NURS 294: Passpoint

The unlicensed assistive personnel tells the nurse that it is unreasonable to expect a response to all call lights within 10 minutes. Which of the following statements by the nurse best illustrates appropriate assertive behavior by a supervisor? a)"Let's discuss how we can meet our clients' needs." b)"I will take care of any client needs that you can't provide." c)"I will have to report to the supervisor if you can't do it." d)"All clients have a right to compassionate and timely care."

"Let's discuss how we can meet our clients' needs."

A client with a personality disorder is upset and calls the nurse a "stupid cow." Which of the following is the most effective initial response by the nurse to this client's behavior? a) Report the behavior to the physician so that consistency and consequences can be followed. b) Calmly discuss the inappropriateness of displacing anger to others. c) Demonstrate empathy by reaching out to touch the client. d) Walk away from the client.

Calmly discuss the inappropriateness of displacing anger to others

A physician has asked a nurse to use written forms of communication to share the client's health status with other medical personnel. Which of the following is an example of a written form of communication? a) E-mail. b) Checklists. c) SMS. d) Notepad.

Checklists

A client has been receiving chemotherapy for cancer treatment. The client is competent and has been actively involved in decisions regarding care; however, the client has now decided to refuse treatment. What should the nurse do when the client refuses the next dose of chemotherapy? a) Persuade the client to take the medication as ordered. b) Document the client's choice and offer to discuss feelings about the chemotherapy. c) Ask the client's spouse to encourage the client to take the chemotherapy. d) Ensure that the client understands the rationale for taking the medication.

Document the client's choice and offer to discuss feelings about the chemotherapy

After the nurse informs the surgeon that a chest tube is malfunctioning, the health care provider asks the nurse to reposition the tube and obtain a chest radiograph. The nurse should: a) report the surgeon to the nursing supervisor. b) follow the prescription as requested by the surgeon. c) inform the surgeon this is not within the safe scope of practice. d) report the surgeon to the Ethics Committee.

Inform the surgeon this is not within the safe scope of practice

A client is admitted to the emergency department with a ruptured abdominal aortic aneurysm. No family members are present, and the surgeon instructs the nurse to take the client to the operating room immediately. Which of the following actions should the nurse take regarding informed consent? a) Contact the hospital chaplain to sign the consent on the client's behalf. b) Ask the nursing supervisor to contact the hospital lawyer. c) Keep the client in the emergency department until the family is contacted. d) Take the client to the operating room for surgery without informed consent.

Take the client to the operating room for surgery without informed consent

When interviewing the parents of an injured child, which sign is the strongest indicator that child abuse may be a problem? a) The parents offer consistent explanations for the injury. b) The injury isn't consistent with the child's history or age. c) The family is poor and the mother and father aren't married. d) The parents are argumentative and demanding with personnel.

The injury isn't consistent with the child's history or age

A nurse-manager of an intensive care unit (ICU) can't be held legally responsible in a court of law for which action performed by the unit's staff? a) A nursing assistant attempts to initiate I.V. therapy. b) A nursing assistant administers medications to a client in ICU. c) A staff nurse fills a client prescription at the hospital pharmacy because the pharmacist on duty is busy. d) A staff nurse refuses to follow a physician's order to administer medication because administering the dosage ordered could seriously harm the client.

The staff nurse refuse to follow a physician's order to administer a medication because administering the dosage order could seriously harm the client

What factor is a priority to evaluate when completing discharge planning for a client who has had a lobectomy for treatment of lung cancer? a) the client's ability to do home blood pressure monitoring b) the distance the client lives from the hospital c) the support available to assist the client at home d) the client's knowledge of the causes of lung cancer

the support available to assist the client at the home