Prepu Foundations Test 5 Questions
What is the term for the beliefs held by the individual about what matters?
Values
The nurse cares for a client who is a member of a different culture from the nurse's. Which question is most important for the nurse to ask to assess the client's beliefs about treatment?
What are your expectations about being in the hospital?
A nurse working in a critical care unit has experienced personal tragedy, extreme shortage of staff in the work environment, and health issues. The nurse has overcome much of these hardships and is now mentoring other nurses in similar situations. What behavior is this nurse demonstrating?
moral resilience
Informing the health care provider that the client's antipsychotic medications are causing suicidal ideations
nonmaleficence
Putting the client's scheduled furosemide on hold because of hypokalemia
nonmaleficence
The nurse is caring for several clients of different cultures. Which client situation would the nurse recognize as the client with highest risk of culture shock?
the client from Ethiopia states, "All these machines attached to me scare me and I need to get them off."
A student nurse is not looking forward to clinical rotation on a geriatric unit, stating "How can I get them to move faster? They always seem so slow!" How should the instructor respond?
"Be careful of the negative attitude in your approach. How fast an individual moves will depend on physical ability not necessarily age."
A nurse is researching information about the different cultures of the population served by the facility. Which aspects of culture would be important for the nurse to keep in mind when learning about them? Select all that apply.
-language is a means for communicating culture. -culture facilitates self-worth and self-esteem.
A nurse is assessing a client and determines that the client belongs to a minority group. Based on the nurse's understanding about marginalized identity groups, the nurse would anticipate that the client would likely experience which effects? Select all that apply.
-less power -health disparities
A nurse caring for clients of different cultures in a hospital setting attempts to make eye contact with clients when performing the initial assessment. What assumption might the nurse make based on common cultural practices?
A Muslim-Arab woman refuses to make eye contact with her male nurse. Assumption: She is being modest.
When conducting an education program for a group preparing for retirement, the nurse would include information about applying for Social Security benefits and Medicare insurance. The nurse would include in the education that Medicare is a federally funded insurance program which bases the fee for payment on what?
A prospective payment plan based on a predetermined fixed cost
Which process evaluates and recognizes educational programs as having met certain standards?
Accreditation
Which example best describes feminist ethics?
An approach critiquing existing patterns of oppression and domination in society
A client diagnosed with cancer has met with the oncologist and is now weighing whether to undergo chemotherapy or radiation for treatment. This client is demonstrating which ethical principle in making this decision?
Autonomy
A nurse obtains an order for a bed alarm for a confused client. This is an example of which ethical principle?
Paternalism
The nurse is attempting to clarify the values of an adolescent client. The nurse should identify what factor as having the greatest influence on an adolescent's value formation during this developmental stage?
Peers
During a home care visit to a home-bound older client, the client's spouse, who is the caregiver, verbalizes anger, fatigue, and sleeplessness. Which recommendations by the nurse would be most effective in relieving caregiver role strain?
Respite Care
A nurse, while off-duty, tells the physiotherapist that a client who was admitted to the nursing unit contracted AIDS due to exposure to sex workers at the age of 18. The client discovers that the nurse has revealed the information to the physiotherapist. With what legal action could the nurse be charged?
Slander
A client is seeking care at the local clinic. The nurse is completing a cultural assessment. Which scenario would demonstrate cultural assimilation?
The client's child learned the dominant language as a second language.
Professional regulations and laws that govern nursing practice are in place for which reason?
To protect the safety of the public
What would be an example of the nurse practicing fidelity?
the nurse stays with the client during death as promised
Which action would cause a charge nurse to have concerns about a nurse's moral agency?
the nurse was seen at a grocery store after calling in sick
What is a characteristic of the care-based approach to bioethics
the promotion of the dignity and respect of clients as people
What is a characteristics of the care-based approach to bioethics?
the promotion of the dignity and respect of clients as people
Nurses who value client advocacy follow what guideline?
they give priority to the good of the individual client rather than to the good of society in general
A nurse is providing care to a client with end-stage cancer. After weighing the alternatives, the client decides not to participate in a clinical trial offered and is requesting no further treatment. The nurse advocates for the client's decision based on the understanding that the client has the right to self-determination, interpreting the client's decision as reflecting which ethical principle?
Autonomy
Which behavior by the nurse is stereotyping?
Avoiding clients who are elderly because their care is time consuming. Explanation: Avoiding elderly clients because their care is time consuming is stereotyping. This is a mistaken belief and an overgeneralization. Some elderly clients are very healthy. Ridiculing acupuncture is cultural conflict. Assuming that Western medicine is superior is cultural blindness. Grouping care assignments to allow ample time to provide care is an appropriate strategy in time management.
An RN enters a client's room and observes the unlicensed assistive personnel (UAP) forcefully pushing a client down on the bed. The client starts crying and informs the UAP of the need to go to the bathroom. What action is the RN witnessing that should be immediately reported to the supervisor?
Battery
The nurse is providing care to a client who had orthopedic surgery. The nurse has medicated the client for pain. However, the client reports that the pain is unrelieved. The nurse takes no further action regarding assessment and intervention for the client's pain. The nurse does not notify the surgeon regarding the client's pain. The nurse's failure to take further action represents which element of liability in this case?
Breach of Duty
A client states that the client's recent fall was caused by his scheduled antihypertensive medications being mistakenly administered by two different nurses, an event that is disputed by both of the nurses identified by the client. Which measure should the nurses prioritize when anticipating that legal action may follow?
Document the client's claims and the events surrounding the alleged incident.
The nursing researcher is studying so-called "unnatural illnesses." What cause of such illnesses would be included in the study?
Witchcraft
What is the priority assessment for the nurse when developing a plan of care for a client living in poverty?
access to care
A client tells the nurse that the client does not want to have a painful procedure. By respecting and supporting the client's right to make decisions, the nurse is demonstrating:
advocacy
An undocumented immigrant with no health insurance sustained life-threatening injuries in an automobile accident. Which action in this case demonstrates the ethical principle of justice?
airlifting the client to a local trauma center for emergency surgery
Which scenario is an example of cultural competence in nursing?
attending a conference for cultural diversity
Answering all of the client's questions about their care before obtaining consent to proceed
autonomy
Providing information in the client's primary language to ensure the client's full understanding
autonomy
Withholding a medication after the client has refused and notifying the health care provider
autonomy
The nurse is preparing the discharge plan for a new mother and her newborn son. Which new teaching should the nurse ensure is included after noting the family is Jewish?
care following the scheduled circumcision
A client is admitted with end-stage pancreatic cancer and is experiencing extreme pain. The client asks the nurse whether an acupuncturist can come to the hospital to help manage the pain. The nurse states, "You won't need acupuncture. We have pain medications." Which characteristic has the nurse displayed?
cultural imposition
The client is admitted to the hospital with a ruptured ovarian cyst. The client has expressed that it is very important that the spouse be present to receive all medical information. Using the concepts of culturally competent care, which is the best response?
document the client's request in the nursing care plan
Which nursing intervention reflects practice according to Madeline Leininger's transcultural nursing theory?
incorporating the client's request for complementary treatment therapy
A nurse reports to the charge nurse that a client medication due at 9 am was omitted. Which principle is the nurse demonstrating?
integrity (honest morals)
Which nursing action displays linguistic competence?
learning pertinent words and phrases in the client's language
The nurse is caring for a client who perceives time differently. What action should the nurse take for this client?
maintain flexibility when the client requests interventions at specific times.
The nurse has identified an ethical dilemma that has the potential to interfere with a client receiving optimal care. The nurse discussed this issue with the charge nurse on the unit. What action should the nurse choose next?
monitor for resolution of the problem
