PNC Module 6
The nurse speaking in support of the best interest of a vulnerable client reflects which nursing duty? A. Caring B. Veracity C. Advocacy D. Confidentiality
C. Advocacy
Which legal defense is important for the nurse to develop? A. Dedication B. Certification C. Assertiveness D. Accountability
D. Accountability
Which is the most independently functioning nurse? A. Nurse educator B. Nurse researcher C. Nurse administrator D. Advanced practice registered nurse
D. Advanced practice registered nurse
_____ occurs when a professional fails to meet the standard of conduct required of all similar professionals.
Malpractice
The first diploma nursing program for blacks is established at __.
Spelman College, Atlanta, Georgia
Which principle refers to the professional obligation of the nurse to assume responsibility for actions? A. Accountability B. Individuality C. Responsibility D. Bioethics
A. Accountability
What factor is cited as contributing to the inability of America's schools of nursing to meet the expected demand for professional nurses? (Select all that apply.) A. Inability to fill faculty positions B. Insufficient clinical practice sites C. Lack of clinical preceptors D. Lack of qualified student applicants E. Lack of school funding
A. Inability to fill faculty positions B. Insufficient clinical practice sites C. Lack of clinical preceptors E. Lack of school funding
Which attribute is a professional exemplar related to leadership? A. Influential B. Therapeutic C. Respectful D. Licensed
A. Influential
In what situation may a nurse deliver care that is not considered at the level of required standard of care? A. When the situation is determined to be an emergency B. When directly ordered to do so by a physician C. When the nursing area is considered understaffed D. When the client refuses care that would meet the standard of care
A. When the situation is determined to be an emergency
What type of law protects the public's right to expect to receive treatment that meets the standards of nursing care? A. Case law B. Federal law C. State law D. Common law
B. Federal law
Which situation frequently results in a nursing negligence claim? (Select all that apply.) Select all that apply. A. Cure B. Reporting C. Monitoring D. Communication E. Safety
B. Reporting C. Monitoring D. Communication E. Safety
A newly admitted shy, withdrawn adolescent boy asks an experienced female psychiatric nurse for a date. Which initial response will the nurse use? A. Question the client about his sexual identity. B. Restate the purpose of the nurse-client relationship. C. Suggest that other staff members care for this client. D. Review interactions with the client for flirtatiousness.
B. Restate the purpose of the nurse-client relationship.
____ occurs when a standard of care is not met by the responsible caregiver.
Breach of duty
Which organization provides scope and practice guidelines on the roles and responsibilities for nursing and nursing specialties? A. State Nursing Association B. National League of Nursing C. American Nurses Association D. Academy of Medical Surgical Nurses
C. American Nurses Association
What event in American history influenced the role black women have played in the nursing profession? A. The North Carolina Nurse Practice Act of 1903 B. The Army Nurse Corps, established in 1901 C. The Civil War, beginning in 1861 D. The creation of the U.S. Marine Hospital Service in 1798
C. The Civil War, beginning in 1861
The American Red Cross is established by __.
Clara Barton
Which nursing action best complies with the expectations for nursing care defined by the "never events" identified by the 2012 Rules of Participation for Hospitals? A. Requiring all unlicensed nursing personal to attend shift reports B. Providing care when convenient for the client whenever possible C. Reporting suspected elder abuse to the nursing manager immediately D. Attending an in-service on evidence-based practice on urinary catheter care
D. Attending an in-service on evidence-based practice on urinary catheter care
In the Middle Ages (467 BCE to AD 1450), what was the basis for women delivering food, medicine, and care to the community's ill? A. The need to make offerings to the gods in exchange for good health B. Emerging understanding of the importance of hygiene and sanitation C. Emphasis being placed on the patient-centered approach to health care D. Christian concepts of charity and the sanctity of human life
D. Christian concepts of charity and the sanctity of human life
What criterion must be successfully completed to enter the nursing profession? A. Licensure examination B. A graduate degree C. Clinical checklist D. Ongoing education
A. Licensure examination
Which nursing professional has the maximum span of control? A. Nurse manager B. Registered nurse C. Unlicensed assistive personnel D. Licensed vocational nurse
A. Nurse manager
A client who insists on leaving the hospital against medical advice (AMA) after being properly advised signs the necessary form. In order to avoid legal consequences regarding the client's decision, the nurse should A. objectively document all the details of the situation thoroughly but concisely in the client's medical record. B. have a member of the security staff escort the client off the facility's property and into their private vehicle or public transportation. C. with the client's permission notify a contact person that the client is leaving the hospital against medical advice. D. notify the nursing supervisor of the client's decision and that all reasonable efforts were made to dissuade the client from leaving.
A. objectively document all the details of the situation thoroughly but concisely in the client's medical record.
Which statement by the nursing student regarding malpractice insurance 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 their 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."
For which reason would the nurse review standardized terminology before entering client data in the electronic medical record? A. Allows the nurse to retrieve the information the next time it is needed B. Stores client information properly to apply for Medicaid incentives C. Ensures that client information is meaningful to other health care professionals D. Confirms that clients can understand information within the electronic health record
C. Ensures that client information is meaningful to other health care professionals
What hospital-acquired conditions would meet the criteria for nonpayment? (Select all that apply.) A. Vascular catheter-associated infection B. Hypoglycemic coma C. Catheter-associated urinary tract infection (UTI) D. Stress-related hypertension E. A Stage III pressure ulcer
A. Vascular catheter-associated infection B. Hypoglycemic coma C. Catheter-associated urinary tract infection (UTI) E. A Stage III pressure ulcer
What group is primarily protected under the laws that regulate nursing practice? A. Practicing nurses B. People with health problems C. The public D. The employing agency
C. The public
Which action may the nurse manager take to reduce moral distress among the nursing staff? Select all that apply. One, some, or all responses may be correct. A. Limiting the affected nurses' interactions with clients temporarily B. Providing additional staff whenever needed C. Providing additional counselors for solving clients' family issues D. Facilitating education for better communication among all levels of health care practitioners E. Providing short breaks from work to nurses who show signs of moral distress
B. Providing additional staff whenever needed C. Providing additional counselors for solving clients' family issues D. Facilitating education for better communication among all levels of health care practitioners
Which professional group has the mission statement, "Nurses advancing our profession to improve health for all"? A. Joint Commission B. Robert Wood Johnson Foundation C. American Nurses Association D. Institutes of Medicine
C. American Nurses Association
The Mosaic Code is one of the oldest sources of what type of health promotion? A. Documentation of health records B. Personal and public hygiene C. Use of medications D. Use of trained midwives
B. Personal and public hygiene
The nurse leader notes that the team of followers sent to conduct a community health session completed the task successfully. Which subsequent action by the nurse leader indicates good leadership quality? A. Expecting praise from the followers B. Asking for rewards from the followers C. Giving rewards to the followers responsible for the success D. Asking the followers to give a presentation on the health session
C. Giving rewards to the followers responsible for the success
Which professionals in a health care organization can be delegators? A. Assistants B. Technicians C. Registered nurses D. Unlicensed assistive personnel
C. Registered nurses
Which nursing action is legally required? A. Providing health teaching regarding family planning B. Offering first aid at the scene of an automobile collision C. Reporting incidents of suspected child abuse to the appropriate authorities D. Administering resuscitative measures to an unconscious child pulled from a swimming pool
C. Reporting incidents of suspected child abuse to the appropriate authorities
Upon promoting a nurse to the position of a team leader, which task would the nurse leader teach is the responsibility of a team leader? Select all that apply. One, some, or all responses may be correct. A. To assign work to an associate nurse B. To provide care for the client 24 hours a day C. To prepare for daily changes in team membership D. To assign the delivery of client care to the technical personnel E. To evaluate the quality of care provided to those clients who have been assigned to the team
C. To prepare for daily changes in team membership E. To evaluate the quality of care provided to those clients who have been assigned to the team
In order to meet the projected need for professional nurses, what area of concern is funded by the Nurse Reinvestment Act of 2002? (Select all that apply.) A. Recruitment enticements for nursing faculty positions B. Support for those enrolled in master's and doctoral nursing programs C. Higher compensation for clinical nursing professionals D. Increased classroom space for associate and baccalaureate nursing programs E. The establishment of retention programs focused on existing nursing faculty
A. Recruitment enticements for nursing faculty positions B. Support for those enrolled in master's and doctoral nursing programs E. The establishment of retention programs focused on existing nursing faculty
When evaluating a nurse regarding leadership qualities, which behavior expresses emotional intelligence in leadership? Select all that apply. One, some, or all responses may be correct. A. Supporting the team B. Motivating the other nurses C. Following the rules of the organization D. Showing proficiency in technical skills E. Using skills to expand social networks
A. Supporting the team B. Motivating the other nurses E. Using skills to expand social networks
Which action does an effective follower expect from their leader? Select all that apply. One, some, or all responses may be correct. A. That the leader show the follower respect B. That the leader give the follower a future-focused direction C. That the leader recognize the follower in appropriate situations D. That the leader provide the follower guidance for the follower's financial development E. That the leader demand that the follower focus on professional work rather than personal life
A. That the leader show the follower respect B. That the leader give the follower a future-focused direction C. That the leader recognize the follower in appropriate situations
Which of the following situations fails to meet the criteria for establishing nursing negligence or malpractice? A. The nurse fails repeatedly to document a client's response to pain medication. B. The nurse leaves a client's bed in the raised position, resulting in a fall. C. A nurse assigns first-time ambulation of a postop client to an aide and the client falls. D. nurse comes to work under the influence of alcohol.
A. The nurse fails repeatedly to document a client's response to pain medication.
According to Quality and Safety Education for Nurses (QSEN), which phrase defines patient-centered care? A. Understanding that the client is the source of control when providing care B. Functioning effectively within nursing and interprofessional teams to deliver quality care C. Using data to evaluate outcomes of care processes and designing methods to improve health care D. Minimizing the risk for harm to clients and health care workers through improved professional performance
A. Understanding that the client is the source of control when providing care
Which information would the registered nurse provide to a nursing student about licensure? Select all that apply. One, some, or all responses may be correct. A. "The hearing for suspension or revocation of a license occurs in a formal courtroom setting." B. "The hearing for suspension or revocation of a license is conducted by a panel of professionals." C. "The state board of nursing may revoke a license in case of a violation without informing the nurse." D. "Nurses must be notified of any charges they face and given an opportunity to defend themselves." E. The state board of nursing may revoke or suspend a license if a nurse's conduct violates provisions in the licensing statutes."
B. "The hearing for suspension or revocation of a license is conducted by a panel of professionals." D. "Nurses must be notified of any charges they face and given an opportunity to defend themselves." E. The state board of nursing may revoke or suspend a license if a nurse's conduct violates provisions in the licensing statutes."
In which way is the term beneficence in health ethics different from nonmaleficence? A. Beneficence refers to fairness, whereas nonmaleficence refers to the agreement to keep promises. B. Beneficence involves taking positive actions to help others whereas nonmaleficence is the avoidance of harm or hurt. C. Beneficence applies to all health care professionals, whereas nonmaleficence applies only to nursing professionals. D. Beneficence refers to the support of a particular cause, whereas nonmaleficence refers to a willingness to respect one's professional obligations.
B. Beneficence involves taking positive actions to help others whereas nonmaleficence is the avoidance of harm or hurt.
Which behavior provides evidence addressing the ability of nursing as a profession to provide high-quality, effective care as patient-centered needs intensify? A. Regularly speaking to groups of high school students regarding the profession of nursing B. Enrolling in a Masters of Nursing Education graduate program C. Becoming politically active regarding the delivery of health care on the national level D. Volunteering to provide community health screening at a senior citizen center
B. Enrolling in a Masters of Nursing Education graduate program
The newly promoted registered nurse (RN) is about to start the process of delegation for the first time in their career. Which experiences foster professional self-confidence in the early career stage for an RN? Select all that apply. One, some, or all responses may be correct. A. Inability to comprehend B. Experience in clinical delegation C. Application of theory to practice D. Development of clinical judgment E. Engagement with a nursing mentor
B. Experience in clinical delegation C. Application of theory to practice D. Development of clinical judgment E. Engagement with a nursing mentor
Which incidences are the basis for disciplinary action by state boards of nursing? (Select all that apply.) A. History of employment absenteeism B. Falsification of nursing records C. Medicare fraud D. Practicing without a valid license E. Misappropriation of a patient's personal belongings
B. Falsification of nursing records C. Medicare fraud D. Practicing without a valid license E. Misappropriation of a patient's personal belongings
Which action by the nurse and other members of the health care team helps provide efficient client care? Select all that apply. One, some, or all responses may be correct. A. Provide financial assistance to the client. B. Follow interventions to reduce hospital stay. C. Encourage the client to use herbal therapy. D. Provide cost-effective treatment to the client. E. Help the client in making health care decisions.
B. Follow interventions to reduce hospital stay. D. Provide cost-effective treatment to the client.
Which action may the mentor take to develop effective leadership qualities in the aspiring leader? Select all that apply. One, some, or all responses may be correct. A. Avoiding criticism B. Modeling behavior C. Noting the mistakes D. Giving timely feedback E. Providing appropriate advice
B. Modeling behavior D. Giving timely feedback E. Providing appropriate advice
What is the goal of the professional nurse in the team leader role? A. Compliance with physicians B. Positive outcomes and patient satisfaction C. Satisfied physical therapists and occupational therapists D. Social service referrals for home care
B. Positive outcomes and patient satisfaction
Which member of the health care team is responsible for consulting other health care professionals in planning and delivering client care? A. Charge nurse B. Primary nurse C. Associate nurse D. Nurse navigator
B. Primary nurse
Which nursing action illustrates the Quality and Safety Education for Nurses (QSEN) competency called informatics? A. Ensure that the risk of harm to clients and health care workers is decreased by improving professional performance. B. Use information and technology to communicate, manage knowledge, mitigate error, and support decision-making. C. Integrate best current evidence with clinical expertise and client preferences and values to deliver quality health care. D. Use data to monitor the outcomes of health care processes and implement improvement methods to design and test changes to improve quality of health care.
B. Use information and technology to communicate, manage knowledge, mitigate error, and support decision-making.
Which intervention best demonstrates that a nursing administrator understands the challenges currently facing the professional nurse regarding patient safety? A. Supporting the right of the registered nurse to appropriately act as an advocate when a family disagrees with a client's wishes to limit visitors B. Requiring representation of the nursing staff in any discussion related to the redesign of patient care environments C. Requiring that staffing and schedules accommodate the attendance at mandatory in-services focusing on interprofessional care collaboration D. Supporting nursing interventions directed toward providing holistic care to both the client and his or her support system
C. Requiring that staffing and schedules accommodate the attendance at mandatory in-services focusing on interprofessional care collaboration
When planning to develop leadership skills of direct-care nurses, in which activity would the nurse manager encourage the direct- care nurses to participate in order to develop these skills? Select all that apply. One, some, or all responses may be correct. A. Participate in public forums B. Participate in civic gatherings C. Serve on practice councils D. Join local professional associations E. Participate in American Heart Association activities
C. Serve on practice councils D. Join local professional associations E. Participate in American Heart Association activities
