trends final
Capitation
A set monthly fee charged by the provider of health care services for each member of the insurance group for a specific set of services is known as
Good Samiritan Act
A volunteer is not responsible for any harm or injury caused while trying to help someone in an emergency
When a resident's family complains that their mother is receiving inferior care in the extended care facility, which action should the LPN/LVN charge nurse initially take?
Ask the family to be specific and give examples of "inferior care" the mother has received.
During an emergency, the charge nurse tells the LPN/LVN, "I need you to place the patient on a nonrebreather mask now." The charge nurse has little regard for the LPN/LVNs input at this time. The charge nurse is displaying what leadership style?
Autocratic
When the Nurse Practice Act of the state permits delegation as part of the LPN/LVN charge nurse duties, which task could be delegated to experienced, unlicensed assistive personnel who have been trained to perform the task?
Taking the vital signs of a resident whose condition is not critical
During a staff meeting, the charge nurse encourages feedback from staff nurses about improving patient safety. The charge nurse is displaying what leadership style?
democratic
The LPN/LVN nursing home charge nurse encourages nursing assistants to make suggestions regarding improvement of nursing care and shows concern for the staff. This leadership style is called
democratic
A leadership style that focuses on both the task and the employee is the
democratic style.
A way of practicing fidelity to a patient would be to
document the patient's expression of feelings and wishes
The patient tells the nurse, "I want to make sure that my daughter can make health care decisions for me in the event I'm unable to make decisions for myself. What do I need to do?" The nurse should advise the patient that he or she needs to execute a/an
durable medical power of attorney
Copayments are
The amount an insured person must pay at the time of an office visit, when picking up a prescription, or before a hospital service is known as the
A nurse is found liable for battery. What does this mean?
The nurse, without consent, touched the patient in a way that caused harm.
Patient A, who has Alzheimer's disease, wanders and is often noisy and intrusive. The patient has a prn order for haloperidol (Haldol) IM for assaultive behavior. At report, the LPN/LVN charge nurse explains that staffing is poor and she is unable to provide the supervision the patient needs. She directs the medication nurse to administer the patient's prn haloperidol q4h during the shift. This action constitutes
false imprisonment
A purely task-centered leadership style that thrives on power and involves telling someone what to do, with little regard for the employee as a person, is the
autocratic style.
Leaving an unconscious patient exposed during a treatment or procedure is a violation of the ethical principle of
autonomy.
A new LPN/LVN asks the LPN/LVN charge nurse what continuous quality improvement (CQI) is all about. The charge nurse should explain that the focus of CQI in a health care agency is
better patient care outcomes.
The nurse discusses the patient's condition on the phone with the patient's brother. On learning this, the patient is upset, saying he has not spoken with his brother for years and does not want his brother to know anything about his condition. The nurse has
breached confidentiality.
A major change in medical ethics that affected nursing occurred when the Western secular belief system shifted emphasis from duties to
individual autonomy rights
To provide justice to patients on the unit, the nurse must
justice
What ethical principle underlies the statement in the National Federation of Licensed Practical Nurses (NFLPN) Code for Licensed Practical/Vocational Nurses, "The practical nurse provides health care to all patients regardless of race, creed, cultural background, disease, or lifestyle"?
justice
A people-oriented leadership style that focuses on people's feelings but ignores the task at hand and allows people to act without any direction is the
laissez-faire style.
nurse practice acts
laws established in each state in the US to regulate the practice of nursing
A nurse damages a physician's reputation through false written communication without the physician's permission. This is an example of
libel
The student nurse caring for a patient with a large decubitus ulcer photographs the ulcer without obtaining permission from the patient. The patient developed the ulcer while being cared for at home by her physician husband. The student plans to give the patient's history and use the photograph in a paper she is writing. The instructor explains to the student that this action is unacceptable and could result in a court action for
libel
A risk management strategy a nurse can use to prevent being named in malpractice lawsuits is
maintaining good relationships with patients and families
When a student nurse prepares diligently for a clinical assignment, the ethical principle being observed is
nonmaleficence.
Patient advocacy is:
speaking up for your patient
Official UN health agency
the who
Assault
threat or attempt to injure Example. threatening to give someone a shot(intentional tort)
For an LPN/LVN to motivate staff members to meet the goals of the organization, it is helpful if the nurse
understands work motivators.
The nurse states, "I like being part of the health care team caring for the traditional two-parent family during the postpartum period as they bond with their newborn." This statement reveals the nurse's
values
A nurse who angrily tells a patient, "If you don't go to sleep, I'm going to give you an injection," can be accused of
assault
A nurse damages a patient's reputation by verbalizing private information about the patient to a third party. This is an example of
slander.
. How should an LPN/LVN explain the term accountability to a student nurse?
"Accountability is assuming personal responsibility for one's nursing actions."
A student nurse asks, "What's the difference between laws and ethics?" Which response best explains the difference between nursing laws and ethics?
"Ethics refer to expected behavior of nurses, but laws require mandatory observance by nurses."
Which nursing actions are examples of use of the ethical principle of beneficence? (Select all that apply)
-The LPN/LVN provides emotional support when the patient cries. -The LPN/LVN places the bed in a low position before leaving the room. -The LPN/LVN places medication the patient brought from home at the nurses' station.
The nurse is to present a mini-class on burnout prevention strategies at a nursing team meeting. Which topics would be appropriate to include? (Select all that apply.)
-practice time management skills -use humor to reduce tension -keep nursing skills current -maintain perspective about work
Interdependence example
-two countries: US and Japan -two goods: computers and wheat -one resource: labor, measured in hours -we will look at how much of both goods each country produces and consumes (if the country chooses to be self-sufficient/if it trades with the other country)
HMO
A group plan offering prepaid medical care to its members
fee-for-service
A method of financing health care costs in which physicians are paid a fee by the patient for each service they provide is known as
After several weeks of outpatient care, a patient with a badly burned hand has been referred for rehabilitation. The patient asks the nurse what the purpose of rehabilitation is. The best answer would be
A. "It will help you get back the function of your hand and will prevent further disability."
A resident who is terminally ill and his family are considering hospice. They ask the nurse for information about hospice. Which of the following would be information the nurse could correctly relay? (Select all that apply.)
A. Maintaining comfort as death approaches is the hospice philosophy. B. Hospice care may be provided at home or in a freestanding agency. C. Family members are encouraged to care for the individual. D. Hospice can be tailored to meet the individual's and the family's needs. F. Respite care is available when the individual is cared for at home.
The nurse is asked by a patient, "Why is it necessary to have deductibles and copayments when I already have health insurance?
A. They are a way to improve the margin of profit in the fee-for-service method of paying for health care."
The LPN/LVN nursing home charge nurse usually tells nursing assistants what to do and offers little opportunity for input or suggestions for how to improve care. This leadership style is called
autocratic
A set monthly fee charged by the provider of health care services for each member of the insurance group for a specific set of services is known as
B. Capitation
Which phrases describe the format of the NCLEX-PN examination? (Select all that apply.)
B. Includes questions of varying levels of difficulty C. May have fill-in-the-blank questions D. Uses charts, tables, and graphics as parts of questions F. Tests the cognitive levels of knowledge, comprehension, application, and analysis
The content of the NCLEX-PN examination is divided into four Client Needs categories. The Health Promotion and Maintenance category includes
B. family planning.
Endorsement for an LPN/LVN taking the NCLEX-PN examination means that the LPN/LVN
B. may apply for licensure in a different state or territory without retesting.
LPN/LVN licensure by endorsement in the United States and its territories is possible because
B. the NCLEX-PN examination is used by the board of nursing of each locale.
Prior to taking the NCLEX-PN examination, candidates sign a confidentiality clause. A candidate would be in violation of "terms of confidentiality" when doing which of the following?
C. The candidate discusses the exam with his instructor.
The content of the NCLEX-PN examination is divided into four Client Needs categories. The Safe, Effective Care Environment category includes
C. advance directives
The content of the NCLEX-PN examination is divided into four Client Needs categories. The Physiological Integrity category includes
C. medical emergencies.
Which individual is best served by receiving care at an adult day care center?
D. Mr. D, who has first-stage Alzheimer's disease and a working wife
Select the method of delivering nursing care that facilitates continuity of care, individualizes care, and fosters 24-hour accountability for patient care.
D. Primary care nursing
The requirement for taking the NCLEX-PN examination that is universal to every U.S. state and territory is
D. completion of a PN/VN program
The SP/VN reviewing for the NCLEX-PN examination should study based on an understanding that the category of patient need that is most heavily tested is
D. physiological integrity.
A patient tells the nurse, "I didn't sign up for health care insurance at my job because I'm young and healthy and can use the money in other ways." The response that best explains the advantage of health insurance would be, "With insurance
D. you are spreading the risk in case you have a serious health event, such as cancer or major trauma."
advising the president on health issues
DHS
Nursing assistant who need more training
Do an in service
Nurse A is assigned to care for a patient with diabetes who is being regulated on new types of insulin. The patient performs most of her own care and rarely uses the call bell to summon the nurse. The nurse knows this and leaves the patient unobserved most of the shift. Just before change of shift report, the aide reports that she cannot rouse the patient. The patient enters a vegetative state as the result of brain damage related to severe hypoglycemia. Which, if any, of the four elements needed to prove malpractice are present? (Select all that apply.)
Duty Breach of duty Damages Proximate cause
Which nonverbal behavior is most congruent with a nurse's assertive verbal statement?
Firm voice, erect posture, direct eye contact
Which care delivery method has the greatest potential for fragmenting patient care?
Functional method
Which situation can be identified as abandonment of patients by the nurse?
Going off duty without giving report rather than care for patients on an unfamiliar unit
What are the expected outcomes of using assertive communication in the nursing workplace? (Select all that apply.)
It promotes positive relationships. It is clear and unequivocal. It respects the rights of oneself and others.
The LPN/LVN charge nurse asks the nurse manager, "How can I motivate the nursing assistants on my shift?" The best answer would be
Motivation is an inner force. You can't motivate someone else, but understanding the things that are important to workers can be helpful."
Divisions of the DHHS
National Institutes of Health (NIH) Food and Drug Administration (FDA) Centers for Disease Control and Prevention (CDC) Indian Health Service (IHS)
Coinsurance
Once a deductible has been met, the percentage of the total bill paid by the insured person is known as the
Which groups are members of a nursing team?
RNs, LPN, Nursing Assistants
A nurse demonstrates assertive behavior by doing which of the following?
Requesting to speak with the physician privately when she feels that the physician has ordered an inappropriate treatment
Primary Care Nursing
Select the method of delivering nursing care that facilitates continuity of care, individualizes care, and fosters 24-hour accountability for patient care.
preventive care
Services designed to keep patients healthy, including check-ups, well baby care and adult care, immunizations, Pap smears and mammograms.
They allow patients a voice about medical interventions after they are incapable of acting
Which statement is true regarding durable medical power of attorney and living wills?
An example of battery is
a patient who refuses to be suctioned and is suctioned anyway after refusal
deductibles
a specified amount of money that the insured must pay before an insurance company will pay a claim
Mission Statement
a statement of the organization's purpose - what it wants to accomplish in the larger environment
A telltale sign of a chemically impaired nurse is
an increasing number of practice errors.
