professionalism prep u

A pregnant client is diagnosed with syphilis. Which response would demonstrate respect for the client and therapeutic communication?

"I am sure it is frightening to you to be diagnosed with a disease that can affect your baby."

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?

"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."

The nursing student asks the nurse to describe the difference between sinus rhythm and sinus bradycardia on the electrocardiogram strip. What is the nurse's best reply?

"The only difference is the heart rate."

Discharge planning begins during which portion of a client's hospital stay?

Admission

Which is an element of nursing as defined by the American Nurses Association?

Alleviating suffering by diagnosing and treating human responses to health problems

A client has had a pacemaker implanted and the nurse will begin client education upon the client becoming alert. Which postimplantation instructions must be provided to the client with a permanent pacemaker?

Avoid sources of electrical interference.

Which of the following would least likely impact health care delivery and nursing?

Decline in genetic focus

Which individual provided community-based care and founded public health nursing?

Lillian Wald

A family member of a resident in a long-term care facility reports to the nurse that her mother's diamond ring is missing. Another resident reported a day earlier that a twenty-dollar bill was missing from his/her night table. What should the nurse do in this situation?

Notify the supervisor and call the police.

A nurse working in a health care provider's office uses the managerial function known as "organizing." What is involved in this function?

Resources

A nurse's response to aggressive behavior on the unit is influenced by which characteristic of the nurse?

Self-awareness of reactions to aggression by others

A local college is having a career-day seminar for student nurses. Booths from various agencies and facilities have been set up. One of the students approaches the booth of a home care agency and asks the nurse there about what is required to become a home care nurse. Which of the following would the nurse incorporate into the response?

Strong clinical decision-making skills

The registered nurse (RN) has received orders to perform an unsafe practice on a client. The RN voices concern with the health care provider who gave the order, but the health care provider refuses to change the order. Whom should the nurse consult next regarding the order?

The charge nurse

The need for university-based nursing education programs was brought to light during which important historical time?

World War II

A client is admitted to the emergency room. The nurse completing the client's health history looks at the client and indicates that the client is "female" on the chart. What has the nurse failed to do in this situation?

assess the client's gender identity

A nurse mentoring second-year nursing students from a community college plans clinical experiences for them. These students will most likely graduate in which time frame?

at the end of the year

A client with end-stage renal disease decides against further treatment and requests a "Do Not Resuscitate" (DNR) order. The DNR status is part of the change-of-shift report. The client stops breathing and a nurse begins cardiopulmonary resuscitation. The family is upset and makes a complaint to the charge nurse. The charge nurse appropriately identifies that nurse has committed:

battery.

Which guidelines define and regulate what the nurse may and may not do as a professional?

nurse practice act

A group of nursing students are reviewing current nursing codes of ethics. Such a code is important in the nursing profession because:

nursing practice involves numerous interactions between laws and individual values

Which nursing intervention reflects culturally appropriate care when addressing a client?

"Good morning, Mr. Smith. I am your nurse, John."

Before administering an immunization to their child, the nurse asks parents to take which priority action?

Sign a consent form.

A nurse conducted a health history with a 5-year-old child admitted with abdominal pain. The nurse stood at the bedside while talking to the parent and child. The client was in a private room. The nurse made sure the door was closed and referred to the parent as "Mrs. Smith" whenever asking a question. Which action by the nurse was not conducive to the health history?

standing at the bedside

A nurse is caring for a client following a tonsillectomy and fails to routinely assess the back of the client's throat for signs of bleeding. The nurse manager reviews the client's chart and notices the omission of the assessments. Which is the best response to the nurse regarding the missing assessments?

"Failure to complete these assessments constitutes negligent behavior."

A nursing student administers an overdose of an opioid to a client and the client arrests. When discussing the incident with nursing faculty, which statements made by the student indicate the need for further teaching?

"I cannot be held liable because this is only my second time at this facility." "I am glad I am a student because nursing faculty will be blamed, not me."

While shopping, a nurse meets a neighbor who asks about a friend receiving treatment at the nurse's clinic. What is the nurse's most appropriate response?

"I'm sorry, I can't disclose client information."

A student nurse observes a nurse case manager coordinating discharge for a patient diagnosed with congestive heart failure (CHF). Which statement made by the patient indicates to the student that the patient understands the role of the case manager?

"The nurse case manager contacted my insurance company and has arranged for the home health nurse and physical therapist to visit me as soon as I get home."

When a pregnant client explains to the nurse that strawberries cause birthmarks, what is the nurse's best response?

"Wow, that's very interesting. Where did you learn that?"

A client with lymphoma tells the nurse that a holistic practitioner has offered to treat the client with coffee enemas. How does the nurse respond?

"You should speak with your oncologist about this treatment."

Nurses use social media to share ideas, develop professional connections, access educational offerings and forums, receive support, and investigate evidence-based practices. Which is an example of the proper use of social media by a nurse?

A nurse uses a disclaimer to verify that any views the nurse expresses on Facebook are the nurse's alone and not the employer's.

The nurse is assessing a client who has been taking up to 4 grams of acetaminophen every day for undiagnosed pain. What reaction due to ingestion of acetaminophen will the nurse assess for?

Abrupt onset of rash and pruritus

The new nurse is evaluating the effectiveness of the assigned nurse mentor. Which characteristic should the new nurse recognize as being inappropriate for the nurse mentor to role model?

Advising the new nurse to consult the nurse mentor before making decisions regarding client care

Which is the key common element in the various psychotherapeutic approaches?

An effective client-therapist relationship

A client with depression has been admitted to the mental health unit and is attending group therapy sessions as part of treatment. The client asks the nurse leading the group if he is married or has a girlfriend. The nurse responds, "I am curious what made you ask this question; however, what is important is how you are feeling today." The nurse's response is which of the following?

Appropriate, because the focus of the therapeutic relationship is the client, not the nurse.

The nurse is caring for a parent of a 10-month-old infant. The parent is upset and states, "I have so many questions, but the doctor seems too busy to answer my questions." What is the best action by the nurse?

Assist the parent in preparing a list of questions for the health care provider's next visit.

A nurse is providing care to a client with end-stage cancer. After weighing the alternatives, the client decides not to participate in a clinical trial offered and is requesting no further treatment. The nurse advocates for the client's decision based on the understanding that the client has the right to self-determination, interpreting the client's decision as reflecting which ethical principle?

Autonomy

A nurse recruiter is interveiwing a nurse for a psychiatric-mental health nursing position at the community clinic. When reviewing the applicant's educational background, the recruiter would identify which as the preferred level of preparation?

Bachelor's degree

A client with persistent depression is considering electroconvulsive therapy (ECT). The nurse has seen ECT be effective in other cases. When the client expresses fear and doubt about undergoing ECT, the nurse tries to talk the client into it, because the nurse truly believes it will help the client. Which two ethical concepts are in conflict?

Beneficence and autonomy

A nurse is working in a rural nurse-managed agency that provides immunizations, health assessments, and screening services. The nurse is most likely working in which of the following?

Community nursing center

The nurse has recently been promoted to nurse manager on a pediatric unit and has decided to accept input from staff regarding changes they would like to see on the unit. Which type of leadership style is the nurse embodying?

Democratic

The nurse is demonstrating traits of leadership. What actions by the nurse would be recognized as leadership behaviors?

Develops and implements a quality improvement project Serves as president of local chapter of Sigma Theta Tau International Participates on an evidence-based practice council Attends a mandatory hospital in-service Develops and implements a quality improvement project Serves as president of local chapter of Sigma Theta Tau International Participates on an evidence-based practice council Communicates an issue to a fellow colleague in the cafeteria SUBMIT ANSWER

A nurse observes another nurse making social plans with a client and disclosing information of a personal nature. What would the observing nurse do in this situation?

Discuss the observation directly with the nurse.

Which is an important role for a nurse in the health care delivery system?

Identifying patient needs and working with patients to address them

A nurse has taught a client how to perform quadriceps-setting exercises. The nurse determines that the client has understood the instructions when he demonstrates which of the following?

Pushes the popliteal area against the mattress while raising the heel

A nurse is conducting a 6-week social skills training program. A young adult with schizophrenia asks the nurse to call the client on the weekends so the client has someone to talk to who really cares. Which action should the nurse take?

Remind the client about the importance of boundaries to keep the relationship therapeutic

A nurse is present when a health care provider tells a couple that the results of their genetic testing came back normal. Later, the nurse notes that the completed genetic report identifies the couple positive for a genetic disorder. What is the most appropriate action by the nurse?

Report it to the nursing supervisor.

A client in a long-term care facility is scheduled to have a bath and is taken to the tub room by the nurse. The client does not want to be bathed and refuses to get undressed. Which action should the nurse take?

Return the client to the room and document that the bath was not given.

A nurse is caring for an older adult who has cancer and is experiencing complications requiring a revision of the plan of care. The nurse sits down with the client and the family and discusses their preferences while sharing the nurse's own judgments based on the nurse's expertise. Which type of healthcare decision making does this represent?

Shared decision making

The younger nurses on a unit, who seem to adapt easily to the new technology presented, are perceived as threatening by two nurses who have worked on the unit for years. The older nurses begin to ridicule the younger nurses, saying, "You might be able to work a computer, but we know how to provide real care." How should the charge nurse respond?

The charge nurse should discuss the concept of cultural conflict and help both parties see their respective value to the unit.

An experienced nurse is orienting a new nurse to the unit. Which activity demonstrates the nurse is an effective caregiver?

The nurse uses open-ended questions when working with a crying client.

Which action would cause a charge nurse to have concerns about a nurse's moral agency?

The nurse was seen at a grocery store after calling in sick.

Nurses who value client advocacy follow what guideline?

They give priority to the good of the individual client rather than to the good of society in general.

All except which problem stem from attitudes in which the focus is on the nurse's beliefs and values rather than those of the client?

Treating the client as a source of cultural information

A nurse in an intensive care unit places a request with the nurse manager to modify the nurse's work schedule. The nurse desires to return to college and obtain an advanced nursing degree. Which action by the nurse manager in response to the nurse's request illustrates the transformational style of leadership?

`Rearranging the nurse's schedule such that the nurse can attend college

Which registered nurse should be assigned to the client who had a chest tube inserted yesterday?

a registered nurse who use to work on the cardiovascular unit

When caring for hospitalized teens, nurses should choose their words and actions carefully since adolescents typically are concerned about:

appearing out of control of the situation and/or themselves.

How is the nursing profession becoming more culturally diverse?

by the increased number of male nurses in the profession by the increased number of foreign-born nurses in the profession

The nurse is preparing to attach a label to an intravenous medication that is being administered by continuous infusion. Which component will the nurse include on the label?

identification of drug time drug was added initials of nurse dose

While riding in the elevator, a nurse discusses the HIV-positive status of a client with other colleagues. The nurse's action reflects:

invasion of privacy.

Health education of a client by the nurse

is an independent function of nursing practice.

Ethical distress is:

knowing the correct action but being unable to perform it due to constraints.

Which action made by the nurse demonstrates respect for the client's dignity when administering an intradermal injection?

pulling the curtain or closing the door

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:

remain honest, open, and frank.

Which of the following delineates actions that are legally permitted for a particular profession based on specific educational qualifications

scope of practice

The nurse is admitting a medically fragile child. When planning care for the child and the family, what is the priority for the nurse?

to develop a trusting relationship with the family

Florence Nightingale introduced the concept of apprenticeship for nurses. Which statement is an example of this?

Completing clinical hours supervised by a nursing instructor

While administering a medication via a syringe, a client sharply moves and the nurse accidentally encounters a needlestick. What is the priority nursing action?

Report the needlestick to the nurse manager.

The nurse is caring for a 2-year-old boy who needs a lumbar puncture. His mother is present. What would prevent informed consent from being obtained?

learning the mother is not the custodial parent

A nurse is preparing to administer insulin to a child who's just been diagnosed with type 1 diabetes. When the child's mother stops the nurse in the hall, she's crying and anxious to talk about her son's condition. The nurse's best response is:

"I'm going to give your son some insulin. Then I'll be happy to talk with you."

During a taped shift report, the evening nurse reports that a client has been "annoying all evening, and has been demanding and on the call bell constantly." The nurse manager of the unit overhears this part of the report. Which statements represent the best response by the nurse manager to the evening nurse?

"Your report was subjective and did not address the cause of the behavior."

After hearing a presentation about the American Nurses Association (ANA), a nurse decides to join the organization based on the understanding that:

ANA aims at fostering high standards of nursing in the United States.

A woman has come to the clinic for her first prenatal visit. Which of the following would be the most effective way to initiate data gathering for a health history?

Conduct an interview in a private room to obtain her health history.

The nursing instructor is teaching a group of nursing students about the various responsibilities of the labor and delivery medical team. The instructor determines the session is successful when the students correctly choose which function as the primary role of the LPN/LVN members of the team?

Provide care under the supervision of an RN.

While reviewing the day's charts, a nurse who's been under a great deal of personal stress realizes that the nurse forgot to administer insulin to client with diabetes mellitus. The nurse has made numerous errors in the past few weeks and is now afraid this job is in jeopardy. What is the best course of action?

Report the error, complete the proper paperwork, and meet with the unit manager.

A nurse, while off-duty, tells the physiotherapist that a client who was admitted to the nursing unit contracted AIDS due to exposure to sex workers at the age of 18. The client discovers that the nurse has revealed the information to the physiotherapist. With what legal action could the nurse be charged?

Slander

A client with end-stage pancreatic cancer has decided to terminate medical intervention. What should a nurse anticipate when consulting with palliative care?

referral for bereavement counseling

The nurse is demonstrating countertransference with a client with which behavior?

relating to the client because the client resembles a favorite cousin