NRSG 1500 Final (New Topics)

Which nursing action establishes the nurse as a caregiver for a client in spiritual distress? a. Provides therapeutic treatment to the client b. Teaches the client about signs of spiritual distress c. Communicates the wishes of the client to family members d. Collaborates with the agency chaplain to pursue the best treatment plan

A. Provides therapeutic treatment to the client

Resolution of an ethical problem involves discussion with the patient, the patient's family, and participants from appropriate health care disciplines. Which statement best describes the role of the nurse in the resolution of ethical problems? a. To articulate the nurse's unique point of view, including knowledge based on clinical and psychosocial observations b. To study the literature on current research about the possible clinical interventions available for the patient in question c. To hold a point of view but realize that respect for the authority of administrators and health care providers takes precedence over personal views d. To allow the patient and the health care provider private time to resolve the dilemma on the basis of ethical principles

A. To articulate the nurse's unique point of view, including knowledge based on clinical and psychosocial observations

A nurse is caring for a patient who has just had a near-death experience (NDE) following a cardiac arrest. Which intervention by the nurse best promotes the spiritual well-being of the patient after the NDE? a. Allowing the patient to discuss the experience b. Referring the patient to pastoral care c. Having the patient talk to another patient who had an NDE d. Offering to pray for the patient

A. Allowing the patient to discuss the experience

Which action would the nurse take to comply with the ethic of nonmaleficence in the health care setting? a. Focus on doing no harm b. Keep promises made to clients c. Respect the autonomy of clients d. Keep the best interests of the client in mind

A. Focus on doing no harm

Which explanation provided by the nurse is the most accurate meaning for "providing culturally congruent care"? a. It fits the patient's valued life patterns and set of meanings. b. It is the same set of values as those of the health care team member providing daily care. c. It holds one's own way of life as superior to those of others. d. It redirects the patient to a more socially expected set of values.

A. It fits the patient's valued life patterns and set of meanings

During a nursing assessment a patient displayed several behaviors. Which behavior suggests the patient may have a health literacy problem? a. Patient has difficulty completing a registration form at a medical office b. Patient asks for written information about a health topic c. Patient speaks Spanish as primary language d. Patient states unfamiliarity with a newly ordered medicine

A. Patient has difficulty completing a registration form at a medical office

Which question would the nurse ask while assessing a Hispanic woman with depression for the risk of self-harm? a. "When did you last spend time with friends?" b. "How do you express yourself when you're angry?" c. "When did you first notice that you were depressed?" d. "Do you have interests outside your work and home?"

B. "How do you express yourself when you're angry?"

A nurse contacts the health care provider about a change in a patient's condition and receives several new orders for the patient over the phone. When documenting telephone orders in the EHR, what should the nurse do? a. Print out a copy of all telephone orders entered into the EHR in order to keep them in personal records for legal purposes. b. "Read back" all telephone orders to the health care provider over the phone to verify all orders were heard, understood, and transcribed correctly before entering the orders in the EHR. c. Record telephone orders in the EHR but wait to implement the order(s) until they are electronically signed by the health care provider who gave them. d. Implement telephone order(s) immediately but insist that the health care provider come to the patient care unit to personally enter the order(s) into the EHR within the next 24 hours.

B. "Read back" all telephone orders to the health care provider over the phone to verify all orders were heard, understood, and transcribed correctly before entering the orders in the EHR.

A nurse received change-of-shift reports on these four patients and starts rounding. Which patient does the nurse need to focus on as a priority? a. A patient who had abdominal surgery 2 days ago and is requesting pain medication b. A patient admitted yesterday with atrial fibrillation who now has a decreased level of consciousness c. A patient with a wound drain who needs teaching before discharge in the early afternoon d. A patient going to surgery for a mastectomy in 3 hours who has a question about the surgery

B. A patient admitted yesterday with atrial fibrillation who now has a decreased level of consciousness

When designing a plan for pain management for a patient following surgery, the nurse assesses that the patient's priority is to be as free of pain as possible. The nurse and patient work together to identify a plan to manage the pain. The nurse continually reviews the plan with the patient to ensure that the patient's priority is met. If the nurse's actions are driven by respect for autonomy, what aspect of this scenario best demonstrates this action? a. Assessing the patient's pain on a numeric scale every 2 hours b. Asking the patient to establish the goal for pain control c. Using alternative measures such as distraction or repositioning to relieve the pain d. Monitoring the patient for oversedation as a side effect of his pain medication

B. Asking the patient to establish the goal for pain control

Which scenario is an example of following the basic health care principle of justice? a. Obtaining written consent from a client to let the surgeon perform an open-heart surgery b. Encouraging nurses on the unit to discuss their mistakes to improve the quality of care c. Determining the pros and cons of providing a back rub to a client with a spine injury to relieve pain

B. Encouraging nurses on the unit to discuss their mistakes to improve the quality of care

Which culturally based behavior would the nurse expect to observe in an Asian client who has symptoms of anxiety and panic? a. Reluctance to take medication b. Minimal eye contact c. Desire to have an Asian nurse d. Offense at being touched

B. Minimal eye contact

A patient has just been diagnosed with a malignant brain tumor. She is alone; her family will not be arriving from out of town for an hour. What intervention does the nurse implement that best provides support of the patient's spiritual well-being at this time? a. Make a referral to a professional spiritual care adviser. b. Sit down and talk with the patient; have her discuss her feelings and listen attentively. c. Move the patient's Bible from her bedside cabinet drawer to the top of the over-bed table. d. Ask the patient whether she would like to learn more about the implications of having this type of tumor.

B. Sit down and talk with the patient; have her discuss her feelings and listen attentively.

When assessing a client who is receiving palliative care, which question regarding spiritual health is correct? a. "Are you afraid of death?" b. "After hearing about your condition, didn't you lose faith?" c. "What is your source of spiritual strength during hard times?" d. "May I ask the chaplain to visit you to help you cope?"

C. "What is your source of spiritual strength during hard times?"

While administering medications, a nurse realizes that a prescribed dose of a medication was not given. The nurse acts by completing an incident report and notifying the patient's health care provider. Which of the following is the nurse exercising? a. Authority b. Responsibility c. Accountability d. Decision making

C. Accountability

Which example demonstrates a nurse performing the skill of evaluation? a. The nurse explains the side effects of the new blood pressure medication ordered for the patient. b. The nurse asks a patient to rate pain on a scale of 0 to 10 before administering a pain medication. c. After completing a teaching session, the nurse observes a patient drawing up and administering an insulin injection. d. The nurse changes a patient's leg ulcer dressing using aseptic technique.

C. After completing a teaching session, the nurse observes a patient drawing up and administering an insulin injection.

A nurse is caring for a patient who is Muslim and has diabetes mellitus. Which of the following items does the nurse need to remove from the meal tray when it is delivered to the patient? a. Small container of vanilla ice cream b. A dozen red grapes c. Bacon and eggs d. Garden salad with ranch dressing

C. Bacon and eggs

When documenting an assessment of a patient's cardiac system in an EHR, the nurse uses the computer mouse to select the "WNL" statement to document the following findings: "Heart sounds S1 & S2 auscultated. Heart rate between 80 and 100 beats/min, and regular. Denies chest pain." This is an example of using which of the following documentation formats? a. Focus charting incorporating data, action, and response (DAR) b. Problem-intervention-evaluation (PIE) c. Charting by exception (CBE) d. Narrative documentation

C. Charting by exception (CBE)

The application of deontology does not always resolve an ethical problem. Which of the following statements best explains one of the limitations of deontology? a. The emphasis on relationships feels uncomfortable to decision makers who want more structure in deciding the best action. b. The single focus on power imbalances does not apply to all situations in which ethical problems occur. c. In a diverse community it can be difficult to find agreement on which principles or rules are most important. d. The focus on consequences rather than on the "goodness" of an action makes decision makers uncomfortable.

C. In a diverse community it can be difficult to find agreement on which principles or rules are most important.

The nurse starts a new job and recognizes that the client population is very diverse. Which action will help the nurse provide culturally competent care? a. Read about all of the cultural groups in the local population b. Treat all of the clients the same, regardless of their cultural background c. Increase self-awareness of cultural identity, cultural knowledge, and potential biases d. Attempt to remain culturally neutral while treating clients of a different culture

C. Increase self-awareness of cultural identity, cultural knowledge, and potential biases

The nurse is changing the dressing over the midline incision of a patient who had surgery. Assessment of the incision reveals changes from what was documented by the previous nurse. After documenting the current wound assessment, the nurse contacts the surgeon by telephone to discuss changes in the incision that are of concern. Which of the following illustrates the most appropriate way for the nurse to document this conversation? a. Health care provider notified about change in assessment of abdominal incision. T. Wright, RN b. 09-3-21: Notified the surgeon by phone that there is a new area of redness around the patient's incision. T. Wright, RN c. 1015: Contacted the surgeon and notified about changes in abdominal incision. T. Wright, RN d. 09-3-21 (1015): Surgeon contacted by phone. Notified about new area of bright red erythema extending approximately 1 inch around circumference of midline abdominal incision an

D. 09-3-21 (1015): Surgeon contacted by phone. Notified about new area of bright red erythema extending approximately 1 inch around circumference of midline abdominal incision and oral temperature of 101.5 F. No orders received. T. Wright, RN

Which nursing action would be most effective when planning culturally sensitive care for a client from another culture? a. Reviewing information from the client's culture b. Notifying the medical interpreter that translation is needed c. Requesting that a family member serve as an interpreter d. Asking the client and family if there is any special care related to their culture

D. Asking the client and family if there is any special care related to their culture

Because a nurse has expressed an interest in taking on more responsibilities, the nurse manager promotes the nurse to assistant manager of the medical unit. This action by the manager accords with which type of ethical principle? a. Fidelity b. Autonomy c. Paternalism d. Beneficence

D. Beneficence

When teaching the staff about how the health care provider strives to work effectively within the cultural context of a client, which cultural principle is the nurse leader explaining? a. Cultural diversity b. Cultural sensitivity c. Cultural imposition d. Cultural competence

D. Cultural competence

A client in need of a lung transplant tells the nurse, "I will not take the organ of any person belonging to a different religion." The nurse initiates the process for resolving the ethical dilemma by collaborating with other health care team members. Which action would the team take after agreeing to a statement of a problem? a. Interview the family members of the client b. Initiate negotiations for the appropriate course of action c. Assess whether the client is satisfied with the course of action taken d. Determine all the possible courses of action based on available information

D. Determine all the possible courses of action based on available information

Which task is appropriate for a registered nurse (RN) to delegate to an AP? a. Determining whether the patient understands the preoperative preparation required before the surgery in the morning b. Administering the ordered antibiotic to the patient before surgery c. Obtaining the patient's signature on the surgical informed consent d. Helping the patient to the bathroom before leaving for the operating room

D. Helping the patient to the bathroom before leaving for the operating room

The nurse is caring for a child whose parents refuse a life-saving surgery for the child, stating that surgeries are against their belief system. Which step would the nurse take first to resolve their ethical dilemma? a. Evaluate the outcome of the plan of action over time b. Verbalize the problem and agree to a statement as a group c. Examine the nurse's own values critically to formulate an opinion about the issue d. Obtain information from the child, the parents, health care workers, and other sources

D. Obtain information from the child, the parents, health care workers, and other sources

Which intervention would the nurse include as a priority action when preparing to provide grief counseling to a client? a. Provide essential information honestly b. Inquire about the client's spiritual beliefs c. Know the reason why the loss happened in his or her family d. Provide an environment for the client to express their feelings

D. Provide an environment for the client to express their feelings

The school nurse works with adolescents who recently immigrated to the United States and are adjusting to life in the public schools. Which characteristics help the nurse differentiate students who are assimilating from students who are acculturating? a. Students who acculturate shun all aspects of their new culture b. Students who assimilate are generally unhappy in their new culture c. Students who acculturate tend to be more social in their new culture d. Students who assimilate abandon all aspects of their original culture

D. Students who assimilate abandon all aspects of their original culture

The nurse is planning spiritual care interventions for an 8-year-old patient. Based on the patient's age, the nurse must consider which growth and development factor when planning the spiritual care? a. This age-group's concept of spirituality is provided by parents, and love and affection promote spirituality. b. This age-group begins to ask about God or a Supreme Being and is influenced by spiritual and religious stories. c. This age-group is fascinated with magic and mystery and often believes illness is related to bad behavior. d. This age-group has a clear concept of a higher spiritual being and is interested in learning about spirituality.

D. This age-group has a clear concept of a higher spiritual being and is interested in learning about spirituality.