Concepts FINAL- NECLEX
NCLEX practice book Chapter 6 1.An ambulatory care nurse is discussing preoperative procedures with a Japanese American client who is scheduled for surgery the following week. During the discussion, the client continually smiles and nods the head. The nurse interprets this nonverbal behavior as: 1.Reflecting a cultural value 2.An acceptance of the treatment 3.The client is agreeable to the required procedures. 4.The client understands the preoperative procedures.
1.Reflecting a cultural value
17.A nurse who works on the night shift enters the medication room and finds a co-worker with a tourniquet wrapped around the upper arm. The co-worker is about to insert a needle, attached to a syringe containing a clear liquid, into the antecubital area. The appropriate initial action by the nurse is which of the following? 1.Call security. 2.Call the police. 3 Call the nursing supervisor. 4.Lock the co-worker in the medication room until help is obtained.
3 Call the nursing supervisor.
10.The role of a nurse regarding complementary and alternative medicine (CAM) should include: 1.Advising the client about "good" versus "bad" therapies 2.Recommending herbal remedies that the client should use 3.Discouraging the client from using any alternative therapies 4.Educating the client about therapies that he or she is using or is interested in using
4.Educating the client about therapies that he or she is using or is interested in using
134.A nurse is giving a report to a nursing assistant who will be caring for a client who has hand restraints (safety devices). The nurse instructs the nursing assistant to check the skin integrity of the restrained hands: 1.Every 2 hours 2.Every 3 hours 3.Every 4 hours 4.Every 30 minutes
4.Every 30 minutes
136.Contact precautions are initiated for a client with a health care-associated (nosocomial) infection caused by methicillin-resistant Staphylococcus aureus. The nurse prepares to provide colostomy care and obtains which of the following protective items needed to perform this procedure? 1.Gloves and gown 2.Gloves and goggles 3.Gloves, gown, and shoe protectors 4.Gloves, gown, goggles, and face shield
4.Gloves, gown, goggles, and face shield
6.When a researcher gives a subject full and complete information about the purpose of a study, this is an example of: 1.Bias 2.Anonymity 3.Confidentiality 4.Informed consent
4.Informed consent
Chapter 22 1.In the United States, access to health care usually depends on a client's ability to pay for health care, either through insurance or by paying cash. The client the nurse is caring for needs a liver transplant to survive. This client has been out of work for several months and does not have insurance or enough cash. A discussion about the ethics of this situation would involve predominately the principle of: 1.Accountability, because you as the nurse are accountable for the well-being of this client 2.Respect for autonomy, because this client's autonomy will be violated if he does not receive the liver transplant 3.Ethic of care, because the caring thing that a nurse could provide this client is resources for a liver transplant 4.Justice, because the first and greatest question in this situation is how to determine the just distribution of resources
4.Justice, because the first and greatest question in this situation is how to determine the just distribution of resources
21.A nursing instructor delivers a lecture to nursing students regarding the issue of client's rights and asks a nursing student to identify a situation that represents an example of invasion of client privacy. Which of the following, if identified by the student, indicates an understanding of a violation of this client right? 1.Performing a procedure without consent 2.Threatening to give a client a medication 3.Telling the client that he or she cannot leave the hospital 4.Observing care provided to the client without the client's permission
4.Observing care provided to the client without the client's permission
135. A nurse is planning care for a client with an internal radiation implant. Which of the following is an incorrect component to include in the plan of care? 1.Wearing gloves when emptying the client's bedpan 2. Keeping all linens in the room until the implant is removed 3.Wearing a lead apron when providing direct care to the client 4.Placing the client in a semiprivate room at the end of the hallway
4.Placing the client in a semiprivate room at the end of the hallway
16.A registered nurse arrives at work and is told to report (float) to the intensive care unit (ICU) for the day because the ICU is understaffed and needs additional nurses to care for the clients. The nurse has never worked in the ICU. The nurse should take which action first? 1.Call the hospital lawyer. 2.Refuse to float to the ICU. 3.Call the nursing supervisor. 4.Report to the ICU and identify tasks that can be performed safely.
4.Report to the ICU and identify tasks that can be performed safely.
7.A nurse is preparing a plan of care for a client who is a Jehovah's Witness. The client has been told that surgery is necessary. The nurse considers the client's religious preferences in developing the plan of care and documents that: 1.Religious sacraments are important. 2.Medication administration is not allowed. 3.Surgery is prohibited in this religious group. 4.The administration of blood and blood products is forbidden.
4.The administration of blood and blood products is forbidden.
2.When developing an appropriate outcome for a 15-year-old girl, the nurse considers that a primary developmental task of adolescence is to: 1.Form a sense of identity 2.Create intimate relationships 3.Separate from parents and live independently 4.Achieve positive self-esteem through experimentation
1.Form a sense of identity
133.The nurse is caring for a client with meningitis and implements which transmission-based precautions for this client? 1.Private room or cohort client 2.Personal respiratory protection device 3. Private room with negative airflow pressure 4.Mask worn by staff when the client needs to leave the room
1.Private room or cohort client
15.A nurse has just assisted a client back to bed after a fall. The nurse and physician have assessed the client and have determined that the client is not injured. After completing the incident report, the nurse implements which action next? 1.Reassess the client. 2.Conduct a staff meeting to describe the fall. 3.Document in the nurse's notes that an incident report was completed. 4.Contact the nursing supervisor to update information regarding the fall.
1.Reassess the client.
4.Even though the nurse may obtain the client's signature on a form, obtaining informed consent is the responsibility of the: 1.Client 2.Physician 3.Nursing student 4.Supervising nurse
2.Physician
33.A new unit nurse manager is holding her first staff meeting. The manager greets the staff and comments that she has been employed to bring about quality improvement. The manager provides a plan that she developed and a list of tasks and activities for which each staff member must volunteer to perform. In addition, she instructs staff members to report any problems directly to her. What type of leadership style do the new manager's characteristics suggest? 1.Autocratic 2.Situational 3.Democratic 4.Laissez-faire
1.Autocratic
24.A nurse calls the physician regarding a new medication prescription because the dosage prescribed is higher than the recommended dosage. The nurse is unable to locate the physician, and the medication is due to be administered. Which action should the nurse implement? 1.Contact the nursing supervisor. 2Administer the dose prescribed. 3.Hold the medication until the physician can be contacted. 4.Administer the recommended dose until the physician can be located.
1.Contact the nursing supervisor
4.A nurse is providing discharge instructions to a Chinese-American client regarding prescribed dietary modifications. During the teaching session, the client continuously turns away from the nurse. The nurse should implement which appropriate action? 1.Continue with the instructions, verifying client understanding. 2.Walk around the client so that the nurse constantly faces the client. 3.Give the client a dietary booklet and return later to continue with the instructions. 4.Tell the client about the importance of the instructions for the maintenance of health care.
1.Continue with the instructions, verifying client understanding.
10.The nurse must follow standards of care to avoid potential litigation and suits of negligence. Which of the following statements represents a potential nursing malpractice situation? (Choose all that apply.) 1.Failure to make a nursing diagnosis 2.Failure to provide discharge instructions 3.Failure to follow the six rights of medication administration 4. Failure to use proper medical equipment ordered for client monitoring 5.Failure to question a health care provider about appropriateness of a client order
1.Failure to make a nursing diagnosis 2.Failure to provide discharge instructions 3.Failure to follow the six rights of medication administration 4. Failure to use proper medical equipment ordered for client monitoring 5.Failure to question a health care provider about appropriateness of a client order
4.If a nurse assesses a client for pain and then offers a plan to manage the pain, the principle that encourages the nurse to monitor the client's response to the plan is: 1.Fidelity 2.Beneficence 3.Nonmaleficence 4.Respect for autonomy
1.Fidelity
8.Which of the following statements represent actions that may result in a registered nurse's receiving either disciplinary action by the nurse's State Board of Nursing or revocation of the nurse's professional license? (Choose all that apply.) 1.Taking or selling controlled substances 2.Assisting with physician-assisted suicide 3.Reporting suspected abuse and neglect of children 4.Applying physical restraints without a written physician's order
1.Taking or selling controlled substances 4.Applying physical restraints without a written physician's order
6.Successful ethical discussion depends on people who have a clear sense of personal values. When many people share the same values, it may be possible to identify a philosophy of utilitarianism, which proposes that: 1.The value of something is determined by its usefulness to society 2.The value of people is determined solely by leaders in the Unitarian Church 3.The decision to perform a liver transplant depends on a measure of the moral life that the client has led so far 4.The best way to determine the solution to an ethical dilemma is to refer the case to the attending physician or health care provider
1.The value of something is determined by its usefulness to society
5.When an individual internalizes the beliefs, behavior, and values of role models into a personal, unique expression of self, the nurse would document this as: 1.Inhibition 2.Substitution 3.Identification 4.Reinforcement-extinction
3.Identification
140.A community health nurse is providing a teaching session about terrorism to members of the community and is discussing information regarding anthrax. The nurse tells those attending that anthrax can be transmitted by which route(s)? Select all that apply. 1. Bites from ticks or deer flies 2. Inhalation of bacterial spores 3. Through a cut or abrasion in the skin 4. Direct contact with an infected individual 5. Sexual contact with an infected individual 6. Ingestion of contaminated undercooked meat
2. Inhalation of bacterial spores 3. Through a cut or abrasion in the skin 6. Ingestion of contaminated undercooked meat
3.A nurse educator is providing in-service education to the nursing staff regarding transcultural nursing care; a staff member asks the nurse educator to describe the concept of acculturation. Which of the following is the appropriate response? 1."It is a subjective perspective of the person's heritage and a sense of belonging to a group." 2."It is a process of learning a different culture to adapt to a new or changing environment." 3."It is a group of individuals in a society who are culturally distinct and have a unique identity." 4."It is a group that shares some of the characteristics of the larger population group of which it is a part."
2."It is a process of learning a different culture to adapt to a new or changing environment."
23.An 87-year-old woman is brought to the emergency department for treatment of a fractured arm. On physical assessment, the nurse notes old and new ecchymotic areas on the client's chest and legs and asks the client how the bruises were sustained. The client, although reluctant, tells the nurse in confidence that her son frequently hits her if supper is not prepared on time when he arrives home from work. Which of the following is the appropriate nursing response? 1."Oh, really. I will discuss this situation with your son." 2."This is a legal issue, and I must tell you that I will need to report it." 3."Let's talk about the ways you can manage your time to prevent this from happening." 4."Do you have any friends that can help you out until you resolve these important issues with your son?"
2."This is a legal issue, and I must tell you that I will need to report it."
6.Which of the following clients has the lowest risk of obesity and diabetes mellitus? 1.A 45-year-old Native-American man 2.A 23-year-old Asian-American woman 3.A 35-year-old Hispanic-American man 4.A 40-year-old African-American woman
2.A 23-year-old Asian-American woman
6.The nurse notes that an advance directive is on the client's medical record. Which of the following statements represents the best description of guidelines a nurse would follow? 1.A living will allows an appointed person to make health care decisions when the client is in an incapacitated state. 2.A living will is invoked only when the client has a terminal condition or is in a persistent vegetative state. 3.The client cannot make changes in the advance directive once admitted to the hospital. 4.A Durable Power of Attorney for Health Care is invoked only when the client has a terminal condition or is in a persistent vegetative state.
2.A living will is invoked only when the client has a terminal condition or is in a persistent vegetative state.
139.An emergency department nurse receives a telephone call and is informed that a tornado has hit a local residential area and that numerous casualties have occurred. The victims will be brought to the emergency department. The initial nursing action is which of the following? 1.Prepare the triage rooms. 2.Activate the emergency response plan. 3.Obtain additional supplies from the central supply department. 4.Obtain additional nursing staff to assist in treating the casualties.
2.Activate the emergency response plan
3.A child's immunization may cause discomfort during administration, but the benefits of protection from disease, both for the individual and for society, outweigh the temporary discomforts. This involves the principle of: 1.Fidelity 2.Beneficence 3.Nonmaleficence 4.Respect for autonomy
2.Beneficence
Chapter 16 131.A nurse is preparing to initiate an intravenous line containing a high dose of potassium chloride and plans to use an intravenous infusion pump. The nurse brings the pump to the bedside, prepares to plug the pump cord into the wall, and notes that no receptacle is available in the wall socket. Which of the following is the appropriate nursing action? 1.Initiate the intravenous line without the use of a pump. 2.Contact the electrical maintenance department for assistance. 3.Plug in the pump cord in the available plug above the room sink. 4.Use an extension cord from the nurses' lounge for the pump plug.
2.Contact the electrical maintenance department for assistance.
11.An antihypertensive medication has been prescribed for a client with hypertension. The client tells a clinic nurse that she would like to take an herbal substance to help lower her blood pressure. The nurse should take which appropriate action? 1.Tell the client that herbal substances are not safe and should never be used. 2.Encourage the client to discuss the use of an herbal substance with the physician. 3.Teach the client how to take her blood pressure so that it can be monitored closely. 4.Tell the client that if she takes the herbal substance she will need to have her blood pressure checked frequently.
2.Encourage the client to discuss the use of an herbal substance with the physician.
9.Ethical dilemmas often arise over a conflict of opinion. Once the nurse has determined that the dilemma is ethical, a critical first step in negotiating the difference of opinion would be to: 1.Consult a professional ethicist to ensure that the steps of the process occur in full 2.Gather all relevant information regarding the clinical, social, and spiritual aspects of the dilemma 3.Ensure that the attending physician or health care provider has written an order for an ethics consultation to support the ethics process 4.List the ethical principles that inform the dilemma so that negotiations agree on the language of the discussion
2.Gather all relevant information regarding the clinical, social, and spiritual aspects of the dilemma
8.A client is experiencing an anxiety attack. This is which priority nursing need for this client? 1.Low priority 2.High priority 3.Intermediate priority 4.Nonemergency priority
2.High priority
Chapter 23 1.A nurse works on a cardiac unit. She is taking care of a client who recently had coronary bypass surgery. Which of the following represent legal sources of standards of care nurses use to deliver safe health care? (Choose all that apply.) 1.Information provided by the head nurse 2.Policies and procedures of the employing hospital 3.Nurse Practice Act of the state the nurse is working in 4.Regulations identified in The Joint Commission's manual 5.The American Nurses Association standards of nursing practice
2.Policies and procedures of the employing hospital 3.Nurse Practice Act of the state the nurse is working in 4.Regulations identified in The Joint Commission's manual 5.The American Nurses Association standards of nursing practice
12.A nurse describes low-risk therapies to a client and includes which of the following in the discussion? Select all that apply. 1.Herbs 2.Prayer 3.Touch 4.Massage 5.Relaxation 6.Acupuncture
2.Prayer 3.Touch 4.Massage 5.Relaxation
7.The philosophy sometimes called the ethic of care suggests that ethical dilemmas can best be solved by attention to: 1.Clients 2.Relationships 3.Ethical principles 4.Code of ethics for nurses
2.Relationships
132.A nurse obtains a prescription from a physician to restrain a client by using a jacket safety device and instructs a nursing assistant to apply the safety device to the client. Which observation by the nurse indicates unsafe application of the safety device by the nursing assistant? 1.A safety knot in the safety device straps 2.Safety device straps that are safely secured to the side rails 3.Safety device straps that do not tighten when force is applied against them 4.Safety device secured so that two fingers can slide easily between the safety device and the client's skin
2.Safety device straps that are safely secured to the side rails
22.Nursing staff members are sitting in the lounge taking their morning break. A nursing assistant tells the group that she thinks that the unit secretary has acquired immunodeficiency syndrome (AIDS) and proceeds to tell the nursing staff that the secretary probably contracted the disease from her husband, who is supposedly a drug addict. Which legal tort has the nursing assistant violated? 1.Libel 2.Slander 3.Assault 4.Negligence
2.Slander
2.It may seem redundant that health care providers, including professional nurses, agree to "do no harm" to their clients. The point of this agreement is to reassure the public that in all ways the health care team will not only work to heal clients, they agree to do this in the least painful and harmful way possible. The principle that describes this agreement is called: 1.Beneficence 2.Accountability 3.Nonmaleficence 4.Respect for autonomy
3.Nonmaleficence
32.A registered nurse is planning the client assignments for the day. Which of the following is the most appropriate assignment for a nursing assistant? 1.A client requiring a colostomy irrigation 2.A client receiving continuous tube feedings 3.A client who requires urine specimen collections 4.A client with difficulty swallowing food and fluids
3.A client who requires urine specimen collections
29.A registered nurse has received the assignment for the day shift. After making initial rounds and checking all of the assigned clients, which client will the registered nurse plan to care for first? 1.A client who is ambulatory 2.A client scheduled for physical therapy at 1 PM 3.A client with a fever who is diaphoretic and restless 4.A postoperative client who has just received pain medication
3.A client with a fever who is diaphoretic and restless
5.While administering medications, the nurse realizes she has given the wrong dose of medication to a client. The nurse acts by completing an incident report and notifying the client's physician. The nurse is exercising: 1.Authority 2.Responsibility 3.Accountability 4.Decision making
3.Accountability
137.A nurse enters a client's room and finds that the wastebasket is on fire. The nurse immediately assists the client out of the room. What is the next nursing action? 1.Call for help. 2.Extinguish the fire. 3.Activate the fire alarm. 4.Confine the fire by closing the room door
3.Activate the fire alarm.
2.When communicating with a client who speaks a different language, the best practice for a nurse is to: 1.Speak loudly and slowly. 2.Stand close to the client and speak loudly. 3.Arrange for an interpreter when communicating with the client. 4.Speak to the client and family together to increase the chances that the topic will be understood.
3.Arrange for an interpreter when communicating with the client.
138.A mother calls a neighbor who is a nurse and tells the nurse that her 3-year-old child has just ingested liquid furniture polish. The nurse would direct the mother immediately to: 1.Induce vomiting. 2.Call an ambulance. 3.Call the Poison Control Center. 4.Bring the child to the emergency department.
3.Call the Poison Control Center.
20.A nurse employed in a hospital is waiting to receive a report from the laboratory via the facsimile (fax) machine. The fax machine activates and the nurse expects the report, but instead receives a sexually oriented photograph. The appropriate initial nursing action is to: 1.Call the police. 2.Cut up the photograph and throw it away. 3.Call the nursing supervisor and report the incident. 4.Call the laboratory and ask for the individual's name who sent the photograph.
3.Call the nursing supervisor and report the incident.
9.An Asian-American client is experiencing a fever. A nurse recognizes that the client is likely to self-treat the disorder with: 1.Magnetic therapy 2.Intercessory prayer 3.Foods considered to be yin 4.Foods considered to be yang
3.Foods considered to be yin
5.The legal definition of death that facilitates organ donation is cessation of: 1.Pulse 2.Respirations 3.Functions of entire brain 4.Circulatory and respiratory functions
3.Functions of entire brain
7.A nurse notes that the health care unit keeps a listing of the client names at the front desk in easy view for health care providers to more efficiently locate the client. The nurse knows that this action would be a violation of: 1.Mental Health Parity Act 2.Patient Self-Determination Act 3.Health Insurance Portability and Accountability Act 4.Emergency Medical Treatment and Active Labor Act
3.Health Insurance Portability and Accountability Act
8.In most ethical dilemmas the solution to the dilemma requires negotiation among members of the health care team. The nurse's point of view is valuable because: 1.The principle of autonomy guides all participants to respect their own self-worth 2.Nurses have a legal license that encourages their presence during ethical discussions 3.Nurses develop a relationship to the client that is unique among all professional health care providers 4.The nurse's code of ethics recommends that a nurse be present at any ethical discussion about client care
3.Nurses develop a relationship to the client that is unique among all professional health care providers
9.The Health Insurance Portability and Accountability Act of 1996 (HIPAA) provides clients basic rights pertaining to their medical records. Which statement reflects a violation of HIPAA? 1.Discussing client conditions in the nursing report room at the change of shift 2.Allowing nursing students to review client charts before caring for clients to whom they are assigned 3.Posting daily nursing care information along with the medical condition of the client on a message board in the client's room 4.Releasing client information regarding terminal illness to family when the client has given permission for information to be shared
3.Posting daily nursing care information along with the medical condition of the client on a message board in the client's room
8.Which of the following meal trays would be appropriate for a nurse to deliver to a client of Orthodox Judaism faith who follows a kosher diet? 1.Pork roast, rice, vegetables, mixed fruit, milk 2.Crab salad on a croissant, vegetables with dip, potato salad, milk 3.Sweet and sour chicken with rice and vegetables, mixed fruit, juice 4.Fettuccini Alfredo with shrimp and vegetables, salad, mixed fruit, iced tea
3.Sweet and sour chicken with rice and vegetables, mixed fruit, juice
3.When the nurse stops to help in an emergency at the scene of an accident, if the injured party files suit and the nurse's employing institution's insurance does not cover the nurse, the nurse would probably be covered by: 1.The nurse's automobile insurance 2.The nurse's homeowner's insurance 3.The Good Samaritan laws, which grant immunity from suit if there is no gross negligence 4.The Patient Care Partnership, which may grant immunity from suit if the injured party consents
3.The Good Samaritan laws, which grant immunity from suit if there is no gross negligence
Chapter 7 13.A nurse hears a client calling out for help, hurries down the hallway to the client's room, and finds the client lying on the floor. The nurse performs a thorough assessment, assists the client back to bed, notifies the physician of the incident, and completes an incident report. Which of the following should the nurse document on the incident report? 1.The client fell out of bed. 2.The client climbed over the side rails. 3.The client was found lying on the floor. 4.The client became restless and tried to get out of bed.
3.The client was found lying on the floor.
2.A nurse is sued for failure to monitor a client appropriately. Which statements are correct about professional negligence lawsuits? (Choose all that apply.) 1.The nurse represents the plaintiff. 2.The defendant must prove injury, damage, or loss. 3.The person filing the lawsuit has the burden of proof. 4.The plaintiff must prove that a breach in the prevailing standard of care caused an injury.
3.The person filing the lawsuit has the burden of proof. 4.The plaintiff must prove that a breach in the prevailing standard of care caused an injury.
19.A nurse has made an error in a narrative documentation of an assessment finding on a client and obtains the client's record to correct the error. The nurse corrects the error by: 1.Documenting a late entry into the client's record 2.Trying to erase the error for space to write in the correct data 3.Using whiteout to delete the error to write in the correct data 4.Drawing one line through the error, initialing and dating the line, and then documenting the correct information
4.Drawing one line through the error, initialing and dating the line, and then documenting the correct information
18.A hospitalized client tells the nurse that a living will is being prepared and that the lawyer will be bringing the will to the hospital today for witness signatures. The client asks the nurse for assistance in obtaining a witness to the will. The appropriate response to the client is which of the following? 1."I will sign as a witness to your signature." 2."You will need to find a witness on your own." 3."Whoever is available at the time will sign as a witness for you." 4."I will call the nursing supervisor to seek assistance regarding your request."
4."I will call the nursing supervisor to seek assistance regarding your request."
Chapter 8 26.A nurse is assigned to care for four clients. In planning client rounds, which client should the nurse assess first? 1.A client scheduled for a chest x-ray 2.A client requiring daily dressing changes 3.A postoperative client preparing for discharge 4.A client receiving nasal oxygen who had difficulty breathing during the previous shift
4.A client receiving nasal oxygen who had difficulty breathing during the previous shift
34.A registered nurse employed in a long-term care facility is planning assignments for the clients on a nursing unit. The registered nurse needs to assign four clients and has a licensed practical (vocational) nurse and three nursing assistants on a nursing team. Which of the following clients would the registered nurse most appropriately assign to the licensed practical (vocational) nurse? 1.A client who requires a bed bath 2.An older client requiring frequent ambulation 3.A client who requires a 24-hour urine collection 4.A client requiring abdominal wound irrigations and dressing changes every 3 hours
4.A client requiring abdominal wound irrigations and dressing changes every 3 hours
27.A nurse employed in an emergency department is assigned to triage clients coming to the emergency department for treatment on the evening shift. The nurse should assign highest priority to which of the following clients? 1.A client complaining of muscle aches, a headache, and malaise 2.A client who twisted her ankle when she fell while rollerblading 3.A client with a minor laceration on the index finger sustained while cutting an eggplant 4.A client with chest pain who states that he just ate pizza that was made with a very spicy sauce
4.A client with chest pain who states that he just ate pizza that was made with a very spicy sauce
28.A new nursing graduate is attending an agency orientation regarding the nursing model of practice implemented in the health care facility. The nurse is told that the nursing model is a team nursing approach. The nurse understands that planning care delivery will be based on which characteristic of this type of nursing model of practice? 1.A task approach method is used to provide care to clients. 2.Managed care concepts and tools are used in providing client care. 3.A single registered nurse is responsible for providing care to a group of clients. 4.A registered nurse leads nursing personnel in providing care to a group of clients.
4.A registered nurse leads nursing personnel in providing care to a group of clients.
6.When caring for an 87-year-old client, the nurse needs to understand which of the following most directly influences the client's self-concept: 1.Attitude and behaviors of relatives providing care 2.Caring behaviors of the nurse and health care team 3.Level of education, economic status, and living conditions 4.Adjustment to role change, loss of loved ones, and physical energy
4.Adjustment to role change, loss of loved ones, and physical energy
5.Nurses agree to be advocates for their clients. Practice of advocacy calls for the nurse to: 1.Seek out the nursing supervisor in conflicting situations 2.Document all clinical changes in the medical record in a timely manner 3.Work to understand the law as it applies to the client's clinical condition 4.Assess the client's point of view and prepare to articulate this point of view
4.Assess the client's point of view and prepare to articulate this point of view
31.A nurse manager has implemented a change in the method of the nursing delivery system from functional to team nursing. A nursing assistant is resistant to the change and is not taking an active part in facilitating the process of change. Which of the following is the best approach in dealing with the nursing assistant? 1.Ignore the resistance. 2.Exert coercion with the nursing assistant. 3.Provide a positive reward system for the nursing assistant. 4.Confront the nursing assistant to encourage verbalization of feelings regarding the change.
4.Confront the nursing assistant to encourage verbalization of feelings regarding the change.
30.A nurse is giving a bed bath to an assigned client when a nursing assistant enters the client's room and tells the nurse that another assigned client is in pain and needs pain medication. The appropriate nursing action is which of the following? 1.Finish the bed bath and then administer the pain medication to the other client. 2.Ask the nursing assistant to find out when the last pain medication was given to the client. 3.Ask the nursing assistant to tell the client in pain that medication will be administered as soon as the bed bath is complete. 4.Cover the client, raise the side rails, tell the client that you will return shortly, and administer the pain medication to the other client.
4.Cover the client, raise the side rails, tell the client that you will return shortly, and administer the pain medication to the other client
5.A nurse educator asks a student to list the five categories of complementary and alternative medicine (CAM), developed by the National Center for Complementary and Alternative Medicine (NCCAM). Which of the following, if stated by the nursing student, would indicate an understanding of the five categories of CAM? 1.Herbology, hydrotherapy, acupuncture, nutrition, and chiropractic care 2.Mind-body medicine, traditional Chinese medicine, homeopathy, naturopathy, and healing touch 3.Biologically based practices, body-based practices, magnetic therapy, massage therapy, and aromatherapy 4.Whole medical systems, mind-body medicine, biologically based practices, manipulative and body-based practices, and energy medicine
4.Whole medical systems, mind-body medicine, biologically based practices, manipulative and body-based practices, and energy medicine
25.A client involved in a head-on automobile crash has awakened from a coma and asks for her husband, who was killed in the same accident. The family does not want the client to know at this time that her husband has died. The family wants all nursing staff to tell the client that the husband was taken by helicopter to another hospital, has a head injury, and is in the intensive care unit (ICU). Because the American Nurses Association Code of Ethics requires the nurse to preserve integrity, but the nurse wants to follow the family's instruction, the nurse faces an ethical dilemma. Number in order the steps for systematic processing of the ethical dilemma. (Number 1 is the first step, and number 6 is the last step.) ___ Evaluate the action. ___ Verbalize the problem. ___ Negotiate the outcome. ___ Consider possible courses of action. ___ Gather all of the information relevant to the case. ___ Examine and determine one's own values on the issues.
Gather all of the information relevant to the case. Examine and determine one's own values on the issues Verbalize the problem. Consider possible courses of action. Negotiate the outcome Evaluate the action.
