3303 Fundamental Lecture Mastery Level Question Chapters 7,8

Nurses practicing in a critical care unit must acquire specialized skills and knowledge to provide care to the critically ill client. These nurses can validate this specialty competence through what process? a. Licensure b. Accreditation c. Certification d. Litigation

c. Certification

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? a. Battery b. Slander c. Malpractice d. Negligence

a. Battery

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. Negligence d. Libel

d. Libel

The nurse is concerned about a potential malpractice or negligence lawsuit regarding a client who was cared for on the unit. What specific elements must be established to prove that malpractice or negligence has occurred in this client? Select all that apply. a. Breach of duty b. Causation c. Duty d. Misrepresentation e. Damages f. Breach of confidentiality

a. Breach of duty b. Causation c. Duty e. Damages

Which nurse would most likely be the best communicator? a. A nurse who is bilingual b. An advanced practice nurse c. A nurse who easily develops a rapport with clients d. A nurse who is proficient in sign language

c. A nurse who easily develops a rapport with clients

Which statement about laws governing the distribution of controlled substances is true? a. When a nurse misuses controlled substances in the workplace and gets help, the nurse will not be charged with a criminal act. b. The nurse is only at risk if diverting medication from the client; a nurse using the nurse's own personal drugs is not at risk. c. Substance use is not treatable. d. Nurses are responsible for adhering to specific documentation about controlled substances.

d. Nurses are responsible for adhering to specific documentation about controlled substances.

Carl Rogers (1961) studied the process of therapeutic communication. Through his research, the elements of a "helpful" person were described. They include all of the following except which choice? a. analysis b. empathy c. comfortable sense of self d. positive regard

a. analysis

A student nurse is assisting an older adult client to ambulate following hip replacement surgery when the client falls and reinjures the hip. Who is potentially responsible for the injury to this client? a. The student nurse, the nurse instructor, and the hospital b. The nurse instructor c. The hospital d. The student nurse

a. The student nurse, the nurse instructor, and the hospital

To provide effective nursing care, the nurse should engage in what type of communication with the client and significant others? a. Therapeutic communication b. Intrapersonal communication c. Purposive communication d. Metacommunication

a. Therapeutic communication

A nurse is caring for a client admitted to the hospital for dehydration. Which physical findings should the nurse acknowledge as nonverbal communication concerning this diagnosis? a. easy wrinkling of the skin and sunken eyes. b. cold intolerance and brittle nails. c. pallor and diaphoresis. d. slow heart rate and prolonged capillary refill.

a. easy wrinkling of the skin and sunken eyes.

The nurse has arranged to start an IV line for a client with pancreatitis. The nurse notes that the client appears anxious about the procedure. What is the most appropriate response by the nurse to decrease the client's anxiety? a. "I will start an IV, which should not take much time." b. "I will start an IV with the number 18 catheters." c. "I will start an IV that will add fluids directly to the blood stream." d. "I will start an IV, which should not cause you too much pain."

c. "I will start an IV that will add fluids directly to the blood stream."

A nurse states the following to another nurse who is constantly forgetting to wash hands between clients: "It looks like you keep forgetting to wash your hands between clients. It's really not safe for your clients. Let's think of some type of reminder we can use to help you remember." This communication is an example of what type of speech? a. Aggressive b. Nonassertive c. Therapeutic d. Assertive

d. Assertive

The nurse observing an interaction between a mother and her child appropriately identifies the interaction as which communication zone? a. Social b. Public c. Personal d. Intimate

d. Intimate

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? a. Assault b. Invasion of privacy c. Fraud d. Slander

b. Invasion of privacy

A nurse is at the end of a busy shift on a medical-surgical unit. The nurse enters a room to empty the client's urinary catheter and the client says, "I feel like you ignored me today." In response to the statement, the nurse should: a. smile at the client and apologize. b. inform the client that the unit was very busy that day. c. sit at the bedside and allow the client to explain the statement. d. ignore the statement and empty the urinary catheter.

c. sit at the bedside and allow the client to explain the statement.

While at a coworker's house, a nurse discusses with the coworker a client whom the nurse suspects of physically abusing the client's child. The next day, the client is moved to another nursing unit after a surgical procedure and comes under the care of the coworker, who is also a nurse. The coworker confronts the client about the alleged physical abuse. The client is shocked and angered by the accusation and denies it categorically. What would be the charge if the client were to file a suit? a. The second nurse could be charged with libel. b. No charges are valid because both nurses are involved in the client's care. c. No charges are valid because the revelation took place during off-duty hours and off-site. d. The first nurse could be charged with slander.

d. The first nurse could be charged with slander.

A nurse is providing care to a 3-year-old child admitted with a diagnosis of infectious diarrhea. The nurse needs to insert an intravenous catheter in order to administer prescribed intravenous fluids. In an attempt to foster communication, the nurse should: a. provide both verbal and written information to the child. b. ask the child's parents to leave the room while the nurse and child talk. c. show the child the intravenous catheter and explain how it works. d. involve the child's stuffed animal in the educational session.

d. involve the child's stuffed animal in the educational session.

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

d. remain honest, open, and frank.

A nurse is attempting to calm an infant in the nursery. The nurse responds to the highest developed sense by: a. softly humming a song near the neonate. b. staring into the neonate's eyes and smiling. c. offering the neonate infant formula. d. swaddling the child and gently stroking its head.

d. swaddling the child and gently stroking its head.

When assessing a client's nonverbal communication, the nurse should assess which aspect as being the most expressive? a. Hand gestures b. Eye contact c. Facial expressions d. Posture

c. Facial expressions

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? a. "I cannot give you that information due to client confidentiality." b. "I'm busy right now but can talk later." c. "I will call the client and ask for permission to share this information with you." d. "Do you have any identification proving that you are related to the client?"

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

A nurse is asking a colleague about a situation. Which response best demonstrates assertive communication? a. "I think there is a better way to handle this." b. "Why are you treating me this way?" c. "What is your problem with me?" d. "You always act like this."

a. "I think there is a better way to handle this."

A nurse is obtaining a history from an adult female client. When the nurse asks how many times the client has been pregnant, the client answers, "I have four kids." Which statement, made by the nurse, seeks clarification of the original question? a. "I understand you have four kids; how many times have you actually been pregnant?" b. "All right, you have four children, is that correct?" c. "How old are your children?" d. "Were these term births?"

a. "I understand you have four kids; how many times have you actually been pregnant?"

A nurse confides in a nurse friend, "I never report minor incidents. The charge nurse always wants a variance report filled out and they take so much time." Which responses by the friend are indicated? Select all that apply. a. "Reporting helps us fix problems that result in danger to clients." b. "I usually document the problem in the chart, but don't fill out a report." c. "I don't blame you, I think the charge nurse is just trying to get us in trouble." d. "As long as no one is hurt, I don't see a problem with not reporting minor incidences." e. "Having documentation might keep you out of trouble someday."

a. "Reporting helps us fix problems that result in danger to clients." e. "Having documentation might keep you out of trouble someday."

A nurse is caring for a client experiencing biliary colic from uncomplicated cholelithiasis. The client asks, "My doctor says I should have surgery to remove my gallbladder. Do you think it is really necessary?" What is the nurse's best response? a. "Share with me the advantages and disadvantages of your options as you see them." b. "When you see the health care provider this morning, request more information about the surgery." c. "It is a minimally invasive surgery with rapid recovery time, so you will do fine." d. "You should follow your health care provider's recommendation and have the surgery."

a. "Share with me the advantages and disadvantages of your options as you see them."

A client being discharged from the hospital asks the nurse, "When I go visit my family out of state, should I take my living will with me, or do I need a new one for that state?" Which is the most appropriate response by the nurse? a. "Take it with you. It is recognized universally in the United States." b. "We have it on file here, so any hospital can call and get a copy." c. "As long as your family knows your medical wishes, you will not need it." d. "A living will can only be used in the state in which it was created."

a. "Take it with you. It is recognized universally in the United States."

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

a. invasion of privacy.

A pregnant client presents to the emergency department with vaginal bleeding. A transvaginal ultrasound is performed, and the health care provider informs the client that there are normal fetal heart tones noted. The client begins to tear-up and has a worried appearance. To facilitate therapeutic communication, what statement would the nurse make after observing the client's nonverbal communication? a. "Take your time and tell me how you are feeling. I have plenty of time to answer your questions and discuss any thoughts or feelings with you." b. "Close your eyes and take a deep breath. I know you were frightened, but the infant is healthy and everything is going to be okay." c. "I can help you, please talk to me so that I know how I can help you." d. "This is great news. You don't have anything to worry about and the infant is doing well."

a. "Take your time and tell me how you are feeling. I have plenty of time to answer your questions and discuss any thoughts or feelings with you."

During an admission intake assessment, a nurse uses open-ended questions to gather information. An example of an open-ended question is: a. "What did your health care provider tell you about your need to be admitted?" b. "Are you allergic to any medications?" c. "Can you tell me the medications you take on a daily basis?" d. "Do you have an advanced directive or a living will?"

a. "What did your health care provider tell you about your need to be admitted?"

A nurse is assessing vital signs on a pregnant client during a routine prenatal visit. The client states, "I know labor will be so painful, it sounds awful. I am sure I will not be able to stand the pain; I really dread going into labor." What is the best response from the nurse? a. "You're worried about how you will tolerate the pain associated with labor." b. "I would recommend keeping a positive attitude." c. "There are many good medications to decrease the pain; it will not be so bad." d. "Don't worry about labor, I have been through it and it is not so bad."

a. "You're worried about how you will tolerate the pain associated with labor."

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

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

Which process evaluates and recognizes educational programs as having met certain standards? a. Accreditation b. Credentialing c. Certification d. Licensure

a. Accreditation

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? a. Assault b. Invasion of privacy c. Battery d. False imprisonment

a. Assault

A nurse is preparing a presentation for a group of staff nurses about the rules affecting nursing practice and the parties involved. When describing the role of different sources for the rules, which issue would the nurse identify as being addressed specifically by state legislation? Select all that apply. a. Educational requirements of nurses b. Unprofessional conduct c. Position statements related to medication d. administration e. Scope of practice f. Clinical procedures

a. Educational requirements of nurses e. Scope of practice

A nurse who is preparing to administer an injection to the client states, "This injection will not be painful." The nurse has used which communication technique? a. Giving false reassurance b. Encouraging elaboration c. Seeking clarification d. Giving information

a. Giving false reassurance

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? a. Malpractice b. Assault c. Battery d. Negligence

a. Malpractice

The nurse makes a contract with the client during which phase of the nurse-client relationship? a. Orientation phase b. Termination phase c. Working phase d. Intimate phase

a. Orientation phase

The nurse-client relationship depends on communication. Effective communication between the nurse and the client encompasses which aspects? Select all that apply. a. Sight b. Spoken words c. Telepathy d. Touch e. Observation f. Intuition

a. Sight b. Spoken words d. Touch e. Observation

A nurse suspects that a client is a prostitute. The nurse documents this suspicion in the medical record and includes it in report to the oncoming shift. The nurse also mentions the suspicion to the nurse's sister saying, "I had a client named Susan in room 126 today who I think is a prostitute." Which violations has this nurse committed? Select all that apply. a. Slander b. HIPAA c. Assault d. Battery e. Libel

a. Slander b. HIPAA e. Libel

A nurse is preparing to provide discharge instructions to a postpartum client regarding infant care. Before beginning the education session, the nurse should: a. eliminate as many distractions as possible. b. ask all visitors to leave the room. c. ask the client's partner to leave the room to allow the client to focus. d. ask the client if she is able to read.

a. eliminate as many distractions as possible.

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

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

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

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

A nurse is caring for a client experiencing biliary colic from uncomplicated cholelithiasis. The client asks, "My doctor says I should have surgery to remove my gallbladder. Do you think it is really necessary?" What is the nurse's best response? a. "When you see the health care provider this morning, request more information about the surgery." b. "Share with me the advantages and disadvantages of your options as you see them." c. "It is a minimally invasive surgery with rapid recovery time, so you will do fine." d. "You should follow your health care provider's recommendation and have the surgery."

b. "Share with me the advantages and disadvantages of your options as you see them."

A nurse has been named in a malpractice lawsuit. Prior to taking the nurse's deposition, the attorney explains that the case will be governed by common law. Which question by the nurse is indicated? a. "Why is this not a statutory case?" b. "Will this case be precedent setting?" c. "Does that mean the findings of the case are not binding?" d. "Will the board of health be involved?"

b. "Will this case be precedent setting?"

Nurses use social media to share ideas, develop professional connections, access educational offerings and forums, receive support, and investigate evidence-based practices. Which is an example of the proper use of social media by a nurse? a. A nurse describes a client on Twitter by giving the room number rather than the name of the client. b. A nurse uses a disclaimer to verify that any views the nurse expresses on Facebook are the nurse's alone and not the employer's. c. A nurse describes a client on Twitter by giving the client's diagnosis rather than the client's name. d. A nurse posts pictures of a client who accomplished a goal of losing 100 lb and later deletes the photo.

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

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

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

During a nursing shift, which events warrant completion of an incident report? Select all that apply. a. A nurse asks an unlicensed assistive personnel (UAP) to feed a client. b. An intravenous antibiotic was administered 2 hours late because the IV site infiltrated. c. A client falls while being transferred from the bed to the chair. d. A nurse reports that a client is crying and distraught over a diagnosis of metastatic cancer. e. A visitor slipped and fell in the hallway, but was not injured.

b. An intravenous antibiotic was administered 2 hours late because the IV site infiltrated. c. A client falls while being transferred from the bed to the chair. e. A visitor slipped and fell in the hallway, but was not injured.

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? a. Damages b. Breach of duty c. Causation d. Duty

b. Breach of duty

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? a. Licensure b. Certification c. Validation d. Accreditation

b. Certification

The nurse is visiting a hospice client in the client's home. The client is explaining difficulties with a home infusion pump. By making statements such as "I see" and "go on" during the conversation, the nurse is using which therapeutic nurse-client communication technique? a. Restating b. Encouraging elaboration c. Reflection d. Clarification

b. Encouraging elaboration

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? a. Federal legislation b. Health care institution c. State legislation d. Board of nursing

b. Health care institution

A new graduate wants to be knowledgeable about state-mandated rules to better practice within the scope of nursing. What are the best resources for this nurse to research? Select all that apply. a. Medicare and Medicaid provisions for reimbursement of nursing services b. Nursing educational requirements c. Nurse practice acts d. Delegation trees e. Medication administration f. Composition and disciplinary authority of board of nursing

b. Nursing educational requirements c. Nurse practice acts d. Delegation trees f. Composition and disciplinary authority of board of nursing

A nurse is caring for a client following endotracheal intubation. Before applying soft wrist restraints to prevent the client from pulling out the endotracheal tube, what is the most appropriate action of the nurse? a. Sedate the client. b. Obtain a medical order. c. Notify the family. d. Get written consent.

b. Obtain a medical order.

A nurse is caring for a client who sustained head trauma. The client is in a medically induced coma and on mechanical ventilation. The client's parent is at the bedside in tears. The parent states, "I just want my child to know I am here." To address the needs of the parent and the client, what would be the nurse's most appropriate response? a. Place a chair next to the bed and then leave the room to allow the parent to grieve. b. Place a chair next to the bed and encourage the parent to hold the client's hand. c. Place the client's hand on the parent's hand and reassure the parent that things will be fine. d. Encourage the parent to bring in pictures of the family that can be displayed in the room.

b. Place a chair next to the bed and encourage the parent to hold the client's hand.

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? a. The plaintiff's lawyer b. The agency's risk manager c. A colleague d. The local press

b. The agency's risk manager

A nurse has been caring for a client who had a myocardial infarction 2 days ago. During the morning assessment, the nurse asks the client how the client feels. Which scenario warrants further investigation? a. The client smiles at the nurse and states, "I cannot wait to go home." b. The client stares at the floor and states, "I feel fine." c. The client looks at the nurse and states, "I am still not feeling my best." d. The client is sitting in a chair and states, "I feel a lot better than I did yesterday.

b. The client stares at the floor and states, "I feel fine."

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? a. The nurse informs the family about the living will. b. The nurse confirms that the client's family has signed the consent form. c. The nurse informs the family about advance directives. d. The nurse confirms that the client has signed the consent form.

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

A nurse enters a client's room and finds that the client is lying on the floor. The nurse makes the client comfortable on the bed and completes an examination. She informs the health care provider and the nursing supervisor about this incident and also completes an incident report. Which action by the nurse indicates correct knowledge of handling an incident report? a. The nurse mentions in the client's report that an incident report was completed. b. The nurse documents a complete description of the happenings in the client's records. c. The nurse makes a copy of the incident report to give to the health care provider. d. The nurse makes a copy of the incident report and places it in the client's records.

b. The nurse documents a complete description of the happenings in the client's records.

A nurse is communicating the plan of care for a client who is unconscious. Which nursing actions best facilitate this process? Select all that apply. a. The nurse speaks with the client before touching the client. b. The nurse is careful what is said in the client's presence because hearing is the last sense to go. c. The nurse assumes the client can hear and discusses things that would ordinarily be discussed. d. The nurse does not use touch to communicate with the client. e. The nurse raises environmental noises to help stimulate the client. f. The nurse speaks to the client in a louder-than-normal voice.

b. The nurse is careful what is said in the client's presence because hearing is the last sense to go. c. The nurse assumes the client can hear and discusses things that would ordinarily be discussed. f. The nurse speaks to the client in a louder-than-normal voice.

A dialysis nurse is educating a client on caring for the dialysis access that was inserted into the client's right arm. The nurse assesses the client's fears and concerns related to dialysis, the dialysis access, and care of the access. This information is taught over several sessions during the course of the client's hospitalization. Which phase of the working relationship is best described in this scenario? a. The termination phase b. The working phase c. The introduction phase d. The orientation phase

b. The working phase

When communicating with a client, the nurse uses reflection for which purpose? a. To investigate the situation to help problem solve b. To have the client elaborate on thoughts and feelings c. To keep the client on the topic of concern d. To determine the sequence of events in the conversation

b. To have the client elaborate on thoughts and feelings

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? a. A beneficiary to a will is allowed to act as a witness. b. Witnesses to a signature do not need to read the will. c. A single witness is sufficient for a will. d. Witnesses do not need to observe the signing of the will and can sign it at a later time.

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

A nurse during orientation notices that the preceptor gives all subcutaneous injections on a 45-degree angle. When the new nurse asks the preceptor the rationale for the practice the preceptors states, "This is how I do it, and this is how you will do it." The new nurse recognizes this behavior to be: a. assertive. b. aggressive. c. nurturing. d. passive.

b. aggressive.

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

b. duty

When the nurse informs a client's employer of the client's autoimmune deficiency disease, the nurse is committing the tort of: a. battery. b. invasion of privacy. c. breach of contract. d. assault.

b. invasion of privacy.

A nurse is preparing to enter a client's room to perform wound care. The shift report revealed that this client has a tunneling wound in the sacral area that cannot be staged. The wound was also documented as having a foul odor. The nurse is nervous because the nurse has not often performed wound care on a complex wound. Using effective intrapersonal communication, this nurse should: a. ask the charge nurse to change the assignment. b. tell oneself to "remain calm" and remember that the nurse was trained to perform this skill. c. inform the client that several nurses will be needed to care for this wound. d. tell the unlicensed assistive personnel (UAP) to gather supplies and to prepare to cleanse and dress the wound.

b. tell oneself to "remain calm" and remember that the nurse was trained to perform this skill.

A family has lost a member who was treated for leukemia at a nursing unit. The nurse provides emotional support to the family and counsels them to cope with their loss. Which quality should the nurse use in this situation? a. Pity b. Sympathy c. Empathy d. Indifference

c. Empathy

The nurse is collecting health data and avoids using closed-ended questions. Which are examples of closed-ended questions? Select all that apply. a. "What plans do you have after you are discharged?" b. "What sorts of things do you do for fun?" c. "Is there any chance you might be pregnant?" d. "Does it hurt when I touch you here?" e. "Are you ready to get out of bed?" f. "Do you smoke cigarettes?"

c. "Is there any chance you might be pregnant?" d. "Does it hurt when I touch you here?" e. "Are you ready to get out of bed?" f. "Do you smoke cigarettes?"

Which is an example of an unintentional tort? a. A nurse tells a client that the client cannot leave the hospital until the client pays the bill. b. A nurse threatens to restrain a client if the client does not stop talking. c. A nurse gives the client a medication, and the client has an adverse reaction to it. d. Nurses discuss a client's laboratory values in the elevator.

c. A nurse gives the client a medication, and the client has an adverse reaction to it.

A nurse is planning care for an adult client with severe hearing impairment who uses sign language and lip reading for communication and who has a new diagnosis of cancer. Which nursing action is most appropriate when establishing the plan of care for this client? a. Consult the oncology nurse specialist. b. Talk with the client's children to determine needs. c. Arrange for a sign language interpreter when discussing treatment. d. Use a text-telephone device (TTD) for daily communication.

c. Arrange for a sign language interpreter when discussing treatment.

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? a. Negligence b. Slander c. Battery d. Malpractice

c. Battery

A nurse working in a coronary care unit resuscitates a client who had expressed wishes not to be resuscitated. Which tort has the nurse committed? a. Libel b. Slander c. Battery d. Assault

c. 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? a. Fraud b. Defamation of character c. Battery d. Assault

c. Battery

A nurse is completing a health history with a newly admitted client. During the interview, the client presents with an angry affect and states, "If my doctor did a good job, I would not be here right now!" What is the nurse's best response? a. Nod and say, "I agree. If I were you, I would get a new doctor." b. Stand and say, "I can see this interview is making you uncomfortable, so we can continue later." c. Be silent and allow the client to continue speaking when ready. d. Smile and say, "Don't worry, I am sure the health care provider is doing a good job."

c. Be silent and allow the client to continue speaking when ready.

The nurse is providing care to an older adult client who has visual and hearing deficits. What action by the nurse is appropriate to help with communication? a. Remove the COVID protection face mask while speaking with the client. b. Obtain the client's attention by calling out the client's first name. c. Identify oneself by name and title with each entry into the client's room. d. Speak in a loud voice over the volume of the television set.

c. Identify oneself by name and title with each entry into the client's room.

A registered nurse who has an associate degree would like to obtain a baccalaureate degree in nursing. The nurse works full time and has several family obligations and would like to find a program that fits into that lifestyle. What is the nurse's priority question about an educational program? a. How much does it cost? b. Is it online? c. Is the program accredited? d. What is the NCLEX pass rate?

c. Is the program accredited?

A home care nurse discusses with a client when visits will occur and how long they will last. In what phase of the nurse-client relationship is this type of agreement established? a. Termination phase b. Evaluation phase c. Orientation phase d. Working phase

c. Orientation phase

A nurse is caring for a client in a semi-private room. How will the nurse prepare a private environment to discuss the client's plan of treatment? a. Direct the client in the other bed to walk in the hallway. b. Ask all visitors to leave the room. c. Pull the curtain dividing the two beds. d. Bring the client into the hallway to discuss the treatment plan.

c. Pull the curtain dividing the two beds.

The nurse is reporting to an oncoming nurse about the care of a client using the SBAR format. The nurse informs the oncoming nurse that the client should continue to have neurological checks every 2 hours and the nurse should report any alterations to the health care provider. In which section should this information be relayed? a. Background b. Assessment c. Recommendation d. Situation

c. Recommendation

Which guideline should a nurse use when choosing a position (location) in relation to a client during a verbal interaction? a. The nurse should ask the client where he would like the nurse to position herself and move accordingly. b. Assess the client's culture during the initial meeting or assessment. c. Take note of the client's cues when choosing a position and act on these cues. d. Choose a position that is no closer than 2 feet, but no farther than 4 feet.

c. Take note of the client's cues when choosing a position and act on these cues.

Which nursing actions would most likely help improve communication with clients and achieve a more effective helping relationship? Select all that apply. a. The nurse never admits a lack of knowledge to the client to avoid undermining the client's confidence in the helping relationship. b. The nurse remains focused on the topic at hand and does not allow the client to diverge to another topic. c. The nurse controls the tone of voice so that it conveys exactly what is meant. d. The nurse takes advantage of any available opportunities to communicate information to clients in routine caregiving situations. e. The nurse makes statements that are as simple as possible, gearing conversation to the client's level. f. The nurse feels free to use words that might have different interpretations when using the same language as the client.

c. The nurse controls the tone of voice so that it conveys exactly what is meant. d. The nurse takes advantage of any available opportunities to communicate information to clients in routine caregiving situations. e. The nurse makes statements that are as simple as possible, gearing conversation to the client's level.

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? a. The nurse administers the medication and reassesses the client after 30 minutes. b. The nurse withholds the medication and notifies the health care practitioner. c. The nurse withholds the medication, retakes the heart rate, and gives the medication at a later time. d. The nurse administers the medication after reviewing the client's serum potassium level.

c. The nurse withholds the medication, retakes the heart rate, and gives the medication at a later time.

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? a. To evaluate the immediate care provided by the nurse to the client b. To provide information to local, state, and federal agencies c. To evaluate the quality of care provided and assess the potential risks for injury to the client d. To determine the nurse's fault in the incident

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

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

c. To protect the safety of the public

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: a. assault. b. defamation. c. battery. d. fraud.

c. battery.

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

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

The nurse is communicating with a client following a routine physical examination. Which statement best demonstrates summarization of the appointment? a. "I think all went well with your physical, don't you? b. "Will we see you in 6 months to see how your diet has progressed?" c. "Do you have any questions about all that was discussed during the exam?" d. "We reviewed your plans for your new diet and medications. Do you have any other questions?"

d. "We reviewed your plans for your new diet and medications. Do you have any other questions?"

A nurse is completing a health history on a client who has a hearing impairment. Which action should the nurse take first to enhance communication? a. Use facial and hand gestures b. Contact a person skilled in sign language c. Provide paper and pencil for written communication d. Assess how the client would like to communicate

d. Assess how the client would like to communicate

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? a. Enlist support from nursing and non-nursing colleagues from the unit. b. Consult with the hospital's legal department as soon as possible. c. Consult with practice advisors from the state board of nursing. d. Document the client's claims and the events surrounding the alleged incident.

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

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? a. Negligence of duty b. Unintentional tort c. Defamation of character d. Invasion of privacy

d. Invasion of privacy

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? a. Libel b. Malpractice c. Negligence d. Slander

d. Slander

A unit-based infection control task force was developed in an attempt to reduce catheter-acquired infections. The group consists of 10 team members. During the past three meetings, one person dominated the meeting and did not allow other members ample time to speak. The best way to address the team dysfunction is to: a. have group members issue a written warning to the dominant member. b. plan a meeting where the dominant person cannot attend. c. pick a team leader who is not the dominant member. d. have group members confront the dominant member to promote the needed team work.

d. have group members confront the dominant member to promote the needed team work.