NSG 130 Final Exam

A nurse is reviewing information about the Health Insurance Portability and Accountability Act (HIPAA) with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates a need for further teaching? "Information about a client can be disclosed to family members at any time." "A client's address would be an example of personally identifiable information." "HIPAA established regulations of individually identifiable health information in verbal, electronic, or written form." "HIPAA is a federal law, not a state law."

"Information about a client can be disclosed to family members at any time."

Which of the following is the best example of a situation where a nurse could demonstrate workforce advocacy? Staff on one unit feel the nurse manager is showing favoritism to another unit. A client feels pressured by a physician to have a medical procedure done. A nurse volunteers to help in a fund raiser to provide toys for tots A client wishes to be an organ donor against the family's wishes.

A client feels pressured by a physician to have a medical procedure done.

After reviewing a client's chart, it is noted there was not an informed consent signed by the patient that is schedule for heart surgery. Failure to obtain this and perform the surgery would be what tort? A- False Imprisonment B- Assault C- Invasion of privacy D- Battery

B- assault

A nurse conducting a physical assessment on a 17 year-old female client; the mother suspects the client is sexually active and approaches the nurse. She asks to see the chart to confirm her suspicions. how should the nurse react? A-Inform the mother she must discuss the matter with the physician B-Discuss the concept of protected health information under the Health Insurance Portability and Accountability act (HIPPA). C-Determine if the client is emancipated before releasing the information D-Allow the mother access based on the Family Educational rights and Privacy act (FERPA)

B-Discuss the concept of protected health information under the Health Insurance Portability and Accountability act (HIPPA).

A nurse is teaching a newly licensed nurse about reporting suspected child abuse. Which of the following statements indicates an understanding by the newly licensed nurse? A- "I don't want to defame someone if the report is false." B-"If the potential abuser commits to stopping the abuse, health care workers are not required to report it." C-"If suspicion of abuse exists then reporting is mandatory." D-"Evidence must exist prior to reporting."

C-"If suspicion of abuse exists then reporting is mandatory."

What is the core of the human caring theory? Caring is universal and is practiced through interpersonal relationships Health is a continual, open process, with nursing care planned based on the patient's perspective of health. Nursing interventions are required when people demonstrate ineffective adaptive responses. Uses the nursing process to provide solutions to the problems as well as the prevent problems.

Caring is universal and is practiced through interpersonal relationships

A nurse takes steps to challenge an assignment that may not be within the practice limits for nurses in the state where she works. Which law defines the limits of each state's nursing practice? A- Food,Drug, and Cosmetic Act B- Contract Law C- National Labor Relations Act D- Nurse Practice Act

D- nurse practice act

A nurse is caring for a 74-year-old male client who requires insertion of a central venous catheter. Who is responsible for obtaining the informed consent? A-the nurse assisting with the procedure B- the attending physician C- the physician who will insert the catheter D- The charge nurse

D- the charge nurse

A nurse is caring for a client who is scheduled for surgery. The nurse's role in regard to informed consent is which of the following? Discussing alternate treatment options Determining the client's level of understanding about the procedure Ensuring the charge nurse is available to witness the client's signature on the consent form Explaining the risks involved with the procedure

Determining the client's level of understanding about the procedure

A nurse is caring for a client who reports difficulty sleeping while in the hospital. Which of the following actions taken by the assistive personnel (AP) while the client is sleeping should prompt the nurse to intervene? Closes the door to the client's room Measures the client's vital signs routinely Asks a group of nurses in the hall to speak quietly Flushes the client's toilet after emptying the urinary catheter's drainage bag

Flushes the client's toilet after emptying the urinary catheter's drainage bag

A nurse is caring for a client whose informed consent form has been signed in preparation for a procedure. The client states, "I have decided not to have the procedure." Which of the following actions should the nurse take? Inform the provider that the client is withdrawing consent. Discuss alternatives to the procedure. Explain why this procedure is necessary. Remind the client the consent form has already has been signed.

Inform the provider that the client is withdrawing consent.

A nurse on a medical-surgical unit has accepted a transfer to the intensive care unit (ICU). Prior to transfer to the ICU, the nurse completes an online critical care and emergency nursing course. The nurse is demonstrating which of the following ethical principles? Fidelity Nonmaleficence Veracity Autonomy

Nonmaleficence

A nurse is preparing a client for outpatient surgery. After the nurse inserts the IV catheter, the client reports pain in the insertion area. Which of the following actions should the nurse take? Administer an analgesic PO. Remove the catheter and insert another into a different site. Administer a local anesthetic. Request a prescription for placement of a central venous access device.

Remove the catheter and insert another into a different site.

A nurse is caring for a client who is hospitalized for the treatment of severe depression. Which of the following nursing approaches is therapeutic to include in the client's plan of care? Giving the client choices of activities Encouraging decision-making Playing a game of chess with the client Spending time sitting with the client

Spending time sitting with the client

A hospice nurse is caring for a patient with end stage renal disease. The nurse's commitment to the principle of autonomy is demonstrated by? The nurse helps the client prepare a durable power of attorney document. The nurse administers the pain medication to the client. The nurse promises to provide a counselor for the client. The nurse gives the client undivided attention when listening to concerns by the client.

The nurse helps the client prepare a durable power of attorney document.