Taylor: Fundamentals of Nursing

A client asks a nurse about the benefit of using diagnosis-related groups (DRGs) as a reimbursement method. Which is the nurse's best response? "This innovative cost-cutting approach has led to a decrease in hospital admission rates." "DRGs have helped to reduce healthcare costs by decreasing the overall length of a client's hospital stay." "DRGs are an inefficient way for the government to manage a client's hospital recovery." "This reimbursement method focuses on preventing illness through screening and health promotion."

"DRGs have helped to reduce healthcare costs by decreasing the overall length of a client's hospital stay."

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? Select all that apply. "I am glad I am a student because nursing faculty will be blamed, not me." "I cannot be held liable because this is only my second time at this facility." "I have also put the nursing faculty at risk with my action." "I should have informed you that I felt unprepared for my assignment." "I realize that I am held to the same standards as a registered nurse."

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

A charge nurse has implemented staff education on nursing values. The nurse would determine that further education is required when which statement(s) are overheard? Select all that apply. "If that was my mother, I sure wouldn't agree to a no-code." "If you are going to have extramarital sex, please protect yourself by using a condom." "Smoking has been shown to be a risk for many illnesses, including heart disease and cancer." "The gonorrhea test was positive. That's what the client gets for sleeping around." "I can't believe the client is giving that precious infant up for adoption."

"I can't believe the client is giving that precious infant up for adoption." "The gonorrhea test was positive. That's what the client gets for sleeping around." "If that was my mother, I sure wouldn't agree to a no-code."

While a client admitted to the medical-surgical unit is in the radiology department, a visitor claiming to be the client's cousin arrives on the medical-surgical unit and asks the nurse to provide a brief outline of the client's illness. Which response by the nurse would be most appropriate, both legally and professionally? "Do you have any identification proving that you are related to the client?" "I'm busy right now but can talk later." "I cannot give you that information due to client confidentiality." "I will call the client and ask for permission to share this information with you."

"I cannot give you that information due to client confidentiality."

A staff nurse is talking with a clinical nurse leader and asks, "What exactly do you do?" Which statement by the clinical nurse leader would be appropriate? "I'm an administrator involved with client care." "My position is one of management." "I collaborate with health care teams to promote client care." "I'm an advanced practice nurse with a specific specialty area."

"I collaborate with health care teams to promote client care."

The nurses who provide care on a medical unit are skeptical about the planned change from a traditional opioid cupboard to a computerized medical supply and management system. Which statement best demonstrates mistrust about the benefits of this proposed change? "I've heard those machines don't even cut down on medication errors like they say they do." "I think that they want us to use these machines just so they can track our work activity closer." "There's no way that I'm going to be able to learn to deal with a computer." "Those machines cost a fortune and there are way better ways to spend that money."

"I've heard those machines don't even cut down on medication errors like they say they do."

Which statements made by a nurse would indicate to a nurse manager that the nurse requires further training? Select all that apply. "When I document, I make sure it is factual, accurate, complete, and timely." "I am accountable for any task that I delegate." "I will have the supervisor fill out the incident report when I make an error." "If I make a mistake, I will not tell anyone." "The nursing plan of care must be accurate and must be followed. It is part of the client's permanent record."

"If I make a mistake, I will not tell anyone." "I will have the supervisor fill out the incident report when I make an error."

At the last hospital unit meeting, the policy for the insertion of Foley catheters was revised based on current evidence. The new nurse on the unit just learned "the old way" and is frustrated to now have to learn a new methodology. Several other nurses comment that the change is "all about money." The charge nurse must educate the staff about the importance of this new policy. Which explanation by the charge nurse is most appropriate? "Because our clients are considered consumers of care, they often understand the need to use specific methods based on research, and they want the best care for the lowest cost." "Incorporating evidenced-based practice into our care routines links our interventions to valued outcomes, thereby increasing quality care. When we provide quality care, we can decrease cost." "Using evidence-based practice is the trend in providing quality care and may expose the client to better care implementation. None of our care methods are associated with cost." "Cost is not a driver in quality health care delivery."

"Incorporating evidenced-based practice into our care routines links our interventions to valued outcomes, thereby increasing quality care. When we provide quality care, we can decrease cost."

It is time for a nurse to renew licensure. The nurse says, "I need some really easy and quick continuing education hours. I don't understand why we have to do these every year." What is the nurse's coworker's best response? "There is lots of free continuing education online." "See if any of the classes we have to take at the hospital each year will count." "Life-long learning is part of the code for nurses." "It is hard to get enough hours since we work full time and have families."

"Life-long learning is part of the code for nurses."

Nursing students are discussing the requirement that they carry personal professional liability insurance as students. The nurse instructor should offer additional information when which statements are made? Select all that apply. "Since I am a student, my instructor is the one liable if I make a mistake." "I think this is an unnecessary expense." "I thought we would be covered by the hospital's malpractice insurance." "I will be protected both as a student and at my CNA job." "We are held to the same standards of care as the RNs at the hospital."

"Since I am a student, my instructor is the one liable if I make a mistake." "I think this is an unnecessary expense." "I thought we would be covered by the hospital's malpractice insurance." "I will be protected both as a student and at my CNA job."

Action has been taken against a nurse's license based on a claim that the nurse acted outside of nursing's scope of practice. The nurse's attorney determines that the nurse needs more education about the purpose of the board of nursing when the nurse makes which statement? "The board of nursing exists to protect the safety of the public." "Board of nursing rules keep unlicensed people from practicing nursing." "The board of nursing is established by state legislation." "The rules made by the board of nursing don't reflect my practice."

"The rules made by the board of nursing don't reflect my practice."

Which six trends in health care reflect the Institute of Medicine's (IOM) focus? "The system should be safe, effective, efficient, patient centered, timely, and equitable." "The system should be flexible, patient centered, bureaucratic, timely, safe, and efficient." "The system should be safe, efficient, centralized, wellness promoting, government driven, and patient centered." "The system should be static, reliable, timely, equitable, efficient, and illness focused."

"The system should be safe, effective, efficient, patient centered, timely, and equitable."

Which statement by the nurse is an example of deception? "I will administer your pain medication as soon as it is due." "I am going to teach you how to give yourself insulin." "This injection of procaine will feel like a little pinch." "It is important to get out of bed to prevent pneumonia."

"This injection of procaine will feel like a little pinch."

A nurse manager is on call 24 hours a day. What is the proper rationale for this level of commitment to nursing? New care systems are emerging. Staff need constant supervision. It is required for employment. Knowledge of all care aspects are needed.

New care systems are emerging.

A nurse knows that the expression "Do not cause harm" refers to which ethical principle? Beneficence Justice Fidelity Nonmaleficence

Nonmaleficence

Which word is best described as protection and support of another's rights? Paternalism Autonomy Advocacy Ethics

Advocacy

A nurse demonstrates understanding of Healthy People 2030 by supporting which statement? A client's health is affected by social, economic, and political factors. Physical therapy supports client safety at home. Establish a set of nursing skills that focuses on quick resolution to clients' needs. Clinical care supports wellness in the environment.

A client's health is affected by social, economic, and political factors.

The client being admitted to the oncology unit conveys wishes regarding resuscitation in the event of cardiopulmonary arrest. The nurse advises the client that it would be in the client's best interest to obtain which document? A living will Proof of health care power of attorney A proxy directive A will

A living will

The nurse is providing care to several clients. For which client should the nurse include secondary care in the nursing plan of care? A pediatric client who tests positive for strep An older adult client who requires a medication refill An adolescent client who requires a sports physical A middle-aged client who presents with new-onset angina

A middle-aged client who presents with new-onset angina

A nurse demonstrates the professional value known as altruism when caring for clients in a long-term care facility. What nursing action demonstrates this behavior? A nurse helps an older adult client fill out an informed consent form. A nurse consults a client when planning care to determine priorities. A nurse researches the culture of a Muslim client when planning care. A nurse promotes universal access to health care for underserved populations.

A nurse researches the culture of a Muslim client when planning care.

Which scenario is an example of certification? An education program that meets the standards of the National League for Nursing A nurse who demonstrates advanced expertise in a content area of nursing through special testing A graduate of a nursing education program who passes the NCLEX-RN A hospital that meets the standards of the Joint Commission

A nurse who demonstrates advanced expertise in a content area of nursing through special testing

Which best defines value clarification? A belief about the worth of something, about what matters, that acts as a standard to guide one's behavior A systematic inquiry into principles of right and wrong conduct, of virtue and vice, and of good and evil, as they relate to conduct An organization of values in which each is ranked along a continuum of importance, often leading to a personal code of conduct A process by which people come to understand their own values and value systems

A process by which people come to understand their own values and value systems

Which statement regarding hospice care and the role of a hospice nurse is most accurate? The hospice nurse's role in caring for the client and the family ends at the time of the client's death. After the hospice client's death, the nurse assists the family with the bereavement process up to one year. Medicaid is the predominant source of payment for hospice care. The focus of hospice nursing is on prolonging life and promoting dignity.

After the hospice client's death, the nurse assists the family with the bereavement process up to one year.

Which is the most accurate description of "aging in place"? Clients have access to the healthcare community associated with aging in place up until the time they need to be hospitalized. Clients must remain in their own homes to be eligible for aging in place. Aging in place communities are a form of extended care in which community members meet each other's needs. Clients are required to move to an apartment or some similar living space while they are still able to care for themselves.

Aging in place communities are a form of extended care in which community members meet each other's needs.

An illegal immigrant with no health insurance sustained life-threatening injuries in an automobile accident. Which action in this case demonstrates the ethical principle of justice? Avoiding treating the client so as to not do any additional harm Airlifting the client to a local trauma center for emergency surgery Telling the client honest information about the client's medical condition and prognosis Filing the paperwork for the client to receive retroactive health insurance

Airlifting the client to a local trauma center for emergency surgery

A nurse has completed 4 hours of an 8-hour shift on a medical-surgical unit when the nursing supervisor calls. The nursing supervisor directs the nurse to give a report to the other two nurses on the medical-surgical unit and immediately report to the telemetry unit to assist with staff needs on that unit. The nurse informs the supervisor that the nurse has been busy with client assignments and feels this will overwhelm the nurses on the medical-surgical unit. The supervisor informs the nurse that the need is greater on the telemetry unit. This is an example of which type of ethical problem? Deception Conflicts concerning new technology Advocacy in a market-driven environment Allocation of scarce nursing resources

Allocation of scarce nursing resources

The chief nursing officer (CNO) wants to encourage nurses in the hospital to become clinical nurse leaders (CNL) and is reviewing a roster of nurses working on the medical-surgical unit. Which nurse should the CNO recognize as being qualified to take the CNL examination? An RN with an ADN who is a charge nurse, has 5 years of nursing experience, is honest, and is enrolled in BSN courses An RN who attended a diploma program, has 20 years of nursing experience, is a bedside nurse, is reliable, and provides quality client care An RN with an MSN who is a nurse manager, has 7 years of nursing experience, is supportive, and is engaged in community service activities An with a BSN who is a case manager; has 16 years of nursing experience, is trustworthy, and provides compassionate client care

An RN with an MSN who is a nurse manager, has 7 years of nursing experience, is supportive, and is engaged in community service activities

The charge nurse on a postoperative surgical unit is responsible for making client assignments for staff nurses. Two staff nurses have voiced not wanting to assume care for any new postoperative surgical clients during their shifts. How can the charge nurse resolve this conflict using the strategy of compromise to address the immediate concerns of the two staff nurses? Reassign all nurses' clients in a manner that ensures the two staff nurses will not have to care for new postoperative surgical clients. Consult with the nurse manager to decide how postoperative surgical clients should be assigned to the two nurses. Approach both nurses to discuss incentives that can be given for agreeing to accept new postoperative surgical clients. Coerce the staff by complimenting on them on how well they care for new postoperative surgical clients.

Approach both nurses to discuss incentives that can be given for agreeing to accept new postoperative surgical clients.

During a hospice visit, the client's spouse suddenly begins to cry and says, "I am so tired. I just can't do this anymore. I am not getting to sleep and I just eat sandwiches when I can." What is the nurse's best intervention? Request a mental health evaluation for the spouse. Have the chaplain visit with the spouse and client. Send the spouse to the emergency department. Arrange for short-term inpatient care for the client.

Arrange for short-term inpatient care for the client.

An RN is working on a medical-surgical unit with a licensed practical/vocational nurse (LPN/LVN). Which action by the RN is considered negligent if injury results from this action? Obtaining vital signs on a newly admitted client Calling the health care provider about abnormal lab results Delegating oral medication administration to the LPN/LVN Asking the LPN/LVN to teach a new diabetic client how to administer insulin

Asking the LPN/LVN to teach a new diabetic client how to administer insulin

While walking down the hall, 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? False imprisonment Battery Assault Invasion of privacy

Assault

A nurse is in charge of a large group of employees on a busy surgical floor. Today's care must be completed early due to a special event involving most of the employees. Which management style would work best in this situation? Coercive Authoritarian Democratic Laissez-faire

Authoritarian

A client diagnosed with cancer has met with the oncologist and is now weighing whether to undergo chemotherapy or radiation for treatment. This client is demonstrating which ethical principle in making this decision? Autonomy Beneficence Confidentiality Justice

Autonomy

Which ethical principle is related to the idea of self-determination? Autonomy Nonmaleficence Confidentiality Beneficence

Autonomy

Which ethical principle is related to the idea of self-determination? Confidentiality Nonmaleficence Autonomy Beneficence

Autonomy

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 health care provider's order or the client's consent. The nurse is at risk of being accused of which action? Battery Slander Malpractice Negligence

Battery

An RN enters a client's room and observes the unlicensed assistive personnel (UAP) forcefully pushing a client down on the bed. The client starts crying and informs the UAP of the need to go to the bathroom. What action is the RN witnessing that should be immediately reported to the supervisor? Fraud Defamation of character Battery Assault

Battery

Which statement is most accurate in comparing nursing care provided in the acute care setting and that provided in the home care setting? Both care settings require the participation of the client's family. The home care setting can only be initiated when the client returns to full function. The acute care setting, unlike the home care setting, focuses on the client's needs. Both settings focus on the holistic care of an individual.

Both settings focus on the holistic care of an individual.

Which theory of ethics prioritizes the nurse's relationship with clients and the nurse's character in the practice of ethical nursing? Deontology Utilitarianism Principle-based ethics Care-based ethics

Care-based ethics

A nurse working for a home health agency is scheduled to evaluate a client with worsening heart failure to determine whether the client is a candidate for the new "Hospital at Home" program. Which statement accurately reflects an outcome for this program? Clients in the acute care setting require fewer chemical and physical restraints. Disease-specific quality standards have been found to be slightly worse than when clients are treated in the hospital. Clients and their family members have been found to be happier with stays in the hospital in which they have 24/7 access to the healthcare team. Clients in the "Hospital at Home" program have been found to require shorter lengths of stay than when admitted to the acute care setting.

Clients in the "Hospital at Home" program have been found to require shorter lengths of stay than when admitted to the acute care setting.

A new nurse is considering getting a job in either an acute care setting or a home care setting. Which statement about these care settings is most accurate? Clients play a large role in helping themselves in the home care setting. Nurses work more as team members in the home care setting. Clients are encouraged to help each other in the acute care setting. Good communication skills are unnecessary in the home care setting.

Clients play a large role in helping themselves in the home care setting.

Which are examples of personal leadership skills necessary for nurse leaders? Select all that apply. Knowledge of all nursing Communication Self-evaluation Problem solving Religious values

Communication Problem solving Self-evaluation

Which is the main focus of care for a school nurse? Palliative care Community care Rehabilitative care Ambulatory care

Community care

A nurse is helping clients access the health insurance marketplace. What is the goal of this health insurance coverage concept? Insurance coverage for people needing orphan drugs Insurance assistance for women and children Comparison of available health care plans Insurance for older adults

Comparison of available health care plans

A famous actor with bipolar disorder has been admitted in the mental health unit for treatment. A well known news outlet has offered the nurse several thousand dollars to provide information or a picture of the client. The nurse knows that it is their professional duty and legal responsibility to uphold privacy and confidentiality. For each of the behaviors exhibited by the nurse specify whether the behavior upholds the principle of privacy or confidentiality. sharing client information only to the caregivers directly assigned to client care keeping the door closed while conducting physical assessment obtaining the client's permission before allowing a student nurse to assist with care asking the client to sign a medical release form before providing information to the health insurance company logging off the electronic health record after documenting assessment information

Confidentiality sharing client information only to the caregivers directly assigned to client care logging off the electronic health record after documenting assessment information asking the client to sign a medical release form before providing information to the health insurance company Privacy keeping the door closed while conducting physical assessment obtaining the client's permission before allowing a student nurse to assist with care

Two staff nurses on a unit disagree with one another over certain key aspects of providing client care. The nurse manager of the unit arranges a meeting with the charge nurse and the two staff nurses at a mutually agreed-upon time to discuss this situation. This activity is most accurately described as what? Client protection Conflict resolution Delegation Problem solving

Conflict resolution

A nurse manager of a hospital unit is working within a decentralized management structure. Which nursing action best exemplifies this type of system? Nurse managers are not accountable for clients, staffing, supplies, or budgets. Senior managers make all the decisions. Decisions are made by those who are most knowledgeable about the issue. Nurses are not intimately involved in decisions involving client care.

Decisions are made by those who are most knowledgeable about the issue.

Which example most accurately depicts the ethical principle of autonomy? Transporting a client to a scheduled physical therapy appointment Administering a morning dose of insulin before breakfast Describing a surgery to a client before the consent is signed Changing a dressing on a wound as needed

Describing a surgery to a client before the consent is signed

The focus of the unit where a nurse works is changing. The nurse has deeply held moral and religious objections to procedures that will be commonly performed on clients on this new unit. Which action(s) should the nurse take? Select all that apply. Be careful not to share objections with anyone. Do not compromise the nurse's own personal moral standards. Plan to care only for clients who will not have these procedures. Discuss the situation with the unit nurse manager. Resign before the new unit focus is implemented.

Discuss the situation with the unit nurse manager. Do not compromise the nurse's own personal moral standards.

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? Breach of duty Damages Duty Causation

Duty

A nurse who is caring for a new mother realizes that the woman is not prepared to go home with her newborn after a hospital stay of only 24 hours. However, hospital policy dictates that the mother be discharged. This nurse may be faced with which moral problem? Ethical dilemma Ethical dissatisfaction Ethical uncertainty Ethical distress

Ethical distress

Which statement best conveys the concept of ethical agency? Ethical practice requires a skill set that must be conscientiously learned and nurtured. Individuals who enter the nursing profession often innately possess ethical characteristics. Ethical practice is best learned and fostered by surrounding oneself with people who exhibit ethical character. A nurse's understanding and execution of ethical practice is primarily a result of increased years of experience.

Ethical practice requires a skill set that must be conscientiously learned and nurtured.

Using the nursing process to make ethical decisions involves following several steps. Which step is the nurse implementing when reflecting on the decision-making process and the role it will play in making future decisions? Planning Implementing Evaluating Diagnosing

Evaluating

A nurse is caring for a client with end-stage liver failure. Which healthcare agency should the nurse recommend for continuity of care? Emergency department Extended care PPO HMO

Extended care

The nurse is preparing to delegate tasks to an unlicensed assistive personnel (UAP) for a client who recently had a stroke and is suffering from mil hemiplegia. Which task would be inappropriate for the nurse to delegate to the UAP? Feeding Obtaining vital signs Bathing Assisting to use a bedpan

Feeding

A female client is brought to the emergency room with matted hair, bruising, and malnutrition. The nurse suspects physical abuse and neglect. The nurse states, "This happens to many women." Which type of ethical approach is the nurse exhibiting? Feminist Moralizing Paternalism Values clarification

Feminist

A nurse working on a busy medical-surgical unit does not take the vital signs of client who is preparing for discharge but instead documents the same vital signs obtained for this client earlier in the morning. For which tort would the nurse be potentially liable? Assault Battery Fraud False imprisonment

Fraud

A clinical nurse specialist is preparing a presentation for a group of colleagues about the current state of the health care delivery system. As part of the presentation, the nurse is planning to address trends that may play a role in shaping health care delivery in the near future. Which information would the nurse most likely include? Select all that apply. Abundance of key health care professionals available Rise in accessible health information due to technology Increased focus on the treatment of disease Greater numbers of informed persons using health care services Reduction in the numbers of diverse individuals seeking care

Greater numbers of informed persons using health care services Rise in accessible health information due to technology

During the orientation to the hospital, the staff development educator discusses unit and institutional-based policies. What is the source of the practice rules that result in unit and institutional-based policies? Board of nursing State legislation Health care institution Federal legislation

Health care institution

Which is the acute care setting for people who are too ill to care for themselves at home, are severely injured, or require surgery? Ambulatory care centers Hospitals Primary care centers Day care centers

Hospitals

Which is the primary criterion for admission to a long-term care facility? Absence of family members locally Advanced age Inability to provide self-care Coexistence of multiple chronic health problems

Inability to provide self-care

A nurse reports to the charge nurse that a client medication due at 9 am was omitted. Which principle is the nurse demonstrating? Altruism Integrity Social justice Autonomy

Integrity

The nurse beginning practice would like to access the standards for ethical practice. Which organization should the nurse research for these standards? Department of Health Professions Canadian Hospital Association World Health Organization International Council of Nurses

International Council of Nurses

A nurse talks with family members about an AIDS client from the clinic where the nurse works. Which tort has the nurse committed? Fraud Invasion of privacy Slander Assault

Invasion of privacy

An HIV-positive client discovers that the client's name is published in a research report on HIV care prepared by the client's nurse. The client is hurt and files a lawsuit against the nurse. Which offense has the nurse committed? Invasion of privacy Negligence of duty Defamation of character Unintentional tort

Invasion of privacy

When talking with family over dinner, the nurse shares about a client with infertility at the hospital, identifying the person by name. Which tort has the nurse committed? Assault Fraud Slander Invasion of privacy

Invasion of privacy

A nurse is providing care for three clients on a medical unit, two of whom are significantly more acute than the third. The nurse is making a concerted effort to ensure that the less acute client still receives a reasonable amount of time, attention, and care during the course of the shift. Which ethical principle is the nurse attempting to practice? Justice Nonmaleficence Fidelity Beneficence

Justice

A parent of a 17-year-old high school student is allowing the child to decide which college the child will attend. When the child requests direction from the parent in making this decision, the parent responds by stating, "You will need to make this decision on your own." What type of value transmission is the parent displaying? Moralizing Laissez-faire Responsible choice Modeling

Laissez-faire

The nurse is managing the care for a postoperative client. How does the nurse demonstrate advocacy? Changing the channel on the television while providing care Limiting visitors due to the client reporting pain Administering pain medication when the pain level reaches 9 on a pain scale of 0 to 10 Turning and positioning the client every 4 hours

Limiting visitors due to the client reporting pain

Which action most clearly demonstrates a nurse's commitment to social justice? Lobbying for an expansion of healthcare resources and benefits to those in poverty Ensuring that a hospital client's diet is culturally acceptable Answering a client's questions about care clearly and accurately Documenting client care in a timely, honest, and thorough manner

Lobbying for an expansion of healthcare resources and benefits to those in poverty

A hospital system has adopted the Institute for Healthcare Improvement's "Triple Aim" dimensions and has surveyed nurses for planning ideas. Which strategies will help the hospital comply with this framework? Select all that apply. Do away with client satisfaction surveys. Make results of quality studies available to nurses in a timelier manner. Create outreach education programs to improve the overall health of the community served. Reduce redundancy in diagnostic tests. Increase staff salaries.

Make results of quality studies available to nurses in a timelier manner. Create outreach education programs to improve the overall health of the community served. Reduce redundancy in diagnostic tests.

The nurse has identified an ethical dilemma that has the potential to interfere with a client receiving optimal care. The nurse discussed this issue with the charge nurse on the unit. What action should the nurse choose next? Inform the family that the ethical issue has been reported. Monitor for resolution of the problem. Depend on the charge nurse to handle the issue from this point. Report the issue to the hospital medical director.

Monitor for resolution of the problem.

The nurse and unlicensed assistive personnel (UAP) are working together to admit a client newly diagnosed with diabetes to a nursing unit. Which task would be inappropriate to delegate to the UAP? Offering sugar-free popsicles Monitoring insulin requirements Performing a fingerstick blood glucose test Measuring blood pressure

Monitoring insulin requirements

A nurse is caring for a hospitalized client. Which nursing actions demonstrate a caring and compassionate attitude? Select all that apply. Notifying the client before leaving for lunch Explaining all nursing procedures clearly Leaving the room promptly once care is completed Listening to the client tell stories about past experiences Offering snacks and beverages to visiting family

Notifying the client before leaving for lunch Offering snacks and beverages to visiting family Explaining all nursing procedures clearly Listening to the client tell stories about past experiences

A nurse aspires to work independently in obstetrics and gynecology in a rural, impoverished setting. Which advanced practice role would be most suitable for this nurse? Women's nurse practitioner Nurse midwife Adult nurse practitioner Family nurse clinical specialist

Nurse midwife

A nurse manager has asked the staff to create a plan to improve client outcomes. In the past, the staff have not met deadlines. How can the nurse manager use transactional leadership style to ensure that the deadline is met? Ask politely. Give extensions as needed. Offer 2 days of paid vacation. Demand efficiency.

Offer 2 days of paid vacation.

What is likely to have the greatest influence on an adolescent's formation of values during this developmental stage? School administration Peers Work Awareness of other cultures

Peers

A nurse has very strong client education skills. In which health care setting would the nurse make best use of these skills? Tertiary care medical center Emergency department Primary care center Same-day surgery unit

Primary care center

Which nursing model results in the greatest continuity of care? Modular nursing Team nursing Total client care Primary nursing

Primary nursing

What nursing function would be most commonly found in an ambulatory care facility? Providing direct client care Assessing the home environment Serving as an administrator or manager Educating individuals or groups

Providing direct client care

The nurse manager of a medical-surgical unit is planning to make changes, because the unit is understaffed. What is the first action the manager takes to plan the change for the unit? Evaluate the interventions made to correct the issue Determine and analyze solutions to the problem Recognize the symptoms that indicate a change is needed and collect data Plan to make the change

Recognize the symptoms that indicate a change is needed and collect data

The charge nurse in the oncology unit is preparing the shift assignments. The unit is fully staffed: unlicensed assistive personnel (UAP), licensed practical nurse (LPN), and registered nurse (RN). For each of the nurse activities specify whether they should best be assigned to the unlicensed assistive personnel (UAP), licensed practical nurse (LPN), or registered nurse (RN). calculating the total intake and output for the entire shift administering a pain medication intramuscularly obtaining an admission assessment on a client collecting a stool specimen for hemoccult administering an intravesical chemotherapy inserting an indwelling urinary catheter

Registered Nurse (RN) obtaining an admission assessment on a client administering an intravesical chemotherapy Licensed Practical Nurse (LPN) administering a pain medication intramuscularly inserting an indwelling urinary catheter Unlicensed Assistive Personnel (UAP) calculating the total intake and output for the entire shift collecting a stool specimen for hemoccult

A nurse recommends palliative care for a client who is being discharged following a diagnosis of cancer. What is the chief focus of this type of care? Provision of a dignified death experience Relief from physical, mental, and spiritual distress Physical rehabilitation Occupational therapy

Relief from physical, mental, and spiritual distress

A nurse is providing care to a client recently admitted to the health care facility for treatment of an infection. The client experienced a traumatic brain injury several months ago that resulted in paralysis of both lower extremities and difficulty swallowing and speaking. The client's spouse is the primary caregiver. The client's spouse says to the nurse, "It's been really tough this last month caring for my spouse. Even though I have an aide who comes in to help for a couple of hours a week, I'm just spent, physically and emotionally." A referral for which service would be appropriate? Hospice care Parish nursing services Respite care Palliative care

Respite care

A group of first semester nursing students is preparing for a class presentation on the role of the school nurse. They ask their instructor to look over the content prior to the presentation. Which inclusion will require the students to perform some additional research? School nurses maintain immunization records. School nurses perform home visits on students. School nurses are sometimes the major source of emergency care for children. School nurses conduct routine health screenings.

School nurses maintain immunization records.

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 Paternalistic model Client sovereignty model Ethical decision making

Shared decision making

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 Malpractice Libel Negligence

Slander

The nurse is a member of the multidisciplinary team in a large primary healthcare setting. The nurse understands that which healthcare team member is responsible for a client's swallow evaluation following a cerebral vascular accident? Physician assistant Physical therapist Speech pathologist/therapist Occupational therapist

Speech pathologist/therapist

A client continues to complain of pain despite receiving medication. The family states, "In our culture it is acceptable to complain out loud." What would be the best response by the nurse? Tell me more about your cultural beliefs. It is fine to complain out loud. The pain medication should have worked by now. Describe your home situation to me.

Tell me more about your cultural beliefs.

Which is the best definition of ethics? The adherence to informal personal values The informal, systematic study of moral beliefs The adherence to formal personal values The formal, systematic study of moral beliefs

The formal, systematic study of moral beliefs

Which nursing action(s) best demonstrate the ethical principle of autonomy? Select all that apply. The nurse checks to ensure an informed consent document is signed prior to transferring the client for a surgical procedure. The nurse completes yearly continuing education requirements. The nurse calls the prescriber when a medication dosage seems too high for the intended client. The nurse reviews best practice standards for procedures commonly performed on the unit. The nurse documents that a client refused a new medication.

The nurse checks to ensure an informed consent document is signed prior to transferring the client for a surgical procedure. The nurse documents that a client refused a new medication.

Legal safeguards are in place in the nursing practice to protect the nurse from exposure to legal risks as well as to protect the client from harm. What is an example(s) of legal safeguards for the nurse? Select all that apply. The nurse confirms informed consent was give by the client to perform a procedure. The health care provider is responsible for administration of a wrongly prescribed medication. The nurse executes the health care provider's prescriptions without questioning them. The nurse educates the client about what to expect during the hospital stay. The nurse documents all client care in a timely manner. The nurse claims management is responsible for inadequate staffing leading to negligence.

The nurse confirms informed consent was give by the client to perform a procedure. The nurse educates the client about what to expect during the hospital stay. The nurse documents all client care in a timely manner.

A health care provider is called to see a client with angina. During the visit the health care provider advises the nurse to decrease the dosage of atenolol to 12.5 mg. However, because the health care provider is late for another visit, the health care provider requests that the nurse write down the order for the health care provider. What should be the appropriate nursing action in this situation? The nurse should write the order and implement it. The nurse should remind the health care provider later to write the work order. The nurse should ask the health care provider to come back and write the order. The nurse should inform the client of the change in medication.

The nurse should ask the health care provider to come back and write the order.

The nurse shares with the health care team the need for a client, diagnosed with cancer and receiving chemotherapy, to attend an adult child's wedding. What discussion does the nurse have with the health care team to advocate for the client attending the wedding? To seek plausible alternatives To affirm that the decision is consistent with client goals To educate the client on ramifications of the decision To offer empathy and emotional support

To affirm that the decision is consistent with client goals

Following a myocardial infarction (heart attack), a client begins to recognize the need to increase exercise, eat a low-fat diet, and implement relaxation techniques. According to Lewin, this client is in which stage of the change process? Unfreezing Prizing Moving Refreezing

Unfreezing

What are standards for decision-making that endure for a significant time in one's life? Beliefs Roles Values Ethics

Values

What is the term for the beliefs held by the individual about what matters? Values Ethics Bioethics Morals

Values

Nurses are occasionally asked to witness a testator's (person who makes the will) signing of a will. Which guideline is true regarding a nurse's role in witnessing a testator's signature? Witnesses do not need to observe the signing of the will and can sign it at a later time. A single witness is sufficient for a will. A beneficiary to a will is allowed to act as a witness. Witnesses to a signature do not need to read the will.

Witnesses to a signature do not need to read the will.

An example of primary health care is: a hearing screening in the school setting. diagnostic testing for HIV/AIDS. care of the client on rehabilitation. care of the client in the intensive care unit.

a hearing screening in the school setting.

A legal document that states a client's health-related wishes — such as a preference for pain management if the client becomes terminally ill — and also allows the client's adult child to direct the client's care, is: a license. a standard of care. an advance directive. a will.

an advance directive.

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: fraud. battery. assault. defamation.

battery.

A nurse is providing care for a client with cancer. The client's spouse requests that the client not be told that the client is terminal. The nurse complies with this request. The nurse's action is a breach of which ethical principle? justice nonmaleficence beneficence fidelity

fidelity

The foundation for decisions about resource allocation throughout a society or group is based on the ethical principle of: justice. autonomy. confidentiality. veracity.

justice.

A client is brought to the emergency department by an adult child, who states, "I am unable to care for my parent anymore. Although I would like to, financially and physically I cannot do it anymore." What ethical problem is the adult child experiencing? dissatisfaction moral distress ethical uncertainty ethical dilemma

moral distress

A nurse is of the Catholic faith and votes pro-life. This nurse is considered to have: personal values. moral agency. legal obligations. ethics.

personal values.

In the 1980s, the nursing care delivery model shifted from a team nursing model to a: primary nursing model. clinical specialist model. modular care model. managed care model.

primary nursing model.

A nurse is preparing a client for discharge from the cardiac unit and observes cigarettes in the client's belongings. The nurse asks the client to consider the client's health and that of the client's spouse. This is an example of: moral distress. ethical dilemma. social justice. values clarification.

values clarification.

A nurse is preparing a client for discharge from the cardiac unit and observes cigarettes in the client's belongings. The nurse asks the client to consider the client's health and that of the client's spouse. This is an example of: values clarification. moral distress. ethical dilemma. social justice.

values clarification.

A nurse leader is working with a client with hypertension who needs to learn about a low-sodium diet. The nurse recognizes that the client is in the unfreezing stage of Lewin's Change theory with which client statement? "I understand why I need to eat a low-sodium diet." "I am developing a daily meal plan for a low-sodium diet." "I don't see a problem with what I normally eat." "I have selected my daily menu with low-sodium foods."

"I understand why I need to eat a low-sodium diet."

Which nurse leader most clearly exemplifies transformational leadership? A leader who prioritizes the fact that every member of the team is considered valuable and equal A leader who is careful to thoughtfully assess the issues and priorities surrounding a problem prior to acting A leader who prioritizes the delegation of leadership to the individual members of the group A leader who is dynamic and inspiring and promotes change by the power of the leader's convictions

A leader who is dynamic and inspiring and promotes change by the power of the leader's convictions

Which government policy addresses penalizing hospitals for readmissions of clients with certain diagnoses within 30 days after discharge? National Commission for Minorities American Nurses Association Bylaws Affordable Care Act Americans with Disabilities Act

Affordable Care Act

Which therapist is most likely to focus on teaching a client to hold a toothbrush with an adaptive device and brush the teeth? A respiratory therapist A speech therapist A physical therapist An occupational therapist

An occupational therapist

Which action constitutes battery? The nurse tells a client that the client cannot leave the hospital because the client is seriously ill. An older adult client refuses an intramuscular injection, but the nurse administers it. The nurse threatens to restrain a client if the client does not take a medication. While bathing a client behind pulled curtains, two nurses discuss a different client.

An older adult client refuses an intramuscular injection, but the nurse administers it.

Six adolescents were killed in an accident following a night of drinking. The older brother of one of the victims bought beer for the group because none of them was old enough to purchase alcohol. Which statement(s) regarding the brother's action reflect customs rather than communal or personal ethical standards? Select all that apply. People should not provide alcohol to underage persons. Big brothers often introduce their younger siblings to alcohol. Underage persons should not drink alcohol. People should not drink alcohol. Drinking alcohol is a rite of passage.

Big brothers often introduce their younger siblings to alcohol. Drinking alcohol is a rite of passage.

The nurse is providing care to a client who had orthopedic surgery. The nurse has medicated the client for pain. However, the client reports that the pain is unrelieved. The nurse takes no further action regarding assessment and intervention for the client's pain. The nurse does not notify the surgeon regarding the client's pain. The nurse's failure to take further action represents which element of liability in this case? Damages Breach of duty Causation Duty

Breach of duty

Which theory of ethics prioritizes the nurse's relationship with clients and the nurse's character in the practice of ethical nursing? Utilitarianism Deontology Care-based ethics Principle-based ethics

Care-based ethics

Having recently completed a specialty nursing program in neonatal care, a nurse is now preparing to leave the medical unit and begin providing care in the hospital's neonatal intensive care unit (NICU). The nurse has completed which process of credentialing? Validation Accreditation Certification Licensure

Certification

In some cases, the act of providing nursing care in unexpected situations is covered by the Good Samaritan laws. Which nursing action would most likely be covered by these laws? Any emergency care given when consent is obtained Medical advice given to a neighbor regarding a child's rash A negligent act performed in an emergency situation Emergency care for a choking victim in a restaurant

Emergency care for a choking victim in a restaurant

The nurse manager is assisting the hospital to meet requirements for Magnet® recognition. Which measure should the nurse manager recognize as being a requirement for this recognition? Minimizing quality of care to optimize fiscal success Maintaining strict autonomy of disciplinary practice when providing client care Encouraging reporting of errors or potential errors without fear of punishment Employing static quality improvement measures

Encouraging reporting of errors or potential errors without fear of punishment

A nurse has an older adult home care client who lives alone with no family nearby. On a recent visit, the nurse notices that his clothes are very loose, and he has difficulty letting the nurse leave when the visit is ending. After talking with him, the nurse learns that he has not been cooking for himself and he can't get to the grocery store easily. What service could the nurse suggest as an immediate response until a long-term plan can be formed? Refer him to the dietitian. Suggest he go to an assisted living facility. Enroll the client in Meals on Wheels. Have the social worker counsel him.

Enroll the client in Meals on Wheels.

A nurse can improve one's skill with time management by taking which action? Evaluating success with accomplishment of goals in client care Starting each day as a new day without considering the previous day Allowing the flow of the day to control how time is managed Setting priorities without involving clients or their families

Evaluating success with accomplishment of goals in client care

A nurse is providing care to a client and is preparing the client for breakfast. The nurse assists the client out of bed to the chair and then helps the client open the items on the breakfast tray. The client begins to eat breakfast. The nurse tells the client, "I'll be back in about 10 minutes to check on you. In the meantime, here is your call light in case you need me." About 10 minutes later, the nurse returns to check on the client. The nurse is demonstrating which ethical principle? Justice Nonmaleficence Fidelity Autonomy

Fidelity Fidelity involves keeping promises and being faithful to the promises made. In this case, the nurse tells the client that she will return in 10 minutes and then follows through with the promise.

A client rings the call bell to request pain medication. On performing the pain assessment, the nurse informs the client that the nurse will return with the pain medication. After a few moments, the nurse returns with the pain medication. The nurse's returning with the pain medication is an example of which principle of bioethics? Justice Nonmaleficence Autonomy Fidelity

Fidelity Fidelity is keeping one's promises and never abandoning a client entrusted to one's care without first providing for the client's needs.

The nurse manager notices a trend in nurses routinely arriving to work late. How can the nurse use the transactional leadership style to get nurses to arrive to work on time? Emphasize the importance of arriving to work on time during a monthly unit meeting. Generate a report of nurses who routinely arrive to work late and set an example by firing the nurse who has been tardy the most. Monitor time clock reports on a monthly basis and enter all nurses who have not been tardy into a raffle for a paid day vacation. Allow the nursing staff to develop a plan to decrease tardiness within the unit.

Monitor time clock reports on a monthly basis and enter all nurses who have not been tardy into a raffle for a paid day vacation.

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 client The nurse manager The charge nurse The licensed practice nurse (LPN)

The charge nurse

A family brings the client to the emergency department in an unconscious state with a head injury. The client requires surgery to remove a blood clot. What would be the appropriate nursing intervention in keeping with the policy of informed consent prior to a surgical procedure? The nurse confirms that the client's family has signed the consent form. The nurse informs the family about the living will. The nurse confirms that the client has signed the consent form. The nurse informs the family about advance directives.

The nurse confirms that the client's family has signed the consent form.

Which nursing actions best describe the use of the professional value of human dignity? Select all that apply. The nurse includes the client in developing the plan of care. A nurse provides honest information to a client about the client's illness. A nurse reports an error made by an incompetent coworker. A nurse refuses to discuss a client with a curious friend. A nurse provides privacy for an older adult client. A nurse plans individualized nursing care for clients.

The nurse includes the client in developing the plan of care. A nurse provides privacy for an older adult client. A nurse plans individualized nursing care for clients. A nurse refuses to discuss a client with a curious friend.

After reporting to work for a night shift, the nurse learns that the unit is understaffed because two RNs called out sick. As a result, each nurse on the unit must provide care for four acute clients in addition to the nurse's regular clients. Which statement is true for this nurse when working in understaffed circumstances? The nurse is legally obliged to refuse to provide care when understaffing creates the potential for unsafe conditions. Understaffing constitutes an extenuating circumstance that creates a temporarily lower expectation for care for the nurse. The nurse is legally held to the same standards of care as when staffing levels are normal. The nurse must document that float staff, nurses on overtime, and part-time staff were contacted in an effort to fill the gaps in care.

The nurse is legally held to the same standards of care as when staffing levels are normal.

Which action would cause a charge nurse to have concerns about a nurse's moral agency? The nurse often must stay after shift change to complete documentation. The nurse was unable to pass a required dosage calculation examination. The nurse was seen at a grocery store after calling in sick. A family member complained that the nurse was slow answering call lights.

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

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 health care provider. The nurse finds that the client has dressed and is ready to go. What should the nurse's action be in this situation? The nurse should have the client restrained and call the health care provider. The nurse should warn the client that the client cannot come to the hospital again. The nurse should call and inform the nursing supervisor of the situation. The nurse should let the client go because the nurse cannot do anything.

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

A client newly diagnosed with congestive heart failure has a prescription for digoxin. The nurse counts the heart rate before administration of the medication and obtains a heart rate of 51 beats per minute. Which action by the nurse demonstrates adherence to the standards of nursing care? The nurse withholds the medication, retakes the heart rate, and gives the medication at a later time. The nurse administers the medication after reviewing the client's serum potassium level. The nurse administers the medication and reassesses the client after 30 minutes. The nurse withholds the medication and notifies the health care practitioner.

The nurse withholds the medication and notifies the health care practitioner.

Nurses who value client advocacy follow what guideline? They choose the claims of the client's well-being over the claims of the client's autonomy. They give priority to the good of the individual client rather than to the good of society in general. They make decisions for clients who are uninformed concerning their rights and opportunities. They value their loyalty to an employing institution or to a colleague over their commitment to their clients.

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

Professional regulations and laws that govern nursing practice are in place for which reason? To limit the number of nurses in practice To protect the safety of the public To ensure that enough new nurses are always available To ensure that practicing nurses are of good moral standing

To protect the safety of the public

Professional regulations and laws that govern nursing practice are in place for which reason? To protect the safety of the public To limit the number of nurses in practice To ensure that enough new nurses are always available To ensure that practicing nurses are of good moral standing

To protect the safety of the public

A client was admitted to 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? Felony Tort Fraud Misdemeanor

Tort

A nurse is acting inappropriately and has an odor of alcohol. This behavior breaches the principle of: fidelity. autonomy. ethical conduct. beneficence.

ethical conduct.

The Nursing Agenda for Health Care Reform (American Nurses Association [ANA]) identifies the recipients of health care. This reform's main focus is on: high-quality disease management. accurate assessment in the acute health care setting. health promotion. better connectivity through the use of technology.

health promotion.

While riding in the elevator, a nurse discusses the HIV-positive status of a client with other colleagues. The nurse's action reflects: defamation of character. professional negligence. invasion of privacy. false imprisonment.

invasion of privacy.

An older adult was just diagnosed with stage 4 pancreatic cancer. The client states, "I am so overwhelmed and I feel like everyone has already decided that I need to be put in hospice care." The nurse upholds the principle of autonomy by __________ and __________.

The nurse upholds the principle of autonomy by offering to answer questions the client may have about care and treatment options and providing the client with the information needed to obtain a second opinion.

Ethical distress is: supporting the rights of a client during hospitalization. being aware of the principles of right and wrong. having trouble deciding which of two conflicting ethical principles to follow. knowing the correct action but being unable to perform it due to constraints.

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

The nurse attempts to notify a health care provider about a client's elevated temperature but does not get a response. Which statement, if documented by the nurse, would indicate that the nurse is following proper protocol for nursing documentation? 1300: Client temperature elevated. Telephoned health care provider 3 times. As usual, health care provider did not respond. 1300: Client temperature elevated. Telephoned health care provider's service 3 times without a response. Tepid sponge bath given and nursing supervisor notified. 1300: Client temperature elevated. Health care provider paged, but did not respond. Administered acetaminophen without an order because I knew this health care provider does not return calls. 1300: Client temperature elevated. Telephoned health care provider's service several times with no response. Will notify nursing supervisor during rounds.

1300: Client temperature elevated. Telephoned health care provider's service 3 times without a response. Tepid sponge bath given and nursing supervisor notified.

Which client would a nurse correctly refer to Medicare services? A low-income family with infants needing immunizations A 66-year-old client with diabetes A client with cancer A client with a disability

A 66-year-old client with diabetes

The nurse is caring for several clients with chronic conditions that need to be evaluated for long-term care. After evaluating each client, the nurse determines which client is most appropriate to receive long-term care? A client diagnosed with pneumonia requiring mechanical ventilation. A client with severe back injury as a result of a car accident needing ongoing physical therapy. A client who suffered a stroke who has mobility issues and problems completing activities of daily living (ADLs). A client newly diagnosed with rheumatoid arthritis requiring medication monitoring.

A client who suffered a stroke who has mobility issues and problems completing activities of daily living (ADLs).

The implementation of diagnosis-related groups (DRGs) by Medicare in 1983 affected hospitals in which way? Medicare pays only the amount of money preassigned to a treatment for a diagnosis. Benefits and reimbursement cannot be changed annually. Part B of Medicare covers most inpatient and outpatient costs. Part A of Medicare is voluntary and is paid for by a monthly premium.

Medicare pays only the amount of money preassigned to a treatment for a diagnosis.

When conducting an education program for a group preparing for retirement, the nurse would include information about applying for Social Security benefits and Medicare insurance. The nurse would include in the education that Medicare is a federally funded insurance program which bases the fee for payment on what? A payment to health care provider groups willing to take Medicare clients The need to cut health care costs for indigent older adults A retrospective payment plan, after the service is rendered A prospective payment plan based on a predetermined fixed cost

A prospective payment plan based on a predetermined fixed cost

Which scenario is an example of the laissez-faire approach to value transmission? Telling a child an injection will feel like a pinch before the nurse gives the injection Modeling healthy behaviors for adolescents, such as not smoking electronic cigarettes Teaching children right from wrong and telling them the reason behind a bad action Allowing a child to decide not to have an intravenous line inserted

Allowing a child to decide not to have an intravenous line inserted

A registered nurse serves as the chair of the Nursing Practice Committee for the hospital. The meetings of this committee do not have a planned agenda; members of the committee who are interested in a particular topic feel free to suggest it and then to lead the subsequent discussion. This chair's leadership style could be most accurately termed what? Autocratic Laissez-faire Democratic Decentralization

Laissez-faire

A nurse is reviewing the nurse practice act of the state in which the nurse is licensed. The nurse understands that this act was derived from which source of law? Administrative Common Constitutional Statutory

Statutory

A nurse witnesses a traffic accident and dresses the open wounds sustained by a child. Later, in the hospital, the child develops complications from an infection in the wound. The family holds the nurse responsible for the complications and attempts to file a lawsuit. Which statement is true regarding how the Good Samaritan law applies to this case? The Good Samaritan law will not protect the nurse because the nurse did not accept compensation. The Good Samaritan law will provide legal immunity to the nurse. The Good Samaritan law is not applicable to health care workers. The Good Samaritan law will provide absolute exemption from prosecution.

The Good Samaritan law will provide legal immunity to the nurse.

A nurse and the facility have been named as defendants in a malpractice lawsuit. In addition to the nurse's attorney, whom else would be appropriate for the nurse to talk with about the case? The plaintiff's lawyer The local press A colleague The agency's risk manager

The agency's risk manager

The nurse is providing care to several clients on a medical-surgical unit. For which client's plan of care should the nurse include information regarding extended care? A middle-aged client who had a knee replacement A client who developed sepsis after a ruptured polyp A client who had a cholecystectomy An older adult client who fell at home and required a hip replacement

An older adult client who fell at home and required a hip replacement

A nurse manager is trying to resolve a conflict between the day and night shifts. The nurse manager wants to convince the involved persons to set aside their differences, determine a priority common goal having to do with improved client care, and accept mutual responsibility for achieving this goal. The nurse manager is using which type of conflict resolution? Compromising Competing Avoiding Collaborating

Collaborating

Based on the Patient Protection and Affordable Care Act (ACA), nurses are to assume an important new role in health care. Which is an example of this new role? Verifying that all documentation is updated prior to surgery Collaborating with all agencies to provide for the client's home health needs Providing client education related to colostomy care Identifying individuals who are at risk of developing diabetes mellitus

Collaborating with all agencies to provide for the client's home health needs

A client states that the client's recent fall was caused by his scheduled antihypertensive medications being mistakenly administered by two different nurses, an event that is disputed by both of the nurses identified by the client. Which measure should the nurses prioritize when anticipating that legal action may follow? Consult with practice advisors from the state board of nursing. Consult with the hospital's legal department as soon as possible. Document the client's claims and the events surrounding the alleged incident. Enlist support from nursing and non-nursing colleagues from the unit.

Document the client's claims and the events surrounding the alleged incident.

Which style of leadership is rarely used in a hospital setting because of the difficulty of task achievement by independent nurses? Transformational Democratic Laissez-faire Autocratic

Laissez-faire

The nurse manager is aware that nurses in the operating room are concerned about a proposed change in their working hours. Which is the nurse manager's best approach to addressing this problem and the nurses? Relate the proposed change to the group's existing beliefs and values. Explain the rationale for this change in an e-mail to each of the nurses. Discuss the disadvantages for the hospital if the change is not made. Discourage the nurses from discussing the problem because the change is going to occur.

Relate the proposed change to the group's existing beliefs and values.

Which is a characteristic of the care-based approach to bioethics? The rightness or wrongness of an action independent of its consequences The need for an orientation toward service The need to emphasize the relevance of clinical experience The promotion of the dignity and respect of clients as people

The promotion of the dignity and respect of clients as people

A nurse enters the client's room and finds the client lying on the floor experiencing a seizure. After stabilizing the client, the nurse informs the health care provider. The health care provider advises the nurse to prepare an incident report. What is the purpose of an incident report? To evaluate the immediate care provided by the nurse to the client To evaluate the quality of care provided and assess the potential risks for injury to the client To provide information to local, state, and federal agencies To determine the nurse's fault in the incident

To evaluate the quality of care provided and assess the potential risks for injury to the client

A nurse manager is educating the staff on new forms of charting. Within the education session, the manager sets a goal for complete use of the charting. Through goal setting, the manager is acting as: an educator. a guide. a leader. a clinical specialist.

a leader.

A client tells the nurse that the client does not want to have a painful procedure. By respecting and supporting the client's right to make decisions, the nurse is demonstrating: justice. confidentiality. advocacy. altruism.

advocacy.

Ethical distress is: having trouble deciding which of two conflicting ethical principles to follow. knowing the correct action but being unable to perform it due to constraints. being aware of the principles of right and wrong. supporting the rights of a client during hospitalization.

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

The nurse is conducting an in-serve on change theories. Which example should the nurse include in the presentation illustrating Lewin's three stages of change? Multifunctional machines monitor clients' vital signs. Data from the machines is used to create trends in clients' health. The trends are compared to national norms and used to determine if measures can be taken to improve client care. Nurses work in groups to care for clients. Health care providers collaborate with nurses. Quality client care is provided. Staff voice concerns among themselves about the requirement of mandatory overtime. A unit meeting is called to discuss the issues with management. The mandatory overtime requirement is reinforced by management. A need for a safer intravenous therapy pump is identified. New intravenous therapy pumps are purchased and training for staff nurses is provided. Intravenous therapy pumps are placed on the nursing unit for client care.

A need for a safer intravenous therapy pump is identified. New intravenous therapy pumps are purchased and training for staff nurses is provided. Intravenous therapy pumps are placed on the nursing unit for client care.

Which scenario is using a prospective payment plan to reimburse for services? An older adult client is admitted to the hospital and treated for pneumonia. The hospital is reimbursed based on a predetermined fixed price. A child is hospitalized and treated for a fractured femur. The hospital receives a preset fee for each member regardless of whether the member required services. A client with chronic heart failure is offered health care teaching and preventative services for free. A client is hospitalized for an emergency appendectomy. Since the hospital is a preferred provider the fee for service was discounted.

An older adult client is admitted to the hospital and treated for pneumonia. The hospital is reimbursed based on a predetermined fixed price.

Conflict has emerged on a nursing unit because new graduates have found that some of the more experienced nurses are manipulating the client assignment to ensure a lighter workload during night shifts. How should the manager of the unit best address this conflict? Arrange for the newer nurses to organize the client assignment for a trial period. Gather evidence over the next several weeks in order to determine if the practice is indeed happening. Reassure the new graduates that the more experienced nurses are acting in the interests of both staff and clients. Arrange a meeting where the issue can be discussed and addressed by as many of the nurses as possible.

Arrange a meeting where the issue can be discussed and addressed by as many of the nurses as possible.

The charge nurse on the orthopedic unit believes in giving the staff as much power as possible. The nurses are allowed, among other things, to create their own work schedules, provide dates and times for unit meetings, and create the agendas, to which the charge nurse contributes. The charge nurse's style of leadership can be described as which? Autocratic Transformational Laissez-faire Democratic

Laissez-faire

A nurse is asked to serve on an ethics committee. Which roles would the nurse be required to fill on the committee? Select all that apply. Making the final decision about end-of-life care Serving as a liaison between the family and the committee members Advocating for the client's wishes Presenting explanations about technical terminology Deciding whether mechanical ventilation is appropriate for a client

Making the final decision about end-of-life care Presenting explanations about technical terminology Advocating for the client's wishes

A client has a prescription for amoxicillin 500 mg P.O. every 8 hours. The nurse administers the medication via the intravenous route. Based on the nurse's action, the client develops complications and has an increased length of stay. The client files a lawsuit against the facility and the nurse. Which legal action has the nurse's attorney identified that meets the criteria for the client's lawsuit? Assault Malpractice Battery Negligence

Malpractice

The nurse is advising a client about health problems related to being overweight. The client acknowledges the need to lose weight. The nurse provides education on how to count calories in food and the importance of daily exercise. The client states an intention to begin counting calories with the next meal. The client also states an intention to begin an exercise program with friends. Which statement associated with this scenario illustrates Lewin's stage of unfreezing? The nurse provides education on how to count calories in food and the importance of daily exercise. The client also states an intention to begin an exercise program with friends. The client states an intention to begin counting calories with the next meal. The client acknowledges the need to lose weight.

The client acknowledges the need to lose weight.

Which nursing student would most likely be held liable for negligence? A nursing student reports that insulin was not administered to the client by the nurse on the previous shift. A nursing student completes an incident report after administering a medication to a client who then experienced an adverse reaction to the medication. A nursing student administers medication to a resident while working as an unlicensed assistive personnel (UAP) at a local nursing home. A nursing student performs a dressing change using sterile technique and documents the presence of necrotic tissue in the wound.

A nursing student administers medication to a resident while working as an unlicensed assistive personnel (UAP) at a local nursing home.

The nurse understands that a diagnostic-related group is one of the reimbursement strategies in a prospective payment system. The diagnostic-related group is a part of which health care system? Medicare AmeriCare Capitation Medicaid

Medicare

Which are ethical issues that need to be considered as health care reform continues? Select all that apply. Is someone who can afford to advertise for an organ donation more deserving than someone who has been waiting months for a transplant? Should citizens pay higher insurance premiums and/or taxes so that someone who overdoses on heroin can have intensive care? Should undocumented peoples in the U.S. have the same access to health care as its citizens? Should hospitals and providers receive payment from health insurance entities based in part on client satisfaction scores? Do smokers and the obese who do not make necessary lifestyle changes deserve the same health care as people who lead healthier lives?

Do smokers and the obese who do not make necessary lifestyle changes deserve the same health care as people who lead healthier lives? Is someone who can afford to advertise for an organ donation more deserving than someone who has been waiting months for a transplant? Should citizens pay higher insurance premiums and/or taxes so that someone who overdoses on heroin can have intensive care? Should undocumented peoples in the U.S. have the same access to health care as its citizens?

What methods are used to ensure that clients have continuity of care and cost-effective care during movement throughout the health care system? Select all that apply. Rural health centers Parish nursing Managed care Primary care centers Primary health care Case management

Managed care Case management Primary health care

A client is admitted to the facility after fracturing a hip. The client has undergone surgery to repair the fracture and is receiving services to promote healing of the surgical site and regain mobility. Which discussion should the nurse have with a member of the interdisciplinary team member to promote the goal of regaining mobility? Discuss transfer to a rehabilitation facility with the social worker. Speak with the physical therapist about exercises to strengthen muscles. Talk with the occupational therapist about providing assistance with activities of daily living. Discuss oxygen administration with the respiratory therapist.

Speak with the physical therapist about exercises to strengthen muscles.

To practice ethically, the nurse should avoid: allowing an ethics committee to guide the nurse's practice. allowing the nurse's own personal judgment to guide practice. reviewing past cases before making decisions about practice. asking the client's family about their views on caring.

allowing the nurse's own personal judgment to guide practice.