Professionalism

When functioning in the practitioner role, with which of the following would the nurse be involved? Select all that apply. a. Coordinating with other disciplines b. Educating the patient and family c. Providing direct care d. Helping patients navigate through the complex health system e. Implementing timely investigations of problems

Providing direct care Educating the patient and family Coordinating with other disciplines

What action by a nurse best promotes the ethical principle of justice? a. Advocating for enhanced mental health services in an underserved neighborhood b. Informing a client who is competent that the client has the right to discontinue treatment c. Obtaining written, informed consent from a client who has agreed to be in a research study d. Clearly describing the potential adverse effects of a client's new pharmacologic treatment

a. Advocating for enhanced mental health services in an underserved neighborhood

Which behavior by the nurse is stereotyping? a. Avoiding older adult clients because their care is time consuming b. Explaining to others that Western medicine is always superior c. Grouping care assignments to allow ample time to care for complex clients d. Openly ridiculing the practice of acupuncture

a. Avoiding older adult clients because their care is time consuming

A client admitted to a mental health unit has exhibited physical behaviors that put the client and others at risk. The nurse applies four-point restraints on the client without obtaining a physician's order or the client's consent. The nurse is at risk of being accused of which action? a. Battery b. Slander c. Malpractice d. Negligence

a. Battery

The nurse manager is holding a meeting with the nursing team to discuss management's decision to reduce staffing on the nursing unit. During the discussion, one of the staff nurses stands up and yells at the nurse manager, using profanity, and threatening "to take this decision further." To defuse this situation, which would be the best step for the nurse manager to take? a. Call a break in the meeting and talk to the nurse in a private place. b. Suspend the nurse who is acting out for the inappropriate behavior. c. Ask the rest of the staff if they also feel the same way. d. Tell the nurse who is acting out to settle down and to act professionally.

a. Call a break in the meeting and talk to the nurse in a private place.

During the course of any given day of work in the acute care setting, the nurse may need to perform which roles? Select all that apply. a. Communicator b. Counselor c. Teacher d. Financier e. Statistician

a. Communicator b. Counselor c. Teacher

Which example of client care is not the responsibility of the nurse? a. Confirming a medical diagnosis b. Tailoring treatment and medication regimens for each individual c. Monitoring for changes in health status d. Promoting safety and preventing harm; detecting and controlling risks

a. Confirming a medical diagnosis

A client is unhappy with the health care provided and informs the nurse that the client is leaving the facility. The client has not been discharged by the physician. The nurse finds that the client has dressed and is ready to go. What should the nurse's action be in this situation? a. The nurse should call and inform the nursing supervisor of the situation. b. The nurse should let the client go because the nurse cannot do anything. c. The nurse should have the client restrained and call the physician. d. The nurse should warn the client that the client cannot come to the hospital again.

a. The nurse should call and inform the nursing supervisor of the situation.

A nursing student is caring for a client who has been arrested for child abuse. The nurse is very curious about what the client must have done to get into so much trouble, so the nurse asks the client to tell the nurse about the various activities that got the client arrested. This is an example of: a. excessive probing. b. genuineness and caring. c. gathering assessment data. d. lack of awareness.

a. excessive probing.

Which traits are examples of virtues that can exemplify character and conduct as a professional nurse? Select all that apply. a. Trustworthiness b. Compassion c. Deception d. Humility e. Conflict

a. trustworthiness b. compassion c. humility

A couple had decided not to circumcise their newborn for nonreligious reasons. What is the appropriate response from the nurse? a. "What arrangements have you made outside the hospital?" b. "OK, great. I will let the physician know." c. "It's much better for the health of your newborn if you circumcise him." d. "That's very unusual; tell me what has led you to this decision."

b. "OK, great. I will let the physician know."

A client who is prescribed morphine for undiagnosed abdominal pain reports that he is allergic to morphine. The nurse questions the client about his allergic reaction; the client responds that when he took it in the past, he experienced itching. The nurse plans to a. Obtain an order for a skin cream to minimize itching. b. Administer prescribed diphenhydramine (Benadryl). c. Notify the physician that the client is allergic to morphine. d. Refuse to administer the morphine.

b. Administer prescribed diphenhydramine (Benadryl).

Which role of the nurse-client relationship is being exhibited when the nurse informs the client and then supports him or her in whatever decision he or she makes? a. Parent surrogate b. Advocate c. Caregiver d. Teacher

b. Advocate

A newly graduated nurse is unable to determine the significance of data obtained during an assessment. What would be the nurse's most appropriate action? a. Continue to collect assessment data. b. Consult with a more experienced nurse. c. Document the data for future reference. d. Contact the client's health care provider.

b. Consult with a more experienced nurse

The nurse in charge of an inpatient psychiatric unit is irritated with a client who has borderline personality disorder. Which step should the nurse take? a. Direct the client to another staff member when the client tries to interact. b. Discuss the feelings with a colleague to promote coping. c. Confront the client firmly about how the client's behavior makes the nurse feel. d. Arrange for the client to be transferred to another unit.

b. Discuss the feelings with a colleague to promote coping.

The nurse is providing care to a client whose condition has progressively declined. The nurse assesses and makes appropriate interventions as well as notifies the health care provider. Despite the nurse's efforts, the client expires. What element of liability has the nurse demonstrated? a. Breach of duty b. Duty c. Damages d. Causation

b. Duty

The nurse is caring for a client scheduled for surgery who, on the morning of the scheduled operation, states a desire to cancel it. What would be the best response by the nurse? a. Discuss the fears regarding the surgery, and offer reassurance that many clients want to change their minds as the surgery draws near. b. Explore reasons why the client wishes to cancel the surgery, clarify concerns, and reinforce that there can be a change. c. Remind the client that consent has been signed and that the surgery has been scheduled. d. Tell the client not to decide until the doctor comes in again.

b. Explore reasons why the client wishes to cancel the surgery, clarify concerns, and reinforce that there can be a change.

Quality Assurance (QA) focuses on which of the following? a. Improvement in financial processes b. Individual incidents or errors and minimal expectations c. Analyzation of operational processes d. Processes used to provide care

b. Individual incidents or errors and minimal expectations

A student nurse is scheduled to observe a surgical procedure. The nurse provides the student nurse with education on the dress policy and provides all attire needed to enter a restricted surgical zone. Which observation by the nurse requires immediate intervention? a. Hair is pulled back and covered by a cap. b. Mask is placed over nose and extends to bottom lip. c. Scrub top and drawstring are tucked into pants. d. Shoe covers are used.

b. Mask is placed over nose and extends to bottom lip.

A code is called and Nurse A hands several drugs to Nurse B, stating while rushing off, "Give these to my client while I help with the code." What is Nurse B's appropriate response? a. Hold the medications for Nurse A. b. State, "I cannot give medications for other nurses." c. Administer the medications. d. Ask another staff nurse to give the medications.

b. State, "I cannot give medications for other nurses."

The nurse leads a small group that is discussing the impact of eating disorders on everyday life. Which action does the nurse implement as the group recorder? a. defining group position in relation to goals b. documenting group suggestions c. stimulating the group to action d. offering the group facts or generalizations

b. documenting group suggestions

An informatics nurse specialist is presenting an in-service program for a group of staff nurses on using the electronic health record. As part of the presentation, the nurse specialist is emphasizing the need for maintaining security and privacy of the record. During a break in the program, the nurse specialist overhears a conversation among several of the staff nurses. Which statement would the nurse specialist identify as a cause for concern? a. "My password for work is not the same one I use for social media." b. "I make sure that my password is at least 8 characters in length with an exclamation point added." c. "I always put a sticky note on the computer terminal with my password on it in case I forget it." d. "When I choose a password, I make it something that is unique to me."

c. "I always put a sticky note on the computer terminal with my password on it in case I forget it."

Which element would be included as a goal of case management? a. Attainment of fixed-price reimbursement b. Prescriptive authority c. Appropriateness of services d. Utilization of the nursing process

c. Appropriateness of services

A nurse working as part of a genetics counseling team is preparing a presentation for a career day discussion at a local college of nursing. When describing the genomic framework for nursing, which of the following would the nurse include as being most important? a. Having a thorough understanding of the various technologies available b. Experiencing first-hand providing care for a wide range of genetic conditions c. Being keenly aware of one's own attitudes and assumptions about genetics and genomics d. Obtaining in-depth knowledge about the variety of cultural beliefs related to the causes of illness

c. Being keenly aware of one's own attitudes and assumptions about genetics and genomics

The nurse is caring for a client with a secondary urinary tract infection for which amoxicillin 250 mg PO has been prescribed. The nurse recognizes this as a drug that is routinely administered every 8 hours; however, the prescription does not state the frequency of administration. The health care provider is no longer present. What is the appropriate nursing action? a. Ask the nursing supervisor to validate the frequency as every 8 hours and update the electronic medical record (EMR). b. Input the prescription into the electronic medical record (EMR) to reflect that the drug is given every 8 hours, after verifying with the pharmacy. c. Contact the health care provider to clarify the prescription by reading back to the provider, update the electronic medical record (EMR) while on the phone, then document it was a phone prescription. d. Ask another nurse to validate the frequency as every 8 hours, update the electronic medical record (EMR), flagging the prescription for the health care provider to review and cosign the prescription within 24 hours.

c. Contact the health care provider to clarify the prescription by reading back to the provider, update the electronic medical record (EMR) while on the phone, then document it was a phone prescription.

A registered nurse (RN) calls in sick, leaving an RN and two nursing assistants to care for twelve postpartum clients. How should the RN on the postpartum floor respond to the staffing issue? a. Plan ways to work efficiently with the two nursing assistants. b. Notify the supervisor and request that another nursing assistant be assigned to the unit. c. Notify the supervisor and request that another RN be assigned to the unit. d. Inform the labor and delivery unit that the postpartum unit can't admit any clients.

c. Notify the supervisor and request that another RN be assigned to the unit.

A newer nurse is assigned to care for several children with advanced cancer. The nurse finds the assignment extremely challenging due to a lack of experience and is considering requesting a different assignment. What is the best course of action by the nurse to resolve the situation? a. Pretend to be ill and leave the unit as soon as possible. b. Notify the nurse manager that the assignment will be refused. c. Suggest a shared assignment with a senior staff nurse. d. Bring reference materials to the room when providing care.

c. Suggest a shared assignment with a senior staff nurse.

In the emergency department, a client with facial lacerations states that the spouse beat the client with a shoe. After the lacerations are repaired, the client waits to be seen by the crisis intake nurse, who will evaluate the continued threat of violence the spouse represents. Suddenly the client's spouse arrives, shouting a desire to "finish the job." What is the first priority of the nurse who witnesses this scene? a. determining why the spouse feels so angry b. saying that the client's spouse must leave at once c. calling a security guard and another staff member for assistance d. remaining with the client and staying calm

c. calling a security guard and another staff member for assistance

A nurse is caring for a client who presents with a skin infection. While obtaining the client's medical history, it is determined that the client is an intravenous drug user. To foster effective communication, the nurse should: a. ask if the client realizes the infection is a direct result of the drug use. b. consult with the social worker regarding inpatient drug rehabilitation. c. remain honest, open, and frank. d. ask the client for a urine specimen for urine drug use screening.

c. remain honest, open, and frank.

The basis for building a strong, therapeutic nurse-client relationship begins with a nurse's: a. sound knowledge of psychiatric nursing. b. sincere desire to help others. c. self-awareness and understanding. d. acceptance of others.

c. self-awareness and understanding.

A client comes into the urgent care center to have sutures removed on an arm. The nurse finds significant crusting along the suture line. The client states not having time to get the sutures removed a week prior, as directed. The nurse soaks the crust and attempts to remove the sutures. As the nurse attempts the suture removal, the client frequently pulls the arm away and tells the nurse, "You are taking too long and it is hurting a little bit. Just pull them out and get it over with." Which statement is an example of appropriate therapeutic response? a. "I am sorry it is taking so long. Tell me how you hurt your arm?" b. "It will not hurt if you relax and stop pulling your arm away." c. "I am sorry it is taking so long and I am hurting you; next time do not wait too long to get sutures removed or the same thing will happen" d. "It is taking longer for me to remove the sutures because the delay allowed the crust to form and adhere to the sutures, making it harder and sometimes painful to remove them."

d. "It is taking longer for me to remove the sutures because the delay allowed the crust to form and adhere to the sutures, making it harder and sometimes painful to remove them."

When administering insulin to a client with type 1 diabetes, which of the following would be most important for the nurse to keep in mind? a. Technique for injecting b. Duration of the insulin c. Area for insulin injection d. Accuracy of the dosage

d. Accuracy of the dosage

A nurse therapist feels sad after sessions with a client. The client's passiveness reminds the nurse of a family member who led a very unhappy life. What is the term for this emotional dynamic? a. Free association b. Reaction formation c. Transference d. Countertransference

d. Countertransference

Earlier in the shift, the nurse promised to help a client acquire some paper and a pen and draft a letter to a family member later in the day. The nurse became increasingly busy during the shift but has now taken some time to assist the client in this way. What ethical principle has the nurse best exemplified? a. Beneficence b. Nonmaleficence c. Veracity d. Fidelity

d. Fidelity

A nurse overhears a colleague tell a client that based on the genetic testing results she should terminate the pregnancy. Which action is most appropriate for the nurse to take? a. Contact the health care provider. b. Call the client later and apologize. c. Tell the unlicensed assistive personnel d. Immediately stop the nurse.

d. Immediately stop the nurse.

A nurse is writing an initial plan of care for a client with a rare condition. The nurse has little experience with the condition. What action by the nurse will result in the best plan of care? a. Consult with another nurse. b. Follow institutional guidelines. c. Set priorities using client care standards. d. Seek research about the disorder.

d. Seek research about the disorder.

The nurse understands that the purpose of the "time out" is to: a. verify all necessary supplies are available. b. clarify the roles of the OR personnel. c. identify the client's allergies. d. maintain the safety of the client.

d. maintain the safety of the client.