Hesi Quiz: Professional Behaviors/Professionalism

When caring for a client who had abdominal intestinal surgery, which concept of postoperative management does the nurse recall?

Swallowing air causes gastric distention.

Which statement best describes the goal of psychiatric nursing?

To help people with existing or potential mental health problems

A client with cardiac failure is admitted to the hospital. The primary nurse is unable to provide care for the client. The nurse leader appoints the associate nurse to provide care to the client. Which strategy would the associate nurse implement in providing care to the client?

Work on the plan implemented by the primary nurse.

Which response would the nurse make to a client with schizophrenia who stops suddenly and replies slowly, "I'm standing here because Jesus told me to"?

"I didn't hear anyone talking; come with me to the community room."

Which member of the health care team would the nurse ask to serve as a witness when wasting unused morphine?

Licensed practical nurse (LPN)

Which fear is the inexperienced nurse most likely manifesting when she opts to begin a one-on-one therapeutic relationship with a depressed, withdrawn older client?

Saying the wrong thing to a more alert client

A client admitted for mitral valve surgery tells the nurse, "I am not worried at all about the surgery!" Which response by the nurse is best?

"I think you may still have questions about the surgery."

The nurse manager oversees an organization that provides secondary care for clients with cancer. Which service would be provided by this type of organization?

Teaching the client about prevention of infection

The nurse teaches a client who is concerned about hepatitis transmission routes. Which type of hepatitis spreads more frequently through food?

A

Which statement made by the nurse indicates being an effective community opinion leader?

"I will try to build a society that treats males and females equally."

A client with a gastric hemorrhage is scheduled to receive two units of whole blood. List the nurse's activities in the order that they will be performed when administering a blood transfusion.

1. Verify that a type and crossmatch blood sample has been sent to the laboratory. 2. Obtain venous access, preferably with a 19-gauge needle or larger. 3. Prime the blood infusion set tubing with normal saline at the bedside. 4. Ask another nurse to check the blood identification at the client's bedside. 5. Run the blood at a slower rate during the first 10 minutes of the transfusion.

How is the term beneficence in health ethics different from nonmaleficence?

Beneficence involves taking positive actions to help others whereas nonmaleficence is the avoidance of harm or hurt.

Which condition would the nurse question using a negative-pressure wound treatment device?

Hip wound with slight bleeding

A couple has made the decision to abort a fetus diagnosed with trisomy 18 through amniocentesis. Why is it important for the nurse to support the parents' decision to abort a fetus with a birth defect even if the nurse is morally opposed to abortion?

It is important for maintenance of the family equilibrium.

When the home care nurse calls to make an appointment for the initial visit with a client who has heart failure, the client reports that many family members are visiting today and requests that the nurse wait a week for the appointment. Which response by the nurse is best?

Tell the client that it might be helpful to talk with family members during the initial visit.

Which statements demonstrate acting in an appropriate manner in a professional environment? Select all that apply. One, some, or all responses may be correct.

- "Care that is consistent with my level of expertise would be provided." - "It is important to remember and follow the policies and procedures of the institution." - "I would use restraints on a client only after obtaining a written order from a primary health care provider."

Which response will the nurse manager use after overhearing a conversation between a nurse and a client that is focused on the details of their impending divorces?

Immediately ask to speak to the nurse privately and state that sharing such personal information is nontherapeutic and not acceptable.

The registered nurse (RN) is caring for a client who has severe abdominal pain. The RN plans to work with the assistance of an unlicensed nursing personnel (UNP). The RN starts the client care. Which tasks would the RN take into consideration when initiating the process of active delegation? Select all that apply. One, some, or all responses may be correct.

- Assessing the level of the client's abdominal pain - Directing the UNP to assist the client while toileting - Ensuring that the UNP is accountable for successful completion of the task

Which nursing activities are examples of primary prevention? Select all that apply. One, some, or all responses may be correct.

- Assisting with immunization programs - Facilitating a program about the dangers of smoking

When teaching a client with a new colostomy about appliance care and maintenance, which information would the nurse include? Select all that apply. One, some, or all responses may be correct.

- Change the ostomy pouch on a routine basis. - Replace the ostomy wafer weekly or sooner as needed. - Empty the ostomy pouch before exercise and at bedtime.

Which qualities would the nurse possess who is being selected as a leader of a nursing unit? Select all that apply. One, some, or all responses may be correct.

- Having adaptability to hospital rules - Encouraging the newly appointed nurses - Being aware about the events of the organization - Collaborating with the staff for decision-making

Which strategies would the nurse use to deal with burnout? Select all that apply. One, some, or all responses may be correct.

- Identify personal responses to daily work stresses. - Change to a nursing position on a low-stress unit. - Attend educational programs as often as possible. - Seek out professional and personal support systems. - Leave the work at work at the end of the shift.

Which action can the nurse manager take to reduce moral distress in the nursing staff? Select all that apply. One, some, or all responses may be correct.

- Providing additional staff whenever needed - Providing additional counselors for solving clients' family issues - Facilitating education for better communication among all levels of health care practitioners

Which assignments are appropriate when the head nurse of the emergency department (ED) is assigning duties to volunteer nurses to care for a group of clients injured in a mass casualty situation? Select all that apply. One, some, or all responses may be correct.

- The trauma nurse manager would organize ancillary services. - The medical-surgical nurse would recommend clients for discharge. - The ED nurse leader would direct the ancillary departments to deliver supplies.

The registered nurse (RN) is caring for a client according to the total client care model. Which activity performed by the nurse manager would be appropriate in this situation? Select all that apply. One, some, or all responses may be correct.

- Weighing the expense of an RN versus an LPN - Deciding the type of care provided by nursing assistive personnel

Which responsibilities would the nurse manager assume when leading a case-management system? Select all that apply. One, some, or all responses may be correct.

- Assessing the quality improvement constantly - Coordinating communication among all systems - Educating the staff of other departments about nursing care management (NCM)

Which statements are related to nursing roles and function changes in the health care organization? Select all that apply. One, some, or all responses may be correct.

- The conflict management technique is beneficial. - Society needs nurses who can engage in political policy development.

A client asks the nurse what causes myasthenia gravis. Which description of pathology would the nurse use in response to the client?

A decreased number of functioning acetylcholine receptor (AChR) sites

When the nurse conveys a willingness to listen and a genuine desire to view the client in a respectful manner, which underlying principle is the nurse using to establish a therapeutic nurse-client relationship?

Caring is the underlying component of nursing that promotes client care.

While in the postanesthesia care unit after surgery to create a colostomy, a client requests that no one be allowed to visit. To support the client, which action would the nurse take?

Give assurance of respect for the client's wishes.