Issues in Nursing
A nurse is caring for an older adult with dementia who has been admitted in the special ward for further treatment. Which situation should the nurse address to meet the safety and security needs of the client according to Maslow's hierarchy of needs?
"I do not want to talk to any stranger as I fear that they might take away my things."
A registered nurse is teaching a nursing student about malpractice insurance. Which statement by the nursing student requires correction?
"Most private insurance policies for nurses are primary policies that begin covering the nurse even before all hospital insurance coverage has been exhausted."
A nurse is reviewing the key responsibilities of a primary healthcare provider for obtaining consent from a client before performing a medical procedure. Which key responsibilities have been accurately stated? Select all that apply.
"The client receives a brief, complete explanation of the procedure or treatment." "The client receives an explanation of alternative therapies and the risks of doing nothing." "The client receives a description of the risks, including death, which may occur due to the procedure and anticipated pain and/or discomfort."
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?
Caring for a client with Parkinson's disease who requires day care service
A nurse uses therapeutic communication techniques in order to achieve desired client outcomes. Which communication technique is a part of therapeutic communication?
Providing relevant information to the client
A nursing student is noting the characteristics of the secondary level of prevention. What points should the nursing student note? Select all that apply.
Secondary prevention focuses on individuals with health problems and illnesses. Secondary prevention activities are directed at diagnosis and prompt interventions. Secondary prevention includes screening techniques and treating diseases at early stages.
A nursing student is recalling the various stages of health behavior change. What are the characteristics of the preparation stage? Select all that apply.
The client requires assistance to plan changes in health behavior. The client understands that the advantages of health behavior change exceed the disadvantages. The client makes small changes in health behavior in preparation for major changes in the next month.
A client is injured from falling from a hospital bed on which the side rails were not raised appropriately. The client's family files a malpractice suit against the nurse responsible for taking care of the client. Which statements regarding the lawsuit are accurate? Select all that apply.
The defendant obtains all of the plaintiff's medical records in the discovery phase. The jury uses certain standards of care to determine whether the nurse acted properly. The plaintiff outlines what the defendant did wrong and how it resulted in injury in the pleadings phase.
Through which organization can a registered nurse apply for certification as an informatics nurse?
American Nurses Credentialing Center
The nurses in a health care facility have developed a new care plan to prevent the risk of infection in clients with an indwelling urinary catheter in place. To determine if the changes prevent infections, the nurse manager uses the plan-do-study-act (PDSA). What is the order of steps that the nurse manager would follow to evaluate the changes?
1.Plan to test the change 2.Try out the change 3. Analyze what happened from the change 4. Determine what was learned
A nurse working in an emergency department is concerned about a recent increase in malpractice claims against nurses. What is the best way for the nurse to prevent being named in a lawsuit?
Attend professional development programs. Rationale: The best way to prevent professional negligence (malpractice) is to attend continuing education programs and improve practice; additional education is advisable when one is working in specialty areas, such as emergency departments or intensive care areas. Insurance is helpful after an incident, but it will not prevent malpractice claims. Writing vague incident reports is not professional; incident reports should be detailed. Preventing the issue by transferring to another department will not solve the problem. Each area of nursing practice requires expertise.
The nursing supervisor assigns a nurse to care for five clients in the intensive care unit (ICU). The nurse notes that all the clients in the ICU are at a risk of developing serious complications at any time. What course of action should the nurse take to handle the situation?
Submit a written protest to the nursing administrator Rationale: If a nurse is given an assignment that appears to be unreasonable, the nurse should submit a written protest to the nursing administrator. Even though this does not relieve the nurse of responsibility, if a client is harmed due to inattention, it shifts some of the responsibility to the institution. If the nurse refuses to take up the assignment, it may be viewed as insubordination. The nurse should not leave the ICU unattended even if there is staffing shortage as he/she may be charged with client abandonment. The primary healthcare provider is the not appropriate person to be alerted regarding shortage of staffing. Test-Taking Tip: Identify option components as correct or incorrect. This may help you identify a wrong answer.