chapter 6 craven questions
Which best defines value clarification? -A process by which people come to understand their own values and value systems - A belief about the worth of something, about what matters, that acts as a standard to guide one's behavior -An organization of values in which each is ranked along a continuum of importance, often leading to a personal code of conduct -A systematic inquiry into principles of right and wrong conduct, of virtue and vice, and of good and evil, as they relate to conduct
-A process by which people come to understand their own values and value systems
While communicating with a client, the nurse uses words and gestures to get the purpose translated. The nurse is engaged with which element of communication? -communication channel -encoding -decoding -feedback
encoding
The nurse is reporting to an oncoming nurse about the care of a client using the SBAR format. The nurse informs the oncoming nurse that the client should continue to have neurolgoical checks every 2 hours and the nurse should report any alterations to the health care provider. In which section should this information be relayed?
reccomendation
A nurse is caring for a client newly diagnosed with type 1 diabetes. The nurse will gain additional valuable information about the client's health status and educational or counseling needs by asking which question? -"Were you able to order your lunch for today?" -"Are you experiencing nausea, vomiting, or diarrhea?" -"Can you tell me the difference between diabetes mellitus and diabetes insipidus?" -"Earlier you said your father had a few toes amputated; are you worried the same thing will happen to you?"
-"Earlier you said your father had a few toes amputated; are you worried the same thing will happen to you?"
A nurse is on lunch break in the hospital cafeteria and sits at a table near a group of physicians eating their lunch. One of the physicians, who is in charge of the nurse's clients, points at the nurse and states, "That guy needs to get fired." The best response by the nurse would be to: -call the nursing supervisor to address the situation at hand. -ask to speak to the physician in private and address the disrespectful remark. -return to the nurse's home unit and ask to meet with the charge nurse. -write a written account of what transpired and contact an attorney.
ask to speak to the physician in private and address the disrespectful remark
The nurse interviews a client during which step of the nursing process? -planning -assessing -evaluating -diagnosing
assessing
A nurse working in a coronary care unit resuscitates a client who had expressed wishes not to be resuscitated. Which tort has the nurse committed? -breach of duty -assault -battery -slander
battery
Which aspect of nursing would most likely be defined by legislation at the state level? -Differences in scope of practice between registered nurses and licensed practical nurses -Criteria that a nurse must consider when delegating tasks to unlicensed assistive personnel -Criteria that clients must meet to qualify for Medicare or Medicaid -The process that nurses must follow when handling and administering medications
differences in scope of practice between registered nurses and licensed practical nurses
A nursing instructor is describing values and how they can reflect a person's age and stage of development. The sense of self that underlies value formation is normally completed by: -early childhood -early adolescence -early adulthood
early adulthood
The nurse beginning practice would like to access the standards for ethical practice. Which organization should the nurse research for these standards?
international council of nurse
A nurse who has been caring for a client for the past few days is preparing the client for discharge and termination of the nurse-client relationship. Which activity would the nurse be carrying out during this phase of the relationship? -reviewing health changes -developing solutions that will be enacted -establishing trust and rapport
reviewing health changes
A nurse who has been caring for a client for the past few days is preparing the client for discharge and termination of the nurse-client relationship. Which activity would the nurse be carrying out during this phase of the relationship? -Reviewing health changes -Attending to physical health care needs -Establishing trust and rapport -Developing solutions that will be enacted
-Reviewing health changes
The nurse-client relationship depends on communication. Effective communication between the nurse and the client encompasses which aspects? Select all that apply. -spoken words -intuition -sight -telepathy -touch -observation
-spoken words -sight -touch -observation
The nurse is caring for a client who speaks Chinese, which the nurse does not speak. An appropriate approach to communicating with this client would be: -using a caring voice and repeating messages frequently. -speaking directly and loudly to the client. -avoiding the use of gestures or play-acting. -writing messages for the client and offering a dictionary for translation.
-using a caring voice and repeating messages frequently.
A client has just been given a diagnosis of cirrhosis of the liver. Which statements by the nurse should be avoided because they could impede communication? Select all that apply. -"Cheer up. Tomorrow is another day." -"Your doctor knows best." -"That's a lot of information to take in. Would you like to talk about it?" -"Don't worry. You will be just fine in another day or two." -"Everything will be all right."
"Cheer up. Tomorrow is another day." "Your doctor knows best." "Don't worry. You will be just fine in another day or two." "Everything will be all right."
A client arrives at the emergency department after experiencing several black, tarry stools. The nurse should assess for the cause of the client's complaint by: -asking the client to provide a stool specimen for guaiac testing. - asking the client whether the client has recently taken ferrous sulfate (iron) or bismuth subsalicylate. -determining whether the client has any food or drug allergies. -insisting that the client not eat or drink anything until further instructed.
- asking the client whether the client has recently taken ferrous sulfate (iron) or bismuth subsalicylate.
An older adult client is advised to undergo a 12-lead ECG assessment. The client seems to be anxious because this is the first time he is undergoing such a procedure. What explanation should the nurse provide to the client? -"You should lie still when the ECG is recorded; otherwise, the recording may be wrong." -"The procedure is of very short duration; it will take only 20 minutes to finish." -"The ECG electrodes are painless and will record electrical activity of the heart." -"Try not to be anxious; the test will give information about your heart to the doctor to guide treatment."
-"The ECG electrodes are painless and will record electrical activity of the heart."
Which statements describe the qualities of a helping relationship? Select all that apply. -The helping relationship occurs spontaneously. -The helping relationship is characterized by an equal sharing of information. -The helping relationship is built on the client's needs, not on those of the helping person. -A friendship must develop from an effective helping relationship. -A helping relationship is dynamic. -A helping relationship is purposeful and time limited.
The helping relationship is built on the client's needs, not on those of the helping person. A helping relationship is dynamic. A helping relationship is purposeful and time limited.
Which best defines value clarification? -A process by which people come to understand their own values and value systems -A belief about the worth of something, about what matters, that acts as a standard to guide one's behavior - An organization of values in which each is ranked along a continuum of importance, often leading to a personal code of conduct - A systematic inquiry into principles of right and wrong conduct, of virtue and vice, and of good and evil, as they relate to conduct
a process by which people come to understand their own values and value systems
An illegal 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 - Avoiding treating the client so as to not do any additional harm -Filing the paperwork for the client to receive retroactive health insurance - Telling the client honest information about the client's medical condition and prognosis
airlifting the client to a local trauma center for emergency surgery
A client arrives at a crisis center in a state of bipolar mania. The client has a flight of ideas and it is difficult for the nurse to obtain an adequate intake assessment. Which statement or question will elicit the most specific information? -are you allergic to any medicaitions -tell me about a time in your life when you were happy -describe why people in glass houses should not throw stones -what do believe caused this current manic episode
are you allergic to any medications
A nurse who provides the information and support that clients and their families need to make the decision that is right for them is practicing what principle of bioethics? -fidelity -autonomy -justice -nonmaleficience
autonomy
A client has been in the emergency department for 3 hours for treatment of a migraine headache. Care has been delayed due to a multicasualty car accident. The client gets up to go to the bathroom unattended, faints, and suffers a subdural hematoma. The family threatens to sue for malpractice. Which element of malpractice will be the most difficult for the attorney to prove? -causation -damages -breach of duty -duty
causation
Which nursing role is primarily performed during the working phase of the helping relationship? -leader -counselor -manager -researcher
counselor
A nurse is arrested for possession of illegal drugs. What kind of law is involved with this type of activity?
criminal
Which term describes a nurse who is sensitive to the client's feelings, but remains objective enough to help the client achieve positive outcomes? -Competent -Caring -Honest -Empathic
empathic
A nurse caring for an unconscious client knows that communication is important even if the client does not respond. Which nonverbal action by the nurse would communicate caring? -Making constant eye contact with the client -Waving to the client when entering the room -Sighing frequently while providing care -Holding the client's hand while talking
holding the clients hand while talking
Which action most clearly demonstrates a nurse's commitment to social justice? -Lobbying for an expansion of healthcare resources and benefits to those in poverty -Ensuring that a hospital client's diet is culturally acceptable - Answering a client's questions about care clearly and accurately - Documenting client care in a timely, honest, and thorough manner
lobbying for an expansion of healthcare resources and benefits to those in poverty
A home care nurse discusses with a client when visits will occur and how long they will last. In what phase of the nurse-client relationship is this type of agreement established? -Orientation phase -Working phase -Termination phase -Evaluation phase
orientation phase
A home care nurse discusses with a client when visits will occur and how long they will last. In what phase of the nurse-client relationship is this type of agreement established? -Orientation phase -Working phase -Termination phase -Evaluation phase
orientation phase
Which is an example of nonmaleficence? -administering pain meds to a client in pain -protecting clients from a chemically impaired practitioner -performing dress changes
protecting clients from a chemically impaired practitioner
The nurse is reporting to an oncoming nurse about the care of a client using the SBAR format. The nurse informs the oncoming nurse that the client should continue to have neurolgoical checks every 2 hours and the nurse should report any alterations to the health care provider. In which section should this information be relayed? -situation -background -assessment -reccomendation
reccomendation
A client is reluctant to undergo surgery and is discussing it with the nurse. Which response by the nurse would reflect an authoritarian approach? -"Surgery is your only option. You need this operation." -"If you don't have the surgery you may not live. Your family needs you." -"It's your choice about the surgery. What do you understand about the situation?" -"Your grandchildren would be very upset if they lost their grandfather."
surgery is your only option you need this operation
A client who is cognitively impaired is scheduled to undergo surgery. The nurse demonstrates understanding of the principle of autonomy and checks the client's health record to ensure that consent has been obtained from which person? -client -surrogate decision maker -operating surgeon -attending nurse
surrogate decision maker
A nurse is applying for professional liability insurance. The nurse knows that professional liability insurance is important for which reason? -to obtain sound compensation -to be familiar with legal mechanisms -to upgrade professional knowledge -to obtain free medication for family
to be familiar with legal mechanisms
The nurse has engaged the services of an interpreter when interviewing a client who speaks a language that the nurse does not understand. The interpreter is functioning in which role during the communication process? -Sender -Encoder -Receiver -Communication channel
communication channel
The nurse has engaged the services of an interpreter when interviewing a client who speaks a language that the nurse does not understand. The interpreter is functioning in which role during the communication process? -receiver -communication channel -encoder -sender
communication channel
which is the nurses best legal safeguard -competent practice -written or implied contracts -collective bargaining -client education
competent practice
A client has cancer, but the significant other does not want the client to know the diagnosis. The nurse demonstrates sensitivity to the significant other and works with the couple to achieve desired outcomes. What kind of behavior is the nurse exhibiting? -empathy -sympathy -curiosity -humility
empathy
A client has just been diagnosed with cancer. As part of the plan of care, the nurse attempts to explore the client's feelings about the diagnosis to foster looking at alternatives. The nurse implements this action based on the understanding that looking at alternatives promotes: -exploration of options for the client's consideration. -sharing of information about the client's health. -assistance for the client to put unclear thoughts into words. -aid for the client to describe concerns and problems.
exploration of options for the clients consideration
A public health nurse is involved in planning a community outreach program for a large assisted living community. Due to the aging population within the community, the program will offer hypertension screening and management. This decision is based on which principle? -autonomy -utilitarianism -veracity -nonmaleficence
utilitarianism
A client comes to the clinic reporting abdominal pain. Which question would be most appropriate for the nurse to ask to facilitate the assessment? -"Do you have sharp, stabbing pain?" -"Is the pain associated with meals?" -"What activities exaggerate the pain?" -"Does the pain increase on palpation?"
what activities exaggerate the pain
A nurse is caring for a client who is in delirium. The client tells the nurse that there are spiders on the wall and all over the room. What is the most appropriate response by the nurse to the client? -You are having a hallucination; there are no spiders on the wall." -"Do you want me to kill the spiders that are crawling on the wall?" - "I can see the spiders, but they are not going to harm you." -"I know that you are frightened, but there are no spiders on the wall."
"I know that you are frightened, but there are no spiders on the wall."
Which is a characteristic of a person-centered or helping relationship? -a focus on the needs of the helping person -an unequal sharing of info -the accountability of the person being helped for the outcomes of the relationship -spontaneous occurrence with random individuals
an unequal sharing of info
A nurse and client are in the working phase of the helping relationship. What outcome statement developed by the nurse and client correlates with this phase? -The client will express feelings and concerns to the nurse. -The client and nurse will establish goals of the relationship. -The nurse and client will determine where and when they will meet. -The client will identify the goals that have been accomplished during the relationship.
the client will express feelings and concerns to the nurse
Which best describes an element of the nurse-client relationship? -The nurse self-discloses only what is necessary for the client's benefit. -The nurse and client have a conversation for mutual companionship, enjoyment and interaction. -The client shares life events and activities for the nurse's benefit. -The nurse and client have a conversation with the goal of forming a more intimate relationship.
the nurse self-discloses only what is necessary for the clients benefit
Which phrase best describes a value? -questions about how one should act and live -the process by which one decides what is important in life - a belief about the worth of something to guide behavior -dispositions of character that motivate goodness
a belief about the worth of something to guide behavior