Fundamentals of Nursing- Quiz 2 (Exam 1 Material)

What are credentialing processes used in nursing? Select all that apply.

-A license to practice is earned by an individual and may not be revoked without due process. -Legal accreditation is the process in which the state evaluates and recognizes an educational nursing program. -A nurse holding certification by a U.S. professional nursing organization has demonstrated advanced proficiency.

A nurse explains the informed consent form to a client who is scheduled for heart bypass surgery. Which of the following are elements of this consent form? Select all that apply.

-Comprehension -Competence -Disclosure

A nurse is accused of malpractice by a client. List the order in which the steps of the litigation process will occur (Select all that apply).

-Pretrial discovery activities occur: review of medical records and depositions of plaintiff, defendants, and witnesses. -The case is presented to a malpractice arbitration panel. -The panel's decision is either accepted or rejected, in which case a complaint is filed in trial court. -The defendants contest allegations. -All parties named as defendants (nurses, physicians, health care agency), as well as insurance companies and attorneys, work toward a fair settlement. -The basis for the claim is determined to be appropriate and timely with all elements of liability present.

A nurse has been providing care to a client in the home for years. The nurse is asked to witness the client's signature on a will. What actions would cause the nurse to question whether to act as a witness on this document? Select all that apply.

-The nurse is included as a beneficiary in the will. -A relative is telling the client, "You must sign this document now." -The nurse did not watch the client sign the will.

The alert and oriented client has just been notified of a terminal cancer diagnosis and the need for surgery to extend life. The client tells the nurse, "I am leaving. I am not having the surgery." The client refuses to wait and talk to the primary care provider. What is an appropriate action by the nurse?

Ask the client to sign a form that the client is being discharged against medical advice.

Which statements are accurate regarding the concept of caring? Select all that apply

Caring is being sensitive to self and others. There is no universally accepted definition of caring. Nursing education, practice, and research are guided by caring. Caring creates a climate for establishing a commitment to healing.

The nurse suspects another staff member may have a substance use disorder. What changes would the nurse observe that would indicate possible substance use? Select all that apply.

Clients frequently reporting ineffective pain relief following administration of opioids A decrease in personal hygiene and appearance Confusion about clients' plans of care

A nurse is discussing the purpose of regulatory agencies during a staff meeting. Which of the following tasks should the nurse identify as the responsibility of state licensing boards?

Ensuring that health care providers comply with regulations

A goal for a client who has difficulty with self-feeding due to rheumatoid arthritis is to use adaptive devices. The nurse caring for the client should initiate a referral to which of the following members of the interprofessional care team.

Occupational therapist

Which group of terms best describes the nursing process?

Patient-centered, systematic, outcome-oriented

A nurse is caring for a client who is crying while reading from his devotional book. Which of the following interventions should the nurse take?

Provide quiet times for these moments.

A client who has had a cerebrovascular accident has persistent problems with dysphagia (difficulty swallowing). The nurse caring for the client should initiate a referral with which of the following members of the interprofessional team?

Speech-language pathologist

Which organization has established safety standards about the use of electrical equipment, isolation techniques, and toxic chemicals within the workplace?

The Occupational Safety and Health Administration (OSHA)

The client was diagnosed with diabetes three years ago, but has failed to integrate regular blood glucose monitoring or dietary modifications into his lifestyle. He has been admitted to the hospital for treatment of acute renal failure secondary to diabetic nephropathy, an event that has prompted the client to reassess his values. Which of the following actions most clearly demonstrates that this client is engaging in the step of prizing within his valuing process?

The client expresses pride that he now has the knowledge and skills to take control of his diabetes management.

A group of nurse researchers has proposed a study to examine the efficacy of a new wound care product. Which aspect of the methodology demonstrates that the nurses are attempting to maintain the ethical principle of nonmaleficence?

The nurses are taking every reasonable measure to ensure that no participants experience impaired wound healing as a result of the study intervention.

A nurse is caring for a client who shares the nurse's religious background. Which of the following information should the nurse anticipate?

The same religious beliefs can influence individuals differently.

A nurse in a physician's office has noted on several occasions that one of the physicians frequently obtains controlled-drug prescription forms for prescription writing. The physician reports that his wife has chronic back pain and requires pain medication. One day the nurse enters the physician's office and sees him take a pill out of a bottle. The doctor mentions that he suffers from migraines and that his wife's pain medication alleviates the pain. What type of nurse-physician ethical situation is illustrated in this scenario?

Unprofessional, incompetent, unethical, or illegal physician practice

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?

basic respect for human dignity

What phrase best describes the science of nursing?

body of nursing knowledge

A client with a diagnosis of colorectal cancer has been presented with her treatment options, but wishes to defer any decisions to her uncle, who acts in the role of a family patriarch within the client's culture. The client's right to self-determination is best protected by:

respecting the client's desire to have the uncle make choices on her behalf.