Ethics Final

A court case involving care provided by a nurse to a client

The legal department for a health care organization is collecting information about standards of care. For which reason will these standards be used?

Independently ordering medications for the patient

The licensed practical nurse/licensed vocational nurse (LPN/LVN) knows that his or her scope of practice includes all of the following except.

4. The evening supervisor

The new graduate nurse often asks the experienced nurse for advice on how to handle a situation. The charge nurse often consults with this nurse. During a crisis on the unit the evening supervisor asks the experienced nurse for suggestions to manage the crisis. Who is the formal leader? 1. The new graduate 2. The experienced nurse 3. The charge nurse 4. The evening supervisor

2. The experienced nurse

The new graduate nurse often asks the experienced nurse for advice on how to handle a situation. The charge nurse often consults with this nurse. During a crisis on the unit the evening supervisor asks the experienced nurse for suggestions to manage the crisis. Who is the informal leader? 1. The new graduate 2. The experienced nurse 3. The charge nurse 4. The evening supervisor

C. Tertiary

The nurse assists a patient to receive hospice care for a terminal illness, which is classified as what level of healthcare services? A. Primary B. Secondary C. Tertiary D. Primary and Tertiary

1. "You seem angry. Would you like to talk about what's bothering you?" 2. "That behavior in unacceptable. You could simply ask me to remove the tray."

The nurse brings the patient's lunch tray into the room and sets it on the over-bed table, positioning it so that it is comfortable for the patient to eat. The patient sweeps the tray off the table, screaming "Get this slop out of here! I'm not hungry." What response by the nurse reflects therapeutic communication? (Select all that apply) 1. "You seem angry. Would you like to talk about what's bothering you?" 2. "That behavior in unacceptable. You could simply ask me to remove the tray." 3. "Why did you do that? Now I have to clean up that mess." 4. "How would you feel in my place if someone did that to you?" 5. "You need to eat to maintain your strength. I'll get another tray."

B) Promoting good health and treating those who are ill in a holistic manner

The nurse demonstrates Florence Nightingale's theory of nursing with what intervention? A) Respecting the patient's culture and incorporating cultural needs in the plan of care B) Promoting good health and treating those who are ill in a holistic manner C) Understanding how to motivate people to practice a healthy lifestyle and reduce risks D) Teaching other nurses how to deliver the highest quality of nursing care.

A) Logging off the computer before walking away

The nurse demonstrates compliance with the Health Insurance Portability and Accountability Act (HIPAA) with what action? A) Logging off the computer before walking away B) Entering data as soon as it is collected C) Verifying all medication dosages are within normal range D) Remembering to charge for all equipment used

~Tuning out intrusions and distractions ~Using all of the senses to interpret verbal messages ~Using all of the senses to interpret nonverbal messages ~Paying attention to both what the speaker is saying and not saying

The nurse enters the room of a client. Which action should the nurse take to demonstrate active listening? (Select all that apply)

"It is not within my scope of practice to notify someone of abnormal findings."

The nurse reviews with a student the responsibilities of a student nurse. Which student statement indicates additional teaching is required?

Report the incident to the nurse supervisor

The nurse witnessess a coworker taking a narcotic medication prescribed for a client. Which action shoul the nurse take first

C) Dorothea Dix

The nurse working in mental health nursing honors what historical nurse for working to improve care of the mentally ill? A) Clara Barton B) Florence Nightingale C) Dorothea Dix D) Lillian D. Wald

D. The employer

The patient asks the nurse how most people can afford medical insurance. The nurse explains many people get medical insurance from what source? A. The primary care physician B. The local clinic C. Social security office D. The employer

A. a doctor

The patient tells the nurse that his insurance company requires him to pick a primary provider and asks what that means. The nurse explains explains that primary provider means choosing what? A. A doctor B. A staff nurse C. One insurance provider D. A hospital

1. be assertive

The use of "I" messages by the nurse means that the nurse has developed the ability to: 1. be assertive. 2. manage others. 3. give excellent directions. 4. be a leader.

1. Assertive communication

Which of the following types of communication often is not a natural behavior for nurses? 1. Assertive communication 2. Aggressive communication 3. Caring communication 4. Subjective communication

~ Speak up for the patient care issues even when others may disagree ~ Assess the aptitne's point of view and prepare to articulate it ~ Document all clinical changes in the medical record in a timely and legible way

Which of the follwing actions is/are required of the nurse practicing advocacy? (Select all that apply)

2. Chaos in the system

Which of the following often results with a laissez-faire leader? 1. Job satisfaction 2. Chaos in the system 3. A free exchange of ideas 4. Every person is seen as an individual.

B. Reimbursement often influences the services that can be offered to the public.

2. Why is it important for nurses to have some understanding of healthcare issues in the United States? A. The nurse has the responsibility of doing the paperwork related to the patient's insurance. B. Reimbursement often influences the services that can be offered to the public. C. The LPN will determine the quality of care to deliver based on the patient's insurance. D. The practical nurse cannot graduate until proficiency on this topic is displayed.

Aggressive

A client comes into the community clinic and demands to be seen immediately because she has a health issue that is much more serious than anyone else who is waiting to be seen. Which type of communication style is this client demonstrating?

"You can't wait to get out of here"

A client comments, "I can't wait to get out of here." Which response shoudl the nurse make that demonstrates the therapeutic communication of reflection?

~Master of science in nursing ~Registeredd nurse, baccalaureate degree

A high school student wants to become a nurse midwife. Which levels of education shoul this student prepare to pursue in order to achieve the desired role in nursing? (Select all that apply)

HITECH

A multi-organization health-care system learns that the billing department computer software was hacked and confidential information about 10,000 current and former clients was obtained. Which should be reviewed to handle this situation?

The first visiting nurse and founder of the Henry Street Settlement

A student nurse is learning about nursing history. Which statement should the student use to describe Lillian Wald?

1. preconceived opinions 2. physical disabilities

An example of a communication block is: 1. preconceived opinions. 2. physical disabilities. 3. good emotional health. 4. bad hygiene. 5. missed phone calls.

4. a competent staff nurse

An example of an informal leader in nursing is: 1. a nurse manager. 2. a team leader. 3. a director of nursing. 4. a competent staff nurse.

Negligence

After providing morning care the nurse forgot to put the bed in the lowest position and left one of the bed rails down causing the client to fall. For which reason could the nurse be reported to the board of nursing?

"It will depend on the Nurse Practice Act of the state where I work."

An RN student asks a friend who is an LPN/LVN student, "Will you be able to start IVs when you get out of school?" Which is the best response?

a. "It will depend on the Nurse Practice Act of the state where I work."

An RN student asks a friend who is an LPN/LVN student, "Will you be able to start IVs when you get out of school?" Which is the best response? a. "It will depend on the Nurse Practice Act of the state where I work." b. "Sure. I'm sure I will learn how to do that in school." c. "Maybe. If the hospital where I work allows it." d. "No. Licensed practical/vocational nurses are never allowed to do that."

Obtain a custodial parent's signature on the informed consent

An adolescent client is injured during a football game. WHat should the nurse do before providing this client with treatment?

~ A patient who is blind ~ A patient who has aphasia ~ A patient with dysphasia ~ A patient who has language differences from the staff

The following types of patients require adaptive communication techniques (select all that apply)

4. both the sender and the receiver have understood the meaning of the communication.

Communication occurs when: 1. the sender understands the meaning of the communication. 2. the receiver understands the meaning of the communication. 3. the sender uses both verbal and nonverbal ways of communicating. 4. both the sender and the receiver have understood the meaning of thecommunication

"I cannot be held responisble for depositing money in your account. Can a family member do it?"

During a home visit, the nurswe is asked to deposit cash in the client's bank account at the end of the visit. Which should the nurse say in response?

Ask the colleagues to stop talking abotu the client in a public area

During lunch in the cafeteria, the nurse overhears two colleagues discuss the care issues of a client. Which action should the nurse take?

Ask the colleagues to stop talking about the client in a public area

During lunch in the cafeteria, the nurse overhears two colleagues discuss the care issues of a client. Which action should the nurse take?

3. listening

One of the strongest communication skills a student can have in any setting is: 1. speaking. 2. hearing. 3. listening. 4. writing.

4. all of the above

Other forms of communication by the licensed practical nurse include: 1. charting on the nurse's notes. 2. reading the patient's chart. 3. taking notes during a staff meeting. 4. all of the above

4. Failure to move up Maslow's hierarchy

Passive communication results in: 1. Resolving problems in the long term 2. Positive feelings 3. Keeping the peace 4. Failure to move up Maslow's hierarchy

4. all of the above

Passive-aggressive behavior is demonstrated by the nurse who: 1. gossips about other people. 2. constantly complains during shift report 3. complains to everyone except the right person. 4. all of the above.

A. Serendipity

The graduate nurse takes a new job and meets many nurses who are very knowledgeable and experienced. After one week at the new job, the graduate nurse realizes how much he or she learned. What does this demonstrate? A. Serendipity B. Creativity C. Critical Thinking D. Thorough thinking

Allows patients to have some say in what medical information can be divulged and to whom

The Health Insurance Portability and Accountability Act.

A. The ability to organize and prioritize tasks

The LPN requires what skills to successfully manage care? A. The ability to organize and prioritize tasks B. The ability to work weekends and off shifts C. The ability to develop a comprehensive care plan D. Close relationship with the supervising RN

Nurse left the computer screen with laboratory data in view at the bedside with family present

The charge nurse is concerned that client information was inappropriately shared with family. Which would the nurse observe to come to this conclusion?

Diploma to BSN

The diploma nurse applied to a program to earn a baccalaureate degree before applying ot a Master of Science Degree in Nursing program. Which career track is this nurse following?

A. Health professionals such as nurses, physicians, occupational and physical therapists. B. Medical vendors such as supplies of linens, foods, medications, and supplies. C. Ancillary service professionals such as food, maintenance, and business office services

The nurse evaluates different healthcare systems and determines that those delivering safe and high-quality care require what? (Select all that apply.) A. Health professionals such as nurses, physicians, occupational and physical therapists. B. Medical vendors such as supplies of linens, foods, medications, and supplies. C. Ancillary service professionals such as food, maintenance, and business office services. D. An adequate intake of cash to pay competitive salaries to employeesE. National certification as a magnet hospital in the community.

A hearing by the board of nursing to determine whether the charges are true

The nurse has been reported to the board of nursing for performing skills that are outside the legal scope of practice. What should the nurse expect to occur next?

1. What is to be done 2. When to seek help 3. Any expected abnormal findings 5. When the job is to be complete

The nurse is going to delegate bathing a patient to another member of the team. What information should the nurse communicate when delegating? (Select all that apply.) 1. What is to be done 2. When to seek help 3. Any expected abnormal findings 4. How long they have to do the job 5. When the job is to be complete

A. Have someone write down all ideas produced by the group

The nurse is one of five nurses selected to brainstorm solutions to a problem on the unit. The group sits quietly to relax for two minutes, then sets a time. What will the group do next? A. Have someone write down all ideas produced by the group. B. Review all of the ideas generated by the group. C. Eliminate ideas that are not usable. D. Begin to prioritize workable solutions.

Contact to state board of nursing of the new sate to request state licensure

The nurse is planning to move to another state. Which action should be done to ensure that the nurse can legally practice nursing in the new state?

1. Tolerance

The nurse listens as a patient relates having multiple abortions. While the nurse does not personally believe abortion should be legal, the nurse respects the patient's beliefs and opinion. What is this nurse demonstrating? 1. Tolerance 2. Shyness 3. Bigotry 4. Serendipity

~Rigid posture ~Brow tightening ~Manicured appearance

The nurse observes a newly admitted client. Which should the nurse recognize as nonverbal communication? (Select all that apply)

Belittling

The nurse overhears an unlicensed assistive personnel (UAP) say to a client, "I have other clients who are sicker than you who don't put on their call light as much." Which barrier to communication should the nurse address with the UAP?

~Share perceptions ~Respond and provide feedback

The nurse prepares to assess a client. Which action should the nurse take to complete the process of active listening? (Select all that apply)

State Board of Nursing

The nurse researches the Nurse Practice Act before completing a skill. Which body is responsible for enforcing this Act?

C) Florence Nightingale

The nurse responds to an alarm on a pulse oximeter and sees the patient's oxygen saturation is reading 38%. The nurse observes the patient, noting a respiratory rate of 12 breaths per minute, pink mucous membranes, and easy regular respirations. The nurse concludes the pulse oximeter is not reading accurately. Whose theory of nursing is this nurse demonstrating? A) Annie Goodrich B) Lillian D. Wald C) Florence Nightingale D) Linda Richards

"The Nurse Practice Act establishes the scope of practice for each level of nurse."

The nurse reviewed the state nurse practice act with a new colleague. Which statement indicates that the new nurse understands the role and function of this act?

~leaving the patient's EHR (electronic health record) visible on a computer screen that visitors can see ~discussing the patient's condition in the hospital dining room ~telling your neighbor about a mutual friend hospitalized for treatment of a sexually transmitted disease

Violations of HIPAA include:

A. Consistently follows the charge nurse's directions without question

What action would lead a nurse to believe a coworker is not a good critical thinker? A. Consistently follows the charge nurse's directions without question B. Asks many questions when confronted with a new situation C. Freely admits to not knowing the answer to questions D. Verifies the meaning of communication to improve understanding

1. Performing procedures as taught

What best demonstrates the student nurse performing in an ethical manner in the clinical

A) Reducing spread of infection

What is a crucial issue the nurse working in the late industrialization era would need to address in order to promote health? A) Reducing spread of infection B) Reducing sedentary lifestyle C) Teaching proper use of medications D) Teaching use of car seats

A. Rising cost of providing healthcare to all citizens.

What is a major source of stress on the current U.S. healthcare system? A. Rising cost of providing healthcare to all citizens. B. Lack of adequate education for healthcare professionals. C. Inadequate number of hospital beds across the country. D. Increasing cost of malpractice insurance.

B) LVNs and LPNs have the same duties and skills, just different titles

What is the difference between the LPN and LVN nursing title? A) LPNs have a longer educational program than LVNs. B) LVNs and LPNs have the same duties and skills, just different titles. C) LVNs are able to perform venipuncture and LPNs cannot. D) LPNs are working toward an RN license while LVNs are not.

C. Designing a research study

What role is not appropriate for the LPN to participate in? A. Administering medications B. Dressing Changes C. Designing a research study D. Reporting patient changes

Clearly identifies the issue based on the perspective of the persons involved

When a nurse uses ethical reasoning, the nurse does which of the following?

C. Critical thinking

When a patient complains of sudden onset left-sided chest pain, the nurse asks questions to better understand the pain and collects data such as vital signs, ECG, and breath sounds to determine the possible cause of the pain. Once data is analyzed the nurse develops a plan and begins to intervene. What has this nurse demonstrated? A. Serendipity B. Creative thinking C. Critical thinking D. Thorough thinking

1. Your body language as you explain the dressing change you are doing

Which of the following best describes the most honest form of communication? 1. Your body language as you explain the dressing change you are doing 2. The instructions you give the patient on his or her discharge from the hospital 3. Listening to your instructor as he or she explains directions for the test 4. Talking with your friends at lunch about your final exam results

2. Listening carefully to your staff member as he or she shares a problem.

Which of the following is critical to communication? 1. Using professional terms when talking to a patient 2. Listening carefully to your staff member as he or she shares a problem 3. Hearing what another nurse tells you as you continue to prepare a medication 4. Having the ability to calm an angry family member

A. The 83-year-old patient diagnosed with heart failure. B. The 35-year-old patient who is a quadriplegic. C. The 53-year-old with end-stage renal disease receiving dialysis.

Which patient would the nurse expect to have Medicare as their health insurance? (Select all that apply.) A. The 83-year-old patient diagnosed with heart failure. B. The 35-year-old patient who is a quadriplegic. C. The 53-year-old with end-stage renal disease receiving dialysis. D. The 19 year old diagnosed with attention deficit disorder. E. The 6 year old admitted to the hospital diagnosed with appendicitis.

Nurse Practice Act

While caring for a patient, the nurse performs an intervention that is beyond the scope of practice. The nurse has violated the expectations of which regulatory body?

D) Convent Deaconesses

Who served as the first public health nurses, caring for the sick and the poor? A) The Presbyterian Church B) Salerno C) Jewish scholars D) Convent deaconesses

4. Report the incident to your head nurse or supervisor.

You are an LPN employed in your first job. A resident complains to you about the care and incompetence of a nurse on the previous shift. Which of the following actions is most appropriate? 1. Discuss the situation with another staff member. 2. Argue with the resident. 3. Agree with the resident. 4. Report the incident to your head nurse or supervisor.

Report the error to your instructor immediately

You make an error while caring for a patient. Which of the following is the appropriate person to whom to report the mistake?

ethical behavior

Your classmate, who is also a good friend, tells you this morning that she didn't have time to study for the anatomy and physiology test because her daughter was sick all night. She sits next to you in class and asks you to position your answer sheet so that she cancopy your answers. You reply that you are very sorry, but that you do not feel it would be appropriate behavior to do so. You suggest that your friend talk to the instructor to see if she can take the test at a later time. Your actions exhibit:

abandonment

a client telephones the home care agency to find out why the nurse did not arrive as scheduled to change a foot wound dressing. For which situation should the agency manager investigate?