PrepU Fundamentals

"Good morning, Mr. Smith. I am your nurse, John."

Which nursing intervention reflects culturally appropriate care when addressing a client?

Deciding whether to perform cardiac compressions against a client's wishes

Which nursing situation is an example of an ethical dilemma?

A nursing student administers medication to a resident while working as an unlicensed assistive personnel (UAP) at a local nursing home.

Which nursing student would most likely be held liable for negligence?

A patient who needs to ambulate to prevent DVT.

Which patient need has the highest priority?

white

Which population group should the nurse routinely screen for heart disease?

A nurse who demonstrates advanced expertise in a content area of nursing through special testing

Which scenario is an example of certification?

Nurses are responsible for adhering to specific documentation about controlled substances.

Which statement about laws governing the distribution of controlled substances is true?

Humility Compassion Trustworthiness

Which traits are examples of virtues that can exemplify character and conduct as a professional nurse? Select all that apply

Advocacy

Which word is best described as protection and support of another's rights?

certification

Having recently completed a specialty nursing program in neonatal care, a nurse is now preparing to leave the medical unit and begin providing care in the hospital's neonatal intensive care unit (NICU). The nurse has completed which process of credentialing?

False

Illness is a medical term meaning that there is a pathologic change in the structure or function of the body or mind: (true or false)

chronic

Illnesses defined as __________ are the leading health problem in the world today

Emergency care for a choking victim in a restaurant

In some cases, the act of providing nursing care in unexpected situations is covered by the Good Samaritan laws. Which nursing action would most likely be covered by these laws?

healthcare culture.

Nurses are socialized into the:

Assess the client's beliefs about family support during hospitalization.

The nurse admits a client to the critical care unit to rule out a myocardial infarction. The client has several family members in the waiting room. Which nursing action is most appropriate?

"Ethnicity and race are the same thing and are affected by cultural practice."

The nurse just attended a seminar on cultural diversity. Which statement by the nurse would require further education?

Respond by saying, "Stereotypes keep us from accepting others as unique individuals."

The nurse overhears a colleague state, "All people from that client's country are rude." What is the appropriate nursing response?

allowing the nurse's own judgment to guide practice.

To practice ethically, the nurse should avoid:

True

The example of health disparity is the higher incidence of diabetes in the African American and Hispanic populations compared to the White population: (True and False)

Conduct the health history utilizing a telephonic interpreter (over-the-phone translation).

The home health nurse is conducting the health history interview with a client who does not speak the dominant language. What would be the best action made by the nurse?

"Culture cannot be influenced, and you are born with your culture.

The nurse has just attended a seminar on concepts of cultural diversity. Which statement made by the nurse would require further education?

"What type of food do you like to eat at home?"

The nurse is caring for a client 4 days after total hip arthroplasty and notes the client has lost weight. The unlicensed assistive personnel reports the client's food intake has decreased. Which question will the nurse ask the client to determine if cultural causes are responsible for the weight loss?

Soup, hot tea, and toast

The nurse is caring for a client admitted with an upper respiratory infection. The client tells the nurse about following the holistic belief of hot/cold. Which food items should the nurse provide to the client based on this information?

Ask inquisitive questions regarding the client's cultural practices.

The nurse is caring for a client of a different culture and strives to deliver culturally sensitive care. Which action by the nurse is most appropriate?

"Can you tell me what foods you prefer to eat and what your family is bringing you?"

The nurse is caring for a client who is admitted for hypertension (HTN). The nurse notes that the client has not been eating the food provided, and family members have brought in homemade food. What would be the best response by the nurse?

Discuss with the client the need for assistance during ambulation.

The nurse is caring for a client who is postoperative 3 days from coronary artery bypass graft. The client has a prescription to ambulate. What is the best action by the nurse?

Maintain flexibility when the client requests interventions at specific times.

The nurse is caring for a client who perceives time differently. What action should the nurse take for this client?

The client has decided to stop chemotherapy treatments

The principle of autonomy by a client is applied in which situation?

Peers

What is likely to have the greatest influence on an adolescent's formation of values during this developmental stage?

Ethical practice requires a skill set that must be conscientiously learned and nurtured.

Which statement best conveys the concept of ethical agency?

"What are your dietary needs and preferences?"

A nurse is admitting a client to the unit. Which cultural question is most appropriate?

Obtain a medical order.

A nurse is caring for a client following endotracheal intubation. Before applying soft wrist restraints to prevent the client from pulling out the endotracheal tube, what is the mostappropriate action of the nurse?

slander

A nurse is overheard in the hospital cafeteria making false, derogatory comments about a client. The nurse is guilty of:

To evaluate the quality of care provided and assess the potential risks for injury to the client

A nurse enters the client's room and finds the client lying on the floor experiencing a seizure. After stabilizing the client, the nurse informs the physician. The physician advises the nurse to prepare an incident report. What is the purpose of an incident report?

Breach of duty

A nurse fails to communicate a change in the client's condition to the physician. Which element related to proving malpractice has been met?

Spanish as primary language

A Hispanic single parent is having difficulty finding employment due to a lack of a car and speaking primarily Spanish. Which factor is a barrier to health care?

Explain the purpose and need for assistance during ambulation.

A nurse is caring for a postoperative client after knee arthroplasty. The nurse plans to help the client ambulate but is aware that the client may feel threatened by physical closeness because the client is from a culture that tends to prefer more personal space when interacting with others. Using the principles of culturally competent care, what would be the most appropriate nursing action?

Shared decision making

A nurse is caring for an older adult who has cancer and is experiencing complications requiring a revision of the plan of care. The nurse sits down with the client and the family and discusses their preferences while sharing the nurse's own judgments based on the nurse's expertise. Which type of healthcare decision making does this represent?

Client

A nurse is conducting a cultural assessment of a client. Which person would the nurse identify as the expert?

remission

Chronic illnesses usually have a slow onset and many have periods of __________ (when the disease is present, but the person does not experience symptoms)

True

Diet, exercise, and weight loss are three examples of primary health promotion: (true or false)

The state board nursing examiners

What governing body has the right to revoke or suspend a nurses license?

Cultural blindness

A client believes that the illness is caused by an imbalance of yin and yang. The nurse states, "You can call it whatever you believe, but you have a metabolic disorder." What is this nurse demonstrating?

Autonomy

A client diagnosed with cancer has met with the oncologist and is now weighing whether to undergo chemotherapy or radiation for treatment. This client is demonstrating which ethical principle in making this decision?

Let the client go after signing a document stating that the client is going against medical advice.

A client informs the nurse that the client wants to discontinue treatment and go home. Later, the nurse finds the client dressed to leave. Which action should the nurse take in this situation?

Cultural imposition

A client is admitted with end-stage pancreatic cancer and is experiencing extreme pain. The client asks the nurse whether an acupuncturist can come to the hospital to help manage the pain. The nurse states, "You won't need acupuncture. We have pain medications." Which characteristic has the nurse displayed?

Autonomy

A nurse is providing care to a client with end-stage cancer. After weighing the alternatives, the client decides not to participate in a clinical trial offered and is requesting no further treatment. The nurse advocates for the client's decision based on the understanding that the client has the right to self-determination, interpreting the client's decision as reflecting which ethical principle?

Shared

A nurse is providing care to an older adult client who was just diagnosed with cancer. The client together with the immediate family discuss their preferences with the health care providers involved. The health care providers offer their clinical recommendations about possible treatments. Utlimately, the group arrives at a decision. The nurse interprets this decision-making process as reflecting which type?

Language assessment

A nurse is working in a clinic that serves a community with a high population of immigrants. Which nursing assessment is the priority?

Nonmaleficence

A nurse knows that the expression "Do not cause harm" refers to which ethical principle?

Paternalism

A nurse obtains an order for a bed alarm for a confused client. This is an example of which ethical principle?

Integrity

A nurse reports to the charge nurse that a client medication due at 9 am was omitted. Which principle is the nurse demonstrating?

Assist in decision making based on the client's best interests.

A nurse volunteers to serve on the hospital ethics committee. Which action should the nurse expect to take as a member of the ethics committee?

ethical distress.

A nurse working on a critical care unit was informed by a client with multiple sclerosis that the client did not wish to be resuscitated in the event of cardiac arrest. Now the client is no longer able to express wishes, and the family has informed the physician that they want the client to be resuscitated. Aware of the client's wishes, the nurse is involved in a situation that may involve:

a failure to model one's own values.

A parent teaches a child not to drink and drive; however, the parent does drink and drive. This action results in:

True

Each person defines health in terms of one's own values and beliefs: (True of False)

knowing the correct action but being unable to perform it due to constraints

Ethical distress is:

The nurse often speaks harshly to cleaning staff and transport workers. The nurse is frequently late to work.

Ethical practice is evaluated as a portion of the nurse's annual review. Which practice(s) would cause the evaluator to reduce the nurse's score on this section of the review? Select all that apply.

client's height.

Nurses are responsible for delivering culturally competent care for all clients. Culturally competent care does not account for:

Taking a picture of a client with the nurse's cell phone

Nurses must maintain the privacy of clients. Which example is a breach in privacy and would pose an ethical problem?

They give priority to the good of the individual client rather than to the good of society in general.

Nurses who value client advocacy follow what guideline?

tertiary

Physical therapy after a stroke is an example of the __________ level of preventive care

To protect the safety of the public

Professional regulations and laws that govern nursing practice are in place for which reason?

False

The agent host environment model of health views health as a constantly changing state, with high level wellness and death being on opposite ends of a scale: (True of False)

Learning pertinent words and phrases in the client's language

Which nursing action displays linguistic competence?

The student nurse, the nurse instructor, and the hospital

A student nurse is assisting an older adult client to ambulate following hip replacement surgery when the client falls and reinjures the hip. Who is potentially responsible for the injury to this client?

slander

A nurse, while off-duty, tells the physiotherapist that a client who was admitted to the nursing unit contracted AIDS due to exposure to sex workers at the age of 18. The client discovers that the nurse has revealed the information to the physiotherapist. With what legal action could the nurse be charged?

sociocultural

A person's economic level, lifestyle, family, and culture are components of the __________ human dimension

The nurse should ask the physician to come back and write the order.

A physician is called to see a client with angina. During the visit the physician advises the nurse to decrease the dosage of atenolol to 12.5 mg. However, because the physician is late for another visit, the physician requests that the nurse write down the order for the physician. What should be the appropriate nursing action in this situation?

stereotyping

A preconceived and untested belief about an individual or group of individuals is:

Facilitate the client's decision by allowing him to verbalize his feelings and by providing information to help him assess his options

A client is scheduled to have an elective surgical procedure performed but cannot decide whether to go forward with the procedure or cancel it. The client asks the nurse to help make the decision because the client lacks knowledge about the procedure. Which action by the nurse is the best way for this nurse to advocate for the client?

Fidelity

A client rings the call bell to request pain medication. On performing the pain assessment, the nurse informs the client that the nurse will return with the pain medication. After a few moments, the nurse returns with the pain medication. The nurse's returning with the pain medication is an example of which principle of bioethics?

advocacy.

A client tells the nurse that the client does not want to have a painful procedure. By respecting and supporting the client's right to make decisions, the nurse is demonstrating:

A minority

A community health nurse is providing care to a group of Hispanic people living in an area that is predominantly populated by white people. What are the Hispanic people in this community an example of?

nonmodifiable

A family history of cancer is considered a __________ risk factor for illness

Culture shock

A family recently immigrated to a new country. The parent reports that the teenager is showing signs of fear, has vague reports of stomach pain, and feels humiliated by peers because of their culture. What is the priority assessment for the nurse?

an advance directive.

A legal document that states a client's health-related wishes — such as a preference for pain management if the client becomes terminally ill — and also allows the client's adult child to direct the client's care, is:

The client does not have running water.

A new client comes to the primary care clinic and asks for help treating head lice. The nurse assesses that the client lives in low-income housing, and nine other people live with the client in a one-bedroom apartment. Which consideration is the priority nursing concern?

Personal moral

A nurse believes that abortion is an acceptable option if a pregnancy results from a situation of rape. What is the best description of this belief?

Filling out an occurrence report and notifying the healthcare provider

A nurse is administering evening medications and notices that a medication was omitted during the day shift. Which statement demonstrates the principle of accountability?

Health disparities Less power

A nurse is assessing a client and determines that the client belongs to a minority group. Based on the nurse's understanding about minority groups, the nurse would anticipate that the client would likely experience which effects? Select all that apply.

Fidelity

A nurse is providing care to a client and is preparing the client for breakfast. The nurse assists the client out of bed to the chair and then helps the client open the items on the breakfast tray. The client begins to eat breakfast. The nurse tells the client, "I'll be back in about 10 minutes to check on you. In the meantime, here is your call light in case you need me." About 10 minutes later, the nurse returns to check on the client. The nurse is demonstrating which ethical principle?

Enlist the services of a qualified language interpreter

A nurse is providing care to a client who has limited understanding of the dominant language. Which strategy is best for the nurse to use to ensure that the client obtains the needed health information?

"Can you describe what you are feeling when you try to move?"

The nurse is caring for a client who is postoperative 24 hours from an appendectomy. The client is hesitant to get out of bed. How should the nurse respond?

Ask the client if a spiritual leader is desired

The nurse is caring for a terminally ill client who immigrated from Mexico. Which nursing intervention regarding spiritual care is appropriate?

"We can wait until your spiritual healer arrives and work together to answer these questions."

The nurse is collecting the health history of a client and notes the client is apprehensive in answering questions. The client states, "My spiritual healer will be here soon." What is the bestresponse by the nurse?

Asking to wear unique clothing Requesting native cuisine Listening to folk music and dance

Which behaviors demonstrated by the client would the nurse consider reflections of the client's pride in ethnicity? Select all that apply.

An approach critiquing existing patterns of oppression and domination in society

Which example best describes feminist ethics?

Describing a surgery to a client before the consent is signed

Which example most accurately depicts the ethical principle of autonomy?

a ritual

The nurse working on a medical unit always performs hand hygiene between contact with each client. In addition to being understood as an infection control measure, this practice can be understood as:

"What type of food did your family prepare for you, and does it have special meaning?"

The unlicensed assistive personnel reports to the nurse that the client is refusing to eat the food on the meal tray. The nurse observes the client eating the food brought in by family members. How should the nurse respond?

stays with a client during death as promised.

What would be an example of the nurse practicing fidelity? The nurse:

ethnocentrism.

When an American client states, "I only want an American doctor," the client is expressing

invasion of privacy

When the nurse informs a client's employer of the client's autoimmune deficiency disease, the nurse is committing the tort of:

The nurse was seen at a grocery store after calling in sick.

Which action would cause a charge nurse to have concerns about a nurse's moral agency?

With the client's permission, the nurse explains the client's diagnosis to the client's spouse. The nurse moves the client from the emergency department waiting room to a private area to

Which are examples of a nurse appropriately protecting a client's privacy? Select all that apply

Avoiding older adult clients because their care is time consuming

Which behavior by the nurse is stereotyping?

It helps to reduce workforce injuries and illness in the workplace.

Which is true of the Occupational Safety and Health Act?