nursing future

Which of the following represent the knowledge and skills expected of the professional nurse

accountability advocacy autonomy

APRNS generally

function independently hold advanced degree

Which of the following is unique to a professional standard of decision making?

weighs benefits and risks when making a decision analyzes and examines choices more independently

Effective nurse leaders: Select all that apply. 1. Are also good followers2. Effectively work together with shared goals 3. Never act on their ideas 4. Have master's degrees

1. are also good followers 2. effectively work together with shared goals

An RN is obtaining a signature on a surgical informed consent document. Before obtaining the signature, the RN must ensure which of the following? Select all that apply.1. The client is not sedated.2. The doctor is present. 3. A family member is a witness.4. The signature is in ink.5. The patient understands the procedure.

1. the client is not sedated 5. the patient understands the procedure

After 3 years of uneventful employment, the nurse made a medication error that resulted in patient injury. What hospital response to this event is ethical?1. The hospital was supportive and assistive as the nurse coped with this event.2. The nurse was dismissed for incompetence. 3. The hospital quality department advised the nurse not to tell the patient about the error. 4. The nurse was reassigned to an area in which there is no direct patient care responsibility.

1. the hospital was supportive and assitive as the nurse coped with this event

A unit team leader who fails to provide direction to his or her nursing care team is a(n): 1. Democratic leader2. Laissez-faire leader3. Autocratic leader 4. Situational leader

2. laissez fare leader

Effective followers are those who are: 1. Passive employees2. Skilled and self-directed employees 3. Less valuable employees 4. Employees who are never supportive of new ideas

2. skilled and self directed employees

An important competency that nurse leaders need to develop in order to lead effectively is the: 1. Ability to be firm and inflexible2. Ability to be close-minded and to ignore negative feedback3. Ability to communicate effectively with others 4. Ability to follow orders without questioning them

3. ability to communicate effectively with others

An RN new to the emergency department documented that "the patient was intoxicated and acted in a crazy manner." The team leader told the RN that this type of documentation can lead to:1. Assault 2. Wrongful publication3. Defamation of character 4. Slander

3. defamation of character

An RN calls a health-care provider to report that a patient's condition is deteriorating. The physician gives orders on the telephone to draw arterial blood gases. What should the nurse do next when receiving telephone orders from a health-care provider?1. Call the respiratory therapist to obtain the blood gases. 2. Give the order to the unit secretary to ensure it is entered quickly. 3. Enter the order directly into the system as it was given to the RN. 4. Write the order down and read it back to the provider.

4. write the order down and read it back to the provider

Several studies have shown that although care planning and advance directives are available to clients, only a minority actually complete them. Which of the following has been shown to be related to completing an advance directive? Select all that apply.1. African American race 2. Younger age3. History of chronic illness4. Lower socioeconomic status 5. Higher education

higher education

The health-care facility has sponsored a continuing education offering on emergency management of pandemic influenza. At lunch, a nurse is overheard saying, "I'm not going to take care of anyone who might have that flu. I have kids to think about." What is true of this statement? Select all that apply. The nurse has a greater obligation than a layperson to care for the sick or injured in an emergency. This statement reflects defamation and may result in legal action against the nurse. This statement is a breach of the Code of Ethics for Nurses. The nurse has this right as no nurse-patient contract has been established.

1. the nurse has a greater obligation than a lay person to care for the sick or injured in an emergency 3. this statement is a breach of the code of ethics

Transformational nursing leaders have the ability to:1. Increase the negativity of the team2. Work best alone3. Define the group's mission and communicate that mission to others 4. Pay close attention to the weaknesses and shortcomings of others

3. define the groups mission and communicate that mission to others

A patient tells a nurse that he has an advance directive from 6 years ago. The nurse looks at the medical record for the advance directive. What content should the nurse expect to find in the advance directive? Select all that apply.1. Decisions regarding treatments 2. When to take the patient to the hospital3. Do not resuscitate orders4. Who should be notified in the case of illness, injury, or death 5. Durable power of attorney for health care6. HIPAA protocols

1,2,3,5 1. decisions regarding treatment 2. when to take the patient to the hospital 3. DNR orders 5. durable power of attorney for health

Health Insurance Portability and Accountability Act (HIPAA) regulations guard confidentiality. In several situations, confidentiality can be breached and information can be reported to other entities. Which of the following meet these criteria? Select all that apply. 1. The patient is from a correctional institution.2. The situation involves child abuse.3. An injury occurred from a firearm.4. The patient is a physician.5. The breach of information was unintentional.

2. the situation involves child abuse 3. an injury occured from a fire arm

An emotionally intelligent nurse leader: 1. Seeks the emotional support of others 2. Cannot juggle multiple demands3. Works alone without help 4. Welcomes constructive criticism

4. welcomes constructive criticism

Nurses at a community hospital are in an education program to learn how to use a new pressure relieving device for patients at risk for pressure ulcers. This is which type of education

in service education

A nurse is providing care to a patient whose family has previously brought suit against another hospital and two physicians. Under which ethical principle should the nurse practice?1. Justice2. Veracity 3. Autonomy4. Nonmaleficence

justice

Who stated that the function of the nurse is to assist the individual, sick or well, in the performance of those activities contributing to health or its recovery?

nightingale

A nurse is caring for a patient who feels that life should not be prolonged when hope is gone. She has decided that she does not want extraordinary measures taken when her life is at its end. She has discussed her feelings with her family and health-care provider. The nurse realizes that this is an example of:1. Affirming a value2. Choosing a value3. Prizing a value4. Reflecting a value

prizing a value

The NCLEX for nurses is exactly the same in every state in the US. The examination:

provides a minimal standard of knowledge for an RN

nursing has its origins with

religious orders

Nursing practice in the 21st century is an art and science that focuses on

the client

Professional accountability serves the following purpose:

to provide a basis for ethical decision making to respect the decision of the client to maintain standards of health to evaluate new professional practices and reassess exisiting ones

The Situational Leadership Model focuses on: 1. Both followers and the task2. The task3. The follower 4. The behavior of others

1. both followers and the task

Which common practice puts the nurse at liability for invasion of patient privacy? During care, the nurse reveals information about the patient to those in the room. The nurse releases information about the patient to nursing students who will be caring for the patient the next day. The nurse conducts a patient care session about a patient whose care is difficult and challenging. Confidential information regarding an admitted patient is released to third-party payers.

1. during care, the nurse reveals info about the patient in those rooms

A patient is transported to the emergency department by rescue after being involved in a motor vehicle accident. The patient is alert and oriented but keeps stating he is having trouble breathing. Oxygen is started, but the patient is still showing signs of dyspnea. The patient suddenly develops respiratory arrest and dies. During the resuscitation process, it is discovered that the nurse failed to open the correct oxygen valve. The family sues the hospital and the nurse for:1. Malpractice2. Negligence3. Nonmaleficence4. Equipment failure

1. malpractice

Autocratic leaders:1. Postpone decision making as long as possible2. Share leadership with members of the team3. Give orders and make decisions without consulting the team 4. Encourage creativity when problem solving

3. give orders and make decisions without consulting the team

Which best describes the difference between patient privacy and patient confidentiality? Confidentiality occurs between persons who are close, whereas privacy can affect anyone. Privacy is the right to be free from intrusion into personal matters, whereas confidentiality is protection from sharing a person's information. Confidentiality involves the use of technology for protection, whereas privacy uses physical components of protection. Privacy involves protection from being watched, whereas confidentiality involves protection from verbal exchanges.

Privacy is the right to be free from intrusion into personal matters, whereas confidentiality is protection from sharing a person's information.

A nurse is working on an ethics committee to determine the best course of action for apatient who is dying. The nurse considers the positive and negative outcomes of the decision to assist with choices. Which best describes the distinction of using a list when making an ethical decision?1. The nurse can back up her reasons for why she has decided to provide a certain type of care. 2. The nurse can compare the benefits of one choice over another.3. The nurse can communicate the best choice of action to the interdisciplinary team.4. The nurse can provide care based on developed policies and standards.

The nurse can compare the benefits of one choice over another

A nurse's significant other undergoes exploratory surgery at the hospital where the nurse is an employee. Which practice is most appropriate?1. The nurse is an employee; therefore, access to the chart is permissible.2. Access to the chart requires a signed release form. 3. The relationship with the client provides the nurse special access to the chart. 4. The nurse can ask the surgeon to discuss the outcome of the surgery.

access to the chart requires a signed release form

You are participating in a clinical care coordination conference for a patient with terminal cancer You talk with your colleagues about using the nursing code of ethics for professional RNs to guide care decisions. Which of the following statements best describes this code

acts as a guide for professional behaviors in giving patient care

An effective leader will have: Select all that apply. 1. Courage and integrity2. A critical mind-set3. The ability to set priorities 4. The ability to provide feedback

all of the above

Which of the following demonstrates a nurse as advocating for a patient? The nurse 1. calls a nursing supervisor in conflicting situations.2. reviews and understands the law as it applies to the client's clinical condition.3. documents all clinical changes in the medical record in a timely manner. 4. assesses the client's point of view and prepares to articulate this point of view.

assesses the clients point of view and prepares to articulate this point of view

A patient asks a nurse if he has to agree to the health provider's treatment plan. The nurse asks the patient about his concerns. Which ethical principle is the nurse applying in this situation? Select all that apply.1. Beneficence 2. Autonomy 3. Veracity4. Justice

veracity

The ANA Code of Ethics With Interpretive Statements guides nurses in ethical behaviors. Provision 3 of the ANA Code of Ethics says: "The nurse promotes, advocates for, and strives to protect the health, safety, and rights of the patient." Which of the following best describes an example of this provision?1. Respecting the patient's privacy and confidentiality when caring for him2. Serving on a committee that will improve the environment of patient care3. Maintaining professional boundaries when working with a patient4. Caring for oneself before trying to care for another person

1. respecting the patients privacy and confidentiality when caring for him

An RN sees an older woman fall in the mall. The RN helps the woman. The woman later complains that she twisted and sprained her ankle. The RN is protected from litigation under: 1. Hospital malpractice insurance2. Good faith agreement3. Good Samaritan law4. Personal professional insurance

3. good samaritan law

A democratic nurse leader consistently works to: 1. Move the group toward the leader's goals2. Make little or no attempt to move the group 3. Share leadership with the group 4. Dampen creativity

3. share leadership with the group

An RN has asked a licensed practical nurse (LPN) to trim the toenails of a diabetic patient. The LPN trims them too short, which results in a toe amputation from infection. The patient files a lawsuit against the hospital, the RN, and the LPN. What might all three be found guilty of? 1. Unintentional tort 2. Intentional tort3. Negligence4. Malpractice

4. malpractice