exam 2 prepu questions

A nurse is caring for a client with a complete spinal cord injury that has caused paraplegia. The client is very distraught and asks the nurse, "Are they sure, even with therapy, I will never walk again?" Which statement by the nurse demonstrates veracity? A. "you have a complete injury, which results in a total loss of movement and sensation below the level of injury" B. "I see you are upset; I can ask your physician to stop by and explain your injury in more detail" C. "It is too soon to tell. There is always a possibility you will regain movement in your legs" D. "Sometimes with physical therapy, a person may notice some improvement with movement."

A. "you have a complete injury, which results in a total loss of movement and sensation below the level of injury"

the nurse is caring for clients in a hospital setting. Which situations encountered by the nurse have a significant ethical component? Select all that apply. A. Deciding which continuing education offerings take place B. Deciding how to reassign staff in light of budget cuts C. Deciding when to stop cardiopulmonary resuscitation (CPR) on a client in cardiac arrest D. addressing a suspected breach in confidentiality E. Helping a client make end-of-life decisions

A. Deciding which continuing education offerings take place B. Deciding how to reassign staff in light of budget cuts C. Deciding when to stop cardiopulmonary resuscitation (CPR) on a client in cardiac arrest E. Helping a client make end-of-life decisions

A nurse instructor is educating students about the use of ethical agency in nursing practice. Which statements accurately represent the basis principles of ethics? Select all that apply. A. Ethics is a systematic inquiry into the principles of right and wrong conduct B. A commitment to developing one's ability to act ethical is know as one's ethical agency C. the ability to be ethical begins in childhood and develops gradually D. the term "ethics" general refers to personal or communal standards of right and wring E. most nurses are born with a natural ability to behave in an ethically professional way F. an action that is legal or customary is ethically right

A. Ethics is a systematic inquiry into the principles of right and wrong conduct B. A commitment to developing one's ability to act ethical is know as one's ethical agency C. the ability to be ethical begins in childhood and develops gradually

Nursing practice consistent with the Code of Ethics for Nurses includes which actions? select all that apply A. Protecting the client's right to confidentiality and privacy B. Empathizing with clients and establishing friendships when appropriate C. Acknowledging that that client is the focus and center of care and remain a part of the treatment team D. assuming responsibility for care with limited collaboration with other healthcare professionals E. Delivering culturally safe care

A. Protecting the client's right to confidentiality and privacy C. Acknowledging that that client is the focus and center of care and remain a part of the treatment team D. assuming responsibility for care with limited collaboration with other healthcare professionals

the nurse is involved in making a decision in an ethical dilemma. Organize these steps in the correct order to from first to last A. compare the outcome of actions with what was expected B. Identify personal and professional moral positions of those involved C. Describe the situation and the contextual factors involved D. Identify how this situation cam help with future decision making E. Determine that the situation is, indeed and ethical dilemma

A. compare the outcome of actions with what was expected B. Identify personal and professional moral positions of those involved C. Describe the situation and the contextual factors involved D. Identify how this situation cam help with future decision making E. Determine that the situation is, indeed and ethical dilemma

When providing nursing care to clients, the nurse is required to adhere to ethical values and legal rules to guide practice behavior. Which values would be included? select all that apply A. fidelity B. safety C. veracity D. privacy E. confidentiality

A. fidelity C. veracity D. privacy E. confidentiality

which actions by the nurse demonstrate the ethical principle of fidelity? select all that apply A. maintaining current nursing registration and meeting continuing education requirements B. Performing an intervention for a client at the time that was promised C. Taking scheduled breaks on time D. Taking an extra client assignment so the the client will be cared for E. calling in sick due to a lack of sleep

A. maintaining current nursing registration and meeting continuing education requirements B. Performing an intervention for a client at the time that was promised D. Taking an extra client assignment so the the client will be cared for

A nurse who is infected with human immunodeficiency virus (HIV) accidentally gets cut while debriding a wound, exposing the client to possible HIV infection. Failure of the nurse to report this incident violates which ethical principle? Select all that apply. A. Nonmaleficence B. Autonomy C. Fidelity D. Veracity E. Justice

A. nonmaleficence C. fidelity D. veracity

Which is a task that the nurse can delegate to the unlicensed assistive personnel? A. obtaining intake and output on a client with a foley catheter B. Monitoring vital signs on a client with an active gastrointestinal bleed C. Assisting a client with orthostatic hypotension to get out of bed D. Teaching a client with diabetes how to inject insulin subcutaneously

A. obtaining intake and output on a client with a foley catheter

A staff nurse who has been working as a clinical manager is demonstrating strong leadership qualities. Which behaviors and competencies by the nurse would be recognized by senior management as indicators of strong leadership during evaluation? select all that apply A. the nurse has recognized an error in practice and performance and is managing a task force to change policy B. the nurse has achieved certification in the field of professional practice and belongs to that professional practice C. when delegating tasks to unlicensed assistive personnel, the nurse supervises, guides care and evaluates outcomes D. the nurse volunteer for extra shifts in order to receive overtime benefits E. The nurse manages to avoid conflict on the unit by using the conflict management technique of smoothing

A. the nurse has recognized an error in practice and performance and is managing a task force to change policy C. when delegating tasks to unlicensed assistive personnel, the nurse supervises, guides care and evaluates outcomes E. The nurse manages to avoid conflict on the unit by using the conflict management technique of smoothing

An oncology client in an outpaitniet chemotherapy clinic asks several questions regarding care and treatment. The nurse explains the clinic's routine, typical side effects of the chemotherapy and ways to decrease the number of side effected experienced. Which characteristic is the nurse demonstrating? A. Veracity B. Justice C. Autonomy D. Fidelity

A. veracity

A client on a surgical unit asks for the nurse's opinion of the surgeon. The nurse says that the surgeon is rude and that the surgeon's clients always end up with infections. The nurse is at risk of being accused of which? A. libel B. slander C. assault D. negligence

B. slander

Using the nursing process to make ethical decisions involves following several steps. Which step is the nurse implementing when reflecting on the decision-making process and the role it will play in making future decisions? A. Diagnosing B. Evaluating C. Planning D. Implementing

B. Evaluating

a home care nurse visits a client who is confined to bed and is cared for by her daughter. The daughter is known to suffer from chemical dependence. The home is cluttered and unclean. During the assessment the nurse notes that the client is wet with during and has dried feces on her buttocks, and demonstrates signs of dehydration. After caring for the client, the nurse contacts the physician and reports the incident to Adult Protective Services. This is an example of which ethical framework? A. Justice B. Nonmaleficence C. Fidelity D. Autonomy

B. Nonmaleficence

A nurse is caring for a patient who is practicing Jehovah's Witness. The physician orders 2 units of packed cells based on his low hemoglobin and hematocrit levels. The nurse states to the surgeon that it is unethical to go against the patient's beliefs even though his blood counts are very low. What is the best description of the nurse's intentions? A. Siding with the patient over the surgeon B. acting in the patient's best interest C. Observing institutional policies D. Being legally responsable

B. acting in the patient's best interest

The nurse and unlicensed assistive personnel (UAP) are woking together in the emergency room. Which task should the nurse avoid delegating to the UAP? A. Emptying an indwelling catheter bag B. Assessing a rash on the arm C. Obtaining an electrocardiogram (EKG) D. Placing electrodes for cardiac monitoring

B. assessing a rash on the arm

T he nurse has performed the following activities during the shift. Which activities are violations of client privacy and/or confidentiality? select all that apply A. responding to the client's questions about the plan of care with a visitor in the room B. leaving the mobile computer screen, which contain client information, open when a visitor asked questions C. removing a printed report of a client from the hospital premises to write a case study for a staff meeting D. discussing the client's HIV status over lunch with a friend, a nurse on another team is located on the same unit E. answering questions from a client's visitor before verifying the visitor has permission to receive the information

B. leaving the mobile computer screen, which contain client information, open when a visitor asked questions C. removing a printed report of a client from the hospital premises to write a case study for a staff meeting D. discussing the client's HIV status over lunch with a friend, a nurse on another team is located on the same unit E. answering questions from a client's visitor before verifying the visitor has permission to receive the information

A nurse works in a nursing care facility that has a policy of regularly using restraints on clients that the nurse believes is unethical. However, the nurse feel obligated to follow the policy because of a fear of being fired. This is an example of which type of ethical situation? A. moralizing B. moral distress C. ethical dilemma D. conscientious objection

B. moral distress

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? A. fraud B. negligence C. assault D. battery

B. negligence

A nurse has taken a telephone order from a health care provider for an emergency medication. The dose of the medication is abnormally high. What should the nurse do next? A. administer the medication based on the order B. question the order of the medication C. refuse to administer the medication D. document concerns about the order

B. question the order of the medication

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? A. the client is ashamed to admit the abuse by the daughter B. the nurse has a legal and ethical responsibility to report the suspects abuse C. the nurse wants peer to see the nurse is a hero D. the client does not want anyone to know what is happening in the clients home

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

A client admitted with Hodgkin lymphoma has a handwritten prescription for vinblastine 3.7 mg intravenously (IV) weekly. The nurse interprets the prescription as vincristine 3.7 mg abd administers the wrong medicaiton. The client becomes neurovascualrly compramised and has fatal reaction to the medication. The client;s family begins a lawsuit against the facility and the nurse's license is suspended by the board of nursing. Inpreperation for the lawsuit, the nurse meets with the nurse attorney to review the events. Which appropriate statement given by the nurse indicates he has an understanding of the lawsuit? A. "I could not read the healthcare provider's handwriting, so I am not at fault." B. "I had a duty and it was my responsability to double check the medication, which I did, yet this still happened." C. "I had a duty and it was my responsibility toget clarification before administering the medication, which I did not." D. "I checked the medication before giving it and literature states it is fir Hodgkin lymphoma."

C. "I had a duty and it was my responsibility to get clarification before administering the medication, which I did not."

the client experiences cardia arrest, was resuscitates, and has now been on a ventilator for several days. The client had written advance directive, which the spouse from home. The primary care provider (PCP) is encouraging the spouse to consent for placement of a percutaneous endoscopic gastrostomy (PEG) tube, which is contrary to the client's advance directive. After the PCP leaves, the spouse states "I wish I knew what my spouse wanted." What is the best reply by the nurse? A. "The PCP only wants what is best for your spouse" B. "You will now have to make the decision" C. "Your spouse did tell you in the advance directive" D. "Your spouse will live with the PEG tube but die without it"

C. "Your spouse did tell you in the advance directive"

A rehabilitative case manager is preparing a client with a spinal cord injury for dicharge. Which infromation should be documented and incorperated with discharge planning? select all that apply A. Determining medical care the client will need following discharge B. review all care provided during hospitalization for the injuries C. Provide information about loacal support groups D. refer the client to social services for finicial assistance planning E. Arrange care services that will be required for optimal rehabilitaion

C. Provide information about loacal support groups D. refer the client to social services for finicial assistance planning E. Arrange care services that will be required for optimal rehabilitaion

A legal document that states health related wishes -- such as a preference for pain management if the client becomes terminally ill -- and also allows the client 's adult child to direct the client's care, is: A. a standard of care B. a will C. an advance directive D. a license

C. an advance directive

A nurse threatens to restrain a verbally abusive client if the abuse continues. Which legal tort has the nurse committed? A. invasion of privacy B. negligence C. assault D. defimation of character

C. assault

A nurse is preparing a presentation about ethical and legal issues for nurses. As part of the presentation, the nurse is planning to review the different types of laws. Which example would the nurse include as an intentional tort? Select all that apply. A. Negligence B. False imprisonment C. Assault D. Libel E. Misdemeanor

C. assault D. false imprisonment E. libel

Which nursing action demonstrates the principle of Fidelity? A. treating an uninsured client in the emergency department B. witnessing a client signature on an informed consent C. filing an incident report after making a medication error D. administering a vaccination

C. filing an incident report after making a medication error

The nurse and unlicensed assistive personnel (UAP) are working together to admit a client newly diagnosed with diabetes to a nursing unit. Which task would be inappropriate to delegate to the UAP? A. offering sugar-free popsicle B. Performing a fingerstick blood glucose test C. monitoring insulin requirements D. measuring blood pressure

C. monitoring insulin requirements

A nursing instructor is teaching a class for a group of nursing students about the ethical principles. The instructor determines that teaching was successful when the students give which of the following as an example of nonmaleficence? A. Providing emotional support to clients who are anxious B. Administering pain medication to a client in pain C. protecting client from a chemically impaired practitioner D. Performing dressing chances to promote would healing

C. protecting client from a chemically impaired practitioner

Nurses complete incident reports as dictated by the agency protocol. What is the primary reason nurses fill out an incident report? A. to document everyday occurrences B. to document the need for disciplinary action C. to improve quality of care D. to initiate litigation

C. to improve quality of care

A client who experienced a cesarean birth rates pain as a 9 on a 10-point scale. The nurse medicated the client for pain. This is an example of the nurse practicing which ethical principle? A. Justice B. Nonmaleficence C. Fidelity D. Beneficence

D. Beneficence

A nurse asks a coworker about the condition of the nurse's next-door neighbor, who's 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? A. negligence B. assault C. defamation of character D. Invasion of privacy

D. Invasion of privacy

which action constitutes battery? A. the nurse threatens to restrain a client if the client does not take medication B. while bathing a client behind pulled curtains, two nurses discuss a different client C. the nurse tells a client that the client cannot leave the hospital because the client is seriously ill D. an older client refuses and intramuscular injection, but the nurse administers it.

D. an older client refuses and intramuscular injection, but the nurse administers it.

A nurse working on a busy medical surgical unit does not take the vitals 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? A. false imprisionment B. assault C. battery D. fraud

D. fraud

While caring for an infant, the nurse hears another child screaming in the next room and rushes there, forgetting to put the side rails up on the infants crib. The nurse returns to the room to find that the infant has fallen out of the crib and sustained a head injury. Based on the nurse's action, which tort is the nurse liable for? A. defamation B. assault C. battery D. malpractice

D. malpractice