PVC Test Study Guide
A nurse working in a coronary case resuscitates a client who had expressed wishes not to be resuscitated. Which tort has the nurse committed?
Battery
Which nursing intervention reflects culturally appropriate care when addressing a client?
"Good morning, Mr. Smith. I am your nurse, John."
The nurse is reviewing the health history of a Native American/First Nations client. Which statement made by the client would require immediate follow-up by the nurse?
"I drink alcohol occasionally, but my family members do all the time"
When teaching a group of UPA's about race, which statement by a UPA requires intervention by the nurse?
"People with common physical features share the same culture."
The nurse cares for a client who is a member of a different culture from the nurse's. Which question is the most important for the nurse to ask to assess the client's beliefs about treatment?
"What are your expectations about being in the hospital?"
Which questions should the nurse include in a cultural assessment?
"What do you think is causing your illness?" "What religion do you belong to?" "What do you do to promote good health?" "Do you have a particular name for this illness?"
While teaching about advanced care planning, which fact is important for the nurse to share with a client who has been diagnosed with a terminal illness?
A durable power of attorney for health care appoints an agent the person trusts to make decisions.
The client being admitted to the oncology unit conveys wishes regarding resuscitation in the event of cardiopulmonary arrest. The nurse advises the client that is would be in the client's best interest to obtain which document?
A living will
A middle-aged client is distraught at receiving a diagnosis of type 2 diabetes in spite of being conscientious about her health for the majority of her adult life. The client tells the nurse, "I can't believe I no longer have my health." The nurse should be aware that the World Health Organization defines health as:
A state of physical, mental and social well-being
A nurse is preforming an assessment of a newly admitted hospital client and had documented the client as being a member of the Native American/First Nations subculture. A subculture is best described as:
A unique cultural group that exists within the larger culture
Many families are sheltering in the local middle school gymnasium during a severe tornado outbreak. Many homes have been destroyed and lives lost. The community health nurse expects to see negative stress reactions to the crisis such as:
A young wife asking everyone repeatedly where her husband is
Which organization is the best source of information when a nurse wishes to determine whether an action is within the scope of nursing practice?
American Nurses Association (ANA)
The nurse is caring for a terminally ill client who immigrated from Mexico. Which nursing intervention regarding spiritual care is approprate?
Ask the client if a spiritual leader is desired
The nurse is caring for a client who cannot meet health needs independently. Which action made by the nurse depicts concern and attachment?
Asking the client, "How are you today? I am really worried about you."
While walking down the hallway, a nurse manager overhears a staff member telling a client, "If you don't stay in this chair and stop wandering, I'm going to tie you to it." The nurse manager pulls the staff member aside and discusses what was said. The nurse manager intervenes because the staff member's statement is which type of tort?
Assault
A nurse caring for an older adult client following a total abdominal hysterectomy documents administration of morphine 4 mg intravenously for pain of 8 on a 1-10 scale, bed in the lowest position, bed alarm on, side rails up times two, and call light in reach. After the nurse leaves the room, the client gets out of bed and falls. In which order should the nurse proceed?
Assess the client for injury Assist the client back into bed Notify the physician Document the incident Complete an incident report
A client admitted to the mental health unit has exhibited physical behaviors that put him and others at risk. The nurse applies four-point restraints without obtaining a physician's order or the client's consent. The nurse is at risk of being accused of:
Battery
Which ethical principal refers to the obligation to do good?
Beneficence
Which elements are necessary to prove malpractice? Select all that apply.
Causation Breach of duty Duty Damages
What type of law regulates the practice of nursing?
Civil Law
When giving a tepid sponge bath to a black client who has high fever, the nurse notices brown discoloration on the washcloth. What should the nurses's reaction be in this case?
Consider it to be normal in the client
A nurse is caring for a client who has undergone total hip replacement and is advised to undergo physiotherapy after discharge. Which level of care is physiotherapy?
Continuity of care
The nurse is preparing a client who is Jehovah's Witness for surgery. The client state, "Please make sure I do not receive a blood transfusion." What policy should the nurse follow to best address the client concern and needs?
Develop of plan of care with the client that addresses cultural practices regarding transfusions.
Which statement about diversity is true?
Diversity demonstrates differences among groups of people
Which nursing action best exemplifies the nurse's role in promoting health?
Encouraging a group of junior high students to enage in regular physical activity
The nurse finds that there have been several opportunities to share personal prescriptions with family members when they were in need of pain medication or antibiotics. Which area of rules should govern the nurse's moral decision?
Ethics
A client tells the nurse that the only things that helps the client sleep is a glass of warm mild. The nurse caring for the client insists that this cultural practice is a myth and tried to convince the client that reading a book would be better. What is the nurse demonstrating?
Ethnocentrism
A nurse is caring for a postoperative client after knee arthroplasty. The nurse plans to help the client ambulate but is aware that the client may feel threatened by the physical closeness because the client is from a culture that tends to prefer more personal space when interacting with others. Using the principles of culturally competent care, what woulf be the most appropriate nursing action?q
Explain the purpose and need for assistance during ambulation
The nurse is administering immunizations to a group fo teens in a county health clinic. The nurse correctly identifies this action as:
Illness prevention
A nurse finds that a colleague is intoxicated while on duty. What appropriate action should the nurse take?
Inform the nursing supervisor.
A high school senior wants to become a geriatric nurse practitioner. What nursing degree will the student need to attain this goal?
Master's Degree
A nurse is caring for a hospitalized client. Which nursing actions demonstrate a caring and compassionate attitude? Select all that apply.
Notify the client before leaving for lunch Offering snacks and beverages to visiting family Explaining all procedures clearly Listening to the client tell stories about past experiences
A 22- year old woman who recently immigrated to the country has been admitted to the hospital with an ovarian cyst. Both the client and spouse do not speak the dominate language of the new country, and this has complicated the ability of the care team to obtain informed consent for surgery. What action should the care team take to communicate with the client?
Organize professional interpretation, either in person or by telephone.
A nurse has recently completed the administration of season flu vaccinations for the residents of a long-term care facility. Which aim of nursing is most clearly demonstrated?
Preventing illness
A nurse is explaining A1C diagnostic testing to a client with diabetes. What level of healthcare delivery does this test suggest?
Primary
A nursing student has begun a clinical placement at a large hospital that serves a diverse population. The student has consequently acquired a new appreciation for the fact that nursing combines act with science. What is the clearest manifestation of the scientific basis for nursing?
Providing evidenced-based nursing care.
A nurse who works in a large, urban hospital provides care for a diverse client population. When performing integumentary assessment, the nurse modifies assessment practices for certain clients to identify clinically meaningful date. This practice is most justified by the fact that clients differ according to:
Race
During the admission assessment of a client with a suspected mandibular fracture, the client discloses to the nurse that the injury results from the client's spouse hitting the client. Which should the nurse prioritize when responding to this disclosure?
Reporting the abuse to the appropriate authorities
The nurse is administering an antibiotic to a client with community-acquired pneumonia. This activity encompasses which aim of nursing?
Restoring health
A medical- surgical unit manager intends to have LPNs in the unit administer IVP medication. What source would the manager contact to include this procedure in the LPNs' practice?
State nursing practice act (NPA)
A nurse is caring for a client after internal fixation of a compound fracture in the tibia. The nurse find that the client has not had dinner, seems restless, and is tossing in bed. What is the most appropriate response by the nurse?
Tell me what you are feeling
A nurse witnesses a 50-year old woman go into cardiac arrest while traveling in a train and attempts to resuscitate her. In spite of the nurse's efforts the woman dies, and the family members file a suit against the nurse. Which of the following statements about Good Samaritan Laws is applicable here?
The Good Samaritan law will likely protect the nurse because she acted in the woman's best interest
An older client has been moved from home to a skilled nursing facility. Which client behavior requires immediate nursing intervention?
The client will not use their walker
While at a coworker's house, a nurse discusses with the coworker a client whom the nurse suspects of physically abusing the client's child. The next day, the client is moved to another nursing unit after a surgical procedure and comes under the care of the coworker, who is also a nurse. The coworker confronts the client about the alleged physical abuse. The client is shocked and angered by the accusation and denies it categorically. What would be the charge if the client were to file a suit?
The first nurse could be charged with slander
The nurse administered acetaminophen 15mg/kg to a 2-year old child with a sore throat. After charting the medication, the nurse realizes that the client has documented allergy to the medication. The client breaks out in a rash 15 minutes later, the throat swells, and the client must be intubated. Which best describes the nurse's actions?
The nurse is guilty of malpractice
A client who does not speak the dominant language has been admitted to the health care facility reporting chest pain. Because the assigning nurse does not know the client's language, what would be the most appropriate solution for communication until a professional interpreter can be obtained?
The nurse should request the help of a family member if available, if not care should be administered that is in the best interest for the client
A client is received in a postoperative nursing unit after undergoing abdominal surgery. During this time the nurse failed to recognize the significance of abdominal swelling, which significantly increased during the next 6 hours. Later, the client had to undergo emergency surgery. The lack of action on the nurse's part is liable for action. Which legal term describes the case?
Tort
The nurse is caring for a client who is terminally ill and recently immigrated to the country. The nurse understands that in order to provide quality end-of-life care for the client, what would be the priority action by the nurse?
Understand the client's personal and cultural views regarding death and dying.
Socialization into the nursing profession may have the most significant effect on:
Values
The UAP reports to the nurse that the client is refusing to eat eat the food on the meal tray. The nurse observes the client eating the food brought in by the family members. How should the nurse respond?
What type of food did your family prepare for you, and does it have a special meaning?
