Test 1 FA20
Allowing unauthorized people to observe a client during treatment is an example of which of the following? a) False imprisonment b) Invasion of privacy c) Battery d) Assault
invasion of privacy
An HIV-positive client discovers that his name is published in a research report on HIV care prepared by his nurse. He is hurt and files a lawsuit against her. Which offense has the nurse committed? a) Unintentional tort b) Invasion of privacy c) Defamation of client d) Negligence of duty
invasion of privacy
A client informs the nurse that he wants to discontinue his treatment and go home. Later, the nurse finds the client dressed to leave. Which action should the nurse take in this situation? a) Let the client go after signing a document stating he is going against medical advice. b) Restrain the client until his medical treatment is over. c) Call the physician and get his discharge paper signed. d) Warn the client that he may not be able to access health care again.
let the client go after signing a document stating he is going against medical advice.
A nurse is called to a deposition for a malpractice charge that has resulted in the death of a client. As the chart is reviewed, the prosecuting attorney questions the nurse about several defaming comments written in the medical record about the client. What charges can be filed against the nurse due to these comments? a) malpractice b) slander c) libel d) negligence
libel
An English-speaking Hispanic male has undergone a resection of the colon. The nurse observes that the client is restless and is unable to sleep. What should be the nurse's initial statement to the client? a) "I will get you pain medication." b) "You will be better by morning." c) "Are you feeling uncomfortable?" d) "Tell me what you are feeling."
"Tell me what you are feeling."
The nursing instructor is teaching a nursing student about the definition of diversity. Which teaching will the nursing instructor include? a) "Diversity demonstrates differences among groups of people." b) "Diversity has been learned from birth and is shared by members of a group." c) "Diversity is reflective of the values, beliefs, and practice of a particular group." d) "Diversity includes language, communication style, religion, art, music, and clothing."
"Diversity demonstrates differences among groups of people."
What is the best response by the nurse when explaining biofeedback to a client? a) "It is a spiritual practice that combines exercise with mental focus." b) "It is beneficial in expressing feelings." c) "It allows a reduction of symptoms through voluntary control measures." d) "It requires the use of machines in a controlled environment."
"It allows a reduction of symptoms through voluntary control measures."
A nurse completing admission paperwork asks the client about having an advanced directive. The client states, "I do not know, what is an advanced directive?" What is the nurse's best response? a) "It is a written document that identifies a person's preferences regarding which medical interventions to use in the event of a terminal condition." b) "It is an agreement that authorizes the hospital to make decisions on your behalf, if you become incapacitated." c) "I will contact the hospital social worker to come and discuss the development of an advance directive with you." d) "It is a document created by you and your attorney naming a beneficiary to handle your estate if you become terminally ill."
"It is a written document that identifies a person's preferences regarding which medical interventions to use in the event of a terminal condition."
The nursing student asks the instructor why it is important for them to know about the law and ethics when they will be taking care of client's physical and psychosocial needs and not be practicing law. What is the best response by the instructor? a) "You will need to understand these things if you are ever sued." b) "This is part of the curriculum, so we have to cover this material." c) "You will probably never encounter any difficulty, but it is good to know just in case it happens." d) "You will need to have a basic understanding of laws and ethics because it may affect your practice."
"You will need to have a basic understanding of laws and ethics because it may affect your practice."
A client is a member of a group insurance plan in which he pays a preset, fixed fee for healthcare services. What type of insurance plan does the nurse understand the client to have? a) A preferred provider organization (PPO) b) A health maintenance organization (HMO) c) Medicare d) Medicaid
A health maintenance organization (HMO)
A client with arthritis finds relief of pain in the practice of tai chi, acupuncture, and massage. The nurse understands this medical system approach to originate from which culture? a) Ayurvedic medicine b) Western medicine c) Chinese medicine d) Native American medicine
Chinese medicine
The hospital is having a problem with healthcare-associated infections. A committee has been established to study the problem and make recommendations. The nurse working on the committee knows that this work addresses what? a) Inpatient quality indicators b) Prevention quality indicators c) National Patient Safety Goals d) Patient safety indicators
National Patient Safety Goals
A nurse witnesses a traffic accident in which a child is badly hurt. The nurse dresses the open wounds sustained by the child. The family tries to give monetary compensation, which the nurse refuses. Later, in the hospital, the child develops complications due to infection in the wound. The family holds the nurse responsible for the complications and wants to file a lawsuit. Which of the following statements is true regarding the Good Samaritan law? a) The Good Samaritan law will provide legal immunity to the nurse. b) The Good Samaritan law will not protect the nurse, as she did not accept the compensation. c) The Good Samaritan law is not applicable to health care workers. d) The Good Samaritan law only applies to firefighters and first responders.
The Good Samaritan law will provide legal immunity to the nurse.
A registered nurse (RN) is making the assignments for the oncoming staff which client would the RN assign to the LPN? a) A client who needs bedside blood glucose testing before meals and at bedtime b) A client who needs blood products c) A client who will be receiving intravenous push cardiac medication d) A client who is receiving IV chemotherapy
a client who needs bedside blood glucose testing before meals and at bedtime
A nurse is performing an assessment of a newly admitted hospital client and has documented the client as being a member of the Native American subculture. A subculture is best described as: a) A cultural group that has less than 5 million members in the United States b) A unique cultural group with unspecified geographic origins c) A cultural group with values that are incongruent with those of the dominant culture d) A unique cultural group that exists within the larger culture
a unique cultural group that exists within the larger culture
A client with stage II cancer has opted to use reflexology and herbal therapy for treatment. The nurse understands this treatment falls under which modality? a) Culture care b) Complementary therapy c) Integrative therapy d) Alternative therapy
alternative therapy
The nurse is caring for a terminally ill client who is from Mexico. Which nursing intervention regarding spiritual care is appropriate? a) Inquire if the client desires the Sacrament of the Sick. b) Ask the client if a spiritual leader is desired. c) Do nothing unless the client requests spiritual assistance. d) Call a Roman Catholic priest to visit the client.
ask the client if a spiritual leader is desired.
The nurse is completing discharge instructions for an Asian American client. The nurse can best evaluate the likeliness of the client to adhere to the instructions by use of which method? a) Make the client promise to follow the instructions and be compliant with the plan. b) Ask the client "what it will take" to get him to follow the instructions. c) Ask the client whether there is anything in the discharge plan that will interfere with compliance. d) Observe the client's face to see if he or she is smiling, which can be interpreted as compliance.
ask the client whether there is anything in the discharge plan that will interfere with compliance.
A nurse is conducting an interview of a 40-year-old client who is admitted with chest pain. Which action by the nurse indicates active listening? a) Listening to the client silently b) Interrupting after each sentence c) Asking for clarifications and repetitions d) Talking about the nurse's own experience
asking for clarifications and repetitions
A client reports to the emergency department with ankle pain due to a minor road accident. By asking the client to describe the accident, which type of nursing skill is the nurse using? a) Assessment skills b) Comforting skills c) Counseling skills d) Caring skills
assessment skills
A nurse warns a client with a history of seizure activity that he may fall off his bed during a seizure if he does not raise the upper side rails of the bed. Before leaving the client's room, the nurse raises the upper side rails, but after the nurse leaves the room, the client lowers them again. Later, the client has a seizure and falls from the bed. The client attempts to holds the nurse responsible for it. Which legal provision protects the nurse in this case? a) Good Samaritan law b) Statute of limitations c) Common law d) Assumption of risk
assumption of risk
A student wants to join a nursing program that provides flexibility in working at both staff and managerial positions. Which nursing program should the nurse suggest for this student? a) Hospital-based diplomas b) Baccalaureate nursing programs c) Associate degree programs d) Continuing nursing programs
baccalaureate nursing programs
Two nurses are discussing appropriate care of culturally diverse populations and a nurse has made the point that the United States is diverse but anglicized. Why is the United States considered to be anglicized? a) Because English financial institutions have the most economic influence in the United States b) Because political relations between Britain and the United States have been traditionally cooperative c) Because United States culture evolved primarily from the early English settlers d) Because English is the official language of government at all levels
because United States culture evolved primarily from the early English settlers
A client with multiple sclerosis (MS) reports an improvement of symptoms after apitherapy. The nurse knows that apitherapy falls under which category of treatment? a) Mind-body medicine b) Biologically based practices c) Manipulative and body-based therapies d) Energy medicine
biologically based practices
Which action made by the nurse provides the best assessment data for presence of jaundice? a) evaluating the skin b) assessing the lips c) inspecting the nail beds d) checking the hard palate
checking the hard palate
The unlicensed assistive personnel was reluctant to allow the Muslim client room for a prayer rug in her room. The inability to recognize the values, beliefs, and practices of others because of strong ethnocentric preferences is which of the following? a) Acculturation b) Cultural imposition c) Cultural blindness d) Cultural taboos
cultural blindness
A nurse finds that a colleague is intoxicated while on duty. What appropriate action should the nurse take? a) Inform the nursing supervisor. b) Tell the colleague to take a 30-minute break. c) Inform the physician. d) Watch the colleague closely during the shift.
inform the nursing supervisor
One of the nursing achievements in the Crimean War was that the death rate of soldiers dropped from 60% to 1%. What is the most appropriate reason for the fall in the death rate? a) increased motivation among the soldiers b) decreased rate of infection and gangrene c) increased funds courtesy of donations from families d) college-based education and training of nurses
decreased rate of infection and gangrene
The nurse finds that she must choose between two undesirable alternatives involving a client that she is caring for. The client wants to be told about his prognosis, and the family member does not want the client to know. What type of situation does the nurse understand she is in? a) Ethical dilemma b) Bioethical dilemma c) Value dilemma d) Personal dilemma
ethical dilemma
The nurse is working for a physician who participates in an HMO and will be assisting with the billing. What type of information regarding capitation does the nurse need to understand? a) Fees are not based on the number of services provided but rather are projected to the number of participants and expected services. b) Fees are based on the number of services that the primary care provider bills for. c) The HMO makes money based on the degree of illness and number of diagnostic tests that are done. d) The fees that are charged are different even with the same diagnosis.
fees are not based on the number of services provided but rather are projected to the number of participants and expected services.
What does the nurse understand is the focus of healthcare when a client receives services from a health maintenance organization (HMO)? a) Avoiding coverage for needed services b)Health promotion and maintenance c) To offer discounted services to all clients d) High-quality service and contain cost
health promotion and maintenance
Which nursing intervention reflects culturally appropriate care when caring for a female Latino client? a) Sit far away from the client when taking a history. b) Speak quickly so the client does not lose interest in communication. c) Assume that the client does not speak English fluently. d) Include the client's spouse in decision-making, if the client desires.
include the client's spouse in decision-making, if the client desires.
Which nursing intervention reflects practice according to Madeline Leininger's transcultural nursing theory? a) contacting a chaplain for every client b) providing the same care to each client who has had a myocardial infarction c) planning dietary interventions according to physiological condition d) incorporating client's request for complementary treatment therapy
incorporating client's request for complementary treatment therapy
An Arab client has been admitted to the health care facility with varicose veins. What should the nurse avoid while conducting the interview of the client? a) Giving a light handshake b) Maintaining eye contact c) Asking about the client's personal life d) Asking about the client's medical history
maintaining eye contact
A child recovering from a traumatic injury is encouraged to express feelings through pictures. The nurse recognizes this as which type of therapy? a) Music therapy b) Relaxation therapy c) spiritual therapy d) Mind-body therapy
mind-body therapy
A nurse who is infected with human immunodeficiency virus (HIV) accidentally gets a cut while debriding a wound, exposing the client to possible HIV infection. Failure of the nurse to report this incident violates which ethical principles? (Select all that apply.) *justice *autonomy *nonmaleficence *veracity *fidelity
nonmaleficence veracity fidelity
A nurse is caring for a client with multiple sclerosis. The client informs the nurse that a lawyer is coming to prepare a living will and requests the nurse to sign as witness. Which actions should the nurse take? a) State that the physician will be a witness. b) Arrange for other colleagues to sign as a witness. c) Note that the nurse caring for the client cannot be a witness. d) Inform the physician about the living will.
note that the nurse caring for the client cannot be a witness.
A group of nursing students are reviewing the ANA's current code of ethics. A code of ethics is important in the nursing profession because: a) Nurses are highly vulnerable to criminal and civil prosecution in the course of their work. b) Nurses interact with clients and families from diverse cultural and religious backgrounds. c) Nursing practice involves numerous interactions between laws and individual values. d) Nurses are responsible for carrying out actions that have been ordered by other individuals.
nursing practice involves numerous interactions between laws and individual values.
The nurse is assigned to care for an elderly woman from India. As the nurse attempts to obtain vital signs, the client pulls away, gathers covers to the chin, and speaks in a language unintelligible to the nurse. What is the best action for the nurse to take? a) Talk slowly and explain what she is doing. b) Use gesturing and pictures to explain her actions. c) Smile and take the vital signs anyway. d) obtain an interpreter to explain the procedure to the client
obtain an interpreter to explain the procedure to the client
A 22-year-old woman who recently emigrated from Laos has been admitted to the hospital with an ovarian cyst. Both the client and her husband speak Lao exclusively and this has complicated the ability of the care team to obtain informed consent for surgery. What action should the care team take in order to communicate with the client? a) Arrange for a trusted family member to come in to translate. b) Organize professional interpretation, either in person or by telephone. c) Communicate with the client and her husband nonverbally. d) Encourage the client to write out her concerns on paper.
organize professional interpretation, either in person or by telephone.
Managed care organizations are insurers that carefully plan and closely supervise the distribution of healthcare services. What is one of the goals of managed care? a) Preventing illness through screening and promotion of health activities b) Improving training of healthcare professionals c) Eliminating health disparities between segments of the population d) Providing hospice or home hospice care
preventing illness through screening and promotion of health activities
A nurse who works in a large, urban hospital provides care for a diverse client population. When performing integumentary (skin) assessments, the nurse modifies assessment practices for certain clients in order to identify clinically meaningful data. This practice is most justified by the fact that clients differ according to: a) race. b) ethnicity. c) culture. d) preference.
race
What is the primary reason the nurse needs to ascertain client use of vitamins and minerals and the dosage of each? Intake of vitamins and minerals through diet is more beneficial. a) Intake of vitamins and minerals through diet is more beneficial. b) Vitamin and minerals should be used as a complementary therapy. c) Recommended daily allowance (RDA) for each vitamin and mineral may vary with special populations. d) Vitamins and minerals are purchased over-the-counter (OTC), and no purchase record is maintained.
recommended daily allowance (RDA) for each vitamin and mineral may vary with special populations.
A client who is scheduled for hernioplasty needs clarification regarding the procedure. The nurse calls the physician at the client's insistence. The physician, who is in a bad mood, is overheard telling the client that the nurse does not know anything. Which legal tort has the physician committed? a) Libel b) Battery c) Assault d) Slander
slander
A nurse, while off-duty, tells the physiotherapist that a client who was admitted to the nursing unit contracted AIDS at the age of 18. The client discovers that the nurse has revealed the information to the physiotherapist, and learns that the nurse wrongfully attributed the disease to the client's history of heroin addiction. With what legal action could the nurse be charged? a) Libel b) Slander c) Malpractice d) Tort
slander
The nurse understands that offering chaplain services in the acute care facility supports which healing concept? a) Cure for disease b) Relief for the hopeless c) Spiritual healing d) Body cleansing
spiritual healing
A client with fibromyalgia is using magnets as a form of complementary treatment. Which rationale given by the nurse best explains the physiologic principle of this technique? a) Free flow of energy b) Stimulates the release of endorphins c) A means of therapeutic touch d) No therapeutic effects with this technique
stimulates the release of endorphins
A nurse is caring for a pregnant client with multiple fetus' who is experiencing severe complications related to the pregnancy. Which view would a teleologist have in such a situation? a) Support the procedure of selective abortion. b) Argue that destroying any fetus is wrong. c) Avoid telling the truth to the client. d) Avoid analyzing ethical dilemmas of a case.
support the procedure of selective abortion.
Which of the following statements is applicable when a competent client wants to leave a hospital or long-term care facility before being discharged by the physician? a) Physical or chemical restraints are used to detain the client. b) The nurse applies restraints based on a current medical order. c) The nurse determines whether the client's safety or the safety of others is at risk. d) The client signs a form releasing the health care facility from its responsibility.
the client signs a form releasing the health care facility from its responsibility.
A client is admitted with symptoms of psychosis. The nurse hurries to the client's room when she hears the client calling for help. She finds the client lying on the ground. The nurse assists the client back to the bed and performs a thorough assessment. The nurse informs the physician and completes the incident report. Which statement should the nurse document in the incident report? a) The client was trying to lower the side rails. b) The client was found lying on the floor. c) The client was trying to get out of the bed. d) The client was not aware that he had fallen.
the client was found lying on the floor
A group of nurses who work at a large, long-term care facility have become embroiled in controversy over a large number of residents who are refusing a seasonal influenza vaccination. Specifically, there is controversy around the appropriate amount of influence that nurses can exercise when encouraging residents to become immunized. A teleological perspective on this issue would prioritize what consideration? a) The "rightness" or "wrongness" of coercion b) The legal rights of the individual c) The greatest good for the greatest number d) Historical precedents
the greatest good for the greatest number
The nurse has been fired from her job at the nursing home and reported to the state board of nursing for giving medication to a client without a physician's order. The nurse states that she was not aware that this was a violation of scope of practice. What is the nurse's responsibility regarding knowing how to practice within their scope? a) The nurse should call the state board and ask for a list of what she can and cannot do. b) The nurse should access her state nurse practice act to determine the set standard for nurses in her state. c) The nurse should ask an RN what their scope of practice is. d) The nurse should ask another LPN what she can and cannot do.
the nurse should access her state nurse practice act to determine the set standard for nurses in her state.
A home care nurse is caring for a paralyzed client who needs regular position changes and back massages. A man identifying himself as a family friend inquires if he can be of any help to the family. What should be the nurse's response be? a) The nurse should ask the man to talk to the family directly. b) The nurse should invite the man in to learn the position changing techniques. c) The nurse should state that the family does not need any help. d) The nurse should refer the man to the local social worker.
the nurse should ask the man to talk to the family directly.
A nurse is applying for professional liability insurance. The nurse knows that professional liability insurance is important for which reason? a) to obtain sound compensation prior to a settlement b) to retain legal representation that defends the nurse exclusively c) to upgrade professional knowledge about litigation d) to obtain free medication for family and self
to retain legal representation that defends the nurse exclusively
Which of the following is stated in a living will? a) Legal consent regarding health care b) Designation of another person as health care proxy c) Wishes regarding health care if terminally ill d) Medical orders for end-of-life instructions
wishes regarding health care if terminally ill
