Class Two Chapters 6 7 ACTUAL Prep U

Parents giving money to a child for receiving an exemplary report from school is an example of which type of value transmission? - Moralizing - Modeling - Rewarding - Laissez-faire

Rewarding

A nurse arrives on the medical unit wearing large, dangling earrings. This is an example of which type of conduct? - Unprofessional - Unethical - Incompetent - Illegal

Unprofessional

A nurse asks a nurse manager why staff nurses on the unit cannot document in a separate record (instead of the client record) to make it easier to find information on nursing-specific actions. What is the best response by the nurse? - "It would be easier to do it that way. You could develop a tool to use." - "The facility requires us to document client care this way because of the computer application used." - "Legal policy requires nursing practice to be permanently integrated into the client record." - "The electronic health record we use does not allow us to use different formats."

"Legal policy requires nursing practice to be permanently integrated into the client record."

A nurse is working as part of a team that has been asked to address the issue of confidentiality and documentation of client health information electronically. Which activity(ies) would the team suggest to help ensure confidentiality? Select all that apply. - ensuring that individuals log off a computer terminal when documentation is completed - placing computer screens in locations that face away from any public areas such as hallways - allowing confidential emails to be sent via a public network - having each person responsible for documenting in the electronic health record not share his or her password - promoting the sharing of printers among several units

- ensuring that individuals log off a computer terminal when documentation is completed - placing computer screens in locations that face away from any public areas such as hallways - having each person responsible for documenting in the electronic health record not share his or her password

The nurse is documenting morning care for a client with diabetes. Which documentation is most appropriate for this client? - 0800: Side rails up, call light in reach. Bed in high position. - 0800: Resting in bed, eating some breakfast. Complains of headache. - 0800: Consumed 80% of breakfast. Reports pain level of 3 on scale of 1-10. - 8:00: Pt is resting in bed and appears to be comfortable.

0800: Consumed 80% of breakfast. Reports pain level of 3 on scale of 1-10.

At 8:15 p.m., a client reports pain, and the nurse administers the prescribed analgesic. When documenting this intervention using military time, which time would the nurse use? - 0945 - 0815 - 2015 - 1945

2015

The nurse is documenting an assessment that was completed at 9:30 p.m. The facility uses military time for documentation. What entry should the nurse make for the time care was given? - 2130 - 1930 - 930 p.m. - 0930

2130

A client accuses a nurse of negligence when he trips when ambulating for the first time since hip replacement surgery. Which action is the best defense against allegations of negligence? - Documenting client data on the flow sheet - Notifying the nursing team of the client's condition - Keeping an accurate medication record - Accurately documenting client care on the client record

Accurately documenting client care on the client record

A client is scheduled to have an elective surgical procedure performed but cannot decide whether to go forward with the procedure or cancel it. The client asks the nurse to help make the decision. Which action by the nurse is the best way for this nurse to advocate for the client? - Allow the client to verbalize feelings, and provide information to help the client assess options. - Refer the client to the social worker for help assembling a team to help the client make the decision. - Call the surgeon, and have the surgeon explain the procedure again. - Refuse to help the client, and state that the client alone must make the decision.

Allow the client to verbalize feelings, and provide information to help the client assess options.

Which statement about client records and documentation is correct? - Physicians will not review nurses' documentation in the client's record. - Communication is the primary purpose of client records. - Nurses should not document progress notes in a client's record. - Clients should keep the original record at home in a fireproof safe.

Communication is the primary purpose of client records

A nurse pulls the curtains closed before changing the dressing of the surgical wound on the abdomen of a postsurgical client. What value is served? - Altruism - Freedom - Dignity - Accountability

Dignity

A nurse working on a busy medical-surgical unit does not take the vital signs of client who is preparing for discharge but instead documents the same vital signs obtained for this client earlier in the morning. For which tort would the nurse be potentially liable? - Battery - Assault - False imprisonment - Fraud

Fraud

The nurse notes that the blood glucose level of a client has increased and is planning to notify the health care provider by telephone. Which technique would be most appropriate for the nurse to use when communicating with the health care provider? - CBE - EMAR - SOAP - ISBAR

ISBAR

A health care provider approaches the nurse caring for the client in room 25 and states, "The client is a friend of mine. What treatment is being given?" Which response by the nurse is most appropriate? - Open the health care record for the doctor to review the treatment ordered. - Inform the health care provider of a busy schedule preventing answering any questions at this time. - Tell the health care provider to contact the provider caring for the client to obtain any information. - Inform the health care provider that client permission is needed to release any information.

Inform the health care provider that client permission is needed to release any information.

A client who is scheduled to have surgery for a hernia the next day is anxious about the whole procedure. The nurse assures the client that surgery for hernias is very common and that the prognosis is very good. What skills of the nurse are reflected here? - Imaginal skills - Systems skills - Interpersonal skills - Instrumental skills

Interpersonal skills

A nurse asks a coworker about the condition of the nurse's next-door neighbor, who has been admitted to the unit. If the coworker shares the neighbor's client information with the nurse, the coworker could be held liable for committing which act? - Assault - Invasion of privacy - Defamation of character - Negligence

Invasion of privacy

A nurse is providing care to two clients who are sharing the same room. The nurse is preparing to give one of the clients a complete bed bath. Which action by the nurse would suggest liability related to invasion of the client's privacy? - Keeping the curtain between the two clients in the room open - Applying restraints to the client's arms to keep the client in bed - Removing the client's clothing with some force - Documenting a belief that the client was arrested

Keeping the curtain between the two clients in the room open

A client informs the nurse that the client wants to discontinue treatment and go home. Later, the nurse finds the client dressed to leave. Which action should the nurse take in this situation? - Let the client go after signing a document stating that the client is going against medical advice. - Warn the client that the client may not be able to access health care again. - Restrain the client until medical treatment is over. - Call the physician and get the discharge paper signed.

Let the client go after signing a document stating that the client is going against medical advice

A charge nurse is always careful to listen carefully to clients and to be respectful of their privacy and care needs. The nurse says, "I want the staff on this unit to see me interacting with clients in the manner I would like for them to interact with clients." The nurse is using which technique to guide value development of the staff? - Moralizing - Modeling - Laissez-faire - Responsible choice

Modeling

A nurse is having lunch in the break room and overhears the other nurses talking about a difficult client in an inappropriate way. The nurses attempt to engage her in the conversation. Which response by the nurse would best represent behavior that supports the value of human dignity in nursing practice? - Getting up and walking out of the break room because the nurse's break is over - Sharing what the client did to the nurse last week, though the nurse treats the client with dignity - Saying that this discussion is inappropriate and disrespectful to the client and that the nurse does not want to be a part of it - Laughing and joining in the conversation, though the nurse does not believe the client is that bad

Saying that this discussion is inappropriate and disrespectful to the client and that the nurse does not want to be a part of it

A nurse who comments to coworkers at lunch that a client with a sexually transmitted infection has been sexually active in the community may be guilty of what tort? - Assault - Slander - Fraud - Libel

Slander

Nurses must maintain the privacy of clients. Which example is a breach in privacy and would pose an ethical problem? - Taking a picture of a client with the nurse's cell phone - Talking to the family when they visit the client - Participating in a hand-off report at the end of the shift - Documenting the care in the client's record

Taking a picture of a client with the nurse's cell phone

Injuries related to lifting or transferring clients occur in the health care setting and may be considered a work-related injury. Which law was intended to reduce work-related injuries and illnesses? - Americans with Disabilities Act of 1990 - Title VII of the Civil Rights Act of 1964 - The Health Care Quality Improvement Act of 1986 - The Occupational Safety and Health Act of 1970

The Occupational Safety and Health Act of 1970

While assisting a client with a delivery, a nurse takes a photo of the newborn and posts it on a social media website. What action may occur related to this privacy violation? - The nurse could be fired but would not face criminal charges or jail time. - No action will be taken as long as the parents don't find out. - The nurse could be fined or even go to jail for violating HIPAA. - There will be no repercussions if the nurse takes the photo down from the social media page.

The nurse could be fined or even go to jail for violating HIPAA

On finding multiple bruises on a client's arms and back, the nurse suspects that the client is being abused by a daughter who lives with the client. When questioned, the client denies any abuse. Despite the client's denial, the nurse should report the suspected abuse on the basis of which rationale? - The client is ashamed to admit to the abuse by the daughter. - The nurse wants peers to see the nurse as a hero. - The client does not want anyone to know what is happening in the client's home. - The nurse has a legal and ethical responsibility to report the suspected abuse.

The nurse has a legal and ethical responsibility to report the suspected abuse.

What situation would permit the nurse to disclose information without the client's approval? - The nurse suspecting that a client is being abused or neglected - The nurse informing the client's relatives of the client's noncompliance with treatment - The nurse sharing details of the client's wills and loans - The nurse revealing the address of the client's place of residence

The nurse suspecting that a client is being abused or neglected

A client gets out of bed following hip surgery, falls, and re-injures the hip. The nurse caring for the client knows that it is the nurse's duty to make sure an incident report is filed. Which statement accurately describes the correct procedure for filing an incident report? - The physician in charge should fill out the report. - The names of the staff involved should not be included. - The report should contain all the variables related to the incident. - The reports are used for disciplinary action against the staff.

The report should contain all the variables related to the incident.

While at lunch, a nurse heard other nurses at a nearby table talking about a client they did not like. When they asked him what he thought, he politely refused to join in the conversation. What value was the nurse demonstrating? - the importance of food in meeting a basic human need - basic respect for human dignity - that men do not gossip with women - a low value on collegiality and friendship

basic respect for human dignity

A nurse is caring for a client who is a celebrity in the area. A person claiming to be a family member inquires about the medical details of the client. The nurse reveals the information but later comes to find out that the person was not a family member. The nurse has violated: - fidelity. - veracity. - confidentiality. - autonomy.

confidentiality.

The nurse caring for an older adult client suspects that the client is being neglected at home due to several observations obtained in the ongoing assessment. What is the appropriate nursing action in this situation? - inform the client's family that the client is being neglected at home - avoid reporting the abuse as it would be a privacy and confidentiality violation - immediately report the suspected abuse of the client. - discuss the abuse with coworkers to determine what should be done

immediately report the suspected abuse of the client.

When the nurse informs a client's employer of the client's autoimmune deficiency disease, the nurse is committing the tort of: - breach of contract. - battery. - assault. - invasion of privacy.

invasion of privacy.

A nurse does not assist with ambulation of a postoperative client on the first day after surgery. The client falls and fractures a hip. What charge might be brought against the nurse? - fraud - battery - assault - negligence

negligence