204 Summer 2019 Final Exam

A registered nurse is teaching a nursing student about the components of the magnet model. What information should the registered nurse provide about exemplary professional practice according to the revised magnet model? 1 "Strong professional practice is established, and accomplishments of the practice are demonstrated." 2 "A vision for the future and the systems and resources to achieve the vision are created by nursing leaders." 3 "Focus is on structure and processes and demonstration of positive clinical, work force, and client and organizational outcomes." 4 "Structures and processes provide an innovative environment in which staff are developed and empowered and professional practice flourishes."

1 "Strong professional practice is established, and accomplishments of the practice are demonstrated."

A registered nurse is teaching a nursing student about Peplau's theory, which focuses on interpersonal relations. Which statements of the nursing student indicate an understanding of the theory? Select all that apply. 1 "This theory creates a maturing force." 2 "This theory involves the nurse acting as a resource and surrogate." 3 "This theory includes three phases that characterize the interpersonal relationship." 4 "This theory focuses on the interpersonal relationship between the client and the client's family." 5 "This theory focuses on the interpersonal relationship that is influenced by only the nurse's perceptions."

1 "This theory creates a maturing force." 2 "This theory involves the nurse acting as a resource and surrogate." 3 "This theory includes three phases that characterize the interpersonal relationship."

A nurse is discussing various scenarios involving healthcare settings and services with other team members. Which scenario mentioned by the nurse is an example of continuing care? 1 Caring for a client with Parkinson's disease who requires day care service 2 Explaining to the family member the risks and benefits of screening for cancer 3 Teaching a couple about the proper use of contraceptives and promotion of sexual health 4 Teaching a teenager about the importance of eating nutritious foods to prevent health issues

1 Caring for a client with Parkinson's disease who requires day care service

How can a nurse best evaluate the effectiveness of communication with a client? 1 Client feedback 2 Medical assessments 3 Health care team conferences 4 Client's physiologic responses

1 Client feedback

Health promotion efforts for a chronically ill client should include interventions related to primary prevention. What should this include? 1 Encouraging daily physical exercise 2 Performing yearly physical examinations 3 Providing hypertension screening programs 4 Teaching a person with diabetes how to prevent complications

1 Encouraging daily physical exercise

While visiting the hospital, the spouse of a client slips and falls on a recently washed floor in the hallway leading to the client's room. To meet the criteria of ethical practice, what action should the nurse who witnessed the occurrence take? 1 Initiate an agency incident report. 2 Report the fall to the state (provincial) health department. 3 Write a brief description of the incident to be kept by the nurse manager. 4 Determine that no documentation is needed because the visitor is not a client in the hospital.

1 Initiate an agency incident report.

A registered nurse is teaching a nursing student about Nightingale's theory of nursing. Which statements have been correctly stated by the nursing student as a result of the teaching? Select all that apply. 1 Nightingale's theory states that the focus of nursing is caring through the environment. 2 Nightingale's theory limits nursing to the administration of medications and treatment. 3 Nightingale's theory suggests that every nurse should know all about the disease process. 4 Nightingale's theory is oriented towards providing fresh air, light, warmth, cleanliness, quiet, and adequate nutrition. 5 Nightingale's theory focuses on helping the client deal with the symptoms and changes in function related to an illness.

1 Nightingale's theory states that the focus of nursing is caring through the environment. 4 Nightingale's theory is oriented towards providing fresh air, light, warmth, cleanliness, quiet, and adequate nutrition. 5 Nightingale's theory focuses on helping the client deal with the symptoms and changes in function related to an illness.

What does a nurse do during the orientation phase of a helping relationship? 1 The nurse develops a healthy relationship with the client. 2 The nurse tries to wrap up the conversation with the client. 3 The nurse collects needed medical data from other caregivers. 4 The nurse motivates the client to engage in self-exploration of his or her health condition.

1 The nurse develops a healthy relationship with the client.

In order to prolong a hospitalization stay, the nurse documents in a client's electronic health record (EHR) that there are no signs of recovery. However, in reality, the client appears to be cured of the illness. What legal implication does the nurse's action have? 1 The nurse may be charged with libel. 2 The nurse may be charged with slander. 3 The nurse may be charged with malpractice. 4 The nurse may be charged with invasion of privacy.

1 The nurse may be charged with libel.

A registered nurse is teaching a nursing student about systems theories with a specific reference to Neuman's systems theory. Which statements made by the nursing student post teaching are accurate? Select all that apply. 1 "Factors that change the environment also affect an open system." 2 "The components are interrelated and share a common purpose to form a whole." 3 "A system is composed of separate components and the components can be open or closed." 4 "Neuman's systems theory defines a total-person model of holism and a closed-systems approach." 5 "An open system interacts with the environment, with an exchange of information between the system and the environment."

1 "Factors that change the environment also affect an open system." 2 "The components are interrelated and share a common purpose to form a whole." 5 "An open system interacts with the environment, with an exchange of information between the system and the environment."

A nursing student is listing the nursing manager's role in the hospital setting. Which roles listed by the nursing student are accurate? Select all that apply. 1 "The nursing manager coordinates the activities of the nursing staff in delivering nursing care." 2 "The nursing manager uses appropriate leadership styles to create a nursing environment for clients and staff." 3 "The nursing manager investigates ways to improve nursing care and further define and expand the scope of the nursing practice." 4 "The nursing manager provides independent care to women during a normal pregnancy, labor, and delivery, and also provides care for the newborn." 5 "The nursing manager establishes an environment for collaborative client-centered care to provide safe and quality care with positive client outcomes."

1 "The nursing manager coordinates the activities of the nursing staff in delivering nursing care." 2 "The nursing manager uses appropriate leadership styles to create a nursing environment for clients and staff." 5 "The nursing manager establishes an environment for collaborative client-centered care to provide safe and quality care with positive client outcomes."

A nurse is evaluating examples of situations pertaining to the basic needs of human beings according to Maslow's hierarchy of needs. Which situations qualify under the fourth level of needs? Select all that apply. 1 A client laments that he or she is the ugliest person in the whole world. 2 A client informs the nurse that he or she has been living alone for the past decade. 3 A client tells the nurse that he or she feels out of breath even when walking slowly. 4 A client tells the nurse that he or she is the only member in the family who does not work. 5 A client feels that he or she has not been able to live up to his or her partner's expectations.

1 A client laments that he or she is the ugliest person in the whole world. 4 A client tells the nurse that he or she is the only member in the family who does not work. 5 A client feels that he or she has not been able to live up to his or her partner's expectations.

Health promotion efforts within the healthcare system should include efforts related to secondary prevention. Which activities reflect secondary prevention interventions in relation to health promotion? Select all that apply. 1 Encouraging regular dental checkups 2 Facilitating smoking cessation programs 3 Administering influenza vaccines to older adults 4 Teaching the procedure for breast self-examination 5 Referring clients with a chronic illness to a support group

1 Encouraging regular dental checkups 4 Teaching the procedure for breast self-examination

The nurse is teaching the benefits of electronic health records (EHRs) to clients in a community health care center. What would be appropriate for the nurse to include in the education? Select all that apply. 1 The EHR helps obtain Medicare and Medicaid payments. 2 The EHR helps to order medications online at a reduced price. 3 The EHR helps to learn about food interactions with various medications. 4 The EHR helps to share personal health information with selected family members. 5 The EHR helps provide more accurate diagnoses and treatment in emergency conditions.

1 The EHR helps obtain Medicare and Medicaid payments. 4 The EHR helps to share personal health information with selected family members. 5 The EHR helps provide more accurate diagnoses and treatment in emergency conditions.

A nurse is teaching about near-miss events to a group of nursing students. What is appropriate for the nurse to include in the education? Select all that apply. 1 They do not cause actual harm to the client. 2 They may cause moderate harm to the client. 3 They are caused by a variation in standard care. 4 They are caused by impaired immune functioning. 5 Their cause can be analyzed by failure mode effective analysis.

1 They do not cause actual harm to the client. 3 They are caused by a variation in standard care. 5 Their cause can be analyzed by failure mode effective analysis.

A nursing instructor is teaching a group of nursing students about sentinel events. What is appropriate to include in the education? 1 A sentinel event causes moderate harm to the client. 2 A sentinel event is undesirable and largely avoidable. 3 A sentinel event's impact is mitigated by interventions. 4 A sentinel event is very common in hospital settings.

2 A sentinel event is undesirable and largely avoidable.

In today's healthcare environment, the nurse is confronted with multiple stressors while attempting to meet the demands of the nurse educator role. Which condition is the most common major stressor that diminishes teaching effort effectiveness? 1 Extent of informed consumerism 2 Limited time to engage in teaching 3 Variety of cultural beliefs that exist 4 Deficient motivation of adult learners

2 Limited time to engage in teaching

While caring for a client dealing with pain, the nurse assesses the health status and prioritizes his or her needs. Which phase of the helping relationship is observed? 1 Working phase 2 Orientation phase 3 Termination phase 4 Preinteraction phase

2 Orientation phase

A nurse educator is presenting information about the nursing process to a class of nursing students. What definition of the nursing process should be included in the presentation? 1 Procedures used to implement client care 2 Sequence of steps used to meet the client's needs 3 Activities employed to identify a client's problem 4 Mechanisms applied to determine nursing goals for the client

2 Sequence of steps used to meet the client's needs

A client tells a nurse "I work in a factory that manufactures explosives." According to Maslow's hierarchy of needs, to which level of need does the given scenario refer? 1 The given scenario relates to the first level that includes physiological needs. 2 The given scenario relates to the second level that includes safety and security needs. 3 The given scenario relates to the fourth level that includes self-esteem needs. 4 The given scenario relates to the final level that includes self-actualization needs.

2 The given scenario relates to the second level that includes safety and security needs.

The nurse manager asks the nurse, "How would you implement clinical decision making in a group of clients?" Which answer provided by the nurse shows effective critical thinking? Select all that apply. 1 "I will avoid involving clients as decision-makers and participants in care." 2 "I will discuss complex cases with other members of the healthcare team." 3 "I will identify the nursing diagnoses and collaborative problems of each client." 4 "I will consider the period it takes to care for clients whose problems have higher priority." 5 "I will decide to perform activities individually to resolve more than one client problem at a time."

2 "I will discuss complex cases with other members of the healthcare team." 3 "I will identify the nursing diagnoses and collaborative problems of each client." 4 "I will consider the period it takes to care for clients whose problems have higher priority."

A registered nurse is educating a nursing student about the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS). Which points mentioned by the nursing student post-teaching are correct? Select all that apply. 1 Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores are not affected by nursing environments. 2 Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) is a standardized survey developed to measure client perceptions of their hospital experience. 3 Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey is administered to a randomly selected sample of adults who were discharged from a hospital between 48 hours and 6 weeks ago. 4 Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) was developed by the National Committee for Quality Assurance (NCQA) as a way for hospitals to collect and report data publicly for comparison purposes. 5 Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) surveys have 27 questions that ask clients to rate their communication with nurses and physicians, discuss other details about treatment, and share their willingness to recommend the hospital.

2 Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) is a standardized survey developed to measure client perceptions of their hospital experience. 3 Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey is administered to a randomly selected sample of adults who were discharged from a hospital between 48 hours and 6 weeks ago. 5 Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) surveys have 27 questions that ask clients to rate their communication with nurses and physicians, discuss other details about treatment, and share their willingness to recommend the hospital.

A nurse notes that a client with dementia refuses to eat. Instead of informing the primary healthcare provider, the nurse threatens to force-feed the client, and proceeds to apply restraints in order to do so. What legal charges may be brought up against the nurse? Select all that apply. 1 Libel 2 Assault 3 Malpractice 4 Invasion of privacy 5 False imprisonment

2 Assault 3 Malpractice 5 False imprisonment

A nursing student is giving examples of healthcare settings and services. Which scenario is a perfect example of tertiary care? 1 Preparing a client for an X-ray who has sustained a leg fracture in an accident 2 Teaching community members about the importance of using seat belts in cars 3 Caring for a postoperative client in the intensive care unit who is suffering from respiratory distress 4 Advising a client with stage 1 Parkinson's disease to include exercise in his or her daily routine

3 Caring for a postoperative client in the intensive care unit who is suffering from respiratory distress

A nursing student lists the preventive and primary care services available in schools, primary healthcare provider's offices, occupational health clinics, community health centers, and nursing centers. Which service provided by these centers is most expensive? 1 Running errands 2 Health education 3 Disease management 4 Routine physical examinations

3 Disease management

The nurse is assessing a client with impaired hearing. Which action of the nurse is most important for establishing a good communication with the client? 1 Speaking at a normal volume 2 Reducing environmental noise 3 Getting the client's attention before speaking 4 Rephrasing rather than repeating if misunderstood

3 Getting the client's attention before speaking

The Institute of Medicine (IOM) identified five interrelated competencies for all health care workers in the twenty-first century. What should the nurse do to provide patient-centered care? 1 Participate in research activities. Incorrect2 Identify errors and hazards in care. 3 Share decision-making and management. 4 Use information technology to reduce error.

3 Share decision-making and management.

During the beginning phase of a therapeutic relationship, why is a clear understanding of participants' roles important? 1 The client should understand what will be discussed. 2 The client will know that the nurse is trying to be helpful. 3 The client needs to know what to expect from the relationship. 4 The client will be able to be prepared for termination of the relationship.

3 The client needs to know what to expect from the relationship.

In order to provide ideal therapeutic communication to clients, a health care facility provides interpreter services. Which statement regarding an interpreter is correct? 1 Interpreters can be relatives or friends of the client as well. 2 The interpreter should be able to make literal, word-for-word translations. 3 The interpreter should be able to interpret not only the language but also the culture. 4 The interpreter should be available as long as the health care provider is caring for the client.

3 The interpreter should be able to interpret not only the language but also the culture.

Which of these measures does a nurse take during the working phase of a helping relationship? 1 Evaluating goal achievements with the client 2 Anticipating health concerns or issues that may arise 3 Using appropriate self-disclosure and confrontation 4 Prioritizing the client's problems and identifying his or her goals

3 Using appropriate self-disclosure and confrontation

The nurse is having difficulty understanding a client's decision to have hospice care rather than an extensive surgical procedure. Which ethical principle does the client's behavior illustrate? 1 Justice 2 Veracity 3 Autonomy 4 Beneficence

3 Autonomy

A registered nurse is teaching a nursing student about the nurse's professional roles and responsibilities. When does the nurse play the role of an educator? 1 "A client requests the nurse to pray with him or her for quick recovery and the nurse complies with the request." 2 "A client is unable to sleep due to back pain. The nurse provides a back massage, which helps the client to fall asleep." 3 "A client with dementia refuses to take baths and loudly protests. The nurse consoles the client and provides the bath later." 4 "A client is being discharged from the hospital setting with an implanted port. The nurse describes the routine care activities to prevent any complications."

4 "A client is being discharged from the hospital setting with an implanted port. The nurse describes the routine care activities to prevent any complications."

A client is placed on a restricted diet. What is the best communication technique for the nurse to use when beginning to teach the client about the diet? 1 Asking about what type of foods the client usually eats 2 Telling the client that the diet must be followed exactly as written 3 Telling the client that the intake of foods on the list must be limited 4 Asking about what the client knows about the diet that was prescribed

4 Asking about what the client knows about the diet that was prescribed

Which statement about Orem's theory needs to be corrected? 1 It determines self-care needs. 2 It explains the types of nursing care. 3 It aids in the design of nursing interventions. 4 It describes factors supporting the health of the family.

4 It describes factors supporting the health of the family.

What kind of health service does the nurse offer in a health promotion or primary care program? 1 Home care 2 Immunization 3 Sports medicine 4 Nutrition counseling

4 Nutrition counseling

The Magnet Recognition Program for health care organizations is based on fourteen forces of magnetism related to five magnet model components. Which force of magnetism is assessed to review the structural empowerment of the organization? 1 Quality of care 2 Quality improvement 3 Interdisciplinary relationships 4 Personnel policies and programs

4 Personnel policies and programs

A nurse is collecting a client's medical information by talking to the family and caregivers of the client. Which phase of helping relationships is the nurse exercising? 1 Working phase 2 Orientation phase 3 Termination phase 4 Preinteraction phase

4 Preinteraction phase

Litigation resulting from improper restraint use is a common nursing legal issue. A nursing student is listing points related to the use of restraints. Which factor needs correction? 1 Restraints can be used when less restrictive interventions are not successful. 2 Restraints can be used when all other alternatives have been tried and exhausted. 3 Restraints can be used only to ensure the physical safety of the resident or other residents. 4 Restraints can be used anytime without a written order from the healthcare provider.

4 Restraints can be used anytime without a written order from the healthcare provider.

The nursing manager reviews client case studies to create a report that identifies medical errors that occurred in the hospital during the previous two years. Which case study would the nursing manager identify as a sentinel event? 1 The patient with leukemia was on anticancer therapy The patient had decreased white blood cells. The patient also reports of hair loss after initiating the therapy. 2 The patient was scheduled for surgery on the left leg. The patient's right leg was prepped for surgery. During a final pre-op check, it was discovered that the X-ray film was accidentally reversed. Surgery was performed on the left leg. 3 The patient with diabetes was on insulin therapy (Humulin N) The patient had seizures due to an overdose of insulin (Humulin N) 4 The patient with congestive heart failure is on intravenous digoxin.(Cardoxin) therapy The patient experienced cardiac arrest and died due to overdoes of digoxin (Cardoxin).

4 The patient with congestive heart failure is on intravenous digoxin.(Cardoxin) therapy The patient experienced cardiac arrest and died due to overdoes of digoxin (Cardoxin).

A nursing student is listing examples of healthcare services. Which scenario is an example of restorative care? 1 Performing radiological procedures on a client who has sustained a heart attack 2 Monitoring the blood pressure of an older adult with insomnia and hypertension 3 Advising a pregnant woman to eat a nutrition-rich diet to avoid any deficiencies in the baby 4 Visiting a private residence to perform maggot-aided debridement therapy of a client's wound

4 Visiting a private residence to perform maggot-aided debridement therapy of a client's wound

The unlicensed assistive personnel (UAP) recorded the vital signs of four clients. Which client needs immediate nursing interventions? A 70 Pulmonary Infection Respiratory Rate: 28 breaths/min SpO2: 70% B Fractured Hand Respiratory Rate: 14 breaths/min Blood Pressure: 140/86 mmHg V COPD Respiratory Rate: 20 breaths/min SpO2: 90% D Breast Cancer Respiratory Rate: 16 breaths/min Blood Pressure: 128/62 mmHg

A 70 Pulmonary Infection Respiratory Rate: 28 breaths/min SpO2: 70%

A nursing instructor provides teaching about the ethical principle of nonmaleficence to a group of nursing students. What is appropriate for the nurse to include in the education? A. Treat all clients equitably and fair B. Act in ways to prevent harm to clients C. Tell the client the truth about their helath D. Help the clients to make informed choices

B. Act in ways to prevent harm to clients

The nurse is caring for a client who is terminally ill with cancer. The health care team meets and agrees to provide the client with information to help the client make decisions regarding treatment. Which ethical principles are applied in this situation? Select all that apply. Justice Fidelity Veracity Autonomy Beneficence

Justice Fidelity Veracity Autonomy The nurse follows the principle of veracity by telling the truth to the client regarding his or her health status. Telling the truth helps the client in decision-making, which is in accordance with the principle of autonomy. Justice is an ethical principle that involves treating a client fairly without discrimination. Fidelity involves being loyal to the client. Beneficence involves acting in a way that causes the least harm to the client, and this principle does not apply because the team is not providing any care or making any health care decisions at this point.

What is the role of a nurse administrator in a healthcare setting? 1 Providing surgical anesthesia under the guidance and supervision of an anesthesiologist 2 Preparing the budget, staffing, strategic planning of programs and services, employee evaluations, and employee development 3 Providing comprehensive care by directly managing the medical care of clients who are healthy or who have chronic conditions 4 Providing knowledge about current nursing practices, trends, theories, and necessary skills in laboratories and clinical settings

2 Preparing the budget, staffing, strategic planning of programs and services, employee evaluations, and employee development

A nurse fails to act in a reasonable, prudent manner. Which legal principle is most likely to be applied? 1 Malice 2 Tort law 3 Malpractice 4 Case law

3 Malpractice

What legal complications might a nurse face for using a restraint without a legal warrant on a client? 1 The nurse may be charged with libel. 2 The nurse may be charged with negligence. 3 The nurse may be charged with malpractice. 4 The nurse may be charged with false imprisonment.

4 The nurse may be charged with false imprisonment.

The goal of a particular nursing theory is to use communication to help a client re-establish positive adaptation to environment, and the framework for the nursing practice is based on treating nursing as a dynamic interpersonal process among the nurse, the client, and the healthcare system. Which nursing theory are these points related to? 1 King's theory 2 Neuman's theory 3 Nightingale's theory 4 Benner and Wrubel's theory

1 King's theory

A nurse overhears an unlicensed assistive personnel (UAP) talking with a client about the client's marital and family problems. Which statement by the UAP would the nurse recognize as providing false reassurance? 1 "I agree; I think you should get a divorce." 2 "Everything will be fine; just wait and see." 3 "You should be glad that you have such a loving family." 4 "In the scheme of things, you do not have a major problem."

2 "Everything will be fine; just wait and see."

A nurse is working in a health care organization that has Magnet status. What specific responsibility does the nurse have in this organization? 1 The nurse must follow best-practices for quality improvement. Incorrect2 The nurse must use research-based practice to provide client care. 3 The nurse must collect data for comparison against a national level. 4 The nurse must refrain from taking independent actions during client care.

3 The nurse must collect data for comparison against a national level.

Which therapeutic communication technique is most useful for the nurse to use when the client begins to repeat previously mentioned issues in the same therapeutic conversation? 1 Focusing 2 Clarifying 3 Paraphrasing 4 Summarizing

1 Focusing

Which of these is a one-on-one communication between a nurse and another person? 1 Small-group communication 2 Intrapersonal communication 3 Interpersonal communication 4 Transpersonal communication

3 Interpersonal communication

Which healthcare system focuses solely on palliative care? 1 Hospice 2 Rehabilitation 3 Assisted Living 4 Extended care facilities

1 Hospice

The registered nurse (RN) provides nursing care based on the critical thinking model known as the nursing process. What is the correct order of steps in the nursing process? 1 Diagnosis 2 Assessment 3 Planning 4 Evaluation 5 Implementation

1. Assessment 2. Diagnosis 3. Planning 4. Implementation 5. Evaluation

A registered nurse is educating a student nurse regarding the role of value clarification in the resolution of ethical dilemmas. What information should the nurse provide? 1 "Value clarification involves tolerating differences of opinions." 2 "Value clarification involves reinforcing or challenging family values." 3 "Value clarification involves accepting strong values by individuals as facts." 4 "Value clarification involves relating values to facts when dealing with ethical issues."

1. "Value clarification involves tolerating differences of opinions."

Which ethical principle is violated when the nurse forgets to give a painkiller to a client as promised? A. Justice B. Fidelity C. Veracity D. Nonmaleficence

B. Fidelity

A registered nurse is explaining healthcare settings and services to a nursing student. Which scenario mentioned by the registered nurse is considered secondary acute care? 1 A nurse prepares a client who has suffered from repeated cerebral attacks for a CT scan. 2 A nurse is performing physical examinations and monitoring fetal movement in a pregnant woman. 3 A nurse is teaching family members about the importance of being vaccinated and the risks associated with a lack of vaccinations. 4 A nurse is checking a client's heart rate and blood pressure before administering entacapone and isoproterenol concurrently.

1 A nurse prepares a client who has suffered from repeated cerebral attacks for a CT scan.

Which psychophysiologic factors can influence communication between a nurse and a client? Select all that apply. 1 Privacy level 2 Emotional status 3 Information exchange 4 Level of caring expressed 5 Growth and development

2 Emotional status 5 Growth and development

Which statement is applicable to Watson's theory of transpersonal caring? 1 Watson's theory views the client as an adaptive system. 2 Watson's theory is based on stress and the client's reaction to the stressor. 3 Watson's theory focuses on providing the client with culturally specific nursing care. 4 Watson's theory defines the outcome of nursing activity in relation to the humanistic aspects of life.

4 Watson's theory defines the outcome of nursing activity in relation to the humanistic aspects of life.

A registered nurse is teaching a nursing student about the characteristics of various healthcare plans. Which statements about preferred provider organizations (PPOs) by the nursing student need correction? Select all that apply. 1 Preferred provider organizations are focused on health maintenance. 2 Preferred provider organizations reimburse nursing home payments. 3 Preferred provider organizations cover children who are not poor enough for Medicaid. 4 Preferred provider organizations have deductibles that clients must meet before the insurance pays. 5 In a preferred provider organization, a contractual agreement exists between a set of providers and one or more purchasers.

2 Preferred provider organizations reimburse nursing home payments. 3 Preferred provider organizations cover children who are not poor enough for Medicaid. 4 Preferred provider organizations have deductibles that clients must meet before the insurance pays.

What key points should the nurse keep in mind about the legal implications of nursing practice? Select all that apply. 1 Ensure that the nurse knows all the laws and that these laws are applied in the nursing practice, whenever required 2 Ensure that the primary healthcare providers' orders are followed unless they appear to be incorrect or inappropriate. 3 Ensure that all incident and occurrence reports are filed only for errors that have caused injury to the client. 4 Ensure that the client has given consent to any surgery or therapy voluntarily or involuntarily. 5 Ensure that the nurse can makes a formal protest to the nursing administrator if he or she is asked to take care of more clients than is reasonable.

1 Ensure that the nurse knows all the laws and that these laws are applied in the nursing practice, whenever required. 2 Ensure that the primary healthcare providers' orders are followed unless they appear to be incorrect or inappropriate. 5 Ensure that the nurse can makes a formal protest to the nursing administrator if he or she is asked to take care of more clients than is reasonable.