NURS 1100 EXAM 1

Which of the following is the most frequent reason for revocation or suspension of a nurse's license? All are correct - what is the most common/frequent?

Alcohol or drug abuse

The nurse has just graduated with a Bachelor of Science in Nursing and is eager to find a mentor at this early stage in her career. Which of the following individuals is most likely to be an appropriate mentor for the nurse?

An experienced nurse who was a preceptor in a previous clinical placement

The nurse is applying evidence- based practice (EBP) during a client's wound care. What characteristics of evidence-based practice (EBP) does the nurse demonstrate? Select all that apply.

The nurse blends the science and art of nursing. The nurse is using a problem-solving approach. The nurse uses the best evidence available

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.

A client refuses to have pain medication administered by injection. The nurse states, "If you don't let me give you the shot, I will get help to hold you down and give it." What crime may the nurse be committing?

Assault

The nurse is caring for a client who had a sudden episode of vomiting, which produced 900 mL of frank blood. The nurse directed and delegated to colleagues in order to notify the physician. She started intravenous fluids, and provided physical and emotional support for the client. Different situations call for different leadership styles. Which of the following leadership styles did the nurse display in this situation?

Autocratic

When the nurse inserts an ordered urinary catheter into the client's urethra after the client has refused the procedure, and then the client suffers an injury, the client may sue the nurse for which type of tort?

Battery

In comparison with licensure, which measures entry-level competence, what does certification validate?

specialty knowledge and clinical judgment

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

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

A nurse fails to administer a medication that prevents seizures, and the client has a seizure. The nurse is in violation of the Nurse Practice Act. What type of law is the nurse in violation of?

Civil

What type of law regulates the practice of nursing?

Civil law

A nurse strives to establish trusting interpersonal relationships with clients, peers, subordinates, and superiors to facilitate goal achievement and personal growth of all participants. Which type of skills is this nurse demonstrating?

Communication skills

Which is the nurse's best legal safeguard?

Competent practice

A nurse is arrested for possession of illegal drugs. What kind of law is involved with this type of activity?

Criminal

A nurse is considering the delegation of administering topical medications to an unlicensed assistive personnel (UAP). What is the first question the nurse must ask herself before doing so?

Does the nurse practice act and agency policy allow this delegation?

Nurse researchers have predicted that a newly created mentorship program will result in decreased absenteeism, increased retention, and decreased attrition among a hospital's nursing staff. What does this predicted relationship represent?

Hypothesis

Two nurses are discussing a client's condition in an elevator full of visitors. With what crime might the nurses be charged?

Invasion of privacy

A nurse does not assist with ambulation for a postoperative client on the first day after surgery. The client falls and fractures a hip. What charge might be brought against the nurse?

Negligence

A group of nurses working in a long-term care facility fails to keep the narcotic medications in a secure location. The nurses also fail to count the medications before and after each shift, as indicated by the institution's policies and procedures. These failures may result in disciplinary action against the:

Nurses' licences

What is the legal source of rules of conduct for nurses?

Nursing Practice Acts

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 nurse has taken a telephone order from a physician for an emergency medication. The dose of the medication is abnormally high. What should the nurse do next?

Question the medication order.

A nurse manager of a medical-surgical unit is assigning care responsibilities for the oncoming shift. A client is awaiting transfer back to the unit from the PACU following thoracic surgery. To which of the following staff members should the nurse manager assign this client?

RN

A nurse on a medical-surgical unit has received change-of-shift report and will care for four clients. Which of the following client's needs should the nurse assign to assistive personnel?

Reapplying a condom catheter for a client who has urinary incontinence.

An on-duty nurse discovers that a colleague is pilfering medicines. According to the Nurse Practice Acts, what should the nurse do?

Report the incident to the supervisor.

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.

During a clinical placement on a subacute, geriatric medicine unit, a student nurse fed a stroke client some beef broth, despite the fact that the client's diet was restricted to thickened fluids. As a result, the client aspirated and developed pneumonia. Which statement underlies the student's potential liability in this situation?

The same standards of care that apply to a registered nurse apply to the student.

What phrase best describes the science of nursing?

body of nursing knowledge

After reviewing several research articles, the clinical nurse specialist on a medical surgical unit rewrites the procedure on assessing placement of a nasogastric tube. What source of nursing knowledge did the nurse use in this situation?

Scientific knowledge

Nurses with varying levels of experience possess leadership skills. A graduate nurse walks out of the nurse manager's office after a meeting. The graduate nurse reflects on the positive and negative feedback that she received from the manager regarding her three months working on the unit. What nursing leadership skill is best illustrated by the graduate nurse in this scenario?

Self-evaluation skills

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)

A nurse is teaching a client how to administer medication through a jejunostomy tube. Which of the following instructions should the nurse include?

"Flush the tube before and after each medication."

A nurse manager has encountered resistance to a planned change. What is one way the nurse can overcome the resistance?

Encourage open communication and feedback

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

Which aspect of nursing would be most likely defined by legislation at a state level?

The differences in the scope of practice between registered nurses (RNs) and licensed practical nurses (LPNs).

A nurse is providing client care in a hospital setting. Who has full legal responsibility and accountability for the nurse's actions? Select all that apply.

The hospital The nurse