N138 Adaptive Quizzing

Which organization provides scope and practice guidelines on the roles and responsibilities for nursing and nursing specialties?

American Nurses Association (ANA) The American Nurses Association develops and publishes scope and standards of practice guidelines for nursing and nursing specialties. Many professional organizations have state level nursing associations, but they do not publish standards and scope of practice.

Which care settings are more suitable for unlicensed nursing personnel (UNP)? Acute care Surgical care Extended care Long-term care Emergency care

C, D Extended care and long-term care settings are more suitable for unlicensed nursing personnel (UNP). Acute care, surgical care, and emergency care settings require highly qualified and licensed nursing professionals. Acute care, surgical care, and emergency care are not suitable for UNPs because the clients are less stable compared to those in extended care and long-term care. Since acute care, surgical care, and emergency care settings require highly qualified and licensed nursing professionals, the UNP's role is very limited.

Which way can the nurse prevent being named in a lawsuit? Carry malpractice insurance Write vague incident reports Transfer to another department Attend professional development programs

D The best way to prevent professional negligence is to attend continuing education programs and improve practice; additional education is advisable when one is working in a specialty area.

Which actions do effective followers expect from their leader? Being respectful toward them Giving a future-focused direction to them Recognizing them in appropriate situations Giving guidance for their financial development Asking to focus on professional work rather than personal life

A,B,C Followers expect guidance for their professional development, not for their financial development. Effective followers expect guidance in balancing their professional work and personal lives from their leader.

A registered nurse is teaching a nursing student about malpractice insurance. Which statement by the nursing student requires correction? a) "Malpractice insurance provides for a defense when a nurse is alleged to have committed professional negligence or medical malpractice. "b) "Most private insurance policies for nurses are primary policies that begin covering the nurse even before all hospital insurance coverage has been exhausted." c) "If both the employing institution and the nurse are sued, the nurse needs to notify his or her private insurance carrier of the lawsuit, even though the nurse has insurance through the hospital." d) "If both the hospital policy and the private policy are considered primary and the hospital loses as a result of the nurse's act, the hospital may sue the nurse's private insurer to recover its losses."

B "Most private insurance policies for nurses are primary policies that begin covering the nurse even before all hospital insurance coverage has been exhausted." Most private insurance policies for nurses are excess policies that begin covering the nurse only after the hospital's insurance coverage has been exhausted. Malpractice insurance provides a defense when a nurse is in a lawsuit involving professional negligence or medical malpractice. If both the employing institution and the nurse are sued in a professional liability case, the nurse must notify his or her private insurance carrier of the lawsuit, even though the nurse has insurance through the hospital. If both the hospital policy and the private policy are considered primary and the hospital loses as a result of the nurse's act, the hospital may sue the nurse's private insurer to recover its losses.

When obtaining informed consent for sterilization from a developmentally challenged adult client, the nurse must be sure that the: Parent or guardian signs the consent Client is able to explain what the procedure entails Client is able to comprehend the outcome of the procedure Parent or guardian has encouraged the client to make the decision

The client must be intellectually competent; that is, able to comprehend the outcome of the procedure to give informed consent. 1 This avenue may be pursued after the client is deemed unable to provide informed consent. The parent or guardian must be designated by the court to perform this function. 2 This may be unrealistic for this client; it is more important for the client to demonstrate that the outcome of the procedure is understood. 4 The client should be free from the influence of others who might press to have the procedure performed. This is an individual decision by a client who is capable of making this decision.

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 Health care organizations that apply for Magnet status must demonstrate innovations in professional practice. One of the forces of magnetism that impacts the structural empowerment of the organization is its personnel policies and programs. Personnel policies of an organization should provide an innovative environment in which the staff are developed and empowered. Empirical quality outcomes are reviewed by assessing the quality of care. New knowledge, innovations, and improvements are reviewed by assessing the quality improvement of the health care organization. Interdisciplinary relationships are assessed to review exemplary professional practice.

The nurse manager is planning to delegate tasks to the unlicensed assistive personnel (UAP). Which tasks can be delegated on a medical-surgical unit to a UAP? Select all that apply. Performing a bed bath for a client on bed rest Evaluating the effectiveness of acetaminophen and codeine Obtaining an apical pulse rate before oral digoxin is administered Assisting a client who has patient controlled analgesia (PCA) to the bathroom Assessing the wound of a client recovering from an abdominal laparotomy

A,D Performing a bed bath for a client on bed rest and assisting a client with a PCA pump to the bathroom are both within the scope of practice of the UAP. Although UAPs frequently obtain client vital signs, obtaining an apical pulse rate before deciding whether to give digoxin requires professional nursing judgement. Evaluating responses to medications and wound assessment also require the expertise of a licensed professional nurse.