Week8quiz Flashcards
A nurse is caring for a client who decides not to have surgery despite significant blockages of the coronary arteries. The nurse understands that this client's choice is an example of which of the following ethical principles? A Fidelity B Autonomy C Justice D Nonmaleficence
Pg.13
B Autonomy
- The client is exercising his right to make his own personal decision about surgery, regardless of other’s opinions of what is best for him.
this is an example of autonomy
A nurse offers pain medication to a client who is postoperative prior to ambulation. The nurse understands that this aspect of care delivery is an example of which of the following ethical principles? A Fidelity B Autonomy C Justice D Beneficence
Pg.13
D Beneficence
- It is an action that promotes good for others, without any self-interest.
By administering pain medication before the client attempts a potentially painful exercise like ambulation, the nurse is taking a specific and positive action to help the client
A nurse is instructing a group of Newly licensed nurses about the responsibilities organ donation & procurement involve. When the nurse explains that all clients waiting for a kidney transplant have to meet the same qualifications, the newly licensed nurses should understand that this aspect of care delivery is an example of which of the following ethical principles? A Fidelity B Autonomy C Justice D Nonmaleficence
Pg.13
C Justice
- is fairness in care delivery and sin the use of resources. By applying same qualifications to all potential kidney transplant recepients, organ procurement organizations demonstrates the ethical principle in determining the allocation of there scarce resources
A nurse questions a medication prescription as too extreme in light of the client's advanced age and unstable status. The nurse understands that this action is an example of which of the following ethical principles? A Fidelity BAutonomy C Justice D Nonmaleficence
Pg.13
D Nonmaleficence
- is a commitment to do no harm. In this situation, administering the medication could harm the client. By questioning it, the nurse is demonstrating this ethical principle
A nurse is instructing a group of newly licensed nurses about how to know & what to expect when ethical dilemmas arise. Which of the following situations should the newly licensed nurses identify as an ethical dilemma?
A. A nurse on a medical-surgical unit demonstrates signs of chemical impairment
B. A nurse overhears another nurse telling an older client that if he doesn’t stay in bed, she will have to apply restraints
C. A family has conflicting feelings about the initiation of external tube feedings for their father who is terminally ill
D. A client who is terminally ill hesitates to name their partner on their durable power of attorney form
Pg.13
C. A family has conflicting feelings about the initiation of external tube feedings for their father who is terminally ill
- making the decision about initiating an enteral feeding is an ethical dilemma. A review of scientific date cannot resolve the issue. The decision will have a profound effect on the situation and on the client
A nurse observes an assistive personnel (AP) reprimanding a client for not using the urinal properly. The AP tells the client that diapers will be used next time the urinal is used improperly. Which of the following torts is the AP committing? A. Assault B. Battery C. False Imprisonment D. Invasion of privacy
(Pg.19)
A. Assault
- By threatening the client, The AP is committing assault. Her threats could make the client become fearful and apprehensive
A nurse is caring for a competent adult client who tells the nurse, "I am leaving the hospital this morning whether the doctor discharges me or not." The nurse believes that this is not in the client's best interest, & prepares to administer a PRN sedative medication the client has not requested along w/ scheduled morning medication. Which of the following types of tort is the nurse about to commit? A. Assault B. False Imprisonment C. Negligence D. Breach of confidentiality
(Pg.19)
B. False Imprisonment
- The nurse gave the medication as a chemical restraint to keep the client from leaving the facility AMA.
- This if False imprisonment because the client requested neither consented to receiving the sedative
A nurse in a surgeon’s office is providing preoperative teaching for a client who is scheduled for surgery the following week. The client tells the nurse that he will prepare his advance directives before he goes to the hospital. Which of the following statements made by the client should indicate to the nurse an understanding of advance directives?
A. “I’d rather have my brother make decisions for me, but I know it has to be my wife.”
B. “I know they won’t go ahead with the surgery unless I prepare these forms.”
C. “I plan to write that I don’t want them to keep me on a breathing machine.”
D. “I will get my regular doctor to approve my plan before I hand it in at the hospital.”
(Pg.19)
C. “I plan to write that I don’t want them to keep me on a breathing machine.”
- The client has the right to decide and specify which medical procedure he want when a life-sustaining situation arises
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? (Select all that apply)
A. Make sure the surgeon obtained the client’s consent
B. Witness the client’s signature on the consent form
D. Describe the consequences of choosing not to have surgery
E. Explain the risks & benefits of the procedure
F. Tell the client about alternatives to having the surgery
(Pg.19)
A. Make sure the surgeon obtained the client’s consent
- It is the nurse responsibility to verify that the surgeon obtained the client’s consent and that he understands the information the surgeon gave him
B. Witness the client’s signature on the consent form
- It is the nurse responsibility to witness the client’s signing of the consent form, signing voluntarily and competent to do so
A nurse has noticed several occasions in the past week when another nurse on the unit seemed drowsy & unable to focus on the issue at hand. Today, the nurse was found asleep in a chair in the break room not during break time. Which of the following actions should the nurse take?
A. Alert the American Nurses Association
B. Fill out an incident report
C. Report the observations to the nurse manager on the unit
D. Leave the nurse alone to sleep
(Pg.19)
C. Report the observations to the nurse manager on the unit
- Any nurse who notices behavior that could jeopardize the care of a client or could indicate a substance use disorder has a duty to report the situation immediately to the nurse manager
A nurse is preparing info for change-of-shift report. Which of the following info should the nurse include in the report? A. Input and output for the shift B. BP from the previous day C. Bone scan scheduled for today D. Med routine from the MAR
(Pg.23)
C. Bone scan scheduled for today
- The bone scan is important because the nurse might have to modify the clients’s care to accommodate leaving the unit
An nurse is discussing the HIPAA Privacy Rule with nurses during new employee orientation. Which of the following info should the nurse include? (select all)
A. A single electronic records password is provided for nurses on the same unit
B. Family members should provide a code prior to receiving client health information
C. Communication of client information can occur at the nurse’s station
D. A client can request a copy of her medical record
E. A nurse my photocopy a client’s medical record for transfer to another facility.
(Pg.23)
B. Family members should provide a code prior to receiving client health information
C. Communication of client information can occur at the nurse’s station
D. A client can request a copy of her medical record
E. A nurse my photocopy a client’s medical record for transfer to another facility.
A nurse is reviewing documentation with a group of newly licensed nurses. Which of the following legal guidelines should be followed when documenting in a client’s record? (select all)
A. Cover errors with correction fluid, and write in the correct info.
B. Put the date and time on all the entries.
C. Document objective data, leaving out opinions.
D. Use as many abbreviations as possible.
E. Wait until the end of shift to document.
(Pg.23)
B. Put the date and time on all the entries.
C. Document objective data, leaving out opinions.
A nurse is discussing occurrences that require completion of an incident report with a newly licensed nurse. Which of the following should the nurse include in the teaching? (select all)
A. Medication error
B. Needlestick
C. Conflict with provider and nursing staff
D. Omission of prescription
E. Complaint from a client’s family member
(Pg.23)
A. Medication error
B. Needlestick
D. Omission of prescription
Choice C and E needs to be reported to charge nurse or nurse manager.
A nurse is receiving a provider’s prescription by telephone for morphine for a client who is reporting moderate to severe pain. Which of the following nursing actions are appropriate? (Select all)
A. Repeat the details of the prescription back to the provider.
B. Have another nurse listen to the telephone prescription.
C. Obtain the provider’s signature on the prescription within 24 hr.
D. Decline the verbal prescription because is not an emergency situation.
E. Tell the charge nurse that the provider has prescribed morphine by telephone.
(Pg.23)
A. Repeat the details of the prescription back to the provider.
B. Have another nurse listen to the telephone prescription.
C. Obtain the provider’s signature on the prescription within 24 hr.
A nurse on a medical-surgical unit has received change-of-shift report and will care for four clients.
Which of the following client’s needs may the nurse assign to an assistive personnel (AP)?
A. Feeding a client who was admitted 24-hr ago with aspiration PNA
B. Reinforcing teaching with a client who is learning to walk using a quad cane
C. Reapplying a condom catheter for a client who has a urinary incontinence
D. Applying a sterile dressing to a pressure ulcer
(Pg.27)
C. Reapplying a condom catheter for a client who has a urinary incontinence
the application of a condom catheter is a noninvasive, routine procedure that the nurse may delegate to an ap.
A nurse manager of a medical‑surgical unit is assigning care responsibilities for the oncoming shift. A client is awaiting transfer back to the unit from the PACU following thoracic surgery. To which of the following staff members should the nurse assign this client?
a.Charge nurse
B. RN
C.practical nurse (pn)
D.assistive personnel (ap)
(Pg.27)
B.CORRECT:a client returning from surgery requires an rn’s assessment and establishment of a plan of care, especially if the client is potentially unstable.
A nurse is delegating the ambulation of a client who had knee arthroplasty 5 days ago to an ap. Which of the following information should the nurse share with the ap? (Select all that apply.)
A. the roommate ambulates independently.
B.the client ambulates with his slippers on over his antiembolic stockings.
C.the client uses a front‑wheeled walker when ambulating.
D.the client had pain medication 30 min ago.
E.the client is allergic to codeine.
F.the client ate 50% of his breakfast this morning.
(Pg.27)
B.CORRECT:to complete this assignment safely, the ap should make sure the client wears stockings and slippers.
C.CORRECT:to complete this assignment safely, the apshould make sure the client uses a front‑wheeled walker.
D.CORRECT:to complete this assignment safely, the ap should know that the client should be feeling the effects of the pain medication.
An RN is making assignments for a practical nurse (pn) at the beginning of the shift. Which of the following assignments should the pn question?
A.assisting a client who is 24‑hr postoperative to use an incentive spirometer
B.Collecting a clean‑catch urine specimen from a client who has a wound infection
C.providing nasopharyngeal suctioning for a client who has pneumonia
D.teaching a client who has asthma to use a metered‑dose inhaler
(Pg.27)
D.CORRECT:the rn is responsible for primary teaching.
A nurse is preparing an in‑service program about delegation. Which of the following elements should she identify when presenting the five rights of delegation? (Select all that apply.)
a.right client
B.right supervision and evaluation
C.right direction and communication
D.right time
e.right circumstances
(Pg.27)
B.CORRECT:the right supervision and evaluation is one of the five rights of delegation. they also include the right task and the right person.
C.CORRECT:right direction and communication is one of the five rights of delegation. they also include the right task and the right person.
E.CORRECT:the right circumstances is one of the five rights of delegation. they also include the right task and the right person
A nurse is performing an admission assessment for an older adult client. After gathering the assessment data and performing the review of systems, which of the following actions is a priority for the nurse? A.orient the client to his room. B.conduct a client care conference. C.review medical prescriptions. D.develop a plan of care.
(Pg.40)
A.CORRECT: The greatest risk to this client is injury from unfamiliar surroundings. Therefore, the priority action is to orient the client to the room. Before the nurse leaves the room, the client should know how to use the call light and other equipment at the bedside.
A nurse is admitting a client who has acute cholecystitis to a medical‑surgical unit. Which of the following actions are essential steps of the admission procedure? (select all that apply.)
A. explain the roles of other care delivery staff.
B. Begin discharge planning.
C. Provide information about advance directives.
D .document the client’s wishes about organ donation.
E. introduce the client to his roommate
(Pg.40)
A.CORRECT: The client’s hospitalization is likely to be more positive if the client understands who can perform which care activities.
B.CORRECT: Unless the client is entering a long‑term care facility, discharge planning should begin on admission.
C.CORRECT: The Patient self‑determination Act requires asking clients if they have advance directives and providing information about them.
E.CORRECT: Any action that can reduce the stress of hospitalization is therapeutic. introductions to other clients and staff can encourage communication and psychological comfort.
A nurse is caring for a client who had a stroke and is scheduled for transfer to a rehabilitation center. Which of the following tasks are the responsibility of the nurse at the transferring facility? (select all that apply.)
A.ensure that the client has possession of his valuables.
B. confirm that the rehabilitation center has a room available at the time of transfer.
C.Assess how the client tolerates the transfer.
D. give a verbal transfer report via telephone.
E .complete a transfer form for the receiving facility
(Pg.40)
A.CORRECT: The nurse should account for all of the client’s valuable at the time of transfer.
B.CORRECT:on the day of the transfer, the nurse should confirm that the receiving facility is expecting the client and that the room is available.
D.CORRECT: The nurse should provide the nurse at the receiving facility with a verbal transfer report in person or via telephone.
E.CORRECT: The nurse should complete any documentation for the transfer, including a transfer form and the client’s medical records.
A nurse is preparing the discharge summary for a client who has had knee arthroplasty and is going home. Which of the following information about the client should the nurse include in the discharge summary? (select all that apply.)
A. Advance directives status
B. follow‑up care
C. instructions for diet and medications
D. most recent vital sign data
E. contact information for the home health care agency
(Pg.40)
B.CORRECT:it is essential to include the names and contact information of providers and community resources the client will need after he returns home.
C.CORRECT: The client will need written information detailing his medication and dietary therapy at home. A client who has had knee arthroscopy typically requires analgesics, possibly anticoagulants, and dietary instructions for avoiding postoperative complications such as constipation.
E. CORRECT:it is essential to include the names and contact information of providers and community resources the client will need after returning home. for example, a client who had a knee arthroplasty might require physical therapy at home until he can travel to a physical therapy department or facility.
