Ch 1,2,3

The nurse walks into the staff lounge and overhears two nurses discussing events that occurred during the previous shift. For which situation should the nurse notify the manager? Select all that apply.

1. Having a cocktail during lunch 2. Documenting care before it occurred 3. Moving a call light beyond a client's reach 5. Doubling a client's dose of pain medication without an order

The legal department for a health-care organization is collecting information about standards of care. For which reason will these standards be used?

A court case involving care provided by a nurse to a client

The nurse has been reported to the board of nursing for performing skills that are outside the legal scope of practice. What should the nurse expect to occur next?

A hearing by the board of nursing to determine whether the charges are true

The legal department of a hospital is preparing a seminar to review the different types of laws that must be followed while providing client care. Which could be used as an example of a criminal law?

A nurse temporarily providing a client with excessive intravenous fluid to hasten death

A client telephones the home care agency to find out why the nurse did not arrive as scheduled to change a foot wound dressing. For which situation should the agency manager investigate?

Abandonment

The nurse reviews information collected during the assessment of clients in the community clinic. Which information needs to be reported to the authorities? Select all that apply.

An older client is afraid of a family member There are multiple bruises of varying colors on the back and abdomen of a 9-year-old. An older client refuses to answer the nurse's question because an adult child will become angry.

The nurse manager is reviewing the unit budget to determine the number of new positions needed for the next fiscal year. Which will the manager use to help guide decisions about client care? Select all that apply.

Appropriate level of care, Medical necessity

The manager is preparing an annual performance review for a new nurse. Which behaviors indicate that the nurse is demonstrating professional behaviors? Select all that apply.

Arrives to work on time, Asks for help when appropriate, Covers patient care assignments for other nurses, Adheres to the required length of time for breaks

During lunch in the cafeteria, the nurse overhears two colleagues discuss the care issues of a client. Which action should the nurse take?

Ask the colleagues to stop talking about the client in a public area.

While providing medications, the nurse realizes that an incorrect dose was provided to a patient. Which characteristic does the nurse demonstrate when the error is reported to the manager?

Being honest

The nurse notes that a patient's blood pressure has dropped. The patient is experiencing nausea, dizziness, and abdominal pain. Which characteristic does the nurse demonstrate when the healthcare provider is notified with the patient's condition?

Being responsible

The nurse begins caring for clients who arrive at the health maintenance organization (HMO) office for an appointment. In which way will the care providers be reimbursed for the care provided?

Capitation

The manager reviews the organizational policy about unprofessional conduct. Which actions should the manager describe that would lead to revoking or suspending a nursing license? Select all that apply.

Conduct that violates the Nurse Practice Act, The use of drugs or alcohol while on duty, Failure to supervise nursing assistants and unlicensed assistive personnel

The nurse is planning to move to another state. Which action should be done to ensure that the nurse can legally practice nursing in the new state?

Contact the state board of nursing of the new state to request state licensure

A client no longer needs care in an acute care facility. What should be considered to ensure this client continues to receive the most appropriate level of care? Select all that apply.

Cost Safety Effectiveness

The diploma nurse applied to a program to earn a baccalaureate degree before applying to a Master of Science Degree in Nursing program. Which career track is this nurse following?

Diploma to BSN

During evening rounds the nurse finds a client lying on the floor next to the bed. What should the nurse do when documenting this situation?

Document the incident in the medical record but not mention an incident report was completed.

A multi-organization health-care system learns that the billing department computer software was hacked and confidential information about 10,000 current and former clients was obtained. Which should be reviewed to handle this situation?

HITECH

The nurse provides care and meets the needs of a patient until the patient is able to resume self-care. Which nursing theory is this nurse implementing?

Henderson

During a home visit, the nurse is asked to deposit cash in the client's bank account at the end of the visit. Which should the nurse say in response?

I cannot be held responsible for depositing money in your account. Can a family member do it?"

A high school graduate plans to attend a One Plus One Program. How should this student explain the program to her friends?

I'll become an LPN first and then take another year of classes while I work as a nurse."

The nurse reviews a list of tasks to delegate to unlicensed assistive personnel (UAP). What should the nurse do first before assigning the tasks? Select all that apply.

Identify the right task. 2. Ensure that the client is stable. 3. Provide instructions to complete the task. 5. Follow up to make sure that the task was completed as directed.

A client is concerned that the health insurance plan will not cover a diagnostic test. Which information should the nurse explain about medical necessity?

If the test is found reasonable and necessary for your illness, it will be covered

The instructor reviews the delivery approach of client-centered care before taking the students to the clinical area. For which student statement should the instructor review the information again?

It fosters a feeling of dependence."

A participant at a health career fair is interested in attending a diploma program for nursing. Which should be explained to this participant about the program?

It is a hospital-based nursing education program.

The spouse of a client with a terminal illness asks about hospice. Which information should the nurse include when responding to the spouse?

It is a program that focuses on palliative treatment and emotional support."

The nurse reviews with a student the responsibilities of a student nurse. Which student statement indicates additional teaching is required?

It is not within my scope of practice to notify someone of abnormal findings.

The nurse asks the case manager to explain the benefits a client on Medicaid has while hospitalized. What should the casemanager explain about Medicaid?

It offers assistance for poor and medically indigent individuals.

The nurse prepares a seminar on the history of nursing for a group of high school students. Who should the nurse identify as historical providers of care in addition to family members?

Male priests

The health-care organization uses a system of health-care delivery aimed at managing the cost and quality of access to health care. Which type of delivery system should the nurse review prior to arriving for an interview for a position?

Managed care

A high school student wants to become a nurse midwife. Which levels of education should this student prepare to pursue in order to achieve the desired role in nursing? Select all that apply.

Master of science in nursing, Registered nurse, baccalaureate degree

A client has a federal government's health insurance program for people older than 65 years. Which type of health insurance should the nurse expect to see documented in the client's medical record?

Medicare

The nurse reviews the purpose and functions of a skilled nursing facility (SNF) with a new nurse colleague. Which statement by the new nurse indicates that additional teaching about an SNF is required?

My client will never get to go home again if he's transferred to an SNF."

After providing morning care, the nurse forgot to put the bed in the lowest position and left one of the bed rails down causing the client to fall. For which reason could the nurse be reported to the board of nursing?

Negligence

An infant is brought into a medical center and diagnosed with measles, a communicable disease. Which action should the nurse take?

Notify the health department

The nurse manager is reviewing risk management data collected for the care area after the staff attended an educational program on health-care collaboration. Which outcome indicates that this program has been successful?

Number of client falls reduced by 85%

While caring for a patient, the nurse performs an intervention that is beyond the scope of practice. The nurse has violated the expectations of which regulatory body?

Nurse Practice Act

The charge nurse is concerned that client information was inappropriately shared with family. Which would the nurse observe to come to this conclusion?

Nurse left the computer screen with laboratory data in view at the bedside with family present

The Nurses Associated Alumnae of the United States had which purpose?

Oversee training to protect patients from incompetent nurses

A client on Medicare asks which part of the program will cover hospitalization for surgery. Which program should the nurse review with the client?

Part A

The Quality and Safety Education for Nurses (QSEN) project was established to equip the next generation of nurses to help make needed changes in health care. Which are included in the six prelicensure knowledge, skills, and attitudes fit nursing and graduate students Select all that apply.

Patient-centered care, Teamwork and collaboration , Evidence-based practice

During a community health fair, a former patient reports not smoking for 6 months since receiving the smoking cessation material while hospitalized. In which way should the nurse process this patient's report?

Positive impact on health

The nursing instructor reviews the importance of joining a professional organization with a group of students. For which student comment should the instructor provide more information?

Professional organizations limit my ability to influence laws and policies."

The nurse is working in a critical care unit where the focus is on primary care nursing. Which action will the nurse take to demonstrate understanding of this care delivery approach?

Provide all aspects of nursing care for assigned patients.

A client who comes into the community clinic is experiencing adverse effects from using heroin for several years. To which facility should the nurse expect this client will be transferred?

Rehabilitation

The nurse witnesses a coworker taking a narcotic medication prescribed for a client. Which action should the nurse take first?

Report the incident to the nurse supervisor.

The nurse is caring for a client with increasing difficulty breathing. With which health-care worker should the nurse collaborate to address this client's health problem?

Respiratory therapist

The nurse reviews a new medication prescribed for a patient and contacts the pharmacy to ask questions about the prescribed dose and route. Which behavior did the nurse demonstrate in this situation?

Safety

The nurse researches the Nurse Practice Act before completing a skill. Which body is responsible for enforcing this Act?

State Board of Nursing

The LPN/LVN is told to provide an intravenous push medication through a client's central line. Which action should the nurse take?

Suggest that an RN provide the medication

The nurse, who is working in a setting that has implemented interprofessional collaboration, asks the occupational therapist to adjust a client's device to promote self-care. Which response indicates that the care providers are practicing this approach to client care?

Sure, how can I help?

The instructor is reviewing the scope of practice for the licensed practical/vocational nurse (LPN/LVN) with a group of students. For which student statement should the instructor provide more information about the role?

The LPN/LVN can practice independently.

The nurse reviewed the state nurse practice act with a new colleague. Which statement indicates that the new nurse understands the role and function of this act?

The Nurse Practice Act establishes the scope of practice for each level of nurse

A client requests a copy of the medical record for a family member. Which response should the nurse make?

The chart belongs to the hospital, but if you give written permission, a copy can be made for you."

The nurse is caring for an adolescent client who is married, in the military, and has a new baby. Which should the nurse consider when providing care to this client?

The client can sign the informed consent form for a blood transfusion.

The nurse is preparing to transfer a client to a skilled nursing facility (SNF). For which reason will this client's Medicare policy pay for the care at the SNF?

The client makes regular progress as documented by medical professionals.

A student nurse is learning about nursing history. Which statement should the student use to describe Lillian Wald?

The first visiting nurse and founder of the Henry Street Settlement

The nurse feels that a client needs to be placed in a protective-restraint device to be protected from injury. Which action should the nurse take to use the restraints?

The nurse must have documentation that other methods have been used and failed to protect the client.

The charge nurse observes a staff nurse prepare to transfer a client to a rehabilitation facility. For which statement will the charge nurse intervene when hearing the staff member explain about this type of care setting?

You must participate in at least 6 hours of therapy each day."

A case manager is giving an in-service about public health insurance to a group of nursing students. For which student comment should the case management provide more information?

Aetna is an example of public health insurance

The department of nursing within a large hospital implements Team STEPPS on all of the care areas. Which is an expected outcome from this program?

Enhanced teamwork

The nurse manager is concerned about sexual harassment occurring on the care area. Which statement should be investigated further? Select all that apply.

If I take your client in Room 203 pain medication, what are you going to do for me?", Male nurses never carry their weight. I think they use the fact that a female client won't let them catheterize them as an excuse, so they don't have to put in a urinary catheter."

An adolescent client is injured during a football game. What should the nurse do before providing this client with treatment?

Obtain a custodial parent's signature on the informed consent.

The LPN/LVN is assisting an RN who is caring for a mentally competent client with a terminal illness. The client refuses to take prescribed medications. Which action should the nurse take?

Report the client's decision to the RN in charge and the primary health-care provider and continue to provide appropriate compassionate care.