NCLEx questions Unit 1

A nurse is providing care to a patient whose family has previously brought suit against another hospital and two physicians. Under which ethical principle should the nurse practice?

Justice

The healthcare facility has sponsored a continuing education offering an emergency management of pandemic influenza. At lunch, a nurse is overheard saying I am not going to take care of anyone who might have the flu. I have kids to think about. Which is true of the statement? Select all that apply

The nurse has grader obligations and a lay person to care for the sick or injured in an emergency This statement is a breach of code of ethics for nurses

The situational leadership model focuses on

Both followers and the task

And effective leader will have select all that apply

Courage and integrity A critical mindset The ability to set priorities The ability to provide feedback

And important competency that nurse leaders need to develop in order to lead effectively is the

Ability to communicate effectively with others

A nurse significant Other undergoes exploratory surgery at the hospital where the nurse is an employee. Which practice is most appropriate?

Access to the chart requires a signed release form

Which of the following represents the knowledge and skills expected Of the professional nurse? Select all that apply

Accountability advocacy autonomy

You are participating in a clinical care coordination conference for a patient with terminal cancer. You talk with your colleagues about using the nursing code of ethics for professional registered nurses to guide care decisions. A non-nursing colleague ask about this code. Which of the following statements best describes this code?

Acts as a guide for a professional behaviors in giving patient care

When should a new graduate consider taking on management responsibilities?

After developing clinical expertise

Informational aspects of a nurse managers job in

Being a spokes person

Effective nurse leaders select all that apply

Are also good followers Effectively work together with shared goals

Which of the following demonstrates a nurse as advocating for a patient? The nurse

Assesses the clients point of view and prepares to articulate the point of view

A patient as a nurse if he has to agree to the health providers treatment plan. The nurse asked the patient about his concerns which ethical principle is a nurse applying in this situation select all that apply

Autonomy

Servant leader ship focuses on

Creating a supportive work environment

An RN new to the emergency department documented that the patient was intoxicated and acted in a crazy man or the team leader told the RN that this type of documentation can lead to

Defamation of character

Transformational nursing leaders have the ability to

Defined the groups mission and communicate that mission to others

Scientific management focuses on

Efficiency

Nursing has its origins with

Florence Nightingale Religious orders

APRNs generally SATA

Function independently Hold advanced degrees

Autocratic leaders

Give orders and make decisions without consulting the team

An RN sees an older woman fall in the mall. The RN helps the woman. The woman later complains that she twisted and sprained her ankle. The RN is protected from a litigation under:

Good Samaritan law

Theory Y emphasizes

Guidance development and reward

Several studies have shown that although care planning in advance directives are available to clients, only a minority actually complete them. Which of the following has been shown to be related to completing an advance directive? Select all that apply

History of chronic illness higher education

Nurses at a community Hospital are in an education program to learn how to use a new pressure relieving device for patients at risk for pressure ulcers this is which type of education

In-service education

A unit team leader who fails to provide direction to his or her nursing care team is

Laissez-fair leader

Effective nurse managers have select all that apply

Leadership capabilities clinical expertise business sense budgeting savvy

An RN has asked a LPN to trim the toenails of a diabetic patient. The LPN trims them too short, which results in a toe amputation from infection the patient files a lawsuit against the hospital, the RN, and the LPN. What might all three be found guilty of

Malpractice

What is the difference between management and leader ship

Management is an assigned position

Who stated that the function of the nurse is to assist the individual sick or well in the performance of those activities contributing to health or its recovery or to peaceful death

Nightingale

Which best describes the difference between patient privacy and patient confidentiality

Privacy is the right to be free from intrusions into personal matters where is confidentiality is protection from sharing a persons information

A nurse is caring for a patient who feels that life should not be prolonged when hope is gone. She has decided that she does not want extraordinary measures taken when her life is at its end. She has discussed her feelings with her family and healthcare provider. The nurse realizes that this is an example of

Prizing value

The NCLEX for nurses is exactly the same in every state in the United States. The examination

Provides a minimal standard of knowledge for a registered nurse in practice

The ANA Code of ethics with interpretive statements guides nurses in ethical behaviors. Provision three of the ANA Code of ethics says: "the nurse promotes, advocates for, and strive to protect the health, safety, and rights of the patient."Which of the following best describes an example of this provision

Respecting the patient privacy and confidentiality when caring for them

A democratic nurse leader consistently works to

Share leader ship with the group

Effective followers are those who are

Skilled and self-directed employees

Nursing practice in the 21st-century is an art and science that focused on

The client

An RN is obtaining a signature on a surgical informed consent document. Before obtaining the signature, the RN must ensure which of the following? Select all that apply

The client is not sedated the client understands the procedure

After three years of uneventful employment the nurse made a medication error that resulted in patient injury. What hospital response to this event is ethical

The hospital was supportive and assistive as the nurse coped with this event

A nurse is working on an ethics committee To determine the best course of action for a patient who is dying. The nurse consider is the positive and negative outcomes of a decision to assist with choices. Which best describes the distinction of using a list when making an ethical decision?

The nurse can compare the benefits of one choice over another

HIPPA Regulations guard confidentiality. In several situations, confidentiality can be breached and information can be reported to other entities. Which of the following meet those criteria select all that apply

The situation involves child abuse an injury occurred from a firearm

Professional accountability serves the following purpose: select all that apply

To provide a basis for ethical decision making To respect the decision of the client To maintain standards of health To evaluate new professional practice and reassess existing ones

Which of the following is a major reason why newly licensed nurse resign

Unsupportive management

Which of the following is unique to a professional standard of decision making? Select all that apply

Weighs benefit and risk when making a decision analyzes and examines choices more independently

And emotionally intelligent nurse leader

Welcomes constructive criticism