Red, White, and Wine

A nurse assumes a value of word while working with clients. Which describes the nurses word for protecting a client and supporting the client decision?

Advocate

While being assisted to the bathroom, the client falls and fractures the right femur. They plan to sue the nurse. Which standard is used in legal proceeding to determine if nurse is negligent?

Another nurse offers testimony about how a reasonable nurse would handle the situation

A nurse manager observes an unknown man in a laboratory coat making copies of a client's medical record. Which action should the nurse plane to take first?

Approach the man and ask why he is making copies

A nurse is interviewing a Hispanic client whose partner answerers the questions as she speaks little English. Which actions should the nurse take?

Arrange to complete the assessment only with the client & interpreter

A nurse report an incidence of child abuse. One of the parents becomes upset demanding to know the reason. Which response is appropriate?

As a nurse, I am required by law to report suspected child abuse

A practical nurse handing his shift report over to the RN states that the AP has not calculated the anticanal post of several patients. Which action should the RN take?

Ask the AP if he needs assistance

A nurse is caring for an older adult client with a terminal illness, ventilator dependent, alert, oriented, and want to discontinue the ventilator. Continuous treatment violates which principle?

Autonomy

A nurse is caring for a client crying during a sickle cell crisis. Pain medication was prescribed. Which ethical principle did the nurse follow?

Beneficence

a nurse is caring for a client whose family member request to view the medical record. What response should the nurse make?

Client must grant permission to share records with you

The nurse witness a patient sign a pre-op consent form. The nurse's signature indicates?

Confirm the client of being competent to provide consent

A manager on an oncology unit has two potential candidates for a position and and ask the charge nurse and staff nurses to interview the candidates and provide feedback, on which one to hire. Manager is showing which leadership style?I

Democratic

A nurse manager is reviewing good samaritan laws to newly licensed nurses. Which of the following statement made by manager is appropriate

Do not leave the scene

A nurse is caring for a client who takes warfarin with an INR of 2.5. They plan to leave the hospital & refuse to wait until the HCP can discuss the situation. Which action is appropriate?

Explain the risks faced when leaving against the hospitals advice

In prep for a client who needs surgery, which action is outside the nurse's responsibility?

Explaining the operative procedures risks and benefits

One of the most commonly used tools in strategic planning in healthcare organizations in SWOT analyze. What does O mean?

External conditions that promote achievement of organizational objects

A client is refusing treatment & asks to be discharged from the hospital AMA. The provider is notified & tells the nurse to restrain if necessary. Which tort is this an example of?

False imprisonment

A nurse is in the providers office returns a telephone call by the end of the day as promised, to a client who is worried about the outcome of their lab results. Nurse is demonstrating which of the ethical principals?

Fidelity

nurse is supervising a PN who is providing care who is post op. which of the following client statement by the client requires the nurse to follow up with the PN?

I have not received any medications today"

A nurse caring for a client with a healthcare proxy requests clarification of this advance directive. Which statement indicates a need for clarifications?

I have to choose a family member as my health proxy

A charge nurse observes a staff nurse delegating an unfair share of tasks to an AP. Nurses on the next shift report the same nurse frequently leaves task un completed. Which statement should the charge make to the RN when confronting.

I need to talk to you about the units expectations regarding delegation

A nurse working on the surgical unit receives a phone call from a client's neighbor who requests a postop update of the client's condition. Which action by the nurse is appropriate?

Inform the neighbor that you do not have the information about the client

An informed consent has been signed for a procedure. The client states that they have decided not to do the procedure. Which action should the nurse take?

Inform the provider that the client is withdrawing consent

A nurse is caring for a client with a spinal vertebrae compression fracture. During transport, they were medicated with IV morphine. Upon arrival, urgent surgical intervention is needed. Staff members have been unable to reach the client's family. Which action should the nurse anticipate the neurosurgeon taken?

Invoking implied consent

A nurse is greeted by a messenger who has flower for a client who says, "I know Mrs. Wrich from the neighborhood, what happened to her?" Which response should the nurse provide?

It is my responsibility that we respect our client's privacy

A nurse accidentally administered a wrong medication which resulting in a severe allergic reaction and prolonged hospital stay. The nurse could be sued for?

Malpractice

A nurse leaves the unit without permission or notification to the charge nurse of her clients. Although her clients are stable which legal tort applies to the situation?

Negligence

An inform consent is completed when a client states, "I have changed my mind, I do not want the procedure." What action should the nurse take?

Notify surgeon that the client wants to withdraw the inform consent for the procedure

A nurse caring for 17 yrs. old experiencing a leukemia relapse is refusing treatment. The mother insist on treatment. Which action should the nurse take?

Notify the provider of the situation

Nurse manager is observing the care provided by a nurse who is orientation to the unit. which of the following actions by the nurse indicated that the manager should intervene?

Nurse uses clients telephone number for one form of identifiation administerating medication to client -validate the signiture is authantic when

An RN is delegating tasks to his team. What should he delegate to the PN?

Obtain vital signs for patients that are stable 2 hrs. after cardiac catheterization procedure

A nurse is discussing legal expectation & confidentiality with the nursing staff. Which statement indicates an understanding of the instruction?

Providers are required to warn individuals if the client threaten harms

A nurse overhears 2 AP's discussing a hospitalized client in the cafeteria. What is priority?

Quietly tell the AP that this is not appropriate

A nurse is documenting information in a computerized record. Which action jeopardizes client's confidentiality?

Sharing computer password with coworkers

A nurse is taking care of a client who has hip fracture & requires surgical repair. Who is responsible for obtaining informed consent ?

Surgeon

What should be considered when delegating a task to an AP using the 5 rights of delegation?

The AP has the knowledge and skills to perform the task

A nurse caring for a client with a history of dementia is alert and oriented to person, place, and time. In his advanced directive, the client is scheduled for a procedure that requires informed consent. Who signs the consent?

The client

A nurse is proving instructions regarding confidentiality to a newly licensed nurse. Which statement by the new nurse indicates understanding?

The court might require me to discuss confidential information

A nurse administers a contraindicated medication. The client does not experience any side effects. An incident report was not completed because no harm was done. Which ethical principle did the nurse violate?

Veracity - telling the truth

A charge nurse observes a staff nurse delegate an unfair share of task to the AP. The next shift nurse indicates that the staff nurse frequently leaves task uncompleted. Which statement shows the charge nurse confronting the staff nurse about the situation?

We need to discuss unit expectation, delegating & completing task

Non-Maleficence should be incorporated into a dying client how?

Withholding narcotics when they have respiratory depression

A nurse is caring for an older adult client who is disoriented and and has a history of falls , which is the following action should the nurse take? ( select all)

_check on client hourly - instruct client to use call light

A nurse is teaching a class on TORTS the nurse should include which of the following situations is an example of Negligence?

a nurse identifies the absence of a peripheral pulse on an extremity in the early morning and repots in the early afternoon

A nurse manage observes an unknown man in a lab coat making copies of client medical records. What actions should the nurse take?

approach man ask why he's making copies

A client is interviewing who is hispanic, the clients partner answers and says she specks very little english. Which of the following actions should the nurse take?

arrange to complete an assessment with only the client and translator present

A nurse is caring for a client crying in pain during sickle cell crises. which ethical principal does the nurse follow by administer pain med

beneficence

a nurse assisting a newly licensed nurse about delegating task to an AP on the unit. Which is the following the purpose of delegation?

delegation permits a designed individual to meet goal on her behalf

A nurse is caring for a client who is schedule surgery , the nurses role in regarded to inform consent to is which of the following.

determine the clients level of understanding about the procedure

a graduate nurse is told that a prospective nurse managers leadership style is one of letting staff nurses make the decisions about the units operations . when the grad nurse meets the nursing staff on the unit which questions should the grad nurse ask to confirm that the nurse manager style is Lassie fair?

does manager decision making by the group

The nurse is a member of the nursing staff at a hospital that is undergoing significant organizational change. which factor is the greatest contributor to the resistance encountered with organizational change?

employee mistrust of management

A nurse is preparing to administer prescribed medication to a client to demonstrate advocacy, which action should the nurse include in the clients plan of care?

encourage the client to verbalize questions

During medication administration a nurse is hit by a client who is confused and uncooperative. The nurse asks the charge if wrist restraints can be applied. Apply wrist restraints to a client is an example of which type of tort?

false imprisonment

charge nurse plans to use affective change strategies, when implementing a change in the nursing procedure in the med surg unit, which of the following actions support by KURT LEWIN model, should the charge take during the movement of change.

implement a time table and set target dates

A nurse is reviewing information about the health insurance probability and accountability (HIPAA) with newly licensed RN. Which of the following statements by the new RN indicate need further instruction?

information of a client can be disclosed to a family member at any time

A nurse is reviewing a providers prescriptions for four clients, Which is outside the label scope of practice for the nurse.

inserts a tunneled central cath

A nurse ins the ER is caring for a client who has a compression fracture of a spinal vertebra, during transport to the facility the client was given medicated with morphine. on arrival surgeon determine urgent surgical intervention is indicated for the fracture. Nurses are unable to get ahold of clients family. What should nurse anticipate the provider will do?

invoking imply consent

A healthcare prescribes a central IV inserted for a new client. the assigned nurse has not assisted with this before and ask the charge nurse for assistance . which one indicates that the charge nurse is using transformational style of leadership and management?

lets go get the supplies that you need, I want you to assist the provider , I will be there to walk you through

Following ... which of the following which of the clients assigned to her care can be discharged to free up beds for injured clients. which of the following clients should discharge? (in an emergency situation I think a tornado)

middle age , 36 hours post op open ilectomy

A nurse leaves a unit an hour early without permission or notification of the charge nurse. The clients in the nurses care are stable, which torts apply to the situation?

negligence

A nurse manager evaluating a new grad after graduation , which behavior demonstrates the nurses complidences as an emotional intelligent quality?

nurse advocates for team members

nurse check with AP on the unit throughout the shift if they are completing the task . the nurse is demonstrating which of the following rights of delegation?

right supervision

A nurse is caring for a client who falls in his room, after the nurse assess the client notifies the provider and completes an incident report. which of the following actions should the nurse take

submit report to nurse manager

A nursing director at a long term care hospital plans to initiate staffing changes. nursing director wants to use KURT LEWIN theory . what are the 3 phases?

unfreezing -movement -refreezing

Which of the following task should the nurse delegate to the LPN? SATA

- Obtain vital signs from a client who is 6hrs post-operative - Administer a tap water enemas to a client who is post-operative - Catheterize a client who has not voided in 8hrs

A nurse is obtaining pre-op informed consent. Which actions are taken? SATA

- Validated the signature is authentic - Verify the client understands the surgical procedure - Confirm that the consent is voluntary

A nurse and an experienced LPN are caring for a group of client. Which of the following task should the RN delegate to the LPN? (select all)

- cath a client hasnt voided -obtain VS of a 6 hour post op pt - give tap enema to a preop client

A nurse hears a healthcare provider say to the charge nurse " I dont want same nurse caring for my clients because that nurse is stupid and wont follow my prescriptions." The provider also writes in clients medical records that the same nurse by name is not to care for any of his clients because the nurse is incompetent. What component of defamation (?) has the provider committed ? (select all)

- slander - libel

A nurse is preparing to administer an enteral feeding via NG, Identify the correct sequence the nurse should follow to initiate the feeding? (move the steps)

-Verify the placement -Check the residual feeding contents -Administer the feeding -Evaluate tolerance to the feeding

A nurse is planning to assign care activities to an AP on her team. Which activities can the RN assign to the AP? (select all)

-check position of client who has soft wrist restraints - sit with client who has alcohol use disorder and hasnt drank for 5 days - accompany a client who has depression to PT

A nurse on the medical surgical unit is assigning task to an AP. Which of the following task to delegate to the AP (select all the apply)

-record urinary output -transfer client to stretcher -ambulate client who has a cane

A nurse find that a client did not receive a schedule dose of furosemide. Which of the following should the nurse include in the incident report. (select all)

-time client was to receive the med - client vital signs - the date of the incidence