Nursing Seminar Exam 2

What is true about certification in nursing? a. It is the same as credentialing. b. It is the same as registration. c. It can only be obtained in maternal-child health. d. It is voluntary.

d. It is voluntary

According to the Code of Ethics for Nurses, what is the nurses first allegiance? a. The medical team b. The healthcare organization c. The profession of nursing d. The patient

d. The patient

In which case can the physician and the nurse initiate care without consent? a. A 35-year-old male who is unconscious and in shock following an auto accident. b. An 80-year-old client presenting with the flu who seems to be confused. c. A 15-year-old female who requests treatment for acne. d. A 6-year-old child with a possible broken arm brought to the emergency room by a teacher.

a. A 35-year-old male who is unconscious and in shock following an auto accident.

Which assumptions of caring were identified by Watson? Select all that apply. a. Caring is the moral ideal of nursing. b. Caring helps but is not more beneficial to the patient than curing. c. A caring person will set one person and his or her feelings apart from another. d. A caring environment allows the nurse to make the best decisions for the patient. e. Caring involves both action and choice by the nurse and the client.

a. Caring is the moral ideal of nursing. c. A caring person will set one person and his or her feelings apart from another. e. Caring involves both action and choice by the nurse and the client.

Which steps should you take when you suspect that another nurse is chemically impaired? a. Do not permit a visibly impaired nurse to care for patients. b. Allow the supervisors to confront the nurse suspected of being impaired in private. c. Report the symptoms and behaviors by the end of the shift. d. Document behaviors or incidents only if you can confirm the nurse is impaired.

a. Do not permit a visibly impaired nurse to care for patients.

To what does the moral principle of beneficence refer? a. Doing good b. Duty to do no harm c. Faithfulness d. Truth telling

a. Doing good

To what does the moral principle of fidelity refer to? a. Faithfulness b. Truth telling c. Doing good d. Duty to do no harm

a. Faithfulness

The nurse has a strong personal value system and is concerned that these values may conflict with the values of a newly assigned nursing unit. What should the nurse do? (Select all that apply.) a. Identify personal values. b. Be watchful for situations in which there may be a values conflict. c. Hold personal values in check if it is still possible to provide effective care. d. Refuse to be transferred to this unit. e. Discuss the situation with the nursing supervisor

a. Identify personal values. b. Be watchful for situations in which there may be a values conflict. c. Hold personal values in check if it is still possible to provide effective care. e. Discuss the situation with the nursing supervisor

The nurse has been working with a client in the intensive care unit (ICU) for the past 4 days. Although the client's vital signs are normal today, the nurse has a "gut feeling" that something is wrong. What is this nurse basing this feeling on? a. Intuition b. Empiricism c. Rationalism d. Objectivity

a. Intuition

A nurse is involved in an ethical decision-making process involving a client who does not wish to receive blood products for religious reasons. The client's laboratory values are dangerously low and without the blood, the client likely will to go into shock. The nurse at the ethics committee meeting states, "The client should have the blood regardless of personal reasons as without it the client may die. The committee should recommend disregarding the client's wishes as they do not know what is best for them.!" This example represents what kind of fallacy? a. Making someone accept the conclusion of another based on force alone b. Arguing that because every body does something, that something must be good c. Appealing to inappropriate authority to justify a decision d. Refusing to allow evidence to be shared if it contradicts one's personal position

a. Making someone accept the conclusion of another based on force alone

A nurse is trying to figure out why a client with chronic obstructive pulmonary disease (COPD) keeps having exacerbations about the same time every month, which requires admission to the hospital for IV steroids. This is an example of which aspect of intuitive judgment? a. Pattern recognition b. Common sense understanding c. Deliberative rationality d. Skilled know-how

a. Pattern recognition

The nurse suspects that a coworker is impaired at work. What is the nurse's priority action? a. Report the suspicion to the appropriate supervisor. b. Closely observe the coworker to gain evidence of impairment. c. Plan to work with the person as a team to provide care. d. Confront the coworker with the suspicion.

a. Report the suspicion to the appropriate supervisor.

The nurse has been asked to testify in court as an expert witness. What will the nurse be expected to do in this role? a. Respond directly and truthfully to the questions being asked. b. Volunteer additional information to assist as much as possible. c. Remember the details of the incident and recall the facts. d. Seek the advice of an attorney before providing testimony

a. Respond directly and truthfully to the questions being asked.

Which option(s) are generally included in nursing practice acts? Select all that apply. a. Statements outlining clinical responsibilities of nurses. b. Specific guidelines for policy and procedures for nurses. c. The requirements for licensure. d. A definition of nursing. e. A definition of the authority of the board of nursing.

a. Statements outlining clinical responsibilities of nurses. c. The requirements for licensure. d. A definition of nursing.

An Employee Health Service nurse has been asked to create health promotion programs for the hospital. Which program is most clearly a health promotion activity? a. Stress reduction, exercise, and fitness b. Family planning c. Safety and fire prevention d. Hand washing and infection control

a. Stress reduction, exercise, and fitness

What is the major ethical argument related to allocation of health resources? a. The question of whether healthcare is a right or a privilege. b. How to provide low-cost prescription medication to low-income persons. c. Whether physician or nurse practitioners provide the most cost-effective care. d. Whether medication therapy is superior to diet therapy in the control of chronic illness.

a. The question of whether healthcare is a right or a privilege.

The nurse has been charged with malpractice. Which option reflects an element that must be present for this charge to be sustained? a. There was a causal relationship between the error and client injury. b. The nurse had no way of predicting that injury would result from the error. c. The nurse was providing care consistent with a national standard. d. The client had a duty to report what he or she was experiencing.

a. There was a causal relationship between the error and client injury.

Which statement about values is correct? a. Values clarification is associated with personal growth. b. Peoplemusthavevaluesidentifiedforthem. c. Once adopted, values are not changed. d. Most every one adopts the same values.

a. Values clarification is associated with personal growth.

A nursing faculty member asks students to look at nursing within a different paradigm then they used as laypeople. What does the faculty member mean by the word paradigm? a. Approaching nursing from a cause-and-effect viewpoint b. A worldview for structuring theory and approaching science and knowledge development c. A proposition to explain relationships d. Looking at the nature of things ,aiming to provide the meaning of phenomena

b. A worldview for structuring theory and approaching science and knowledge development

What is the nurses primary responsibility in the role of health promotion? a. Developing collaborative relationships with both clients and physicians. b. Acting as a facilitator of the process by assessing, evaluating, and understanding health. c. Understanding adults must take personal responsibility for their health. d. Developing collaborative relationships with both clients and physicians.

b. Acting as a facilitator of the process by assessing, evaluating, and understanding health.

A client is dying of cancer and wishes to have hospital personnel provide only comfort measures. Respecting the client's request, the nurse is implementing which moral principle central to nursing? a. Double effect b. Beneficence c. Principlism d. Compassion

b. Beneficence

A nurse has been sued for malpractice after a client received a wrong medication and required two additional days in the hospital. What type of legal action is most likely in this case? a. Contact b. Civil c. Public d. Criminal

b. Civil

A nurse discusses a client's request to use an alternative therapy for a skin rash. While visiting with this client, the telephone rings, the nurse's pager goes off, and a code blue is called in another client's room on the floor. Which describes the use of the client being aware of their medical care and alternative therapies? a. Safety b. Consumerism c. Global community d. Technology

b. Consumerism

Which are examples of passive euthanasia ? Select all that apply a. Administering large does of morphine to hasten death b. Following the clients wishes for DNR orders c. Removal of a large breathing tube and ventilator d. Following an advance directive to have a feeding tube removes e. Organ donation after brain dead

b. Following the clients wishes for DNR orders c. Removal of a large breathing tube and ventilator

The nurse educator is developing materials to educate hospital employees about sexual harassment. Which information should be included in these materials? a. Any sexual conduct ,even if it is desired by both parties, is considered sexual harassment. b. It includes unwanted verbal or physical conduct of a sexual nature. c. Victims of sexual harassment are always female. d. Sexual harassment occurs only in the workplace.

b. It includes unwanted verbal or physical conduct of a sexual nature.

The nurse who employs Pender's health promotion model would base activities on which assumptions? Select all that apply. a. The environment in which a person lives is outside his or her control. b. People usually have a fair awareness of their own competencies. c. People actively seek ways to regulate their own behavior. d. The nurse cannot exert influence on the person to make changes; the changes are dependent solely on the individual. e. People want to seek balance in their lives.

b. People usually have a fair awareness of their own competencies. c. People actively seek ways to regulate their own behavior. e. People want to seek balance in their lives.

A client who is 12 weeks pregnant is bleeding vaginally. The client states, "Don't do anything to stop this miscarriage. I don't want this kids anyway." The nurse has strong feelings that life begins at conception and os offended by this remark. What should the nurse do ? a. Leave the client's request out of the report to the physician b. Provide the best possible care for the silent, do not share personal items c. Tell the client that she will change her mind later and that she should try to save her baby d. Contact the hospital chaplain to come and speak to the client

b. Provide the best possible care for the silent, do not share personal items

The nurse has made a claim of sexual harassment against a coworker. What evidence must this nurse present? a. The sexual advances occurred over a period of at least 6 weeks. b. The actions created a hostile or abusive environment. c. There was psychological damage from the conduct. d. The conduct was explicit and was a condition of employment.

b. The actions created a hostile or abusive environment.

A municipality has passed a new law that is apparently in direct conflict with a state law. Which law is enforceable? a. The municipality law since it was passed most recently b. The state law because state laws always supersede local or municipal laws c. The municipal law because cities retain the right of self-determination. d. This must be assessed on an individual basis. There is no standard.

b. The state law because state laws always supersede local or municipal laws

A client in the medical-surgical unit of a hospital asks the nurse how long it will take to psychologically feel well after a hysterectomy. The nurse replies that in some studies in the nursing literature, clients feel their best 6 to 8 weeks postoperatively. Which type of nursing practice has the nurse displayed? a. Typical-based nursing practice b. Theoretically based nursing practice c. Stereotypical-based nursing practice d. Rote-based nursing practice

b. Theoretically based nursing practice

The client has made a difficult decision to refuse treatment for a partially curable malignancy. The nurse asks the client, "How are you going to talk to your spouse about this decision?" What is the nurse attempting to assess? a. Whether the client has considered all the treatment options available b. Whether the client is prepared to act on the decision c. Whether the client feels good about the decision made d. Whether the client was able to choose freely among treatment options

b. Whether the client is prepared to act on the decision

The nurse has been asked to have a client sign an informed-consent form for a surgical procedure that the physician explained in the office yesterday. What is the nurse's responsibility in this action? a. Obtaining the actual informed consent for the specific medical and surgical treatments b. Witnessing the client's signature c. Ensuring the consent was given voluntarily and understood d. Witnessing the client was given enough information to be able to make a decision

b. Witnessing the client's signature

A patient states that she is pregnant and that she may want an abortion. She asks the nurse to help her with the abortion. The nurse works in a state with a conscious clause. which response by the nurse is best? a. "Ill see if I can find someone who knows about abortions." b. "There are alternatives. You don't have to get an abortion." c. "I wont be able to be with you, but I can answer any questions you have." d. "I believe abortions are wrong, I refuse to participate."

c. "I wont be able to be with you, but I can answer any questions you have."

A staff nurse continually tells sexually explicit jokes during shift report and frequently focuses those jokes on newly hired nursing assistants. Who can make the charge of sexual harassment against this staff nurse? a. Only the nursing assistant b. Any person who hears the joke c. Anyone affected by the offensive material d. Only the staff nurse's supervisor

c. Anyone affected by the offensive material??

Nurses who seek to enhance their cultural competency skills and supply sensitivity toward others are committed to each professional nursing value? a. Autonomy b. Commitment to education c. Belief in the dignity and worth of each person d. Strong communication to service

c. Belief in the dignity and worth of each person

It is important for the student nurse to begin the process of clarifying her or his own values. How should the student begin this process? a. By understanding that once values are chosen, they cannot be changed b. By first working to identify the values c. By understanding that culture determines an individuals values d. By looking for a universal set of values that is applicable to all people

c. By understanding that culture determines an individuals values

The nurse who is preparing health promotion activities considers which statement to be a concept of health promotion? a. Health habits are difficult, if not impossible, to change. b. Health is defined as the person's present physical condition. c. Enhancement of health can be a direct result of health promotion activities. d. Health promotion must be directed by a professional.

c. Enhancement of health can be a direct result of health promotion activities.

What happens when a federal law and a state law conflict? a. Both federal and state laws are superseded by local law. b. State law supersedes federal law. c. Federal law supersedes state law. d. The two types of law carry equal weight.

c. Federal law supersedes state law.

The nurse is working to develop a basic health promotion program about the risks of particular lifestyle choices and personal behavior. The nurse wishes to get the local media involved in the group. What type of health promotion program is the nurse planning? a. Lifestyle- and behavior- change program b. Environmental control program c. Information dissemination program d. Health risk appraisal/wellness assessment program

c. Information dissemination program

A nurse is listening to a peer discussing how the mind, body, soul, and environment unite, with souls not confined to the physical world but existing after physical death. The nurse recognizes that the peer is expressing the concepts of which nursing theorist? a. Rosemarie Parse b. Dorothea Orem c. Jean Watson d. Callista Roy

c. Jean Watson

The nurse who is faced with an ethical dilemma refers to the Code of Ethics for Nurses with Interpretive Statements for guidance. What help can the nurses expect from this document? a. Some ideas of the ethics of nursing that are negotiable depending upon circumstance. b. A lengthy description of the need for ethical behavior and decision making in nursing. c. The basis for ethical analyzing and decision making for nurses practicing in the United States. d. Specific guidelines for common ethical issues.

c. The basis for ethical analyzing and decision making for nurses practicing in the United States.

When an impaired nurse provides care, the primary concern should be for which victim? a. The nurse's colleagues b. The impaired nurse c. The client d. The healthcare facility where the nurse works

c. The client

Madeleine Leininger has written extensively on transcultural concepts and the science of human caring. What are the purposes of her theory? Select all that apply. a. To understand culture in the broadest and most holistic sense and to be effective with people b. To focus on comparative study and analysis of different cultures and subcultures in the world c. To respect the caring, health values, beliefs, and patterns of different cultures d. To identify the client as a member of a specific culture whose beliefs are shared by all in the culture e. To develop a scientific and humanistic body of knowledge in order to provide culture specific and culture-universal nursing practice

c. To respect the caring, health values, beliefs, and patterns of different cultures e. To develop a scientific and humanistic body of knowledge in order to provide culture specific and culture-universal nursing practice

The nurse has a strong personal belief that life begins at conception. Can this nurse legally refuse to assist with an abortion? a. No; if the nurse has willingly taken a job where assisting with an abortion is a possibility, he or she cannot refuse to assist. b. No; because abortions are considered medical procedures,the nurseis ethically required to assist. c. Yes, most states have conscience clauses or provisions to protect the nurse in this situation. d. Yes, but only if there is no health danger to the mother if the abortion is not performed.

c. Yes, most states have conscience clauses or provisions to protect the nurse in this situation.

The nurse educator asks the nursing student about the difference between codes of ethics and legal standards. Which response by the student indicates the greatest level of understanding? a. "Codes of ethics are much higher standards than legal standards." b. "Legal standards are much higher than codes of ethics standards." c. "Standards in codes of ethics and legal standards are generally the same." d. "Codes of ethics are usually higher, and can be no lower, than legal standards."

d. "Codes of ethics are usually higher, and can be no lower, than legal standards."

The hospital administrator is reluctant to include a nurse on an ethics committee that is made predominantly of physicians. What statement made by the nurse could be helpful in changing the administrator's mind? a. "The physicians I talked to don't mind if I am on the committee." b. "I wont take part in the discussion or votes; I just want to hear what is said at the meeting." c. "Nurses have a better idea of what is really going on with the client than do physicians." d. "Commissions supports involvement of nurses on institutional ethics committee."

d. "Commissions supports involvement of nurses on institutional ethics committee."

For which nurse would the concern about chemical abuse be most appropriate? a. A nurse who always comes to work 15 minutes early by bus. b. A nurse who arrives late for work with the excuse of a flat tire. c. A nurse who requests night shifts because of increasing financial responsibilities. d. A nurse who avoids colleagues and friends and has frequent mood swings.

d. A nurse who avoids colleagues and friends and has frequent mood swings.

What nursing responsibility derives from the ethical principles of beneficence and non-maleficence? a. Justice b. Faithfulness c. Honesty d. Advocacy

d. Advocacy

A nurse working in a rehabilitation center regards the work environment as not just the physical space but also the incorporation of chemical, biologic, and social contexts. Given this, the nurse is adhering to which nursing theorist's definition for environment? a. Jean Watson b. Martha Newman c. Martha Rogers d. Dorothea Orem

d. Dorothea Orem

A client has been admitted to the coronary care unit (CCU) following myocardial infarction (MI). Which environmental element will affect the nurse and the client when care is being providing in the CCU? a. Age of onset b. Health condition c. Insurance coverage d. Frequent interruptions

d. Frequent interruptions

Healthy People 2010, 2020 and 2030 have all built on the work developed in the Healthy People 2000 documents. What are two overall goals identified in the HO document? a. Increased life expectancy and increased education and literacy levels b. Reduction or elimination of illness and improvement of the dissemination of health-related information c. Elimination of health disparities and improvement of access to quality health care d. Increased quality and years of healthy life and elimination of health disparities

d. Increased quality and years of healthy life and elimination of health disparities

How is the Code of Ethics for Nurses with Interpretive Statements most useful for nurses? a. It give direction for actions as related to specific cases of ethical dilemma b. It gives suggestions for use in cases of general-duty ethical dilemma c. It is best used to make suggestions to solve problems in critical situations d. It offers general guidelines for the ethical delivery of nursing care

d. It offers general guidelines for the ethical delivery of nursing care

When providing nursing care, intentional harm is always unacceptable. However, the risk of harm is not always clear. What normal principle is represented here by the duty to do no harm? a. Autonomy b. Beneficence c. Fidelity d. Non-maleficence

d. Non-maleficence

The nurse has assessed the client, has developed nursing diagnosis statements, and is now planning how to assist the client. If this nurse focuses on helping to enhance the client's self-care agency, which theorist is the nurse following? a. Roy b. Peplau c. Nightingale d. Orem

d. Orem

A nurse applies for a position on the cardiac care unit of a major suburban hospital. The nurse shares with the manager their nursing philosophy by stating that, "A client is a human being in need of care while in the hospital. It is my hope that I can provide quality nursing care with attention to the body, mind, and spirit of the individual, moving the client on a continuum to a state of health, and working with the environment to accomplish this task." What four elements are included in the nurse's philosophy? a. Personal knowledge, empirics ,aesthetics, andethics b. Health, empirics, environment, and personal knowledge c. Individual, environment, mission, and reflective thinking d. Person, health ,nursing, and environment

d. Person, health ,nursing, and environment

What is the framework for nurses to use for decision making in an ethical dilemma? a. The Nurse Practice Act b. The Bible c. The ANA Social Policy Statement d. The ANA Code of Ethics for Nurses

d. The ANA Code of Ethics for Nurses

Which option is a major element of informed consent? a. The client only needs to know the purpose of the treatment orprocedure. b. The consent must be given by family members as well as the client. c. The physician, the nurse, and the client must agree on the treatment or procedure. d. The consent must be given voluntarily.

d. The consent must be given voluntarily

What is the focus of client advocacy? a. Emphasis is on the correcting the clients reported weaknesses b. The nurse should influence the client to make the right decision c. The nurse is responsible for the clients health d. The focus is respect for the clients decision and enhancement of autonomy

d. The focus is respect for the clients decision and enhancement of autonomy

How do nurses practice acts regulate the practice of nursing within a state? a. By determining the accreditation standing of nursing programs b. By setting the requirements for licensure c. Through the development of client care policies and procedures d. Through regulation of institutional policies concerning the nurse's job responsibilities

d. Through regulation of institutional policies concerning the nurse's job responsibilities

To what does the moral principle of veracity refer to? a. Duty to do no harm b. Faithfulness c. Doing good d. Truth telling

d. Truth telling