Nursing Fundamentals Proffessionalism

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A nurse is participating in an ethics committee meeting about a client who has a history of alcohol use disorder and needs a liver transplant. Which of the following actions should the committee take first? A.Collect information related to the issue. B.Consider the possible choices of action. C.Make a decision regarding transplant recommendation. D.Justify the recommendation for or against a transplant.

A. Collect information related to the issue

nurse discovers that the wrong medication was given to a confused client who answered to the name the nurse stated when entering the room. The provider is notified and reports that the medication the client received will not cause any harm. Which of the following actions should the nurse take? A.Complete an incident report documenting the occurrence. B.Make a note in the client's medical record that an incident report was completed. C.Request that another nurse administer medications to this client for the remainder of the shift. D.Report the medication error to the Joint Commission.

A. Complete an incident report documenting the occurrence

A client in a long-term care facility falls out of bed, fracturing his left hip. The side rails on the bed were not raised at bedtime, although this client was identified to be at risk of falling. Which of the following torts has occurred? A.Negligence B.Battery C.Intentional tort D.Slander

A. Negligence

A nurse is called away for an emergency while conversing with a client who is concerned about his medical diagnosis. The nurse returns to the client promptly, as promised. Which of the following ethical principles is the nurse demonstrating? A.Autonomy B.Fidelity C.Nonmaleficence D.Justice

B. Fidelity

A community health nurse is preparing a campaign about seasonal influenza. Which of the following plans should the nurse include as a form of secondary prevention? A.Holding a community clinic to administer influenza immunizations B.Screening groups of older adults in nursing care facilities for early influenza manifestations C.Educating parents of young children about the dangers of influenza D.Finding rehabilitation programs for older adults who have complications related to influenza

B. Screening groups of older adults in nursing care facilities for early influenza manifestations

A nurse in a provider's office observes a newly licensed nurse taking a client's health history while in the waiting area. Which of the following actions should the nurse take? A.Continue to observe the nurse B.Speak to the nurse immediately in private C.Consider using the same practice to make efficient use of time and office space D.Report the nurse's actions to the provider

B. Speak to the nurse immediately in private

A nurse is discussing with a newly licensed nurse about how to obtain informed consent from a client who is scheduled to undergo an epidural procedure. Which of the following ethical principles should the nurse include in the teaching? A.Beneficence B.Autonomy C.Paternalism D.Justice

B.Autonomy

A nurse is administering medications to a client who is recovering from a stroke and has right-sided paralysis. The nurse places the client's medications on the left side of the mouth and administers pills one at a time. Which of the following ethical principles is the nurse displaying? A.Autonomy B.Nonmaleficence C.Fidelity D.Justice

B.Nonmaleficence

A nurse manager is participating in a root cause analysis following a sentinel event on the unit. Which of the following statements defines the purpose of a root cause analysis? A.A root cause analysis assists in preparing a legal defense for the event. B.A root cause analysis estimates the costs involved in the event. C.A root cause analysis investigates deviations from standards of care surrounding the event. D.A root cause analysis determines if employees involved in the event should be terminated.

C. A root cause analysis investigates deviations from standards of care surrounding an event.

A nurse is caring for a client with stage 4 ovarian cancer who has decided to stop treatment and enter hospice care. Which of the following ethical principles is the nurse displaying by supporting the client in her decision? A.Responsibility B.Accountability C.Advocacy D.Confidentiality

C. Advocacy

A charge nurse is observing a group of newly licensed nurses. Which of the following actions should the charge nurse report to the nurse manager as a violation of HIPAA? A.Assigning a client who requested a private room to a semi-private room due to unavailability B.Placing a client who is confused in restraints C.Talking about clients with other nurses in the cafeteria D.Wheeling a client who is wearing a sheet down the hall into the shower room

C.Talking about clients with other nurses in the cafeteria

A nurse is caring for a client who is dying and unable to make decisions for himself. The client's adult children disagree about his code status. Which of the following sources should the nurse depend on for decisions regarding the client's end-of-life care? A.The client's oldest child B.The attending provider C.The client's health care proxy D.The facility's ethics committee

C.The client's health care proxy

A charge nurse is reviewing the Code of Ethics for Nurses during a staff meeting. Which of the following statements should the charge nurse include in the teaching? A. "The Code of Ethics for Nurses is legally binding." B. "The Code of Ethics for Nurses is mandatory for the practice of nursing." C. "The Code of Ethics for Nurses is a description of licensure requirements." D. "The Code of Ethics for Nurses is a guide for professional actions."

D. "The Code of Ethics for Nurses is a guide for professional actions."

A nurse is teaching a group of newly licensed nurse managers about the principle of justice. Which of the following statements by a nurse manager indicates an understanding of this teaching? A."I will refer an unhappy employee to the individual with whom a conflict arose." B."I will allow staff members to schedule their birthday holidays on alternate days, as long as staffing levels are maintained." C."I will encourage staff participation in choosing new telemetry monitors for the unit." D."I will compose staff schedules so that each person works two holidays a year."

D. I will compose staff schedules so that each person works two holidays a year

A nurse is performing a physical examination for a client. To evaluate the client's skin moisture, the nurse should use which of the following techniques? A.Percussion B.Auscultation C.Inspection D.Palpation

D. Palpation

A nurse manager is orientating newly licensed nurses to a facility and is emphasizing the importance of practicing within standards of care. To which of the following legal concepts is the nurse manager referring? A.Punitive damages B.Intentional torts C.Good Samaritan laws D.Professional negligence

D. Professional negligence

A nurse is teaching a group of unit nurses about the Health Insurance Portability and Accountability Act (HIPAA). Which of the following pieces of information should the nurse include in the teaching? A.The Privacy Rule limits the client's rights to personal health information. B.The electronic transfer of information allows each provider to use his/her own electronic format for claim transactions. C.Standardized numbers can have a varied format for identifying health plans. D.The Security Rule provides a uniform level of security to protect client records.

D. The security rule provides a uniform level of security to protect client records

A charge nurse is conducting an in-service training session on ethics to a group of newly licensed nurses. Which of the following situations should the charge nurse include as an example of the ethical principle of veracity? A.A nurse truthfully answers the client's questions about upcoming chemotherapy . B. A nurse stops inserting an NG tube when the client refuses the procedure. C. A nurse provides the same amount of time to all clients regardless of condition. D. A nurse reports an assistive personnel who transfers a client without using a gait belt

A.) A nurse truthfully answers the client's questions about upcoming chemotherapy.

A nurse is completing an incident report after administering an incorrect dose of medication to a client, even though the client experienced no ill effects from the error. What is the purpose of completing the incident report? A.Alerting the facility administration of a possible litigation situation B.Tracking employee performance for possible disciplinary action C.Providing a detailed report of the occurrence for the client's family D.Identifying situations that contribute to the occurrence of medication errors

D. Identifying situations that contribute to the occurrence of medication errors

A nurse is caring for a client who refuses to take her prescribed oral medication. The nurse states, "If you don't take this pill, I'm going to give you the medication by injection." Which of the following types of tort has the nurse committed? A. Slander B. Battery C. Negligence D. Assault

D.) Assault


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