Role Development Final
A Nurse that intentionally and physically harms a patient instead of healing the patient is considered what?
battery
A patient refuses to eat more than a couple spoonfuls of dinner. The nurse comes in and starts spooning food in the patient's mouth when the patient stated she didn't want to eat. What violation would the nurse be accused of for his/her actions?
battery
A nursing instructor delivers a lecture to nursing students regarding the issue of client's rights and asks a nursing student to identify a situation that represents an example of invasion of client privacy. Which situation, if identified by the student, indicates an understanding of a violation of this client right?
observing care provided to the client without the client's permission
You are caring for a patient that has just had a stroke. What interprofessional team member would you collaborate with for this patient to help perform ADL's?
occupational therapist
Even though the nurse may obtain the client's signature on a form, obtaining informed consent is the responsibility of the:
physician
Whose scope of practice is NOT regulated by the state board of nursing?
physician assistant
Which statement would best explain the role of the nurse when planning care for a culturally diverse population? The nurse will plan care to:
provide care while aware of one's own bias, focusing on the client's individual needs rather than the staff's practices
Which principle of nursing ethics would support a terminally ill patient's right to die on his or her own terms?
provision 1.4, Right to Self Determination
In Katherine Kolcaba's theory of comfort, she described comfort existing in three forms. These three forms were what?
relief, ease, and transcendence
You are a nurse on a Med Surge unit, you come in to work, and you go to your charge nurse to see about your assignments for the day. You are assigned 8 patients. 4 of which require frequent visits due to more serious diagnosis, and treatments they are receiving. You complete your shift, to the best of your ability but you struggle. 2 years later you get a call from the nursing malpractice court that you are being sued by a former patient's family, due to the care you gave their father while under your care. What should you have done, and when, to protect yourself and your license ?
tell your charge nurse you not comfortable with that assignment, before ever taking it
How does the American Nurses Association (ANA) influence politics in the United States?
the ANA lobbies congress and regulatory agencies on health-care issues affecting nurses and the public
A health care issue often becomes an ethical dilemma because?
the choices involved do not appear to be clearly right or wrong
Mrs. Jones has end stage renal disease and is on dialysis three days a week. Upon admittance to the hospital Mrs. Jones expresses that she wishes to not be resuscitated in the event that her heart stops beating. The nurse recognizes that Mrs. Jones is protected by which of the following laws?
the patient self-determination act
Transcultural nursing implies:
using a comparative study of cultures to understand similarities and differences across human groups to provide specific individualized care that is culturally appropriate
The nurse is planning care for a client who is Jehovah's Witness. What action is most appropriate?
verify with certainty that the client does not want a blood transfusion
When a nursing student enters the first year of the Arkansas State University Nursing Program, what stage does the student fall into when using Patricia Benner's model?
novice
Mr. Jefferson is a 66-year-old male whose adult daughter has encouraged him to make an advance directive. At his next doctor's appointment, Mr. Jefferson asks the nurse to explain what an advance directive is. Which statement by Mr. Jefferson indicates the need for additional teaching?
"once I sign my advance directive, I can't change my mind about the heroic measures I will allow"
Which of the following actions violate HIPAA? Select all that apply.
-discussing a patient's condition on a crowded elevator with another healthcare provider on the patient's team -discussing the patient's condition to another nurse not on the patient's care team -posting information on social media about a patient's condition
Which of the following interventions does NOT use elements of the patient need theory. SELECT ALL THAT APPLY.
-ensure the patient eats and drinks as little as possible in order to save the hospital money -do not make the patient move or change positions as not to disturb them
(Select all that apply) Privacy and a breach of confidentiality exposes a nurse to
-his/her employer to lawsuit -federal or stage legal action -disciplinary action
A patient has to sign an informed consent. What information is included in the informed consent? SELECT ALL THAT APPLY.
-name and purpose of procedure to be performed -patient diagnosis -expected outcomes and benefits
In her Human Becoming theory, Rosemarie Razzo Parse described the connection between the environment and the person, and how a person should be treated as a person, rather a sum of parts. Which of the following describes the relationship this theory helps nurses create?
nurse-patient
Which of the following nursing theorists is responsible for the Systems Model, consisting of three main parts: nursing diagnosis, nursing goals, and nursing outcomes?
Betty Neuman
A nursing student is asked to describe who pioneered the Self-Care Deficit Nursing Theory. The student would receive full credit if they chose which nursing theorist?
Dorothea Orem
Which of the following nursing theorists is known as "the Lady with the Lamp"? Her theory is known as the Environmental Theory and has an impact on modern nursing even today.
Florence Nightingale
Which theorist was known to have decreased mortality by improving sanitation in the battlefields that helped to decrease infection in patients?
Florence Nightingale
Which statement BEST describes the effect of HIPAA on nursing informatics?
HIPPA accelerated the development of electronic safeguards for transmitting and storing clients' medical data
When the nurse described the client as "Mr. Eddie Johnson in 302 with heart failure," the nurse is exhibiting which ethical dilemma?
HIPPA violation
A nursing student is instructed to create a plan of care regarding their patient. The plan of care must include a nursing diagnosis and consist of using the nursing process. Which of the following theorists is responsible for ADPIE?
Ida Jean Orlando
Which nursing theorists introduced the Theory of Human Caring, which argued that caring is central to nursing practices and promotes health?
Jean Watson
A student is discussing with a nurse about the "Care, Cure, Core Theory". The student would be correct if they stated which theorist was the founder of this theory?
Lydia Hall
A nursing student is learning about different ways the nursing profession is regulated. The student displays competency when she states that which organization determines requirements for licensure?
National Council of State Boards of Nursing (NCSBN)
As an advocate for the client, the nurse must make sure that "safe, effective care" is given in conformity with the?
Nurse Practice Act (NPA)
the code of ethics for nurses is composed and published by_____?
The American Nurses Association
Which of the following Nursing theorists is known by many as the "First Lady of Nursing" and is the creator of the Patient Need Theory?
Virginia Henderson
Cultural competence is the process of:
acquiring specific knowledge, skills, and attitudes
The nurse is caring for a patient with end stage lung disease. The patient wants to go home on oxygen and be comfortable. The family wants the patient to have a new surgical procedure. The nurse explains the risks and benefits of the surgery to the family and discusses the patient's wishes with the family. The nurse is acting as the patient's:
advocate
Which of the following are examples of IOM standards?
all of the above
A registered nurse (RN), is supervising a group of nurses at a health clinic. She overhears a nurse telling a patient, "If you do not stop shouting, I am going to give you an injection." The RN immediately intervenes and tells the nurse this action can lead to which accusation?
assault
The nurse walks in with the patient's medicine. The patient refuses to take the medicine because they do not like how it tastes. The nurse says "If you do not take this medicine, I will make you take it." Which action would the nurse be committing?
assault
You are caring for a patient in the emergency department. The patient has been drinking alcohol and asking for medication. The patient starts to become verbally abusive, you obtain restraints and instruct the patient if they don't calm down you will restrain them. What can you be charged with?
assault
Nurses agree to be advocates for their patients. Practice of advocacy calls for the nurse to:
assess the patient's point of view and prepare to articulate this point of view
You have a patient with chronic obstructive pulmonary disease (COPD). Which intervention for airway management should you delegate to a nursing assistant?
assisting the patient to sit up on the side of the bed
The nurse who works on the night shift enters the medication room and finds a coworker with a tourniquet wrapped around the upper arm. The coworker is about to insert a needle, attached to a syringe containing a clear liquid, into the antecubital area. Which is the most appropriate action by the nurse?
calling the nursing supervisor
A nurse has been working on the floor for 2 and a half years. She has very good organization skills but has not yet mastered perception of the situation as a whole. At what level is this nurse on Dreyfus' model?
competent
A client admitted voluntarily for treatment of an anxiety problem demands to be released from the hospital. Which action should the nurse take initially?
contact the client's primary HCP
The nurse calls the PCP regarding a new medication prescription, because the dosage is higher than the recommended dosage. The nurse is unable to locate the PCP, and the medication is due to be administered. Which action should the nurse take?
contact the nursing supervisor
The nurse manager has involved all staff members in the development of goals and decision making. Which leadership style has the unit manager exercised?
democratic
A nursing instructor has just finished lecturing on the topic of the job-search process and is taking questions from the class. Which comment by a student indicates a need for clarification?
employers can't see what I post on social media as long as I used appropriate privacy settings
Which IOM Competency best describes the following scenario: RN Ana knows that hand washing is the number one way to protect the patient from the spread of infections?
evidence-based practice
Which of the following terms does this definition by Sigma Theta Tau describe? "The integration of the best evidence available, nursing expertise, and the values and preferences of the individuals, families, and communities who are served"
evidence-based practive
The nurse puts a restraint jacket on a client without the client's permission and without the physician's order. The nurse may be guilty of assault.
false
A theory that is considered generally broad and complex is known as what type of theory?
grand theory
The nurse arrives at work and is told to float to the ICU for the day because the ICU is understaffed and needs additional nurses to care for the clients. The nurse has never worked in the ICU. The nurse should take which action first?
identify tasks that can be performed safely in the ICU
Why was a national nursing licensure examination developed despite that licensure is controlled by state boards of nursing?
individual state examinations varied widely, and consistent quality could not be ensured
A critical care nurse is using a computerized decision support system to correctly position her ventilated patients to reduce pneumonia caused by accumulated respiratory secretions. This is an example of which Quality and Safety in the Education of Nurses (QSEN) competency?
informatics
A nurse sees a care tech observing care of a patient without permission. The nurse understands that this is an example of...
invasion of privacy
Which of the following statements about the elderly population in the United States is true?
many older adults live with more than once chronic illness or condition
The nurse is preparing medications for a patient while talking with another nurse. She draws up 2 mL more than what is prescribed and administers the medication without checking it against the MAR. What type of malpractice has occurred?
negligence
A family member visiting the hospital's acute care unit approaches the nurses station and reports that an elderly client is walking the halls without clothing. The nurse does not assist the client and suggests that she find the nurse who is in charge of that patient. Which of the following describes the nurses actions?
negligent
A nursing student is learning about the Dreyfus model. The student shows understanding of the model when she identifies a novice as presenting in which of the following manners?
no experience and has very rule oriented behavior
