NUR3010: CHAPTER 3- PrepU Quizzes

The nurse moves a confused, disruptive patient to a private room at the end of the hall so that other patients can rest, even though the confused patient becomes more agitated. The nurse's intervention is consistent with what moral theory?

"Consequentialism," by which good consequences for the greatest number are maximized

Which example of a statement by a nurse applying therapeutic communication techniques may occur during the planning stage and increases the client's perception of available options?

"Home health services are also available in our community if you feel an assisted-living situation is uncomfortable."

The nurse is caring for a client who has just received a diagnosis of stage 3 lung cancer and has decided to have surgery for removal of the tumor but will not have any form of chemotherapy. Which statement by the nurse BEST demonstrates the principle of autonomy?

"I'm sure this is a very difficult time for you but it is ultimately up to you what type of therapy you will allow to treat your disease."

The physician asks the nurse not to disclose a client's diagnosis of end-stage cancer with the client until the client's family can be available to provide support. During the nurse's shift, the client asks the nurse, "What is wrong with me? Everyone is treating me like I am dying." Which of the following replies by the nurse allows the nurse to maintain integrity while providing care for the patient?

"You feel like people are treating you like you are dying?"

A client, 50 years old, is admitted for treatment of a gastric tumor. The client asks the nurse, "Do you think I have cancer?" Which response by the nurse would be most therapeutic?

"You sound concerned about what the physicians will tell you."

The following nursing diagnoses are formulated with a client: constipation, acute pain, and caregiver role strain. During the planning phase of the nursing process, the nurse will prioritize the diagnoses in what order?

Acute pain, constipation, caregiver role strain

The nurse is caring for a group of clients. What priority nursing intervention illustrates planned nursing care prioritized according to Maslow's hierarchy of needs?

Administer pain medication to a client before transportation to physical therapy for crutch-walking exercises.

Which critical thinking skill involves identification of client problems indicated by data?

Analysis

The client has become confused and attempts to climb out of bed. What interventions will the nurse provide prior to applying restraints?

Arrange a schedule for staff to sit with the client.

A client has been diagnosed with cardiac dysfunction and admitted to a health care center. The nurse notices that the client's ankles and feet are swollen. Using critical thinking skills, which nursing intervention does the nurse know to perform next?

Assess client for dependent edema

While caring for a client with a deep vein thrombosis of the leg, the nurse monitors for collaborative problems. Which action will the nurse implement while treating collaborative problems for this client?

Assess the respiratory status every 4 hours.

Which step of the nursing process entails analyzing data to determine the client's health status?

Assessment

The nurse is administering a medication to a client for the treatment of his constipation. The client states that he prefers not to take the medication today. The nurse respects the client's right and informs him if he needs it later, just let the nurse know. What professional value is the nurse displaying?

Autonomy

The nurse prepares to administer medication to the patient. The patient states, "I would prefer not to take that medication until I speak with my physician." The nurse honors the patient's desire to make decisions, following which common ethical principle?

Autonomy

The use of patient restraints limits which ethical principle?

Autonomy

Which ethical principle refers to the duty to do good?

Beneficence

A nurse is beginning a health history with a client and states, "Which part of your health history would you like to start with?" This type of communication technique is called

Broad opening

A nursing instructor is lecturing on ethics. To start the lecture, the instructor asks which issues students believe to be most common for nurses today. The students would choose which of the following? Choose all that apply.

Confidentiality Use of restraints Trust End-of-life concerns

The nurse is caring for a terminally ill client in the intensive care unit that is on life support measures. The family members are opposed in their decision to take the client off of life support. What option does the nurse discuss with the nurse manager?

Contact the ethics committee for their input.

Which of the following is a cognitive or mental activity that nurses use in critical thinking?

Drawing on past clinical experiences and knowledge to explain what is happening

Analyzing information for patterns, maintaining a flexible attitude, and making decisions reflecting creativity are all what type of components necessary for nurses?

Critical thinking

The LPN is collaborating with the RN in developing a plan of care for a new client. Which description of nursing roles best describes the LPN's contribution to the plan?

Data gathering, identification of client strengths, and assurance of client safety during the assessment phase

The nurse obtains a client's oral temperature reading of 36.8°C. How should the nurse proceed?

Document the client's temperature result as obtained.

A client has designated her daughter as a person to make healthcare decisions for the client if he is not able to do so. What type of advance directive is this considered?

Durable power of attorney (DPOA) for healthcare

Which term is defined as a formal systematic study of moral beliefs?

Ethics

Healthcare providers use a problem-solving approach for ethical dilemmas. Which is the last step of the ethical decision-making model?

Evaluate the decision in terms of effects and results.

A client is to be discharged from an acute care facility after treatment for pneumonia. The nurse notes that the client's lungs are clear and denies shortness of breath. The nurse's actions reflect which step of the nursing process?

Evaluation

A client reports postoperative pain near the incision site on his abdomen. He describes the pain as constantly burning and rates it at an 8/10 using the pain scale. The nurse administers morphine sulfate 2 mg IVP as ordered. Ten minutes later the nurse documents that the client now rates his pain at a 3/10 using the pain scale. The nurse's documentation is an example of which part of the nursing process?

Evaluation

What statement does the nurse determine is a medical diagnosis rather than a nursing diagnosis?

Fever of unknown origin

Which type of nursing diagnosis has a goal to increase well-being and enhance specific health behaviors?

Health promotion

The nurse and patient establish a goal to stand at the bedside for 5 minutes prior to the end of her shift at 2300. Earlier that day the patient had a total knee replacement. This is an example of which type of goal?

Immediate goal

Which communication technique is helpful in health teaching about relevant aspects of a client's well-being and self-care?

Informing

Which of the following is a true statement about critical thinking according to Alfaro-LeFevre (2010)?

It is guided by professional standards and codes of ethics.

Which of the following is a true statement about a living will?

It states the client's wishes regarding healthcare if terminally ill.

The nurse understands that one of the characteristics of critical thinking is flexibility. What can the nurse do to achieve this characteristic?

Modify priorities and adapt to change.

Based on the nurse's knowledge of the increased risk for bleeding in a client undergoing chemotherapy or radiation, which of the following interventions does the nurse need to include in the client's plan of care? Select all that apply.

Monitoring the platelet count Monitoring for signs of abnormal bleeding Instructing the client to use a soft toothbrush Instructing the client to use an electric razor

The nurse is to administer a potassium supplement to the client. The nurse does not check the potassium level prior to administering the medication and later finds that the potassium level was at a critical high. What principle has this nurse violated?

Nonmaleficence

The nurse needs to perform an admission assessment for a client who does not speak the same language as the nurse. The client's wife is fluent in both the nurse's and the client's languages. When completing the physical assessment is critical in planning patient care, how should the nurse proceed?

Obtain a translator to assist with interpretation during admission assessment.

Developing a written plan of nursing care takes place during which step of the nursing process?

Planning

When a person authorizes another to make medical decisions on his or her behalf, the person has written which of the following?

Proxy directive

Telling the truth (veracity) is one of the basic principles of North American culture. Three ethical dilemmas in clinical practice can directly conflict with this principle. Choose the three from the list below.

Revealing a diagnosis to people other than the client with the diagnosis Using placebos Not revealing a diagnosis to a client

Which of the following is the highest level of human need according to Maslow (1968)?

Self-actualization

Which therapeutic communication technique may occur during the planning stage, when the client is presented with alternative ideas for consideration relative to problem solving?

Suggesting

Which intellectual skill is used by nurses when thinking critically?

Supporting evidence with facts

When an ethical decision is made based on the reasoning of the "greatest good for the greatest number," what theory is the nurse following?

Utilitarian theory

An elderly client who enjoyed watercolor painting when young has recently indicated a desire to begin painting again. According to Maslow's theories on human needs, what is the best reason the client will express an interest in painting again?

The client is motivated for creative expression because lower level needs are being met

A client has a nursing diagnosis of "Feeding self-care deficit related to right-sided weakness. Which of the following would be the most appropriate expected outcome for this client?

The client will demonstrate an ability to feed himself with a spoon at the morning meal.

The nurse is preparing a client for a colonoscopy at the hospital. Who does the nurse understand is responsible for obtaining the informed consent from this client?

The health care provider

The nurse is revising a client's care plan. When determining goals for the client, what is the process for the expected outcomes? Select all that apply.

The outcomes are derived from nursing diagnoses. The outcomes are measurable goals. The outcomes include a time estimate for the achievement of short- and long-term outcomes.

A hospital board of directors decides to close a pediatric burn treatment center (BTC) that annually admits 50 patients and to open a treatment center for terminally ill AIDS patients (with an expected annual admission of 200). This decision means that the nearest BTC for children is now 300 miles away. What example of ethical reasoning is this decision consistent with?

Utilitarianism

The nurse is prioritizing a client's care plan based on Maslow's hierarchy of needs. What is an example of the nurse's first priority action?

administering pain medication to a client in acute pain

Patient health education provided by the nurse

is an independent function of nursing practice.

A client has been a resident of a long-term care facility for several years. The client's condition has deteriorated to the point that the client is now unable to eat. The physician has recommended surgical implantation of a feeding tube. The client's family has a legal document outlining the client's wishes in regard to measures such as this. What is this document?

advance directive

A client has just returned to the unit following abdominal surgery and is in significant pain. According to the nursing process, how frequently will the nurse perform assessments on this client?

as often as needed

Prioritizing client care is an ongoing process within the art of nursing. Abraham Maslow proposed five levels of need and grouped them according to significance. Which client need is of primary importance?

breathing easily

How is assessment defined as part of the nursing process?

careful observation and evaluation of a client's health status

Several days this week, a nurse takes time after work to read to a visually impaired client who has no family close by. This behavior demonstrates that ethical values:

concern the treatment of others.

The nurse is attending a client with chronic renal failure. The client is experiencing a loss of appetite and reports feeling like everyday situations have become more stressful. The client reports feeling disappointed and frustrated with the condition, and says the family is not getting any help. What is the most important nursing intervention that the nurse needs to carry out at this point?

coordinate with resources for client support

The physician has ordered cimetidine for a client with gastric ulcers, and the nurse administers the first dose. The nurse's actions are noted in the medical record. This notation is an example of which aspect of implementing the plan of care?

documentation

Several times, family members have asked a nurse to share personal prescriptions when they were in need of pain medication or antibiotics. Which type of rules or standards should govern the nurse's moral decision?

ethics

Which type of nursing diagnosis is a clinical judgment of a client's motivation and behavior to increase his or her well-being?

health promotion

A nurse in a hospice facility cares for clients with terminal illnesses and witnesses a great deal of pain and emotional distress. Which factor that affects healthcare ethics determines how the nurse must respond when a client asks for help in ending his or her suffering?

legislative and judicial decisions

The nurse is developing a care plan. At which step of the nursing process will the nurse order the primary interventions to achieve a goal?

planning

Which type of nursing diagnosis identifies an existing condition that the client is experiencing?

problem-focused

Which type of nursing diagnosis identifies potential problems that may arise due to the client's disease, condition, or situation?

risk

A nurse using critical thinking interprets data and determines appropriate interventions. What factor will affect the nurse's ability to employ critical thinking with data interpretation?

the nurse's personal biases

A longterm care facility's newest client refuses to attend group activities or social events offered by the facility. Which level of Maslow's hierarchy do social events address?

third: love and belonging needs

A client presents to the acute care facility with several signs and symptoms. How will the nurse determine and prioritize the client's healthcare needs?

using a systematic method to plan and implement care to reach desired outcomes

A nurse saw a coworker steal drugs from a locked cabinet. The supervisor notices the missing drugs and has a good idea who is responsible for the theft. The supervisor asks if the nurse saw anything out of the ordinary. Which professional value reflects a nurse's duty to tell the truth?

veracity