Foundations III

The nurse is preparing to administer a medication prescribed by the surgeon in a dose much higher than is recommended. Which action should the nurse take? A. Call the surgeon to clarify the prescription B. Administer the medication as prescribed and chart the high dose C. Administer the medication in the usual dosage D. Administer the medication and stay with the client to observe for adverse reactions

A (Call the surgeon to clarify the prescription)

A nurse is sitting with friends in a coffee shop while working on a plan of care for a client. The client's name is written at the top of the plan. Which ethical responsibility is the nurse violating? A. Confidentiality B. Accountability C. Informed Consent D. Trust

A (Confidentiality)

A nurse asks a coworker about the condition of the nurse's next-door neighbor, who has been admitted to the unit. If the coworker shares the neighbor's client information with the nurse, the coworker could be held liable for committing which act? A. Assault B. Defamation of character C. Invasion of privacy D. Negligence

C (Invasion of privacy)

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

C (Nonmaleficence)

A nurse is acting inappropriately and has an odor of alcohol. This behavior breaches the principle of: A. Autonomy B. Ethical conduct C. Beneficence D. Fidelity

B (Ethical conduct)

A client on a surgical unit asks for the nurse's opinion of the surgeon. The nurse says that the surgeon is rude and that the surgeon's clients always end up with infections. The nurse is at risk of being accused of which? A. Assault B. Slander C. Negligence D. Libel

B (Slander)

Nurses must maintain the privacy of clients. Which example is a breach in privacy and would pose an ethical problem? A. Documenting the care in the client's record B. Taking a picture of a client with the nurse's cell phone C. Participating in a hand-off report at the end of the shift D. Talking to the family when they visit the client

B (Taking a picture of a client with the nurse's cell phone)

A nurse is most likely to experience ethical distress in which client situation? A. Turning and positioning a client every hour B. Administering pain medication as ordered C. Continuing intravenous fluids for a client who wants to die D. Ambulating a client who is postoperative from a hip replacement

C (Continuing intravenous fluids for a client who wants to die)

A nurse pulls the curtains closed before changing the dressing of the surgical wound on the abdomen of a postsurgical client. What value is served? A. Freedom B. Altruism C. Dignity D. Accountability

C (Dignity)

Injuries related to lifting or transferring clients occur in the health care setting and may be considered a work-related injury. Which law was intended to reduce work-related injuries and illnesses? A. Americans with Disabilities Act of 1990 B. Title VII of the Civil Rights Act of 1964 C. The Occupational Safety and Health Act of 1970 D. The Health Care Quality Improvement Act of 1986

C (The Occupational Safety and Health Act of 1970)

The principle of autonomy by a client is applied in which situation? A. An order for an antibiotic is being written in the chart. B. A hospice consult is ordered by the nurse. C. The client has decided to stop chemotherapy treatments. D. The family of a client is discussing care with the physician.

C (The client has decided to stop chemotherapy treatments.)

On finding multiple bruises on a client's arms and back, the nurse suspects that the client is being abused by a daughter who lives with the client. When questioned, the client denies any abuse. Despite the client's denial, the nurse should report the suspected abuse on the basis of which rationale? A. The client does not want anyone to know what is happening in the client's home. B. The client is ashamed to admit to the abuse by the daughter. C. The nurse has a legal and ethical responsibility to report the suspected abuse. D. The nurse wants peers to see the nurse as a hero.

C (The nurse has a legal and ethical responsibility to report the suspected abuse.)

A nurse gives the 400 IU of a vitamin supplement that was in the client's medications instead of the 200 IU that was prescribed. The dosage was given when the unit was busy admitting three clients and another client was in crisis. Which action(s) by the nurse demonstrate the professional value of integrity? Select all that apply. A. The nurse dismisses the dose difference, because it is not critical. B. The nurse says, "This is not fair, we are so busy." C. The nurse documents the dose given. D. The nurse completes a variance or incident report. E. The nurse blames the pharmacy for the error on the prescription.

CD (The nurse documents the dose given. & The nurse completes a variance or incident report.)

A client is scheduled to have an elective surgical procedure performed but cannot decide whether to go forward with the procedure or cancel it. The client asks the nurse to help make the decision because the client lacks knowledge about the procedure. Which action by the nurse is the best way for this nurse to advocate for the client? A. Refuse to help the client, and state that the client alone must make the decision. B. Refer the client to the social worker for help assembling a team to help the client make the decision. C. Call the surgeon, and have the surgeon explain the procedure again. D. Allow the client to verbalize feelings, and provide information to help the client assess options.

D (Allow the client to verbalize feelings, and provide information to help the client assess options.)

A nurse threatens to restrain a verbally abusive client if the abuse continues. Which legal tort has the nurse committed? A. Invasion of privacy B. Defamation of character C. Negligence D. Assault

D (Assault)

A postanesthesia nurse is reporting about a client to the intensive care unit nurse in the elevator. There are staff members and visitors in the elevator. The postanesthesia nurse is doing what? A. Maintaining the continuity of care B. Implementing therapeutic communication C. Interacting to maintain coordination of care D. Breaching the client's confidentiality

D (Breaching the client's confidentiality)

A nurse is arrested for possession of illegal drugs. What kind of law is involved with this type of activity? A. Private B. Public C. Civil D. Criminal

D (Criminal)

A nurse does not assist with ambulation a postoperative client on the first day after surgery. The client falls and fractures a hip. What charge might be brought against the nurse? A. Battery B. Assault C. Fraud D. Negligence

D (Negligence)

An on-duty nurse discovers that a colleague is pilfering medicines. According to the Nurse Practice Acts, what should the nurse do? A. Inform the local police station. B. Keep silent and overlook the incident. C. Discuss this incident with a colleague. D. Report the incident to the supervisor.

D (Report the incident to the supervisor.)