Exam 3

The nurse is called from the hospital to assist the emergency medical technicians in a disaster response. The nurse classifies some victims into the "black-tagged" category based on what assessment findings? Leg fracture Massive head trauma Abrasions and contusions Full-thickness body burns High cervical spinal cord injury

Massive head trauma Full-thickness body burns High cervical spinal cord injury

Components of a professional identity in nursing include which of the following? (Select all that apply.) a. Accountability b. Advocacy c. Autonomy d. Competence e. Culture

a. Accountability b. Advocacy c. Autonomy d. Competence

A nursing student is doing a survey of fellow nursing students. Which ethical concept is the student following when calculating the risk-to-benefit ratio and concluding that no harmful effects were associated with a survey? a. Beneficence b. Human dignity c. Justice d. Human rights

a. Beneficence

A nurse on the unit makes a error in the calculation of the dose of medication for a critically ill patient. The patient suffered no ill consequences from the administration. The nurse decides not to report the error or file an incident report. The nurse is violating which principle of ethics? a. Fidelity b. Individuality c. Justice d. Values clarification

a. Fidelity

A newly licensed nurse is assigned to an experienced nurse for training on a medical unit of a hospital. What type of nurse-to-nurse collaboration does this assignment demonstrate? a. Interprofessional collaboration b. Shared governance collaboration c. Interorganizational collaboration d. Mentoring collaboration

d. Mentoring collaboration

It is determined that a staff nurse has a drug abuse problem. What approach to the staff nurse's addiction should be taken as an initial intervention? 1. Counseled by the staff psychiatrist 2. Dismissed from the job immediately 3. Referred to the employee assistance program 4. Forced to promise to abstain from drugs in the future

3. Referred to the employee assistance program

The nurse is exhausted after caring for victims of a massive highway accident. What actions may be required to prevent post-traumatic stress disorder? Drink plenty of water and eat healthy snacks. Avoid discussing feelings with staff and managers. Restrict discussing work stress with family and friends. Continue to work at the same pace as during the emergency

Drink plenty of water and eat healthy snacks.

The nurse suspects that a patient is suffering from post-traumatic stress disorder (PTSD) based on what assessment findings? The patient is easily startled. The patient remembers the disaster. The patient relives the disaster through flashbacks. The patient felt numb immediately after the disaster. The patient has been unable to sleep for more than two weeks.

The patient is easily startled. The patient relives the disaster through flashbacks. The patient has been unable to sleep for more than two weeks.

During a mass casualty event, which strategies should staff members utilize to prevent post-traumatic stress disorder? a.Drink plenty of water. b. Take breaks when needed. c. Work more than 12 hours per day. d. Encourage and support co-workers. e. Refrain from talking or sharing feelings.

A, B,D

A registered nurse is teaching a nursing student about critical incident stress debriefing teams. Which nursing student statement indicates effective teaching by the nurse? A. "The nurse is a co-leader for a nurse requiring debriefing." B. "The co-leader has an academic background in mental health." C. "The doorkeepers of the team should be graduates in a field of behavioral health." D. "The team leader is responsible for keeping media representatives out of the counseling setting."

A. "The nurse is a co-leader for a nurse requiring debriefing."

The nurse is faced with an ethical issue. When assessing the ethical issue, the nurse must first a. ask, "What is the issue?" b. identify all possible alternatives. c. select the best option from a list of alternatives. d. justify the choice of action or inaction.

a. ask, "What is the issue?"

A 28-year-old married woman received word that she is pregnant. Sadly, the patient is not able to carry the pregnancy because she suffers from long QT syndrome, which causes an abnormality of the heart, meaning any rush of adrenaline could prove fatal. The pregnant patient states, "I want to have this baby." The nurse realizes that this is a conflict that involves the ethical principle of a. utilitarianism. b. deontology. c. autonomy. d. veracity.

a. utilitarianism

An unconscious patient is treated in the emergency department for head trauma. The patient is unconscious and on life support for 2 weeks prior to making a full recovery. The initial actions of the medical team are based on which ethical principle? a. Utilitarianism b. Deontology c. Autonomy d. Veracity

b. Deontology

Which activities are appropriate for the nurse to collaborate with a patient? (Select all that apply.) a. Prescribing a new medication dose b. Health promotion activities c. End-of-life comfort decisions d. Interpreting laboratory results e. Lifestyle changes to improve health

b. Health promotion activities c. End-of-life comfort decisions e. Lifestyle changes to improve health

A male patient suffered a brain injury from a motor vehicle accident and has no brain activity. The spouse has come up to see the patient every day for the past 2 months. She asks the nurse, "Do you think when he moves his hands he is responding to my voice?" The nurse feels bad because she believes the movements are involuntary, and the prognosis is grim for this patient. She states, "He can hear you, and it appears he did respond to your voice." The nurse is violating which principle of ethics? a. Autonomy b. Veracity c. Utilitarianism d. Deontology

b. Veracity

A patient suffered a brain injury from a motor vehicle accident and has no brain activity. The patient has a living will which states no heroic measures. The family requests that no additional heroic measures be instituted for their son. The nurse respects this decision in keeping with the principle of a. accountability. b. autonomy. c. nonmaleficence. d. veracity.

b. autonomy.

What important points should the nurse keep in mind when witnessing consent forms? Select all that apply. 1. Confirm that the client's signature is authentic. 2. Ensure that the client has given the consent voluntarily. 3. Refrain from asking the student nurse to witness consent forms. 4. Instruct the family member to assist if the client denies understanding of the procedure. 5. Check if the client's caregiver has understood the procedures written in the consent form.

1. Confirm that the client's signature is authentic. 2. Ensure that the client has given the consent voluntarily. 3. Refrain from asking the student nurse to witness consent forms.

A nurse assisting in a research study calculates the risk-benefit ratio and concludes that there were no harmful effects associated with a survey of diabetic clients. This researcher was applying which principle? 1 Human dignity 2 Human rights 3 Beneficence 4 Utilitarianism

3 Beneficence

A nurse receives abnormal results of diagnostic testing. What action should the nurse take first? 1 Inform the client of the results. 2 Ensure that the results are placed in the client's medical record. 3 Notify the client's primary healthcare provider of the results. 4 Obtain results of the other lab tests that were performed.

3 Notify the client's primary healthcare provider of the results.

An elderly adult suffered an injury after falling down in the washroom. The primary healthcare provider performed a surgical procedure on the client and orders a blood transfusion. A family member of the client mentions that blood transfusions are not permitted in their community. What should the nurse do in order to handle the situation? 1. The nurse should wait for the court's order to give blood to the client. 2. The nurse should proceed with the transfusion in order to save the client's life. 3. The nurse should inform the primary healthcare provider and not give blood to the client. 4. The nurse should explain to the family member that the client needs this transfusion.

3. The nurse should inform the primary healthcare provider and not give blood to the client.

The family of an older adult who is aphasic reports to the nurse manager that the primary nurse failed to obtain a signed consent before inserting an indwelling catheter to measure hourly output. What should the nurse manager consider before responding? 1. Procedures for a client's benefit do not require a signed consent. 2. Clients who are aphasic are incapable of signing an informed consent. 3. A separate signed informed consent for routine treatments is unnecessary. 4. A specific intervention without a client's signed consent is an invasion of rights.

3. A separate signed informed consent for routine treatments is unnecessary.

A nurse assisting in a research study calculates the risk-benefit ratio and concludes that there were no harmful effects associated with a survey of diabetic clients. This researcher was applying which principle? 1. Human dignity 2. Human rights 3. Beneficence 4. Utilitarianism

3. Beneficence

How does a nurse adopt the element of right circumstances during a task delegation? 1 By giving a clear and concise description of the task 2 By providing appropriate monitoring, evaluation, and intervention as needed 3 By delegating right tasks to the right person to be performed on the right person 4 By considering the appropriate client setting, available resources, and other relevant factors

4 By considering the appropriate client setting, available resources, and other relevant factors

A nurse withholds a prescribed opioid medication from a client with intractable pain because the nurse fears the client will become addicted. In this situation the nurse is adhering to which ethical principle? 1. Veracity 2. Autonomy 3. Paternalism 4. Beneficence

4. Beneficence

What should the nurse do initially when obtaining consent for surgery? 1. Describe the risks involved in the surgery. 2. Explain that obtaining the signature is routine for any surgery. 3. Witness the client's signature, which the nurse's signature will document. 4. Determine whether the client's knowledge level is sufficient to give consent.

4. Determine whether the client's knowledge level is sufficient to give consent.