chapter 3 qs

Which actions by the nurse demonstrate the ethical principle of fidelity? Select all that apply.

Maintaining current nursing registration and meeting continuing education requirements Performing an intervention for a client at the time that was promised Taking an extra client assignment so that the client will be cared for

What is the primary purpose of standards of nursing practice?

to ensure knowledgeable, safe, comprehensive nursing care

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?

Fidelity

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

To protect the safety of the public

establishing the criteria for the education and licensure of nurses is a component of:

a state's nurse practice act

An RN enters a client's room and observes the unlicensed assistive personnel (UAP) forcefully pushing a client down on the bed. The client starts crying and informs the UAP of the need to go to the bathroom. What action is the RN witnessing that should be immediately reported to the supervisor?

battery

Action has been taken against a nurse's license based on a claim that the nurse acted outside of nursing's scope of practice. The nurse's attorney determines that the nurse needs more education about the purpose of the board of nursing when the nurse makes which statement?

"The rules made by the board of nursing don't reflect my practice."

A nurse provides client care within a philosophy of ethical decision-making and professional expectations. What is the nurse using as a framework for practice?

Code of ethics

Which example most accurately depicts the ethical principle of autonomy?

Describing a surgery to a client before the consent is signed

Legal safeguards are in place in the nursing practice to protect the nurse from exposure to legal risks as well as to protect the client from harm. What is an example(s) of legal safeguards for the nurse? Select all that apply.

The nurse confirms informed consent was give by the client to perform a procedure. The nurse educates the client about what to expect during the hospital stay. The nurse documents all client care in a timely manner.

After reporting to work for a night shift, the nurse learns that the unit is understaffed because two RNs called out sick. As a result, each nurse on the unit must provide care for four acute clients in addition to the nurse's regular clients. Which statement is true for this nurse when working in understaffed circumstances?

The nurse is legally held to the same standards of care as when staffing levels are normal.

A group of nurse researchers has proposed a study to examine the efficacy of a new wound care product. Which aspect of the methodology demonstrates that the nurses are attempting to maintain the ethical principle of nonmaleficence?

The nurses are taking every reasonable measure to ensure that no participants experience impaired wound healing as a result of the study intervention

Which is not true regarding nurse practice acts?

They describe what medications nurses can prescribe.

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

stays with a client during death as promised.

A nurse is driving on a back country road when a man flags the nurse down and yells that his wife is having a baby. The registered nurse is eager to help. The nurse recalls being covered under the Good Samaritan law. This law states:

that the nurse's license is protected if the nurse acts in a reasonable manner given the circumstances.

The nurse is assigned to various clients on a medical unit. Which statement(s) made to a client by the nurse constitutes assault? Select all that apply.

"I am going to insert a catheter in you, if you do not get up to go to the bathroom." "Hold still for these stitches; otherwise, I am going to have to hold you down."

A nurse using the principle-based approach to client care seeks to avoid causing harm to clients in all situations. What is this principle known as?

NONMALEFICENCE

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?

Autonomy

Which action most clearly demonstrates a nurse's commitment to social justice?

Lobbying for an expansion of healthcare resources and benefits to those in poverty

Upon entering the hospital system, the nurse discusses the rights and responsibilities that the client is entitled to in the institution. The information the nurse discusses is commonly referred to as:

Patient's Bill of Rights.

The nurse conducts a home safety assessment for a client. Which statement best explains the standard of care being implemented?

The RN promotes a safe environment.