyalty both to self and others along with an obligation to the health care environment. Which provisions belong in this category?
Select all that apply.
Work with professional organizations, and support principles of social justice that will ultimately lead to better patient care.
Be a positive role model, and respect colleagues in the working environment.
Assist in the advancement of the profession through active involvement in clinical, administrative, and educational practice and scholarly inquiry.
Owe the same moral obligation to self as to others.
Be responsible and accountable for one’s own nursing practice, including delegation, nursing judgment, and actions.
Be a positive role model, and respect colleagues in the working environment.
Owe the same moral obligation to self as to others.
Be responsible and accountable for one’s own nursing practice, including delegation, nursing judgment, and actions.
Which descriptions characterize the American Nurses Association (ANA) Code of Ethics for Nurses?
Select all that apply.
Foundation for the ethical practice of nursing
Negotiable written document that serves as a reference for the nursing profession
Written public document that is amended approximately every 10 years
Identifies the responsibilities and obligations of the nurse
Private document used as a reference for the nursing profession
Foundation for the ethical practice of nursing
Written public document that is amended approximately every 10 years
Identifies the responsibilities and obligations of the nurse
Which statements about bioethics are correct?
Select all that apply.
Bioethics is a term used to describe the study of morals, values, and ethics, in relation to medicine and medical research.
Bioethics has led to a whole new field of medicine with research dedicated solely to ethical issues in health care.
Bioethics recently became popular in the 21st century, when the idea of patients being involved in decisions about their health became a priority.
Bioethics addresses the rights and duties of researchers and their research subjects.
Bioethics focuses exclusively on the rights and duties of patients and their health care providers.
Bioethics is a term used to describe the study of morals, values, and ethics, in relation to medicine and medical research.
Bioethics has led to a whole new field of medicine with research dedicated solely to ethical issues in health care.
Bioethics addresses the rights and duties of researchers and their research subjects.
When faced with an ethical decision in your nursing career, which actions can help guide you in your decision-making?
Select all that apply.
Identifying your own thoughts, beliefs, and values
Gathering articles and information relevant to the dilemma
Identifying ethical resources at your place of employment
Talking about the ethical dilemma with your friend after work
Communicating often with the health care team regarding the dilemma
Identifying your own thoughts, beliefs, and values
Gathering articles and information relevant to the dilemma
Identifying ethical resources at your place of employment
Communicating often with the health care team regarding the dilemma
Which action would the nurse take if he or she feels that the health care provider has written a prescription that is unethical?
Find another course of action without letting the health care provider know you are not completing the prescription.
Follow the prescription as written because it is not the nurse’s decision. You are just following the prescription as it is written.
Clarify the prescription with the health care provider to confirm that there is no misunderstanding. If the nurse feels that the prescription is still unethical, he or she would consult a nursing supervisor.
Ask another nurse to complete the prescription as it may not be against the nurse’s moral values.
Clarify the prescription with the health care provider to confirm that there is no misunderstanding. If the nurse feels that the prescription is still unethical, he or she would consult a nursing supervisor.
In the case study of Moon v St Thomas Hospital, which actions by the nurse contributed to the nursing malpractice award?
Select all that apply.
Failure to notify the health care provider
Failure to request a prescription for a bite block
Failure to document the patient biting an endotracheal tube
Failure to reposition the tube to prevent biting
Failure to extubate the patient
Failure to notify the health care provider
Failure to request a prescription for a bite block
Failure to reposition the tube to prevent biting
Match the type of law with the correct description.
Governs the professional practice of nursing
Associated with civil lawsuits
Laws associated with the Bill of Rights
Patient Protection and Affordable Care Act
Answer choices
Corporate
Constitutional
Tort
Administrative
Labor
Federal statutory
Governs the professional practice of nursing
Administrative
Associated with civil lawsuits
Tort
Laws associated with the Bill of Rights
Constitutional
Patient Protection and Affordable Care Act
Federal statutory
A registered nurse (RN) is precepting a newly graduated RN. Which statement by the new RN indicates understanding of the newly acquired nursing license?
“My employer can levy a fine against my license if I perform a task outside my scope of practice.”
“The state board of nursing is solely focused on protecting me as a registered nurse.”
“The state board of nursing has the authority to restrict me from practicing as a nurse.”
“Nurse practice acts are the same in each state, which allows me to practice in any state in the United States.”
“The state board of nursing has the authority to restrict me from practicing as a nurse.”
Which events would require an incident report to be filed?
Select all that apply.
A patient death after failed chemotherapy
An incident resulting in the unexpected death of a patient
A patient who requires reintubation after extubation
A patient who is not treated timely with antibiotics because of failure to report a positive culture
A malfunction of medical equipment
An incident resulting in the unexpected death of a patient
A patient who is not treated timely with antibiotics because of failure to report a positive culture
A malfunction of medical equipment
Which statement is correct regarding delegation?
A registered nurse (RN) or a licensed vocational nurse/licensed practical nurse (LVN/LPN) can delegate a nursing task.
If an RN delegates a task to a certified nursing assistant (CNA), the CNA is then accountable for the delegated task.
An RN can delegate any task to another RN or LVN/LPN regardless of his or her ability.
When making the decision to delegate, the RN is ultimately responsible.
When making the decision to delegate, the RN is ultimately responsible.
Which conditions must be met for informed consent to be considered valid?
Select all that apply.
Consent must be given freely.
The duration of the treatment must be defined.
Alternatives to treatment must be clearly stated.
The risks and benefits of the treatment must be clearly defined.
Patients must be able to understand to what they are consenting.
Consent must be given freely.
Alternatives to treatment must be clearly stated.
The risks and benefits of the treatment must be clearly defined.
Patients must be able to understand to what they are consenting.
Which statement by the spouse of a patient who was left in a persistent vegetative state after a motorcycle accident indicates the spouse needs further education regarding end-of-life care?
“Active euthanasia is withdrawal of medical support.”
“Passive euthanasia is administration of a lethal injection.”
“I can give voluntary consent for active euthanasia.”
“If the health care provider withdraws medical support to relieve his suffering, it is nonvoluntary.”
“If the health care provider withdraws medical support to relieve his suffering, it is nonvoluntary.”
The Death with Dignity Act allows health care providers to prescribe life-ending medication to anyone who is mentally competent and diagnosed with an illness giving them less than how many months to live? Record your answer as a whole number.
months
Use numbers only.
6 months
Which ethical principal supports the patient’s right to refuse treatment or medical care?
Autonomy
Veracity
Fidelity
Justice
Autonomy
Which statements are correct regarding state nurse practice acts?
Select all that apply.
State nurse practice acts delineate what a nurse can and cannot do.
Nurse practice acts identify who can use the title of RN.
They are consistent throughout the United States.
Nurse practice acts are revised periodically to reflect a changing society.
They define behaviors that are considered misconduct.
State nurse practice acts delineate what a nurse can and cannot do.
Nurse practice acts identify who can use the title of RN.
Nurse practice acts are revised periodically to reflect a changing society.
They define behaviors that are considered misconduct.
The nurse is caring for a patient for whom the health care provider has prescribed an injection to treat a sexually transmitted infection. The patient has requested oral antibiotics instead of an intramuscular injection. The nurse believes that the patient is acting childishly and is threatening to give the injection without the patient’s consent. This action could lead to which type of lawsuit in nursing?
Medication error
Negligence
Battery
Assault
Assault
Which incidents are examples of never events and subject to nonreimbursement from the Centers for Medicare and Medicaid Services?
Select all that apply.
A patient falling out of bed
An E. coli bacterial central venous line infection
A candida urinary tract infection
A retained surgical object after a surgery
A staphylococcal surgical site infection
A patient falling out of bed
An E. coli bacterial central venous line infection
A retained surgical object after a surgery
A staphylococcal surgical site infection
Which information should be included in patient documentation?
Select all that apply.
The specific treatment provided to the patient
The patient’s response to the treatment
The nurse’s opinion about the patient’s mood/affect after the treatment
The time the treatment was administered
Documentation of the previous nurse failing to administer treatment
The specific treatment provided to the patient
The patient’s response to the treatment
The time the treatment was administered
Which aspects of nursing care is the registered nurse (RN) responsible for when delegating actions to someone on his or her behalf?
Select all that apply.
Ensuring that the task is appropriate to delegate
Ensuring that the delegatee is able to correctly perform the task
Performing follow-up and evaluation after completing the task
Correctly following hospital protocol
Ensuring that the circumstance is appropriate to delegate the task
Ensuring that the task is appropriate to delegate
Ensuring that the delegatee is able to correctly perform the task
Performing follow-up and evaluation after completing the task
Ensuring that the circumstance is appropriate to delegate the task
The nurse is filling out an incident report after finding an older adult patient on the floor beside the bed. Which guidelines would the nurse follow when completing the report?
Select all that apply.
Describe objectively how the nurse found the patient.
Notify management that a critical event occurred.
Document in the medical record that an incident report was filed.
Document in the medical record that the patient fell getting out of bed.
Make a photocopy of the incident report to keep for personal records.
Describe objectively how the nurse found the patient.
Notify management that a critical event occurred.
A patient diagnosed with terminal cancer has obtained a prescription for medications that will end his life. This is an example of which type of end-of-life treatment?
Nonvoluntary euthanasia
Suicide
Assisted suicide
Voluntary euthanasia
Assisted suicide
When a patient is refusing medical treatment, which information should be included in the documentation?
Select all that apply.
Presence of hospital chaplain
Patient being of sound mind
Support system present for the patient
Risks associated with refusal of care
Patient signature on the document with all presented information
Patient being of sound mind
Support system present for the patient
Risks associated with refusal of care
Patient signature on the document with all presented information
How did the 2010 Patient Protection and Affordable Care Act affect the ability for individuals to receive health care?
It required insurance coverage for all US citizens and undocumented residents.
It stipulated that there would be no out-of-pocket expenses for preventive services.
It allowed insurance companies to screen for preexisting conditions.
It allowed dependents to remain on a parent’s insurance until 22 years of age.
It stipulated that there would be no out-of-pocket expenses for preventive services.
Which statement describes the purpose of an advance directive?
Allows patients to choose their end-of-life care decisions
Allows patients to plan their own funerals
Allows patients to choose their health care providers
Allows the older adult patients to make their own decisions
Allows patients to choose their end-of-life care decisions
Which standard interventions might a nurse take when caring for an actively dying patient?
Select all that apply.
Providing pain medication every 4 hours as needed
Evaluating the patient for new symptoms
Monitoring for incontinence
Raising the head of the bed
Giving oral care and putting on lip balm
Evaluating the patient for new symptoms
Monitoring for incontinence
Raising the head of the bed
Giving oral care and putting on lip balm
Which interpersonal communication interventions are essential in caring for a grieving family?
Select all that apply.
Being available to listen, if needed
Provide quiet time to process thoughts
Speaking to the family to fill silences
Allow for one-on-one time to share concerns
Be present for the family
Being available to listen, if needed
Provide quiet time to process thoughts
Allow for one-on-one time to share concerns
Be present for the family
Match the type of family care with the appropriate intervention strategy.
Provide empathy and active listening
Teach the family how to care for the patient at the end of life
Offer to call pastoral care as desired
Answer choices
Educate the family
Interpersonal communication
Care at the time of death
Provide empathy and active listening
Interpersonal communication
Teach the family how to care for the patient at the end of life
Educate the family
Offer to call pastoral care as desired
Care at the time of death
Which statement best describes why the nurse would consider the intervention of hospice care?
It assists terminally ill patients and their families in deciding the best course of curative treatment.
It provides quality-of-life measures for dying patients and supports the family through the time of mourning.
It provides support to patients who are receiving long-term hospital care and assists their families.
It assists health care providers in caring for terminally ill patients or patients with serious illnesses.
It provides quality-of-life measures for dying patients and supports the family through the time of mourning.
Which nursing interventions are often found specifically with home-based hospice care?
Select all that apply.
Planning and managing the patient’s diet
Coordinating various health care providers
Making funeral arrangements
Evaluating the safety of the home for the patient
Assuring the family that the care the patient receives is - skilled and proficient
Coordinating various health care providers
Evaluating the safety of the home for the patient
Assuring the family that the care the patient receives is - skilled and proficient
Which statement describes a characteristic of palliative care?
Palliative care is used in conjunction with life-prolonging therapies.
Palliative care is used to help patients decide end-of-life issues.
Palliative care extends to the family throughout the mourning process.
Palliative care is appropriate at the end-of-life stage of a serious illness.
Palliative care is used in conjunction with life-prolonging therapies.
Which information regarding the purpose of the Dying Person’s Bill of Rights would the hospice nurse share with the patient?
It guarantees that the patient will not die alone.
It states that the patient is always free from pain at the end of life.
It means the right to have dignity, comfort, and respect at the end of life.
It assures the patient that the nurses will always provide them with a sense of hope.
It means the right to have dignity, comfort, and respect at the end of life.
Which evaluation statements demonstrate to the nursing instructor that the student nurse understands the principles of teach-back when caring for a patient and family at the end of life?
Select all that apply.
“Explain the five stages of grief we discussed.”
“Tell me three resources that we discussed that you will try.”
“Can you show me how you will take the new medication?”
“Can you tell me in your own words what an advance directive is?”
“Do you have any questions?”
“Explain the five stages of grief we discussed.”
“Tell me three resources that we discussed that you will try.”
“Can you show me how you will take the new medication?”
“Can you tell me in your own words what an advance directive is?”
Which technique best supports effective patient teaching in dying, death, and grief?
Start teaching after several shifts before the patient is discharged.
Find out what the patient already knows and wants to learn.
Use medical terms so the family can understand what is happening.
Just talking is fine, as patients will remember what they hear more than what they see.
Find out what the patient already knows and wants to learn.
Which nursing intervention includes a supportive environment to a patient during the end of life?
Measuring vital signs often to provide the patient with a status update
Providing the patient with diversion by means of frequent staff changes
Encouraging the patient and family to display photographs and other comforting objects
Maintaining a strict schedule to provide structure, including limiting visiting hour
Encouraging the patient and family to display photographs and other comforting objects
How would the nurse react to an actively dying patient reaching for unseen objects and talking to unseen people?
Asking the patient to explain what he or she is seeing
Administering prescribed sedation
Keeping the family away from the patient until the patient has quieted
Gently explaining that the objects or people do not exist
Asking the patient to explain what he or she is seeing
Which actions/interventions are necessary for a nurse to take following the death of a patient who will be autopsied?
Select all that apply.
Cover open wounds
Document the death
Prepare the body for family viewing
Remove medical tubes from the body
Remove medical equipment from the room
Cover open wounds
Document the death
Prepare the body for family viewing
Remove medical equipment from the room
Which interventions would the nurse employ for a patient experiencing end-of-life–related anxiety and restlessness?
Select all that apply.
Dimming the lights
Playing soft music
Giving supplemental oxygen
Providing herbal medication
Assuring the patient that it will be okay
Dimming the lights
Playing soft music
Family members of a deceased patient begin telling stories about their loved one as the nurse cleans up and begins postmortem procedures. How would the nurse respond?
Asking the family to leave so that the nurse can clean up the room
Offering to move the deceased to another room so the family can continue.
Allowing the family to continue until they feel comfortable leaving.
Joining in and provide verbal support as much as possible.
Allowing the family to continue until they feel comfortable leaving.
The daughter of a patient for whom palliative care has been recommended asks the nurse how palliative care differs from hospice care. Which information would be included in the nurse’s response?
Palliative care is appropriate for terminally ill patients.
Palliative care offers symptom control in conjunction with life-prolonging treatment.
Only palliative care offers quality-of-life measures to patients and their families.
Palliative care is for patients who present with acute illnesses.
Palliative care offers symptom control in conjunction with life-prolonging treatment.
Which patient would qualify for hospice care?
A patient with end-stage liver failure
A patient with breast cancer opting for radiation therapy
A patient with heart failure who is awaiting a transplant
An amputee who is having trouble coping with the loss of a limb
A patient with end-stage liver failure
Which services are examples of hospice care?
Select all that apply.
Providing pain medication for a patient with terminal cancer
Providing grief and bereavement services 2 years after the patient has died
Providing oxygen for home use to a patient with end-stage lung disease
Assisting in recovery from radiation therapy for a patient with liver cancer
Providing caregiver services to give caregivers of the patient a temporary break
Providing pain medication for a patient with terminal cancer
Providing oxygen for home use to a patient with end-stage lung disease
Providing caregiver services to give caregivers of the patient a temporary break
Which services are examples of palliative care?
Select all that apply.
Providing medication to ease the symptoms of chemotherapy
Providing support to families of an actively dying patient who refuses medical treatment
Offering support to the family of a patient who has just undergone bypass surgery
Providing bereavement assistance to the family of the patient.
Supplying medications for assisted suicide for patients wanting to hasten death
Providing medication to ease the symptoms of chemotherapy
Offering support to the family of a patient who has just undergone bypass surgery
A grieving husband asks the nurse the same questions over and over again regarding his wife’s body. Which intervention would the nurse take to help the husband integrate the information?
Referring him to the health care provider to answer the questions
Answering any questions, even if they were answered already
Reminding him that his questions were already answered
Providing documented information that he can read at his leisure
Answering any questions, even if they were answered already
How can the nurse support the family of a dying patient as part of end-of-life care?
Select all that apply.
Explaining patient care
Communicating the signs of death in a simple manner
Mediating disputes among family members over arrangements for memorial and burial services
Teaching the family how to provide basic care for the patient
Assuring the family that members of the health care team are available to provide help as needed
Explaining patient care
Communicating the signs of death in a simple manner
Teaching the family how to provide basic care for the patient
Assuring the family that members of the health care team are available to provide help as needed
Which statements by the family members of a patient at end of life indicate successful teaching by the nurse?
Select all that apply.
“I understand that there are stages of grief that we are likely to go through after dad dies, and we all may not be in the same stage at the same time.”
“Susie is really good at giving back rubs, and now we know it would be good for dad to relax and for us as well.”
“Now that I know that the local cancer center has such great resources, we’re going down there tomorrow to talk to someone.”
“I am 25 years old and I really don’t need to worry about me. A little lost sleep or meals won’t hurt me any, so I can sit here for hours.”
“Once dad is in his final days, we can help by bathing his face, turning him carefully, and making sure his mouth doesn’t get too dry.”
“I understand that there are stages of grief that we are likely to go through after dad dies, and we all may not be in the same stage at the same time.”
“Susie is really good at giving back rubs, and now we know it would be good for dad to relax and for us as well.”
“Now that I know that the local cancer center has such great resources, we’re going down there tomorrow to talk to someone.”
“Once dad is in his final days, we can help by bathing his face, turning him carefully, and making sure his mouth doesn’t get too dry.”
Which stress management strategy would the nurse suggest as a priority for a patient who is overwhelmed with multiple responsibilities?
Nutrition
Time management
Anger management
Relaxation therapy
Time management
Which interventions would the nurse choose to help a patient manage anger in a healthy way?
Select all that apply.
Jogging
Using humor
Problem-solving
Eating a well-balanced diet
Increasing focus and concentration
Jogging
Using humor
Problem-solving
Which explanation demonstrates how relaxation therapy differs from energy therapy?
Relaxation therapy can be used effectively to treat chronic pain.
Relaxation therapy uses techniques such as therapeutic touch and reiki.
Relaxation therapy combines pharmacologic and nonpharmacologic interventions.
Relaxation therapy teaches patients to recognize and respond to stress in any setting.
Relaxation therapy teaches patients to recognize and respond to stress in any setting.
Which question would the nurse ask to determine if a patient serves in the role of a caregiver who needs support?
“Does someone rely on you for his or her overall well-being?”
“Is there someone who can stay with you while you are feeling stressed?”
“Who helps you get meals to eat and keep your home clean?”
“Is there someone in your family who you know is always there for you?”
“Does someone rely on you for his or her overall well-being?”
Which life event indicates a patient may soon take on the role of a caretaker?
Married a person who has two grown children living nearby
Reports that an aging parent recently fell and fractured a hip
Celebrated the graduation of an 18-year-old child
Took on a new job that has a 30-minute commute
Reports that an aging parent recently fell and fractured a hip
With which team member would the nurse collaborate when a patient reports having financial difficulties affording food?
Nurse manager
Occupational therapist
Health care provider
Case manager
Case manager
catch the stressor with the appropriate stress management strategy.
Prioritizing tasks
Exercising
Support groups
Answer Choices
Anger
Divorce
Overwhelming stress
Prioritizing tasks
Overwhelming stress
Exercising
Anger
Support groups
Divorce
A patient has stayed in bed for almost a week in an attempt to relieve stress-related anxiety. Which principle explains why this is not the most effective stress management technique?
Stress-related anxiety is best treated by exercise and keeping busy.
Stress management must focus on balance, relaxation, and nutrition.
Relief of stress-related anxiety requires a high level of physical activity accompanied by brief intervals of rest.
Energy therapy and nutrition therapy are the keys to successful stress management.
Stress management must focus on balance, relaxation, and nutrition.
For which patient would the nurse recommend including nutrition counseling as the primary method to decrease stress?
A patient going through a difficult divorce
A patient with a postoperative wound that is slow to heal
A patient feeling stressed about the ability to meet personal commitments
A patient experiencing stress caused by unresolved anger related to an ongoing personal dispute
A patient with a postoperative wound that is slow to heal
Which stress management interventions would the nurse recommend to a patient with overwhelming work responsibilities?
Select all that apply.
Increasing concentration skills
Anger management
Setting achievable goals
Avoiding procrastination
Nutrition counseling
Increasing concentration skills
Setting achievable goals
Avoiding procrastination
Nutrition counseling
Which method of support would the nurse recommend for a patient who needs care but has no living relatives or close friends?
Health care provider
Support group for caregivers
Community agencies
A neighbor of the patient
Community agencies
Which recommendation would the nurse give to a caretaker who is feeling overwhelmed and tired?
See a case manager who can help identify financial support for your loved one.
Enroll your loved one in a support group to help him or her cope with the illness.
Continue providing care to your loved one so that you do not have to train new caregivers.
Seek community services such as respite care for your loved one.
Seek community services such as respite care for your loved one.
Which symptom, when reported by a caretaker, would the nurse identify as a sign of stress?
Sets aside increased time to exercise
Reads books 30 minutes daily
Asked a sister to help provide care for a loved one
Unintentionally lost 5 pounds last month
Unintentionally lost 5 pounds last month
