Fundi Chap 22 and 23 NCLEX

The nurse realizes that an individual client's value system is most affected by: A. Life experiences B. Economic status C. Spiritual beliefs D. Formal education

A. Life experiences Development of values begins in childhood, shaped by experiences within the family unit, expeically dramatic events during the formative years. the other options may influence the value system, but not to the same extent.

A nurse who is working with a client who has been diagnosed with AIDS reveals the client's name and diagnosis with a co-worker on the way downstairs in a elevator. Unknowingly, a friend of the client that happens to be sharing the elevator and hears the entire story. The nurse who shared the information may be held liable for: A. Slander B. Assault C. Malpractice D. Invasion of Privacy

A. Slander A nurse can be held liable for slander if he or she shares private information that can be overheard by others. Assault is any intentional threat to bring about harmful or offensive contact. No actual contact is necessary. The nurse in this situation has not committed assault. Malpractice is negligence committed by a professional such as a nurse or physician. Nursing malpractice results when care falls below the standard of care. This case is not an example of malpractice. Invasion of privacy occurs when the client has unwanted intrusion into his or her private affairs. This case is not an example of invasion of privacy. This instance falls under the category of defamation of character.

Which of the following statements related to confidentiality made by a nurse requires immediate follow-up by the nurse manager? A. "I believe the client is eligible for both Medicare and Medicaid" B. "The client with pneumonia has tested positive for TB" C. "Did you know that the client in room 45 has a daughter who has type 1 diabetes mellitus?" D. "I arragened for the client's information to be faxed to assistive living facility she will be transferred to."

C "Did you known that the client in room 45 has a daughter who has type 1 diabetes mellitus?" This information is private and the nurse is violating the client's right to confidentiality because the information has no bearing on the care needs of the client. The remaining options are not reflective of an ethical breech because the exchange of that information has a direct bearing on the client's care.

The nurse knows that when making choices concerning the adoption of evidence-based practice, the literature must be reviewed regarding its: (select all that apply) A. content B. Relevance C. Reliability D. Ethical soundness E. Economic feasibility F. Trans cultural versatility

A. Content B. Relevance C. Reliability D. Ethical soundness Nurses make choices regarding evidence-based practice proposals based on content, relevance, reliability and the ethical implications to their practice. The remaining options are not typically considered when evaluation the global usefulness of research findings.

A nurse's use of ethical responsibility can best be seen in which of the following nursing actions? A. Delivery of competent care B. Formation of interpersonal relationships C. Correct application of the nursing process D. Evaluation of new computerized technologies.

A. Delivery of competent care The term responsibility refers to the characteristics of reliability and dependability. In profession nursing, responsibility includes a duty to perform actions well and thoughtfully. When the nurse provides competent care, the nurse is demonstrating ethical responsibility. Formation of interpersonal relationships is not an ethical responsibility. Evaluation of new computerized technologies is not an ethical responsibility.

The nurse is working with the client and trying to clarify the client's values regarding his care. Which of the following statements reflects and example of the type of response a nurse should use in a values clarification situation? A. "Your questions were pretty blunt." B. "Tell me what you're thinking right now." C. "I've felt that way before. I'd be upset, too" D. "You seem concerned about tests. Let me explain them"

B "Tell me what you're thinking right now" Values is clarification is a process of self-discovery in which the nurse should assist the client. The goal of values clarification with a client is effective nurse-client communication.

Abandoning a client would be an example of a nurse's failure to professionally display: A. Justice B. Fidelity C. Beneficence D. Non maleficence

B. Fidelity Fidelity refers to the agreement to keep promises. A commitment to fidelity supports the reluctance to abandon clients. The remaining options refer to fairness, kindness, and doing no harm.

Which of the following statements made by a nurse shows the best understanding regarding the requirements of the Health Insurance Portability and Accountability Act (HIPPA) of 2003? A. "I'm always careful to close the door when taping or listening to he unit's shift report" B. "The nursing assistants know to hand me the vial signs sheet and not just put it on the medication cart" C. "I called the radiology department to tell them I would be faxing the client information they requested" D "The client's niece called to see how she slept last night, but I told her I couldn't share that with her over the phone"

C. "I called the radiology department to tell them I would be faxing the client information they requested" HIPAA requires all hospitals and health care agencies to have specific policies and procedures in place to ensure that htere are reasonable safeguards to protect written and verbal communications about clients. By notifying the receiver of an impending client-oriented fax, the nurse has taken a reasonable measures to ensure it is seen by only the appropriate individuals. Although the remaining options deal with safeguards, the potential for a breech in client confidentiality is not as great in those scenarios.

Which of the following nursing statements reflects the best understanding of the importance of appropriate nursing documentation regarding risk management. A. "If the client isn't compliant, I'm sure to put that in my notes." B. "I'm always careful to document any changes in the client's condition" C. "My notes are the proof that I provided the client with effective, appropriate care." D. "When there is a lawsuit, the nursing notes are the first thing the attorney looks at."

C. "My notes are the proof that I provided the client with effective, appropriate care." The nurse's documentation is often the evidence of care received by a client and serves as proof that the nurse acted reasonably and safely. The remaining options are not incorrect but do not identify the primary importance to the nurse.

Which of the following statements best illustrates the deontological ethical theory? A. "I believe disease was allowed by a supreme being" B. "He has become a stronger individual through experiencing the loss of his father" C. "Under no circumstances would it ever be right for a person to stop CPR efforts" D. "The chemotherapy did not cure this person, but it provided a better life for him"

C. "Under no circumstances would it ever be right for a person to stop CPR efforts" "Under no circumstances would it ever be right for a person to stop CPR efforts" is correct. Deontology defines actions as right or wrong based on their right-making characteristics, such as fidelity to promises, truthfulness, and justice. Deontology does not look at consequences of actions to determine rightness or wrongness.

Which one of the following actions is an example of an unintentional tort? A. Restraining a client who refuses care B. Taking photos of a client's surgical wounds C. Leaving the side rails down and the client falls and is injured D. Talking about a client's history of sexually transmitted diseases

C. Leaving the side rails down and the client falls and is injured An unintentional tort is an unintended wrongful act against another person that produces injury or harm. An example of an unintentional tort would be leaving the side rails down and the client falls and is injured. Restraining a client who refuses care would be an example of assault and batter. Talking about a client's history of sexually transmitted diseases would fall under the category of invasion of privacy. Personal information should be kept confidential.

A nurse is being asked to move form the eye unit to a general surgery floor where she is inexperienced in this specialty due to an influenza epidemic among the nursing staff. She is aware of her inexperience. The nurse's initial recourse is to: A. Fill out a report noting her dissatisfaction B. Ask to work with another general surgery nurse C. Notify the State Board of Nursing of the problem D. Politely refuse to move, take a leave-of-absence day, and go home.

C. Notify the State Board of Nursing of the problem Nurses who float should inform the supervisor of any lack of experience in caring for they type of clients on the nursing unit. They should also request and be given orientation to the unit. Asking to work with another general surgery nurse would be an appropriate action.

Which of the following is the most important factor in a nurse deciding whether or not to carry malpractice insurance? A The nurse's knowledge level of Good Samaritan laws B. The amount of malpractice insurance provided by the nurse's employer C. The time frames and individual liability of the employer's malpractice coverage. D. The evaluation of whether the nurse works in a critical area of nursing where clients have higher morbidity and mortality rates

C. The time frames and individual liability of the employer's malpractice coverage.

The client has been diagnosed with malignant bone cancer and the treatment involves chemotherapy on an outpatient basis. While treating the cancer the client unfortunately becomes very ill, experiences significant side effects from the therapy, and has a severe reduction in the qualitiy of life. The specific ethical principle tha tis in questions in this situation is: A. Veracity B. Fidelity C. Justice D. Nonmalefiecence

D. Non maleficence Non maleficence is the avoidance of harm or hurt. Whether the discomforts of treatment are benefiting the client or are worse than the disease itself have to be considered. the health care professional tries to balance the risks and benefits of a plan of care while striving to do the least harm possible. Veracity refers to truthfulness. This situation is not questioning truthfulness. Fidelity refers to the agreement to keep promises. This situation does not question fidelity. Justice refers to fairness. This situation is not a matter of justice.

Although a nurse may not agree, the nurse recognizes that a terminally ill client has the legal right to: A. Seek passive euthanasia in some states B Sign an organ donor pledge statement C. Refuse DNR (do not resuscitate) status D. Refuse treatment in the form of food and water

D. Refuse treatment in the form of food and water Competent clients have the right to refuse treatment this includes life-saving hydration and nutrition.