n222 exam 3 coursepoint questions

Which statement by the nurse is an example of deception?

"This injection of procaine will feel like a little pinch." Rationale: Telling a client that an injection of procaine will feel like a little pinch is not being truthful, and is defined as a deception. Telling a client that pain medicine will be administered when it is time is being truthful. Telling a client to get out of bed also supports a nursing intervention. Teaching a client how to give an injection is important for the client to take care of himself or herself.

A client's son says, "Mom can come and live with me, but I will need help. I am going to call a home health agency to see about having someone come out to my house." Which nursing response is indicated?

"Your mother's primary health care provider will have to write a prescription for home health."

What are chief tasks of the home health care nurse? Select all that apply.

- Developing a nursing care plan - Providing client education and counseling - Providing continuity of care - Administering medications

A clinical nurse specialist is preparing a presentation for a group of colleagues about the current state of the health care delivery system. As part of the presentation, the nurse is planning to address trends that may play a role in shaping health care delivery in the near future. Which information would the nurse most likely include? Select all that apply.

- Greater numbers of informed persons using health care services - Rise in accessible health information due to technology

A nurse demonstrates understanding of Healthy People 2030 by supporting which statement?

A client's health is affected by social, economic, and political factors.

Which scenario is an example of certification?

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

When conducting an education program for a group preparing for retirement, the nurse would include information about applying for Social Security benefits and Medicare insurance. The nurse would include in the education that Medicare is a federally funded insurance program which bases the fee for payment on what?

A prospective payment plan based on a predetermined fixed cost

A nurse from the postanesthesia care unit (PACU) transports a client in the elevator with a nurse from the intensive care unit (ICU). There are staff members and visitors in the elevator as well. Which response from the ICU nurse is appropriate when the PACU nurse begins the report? A. "Wait and give me a report in the room at the bedside." B. "I will look at the EHR when I get to the nurse's station." C. "Before you begin we need to ensure a family member is present." D. "You can just put the report on the foot of the bed and I will look at it when I get to the room."

A. "Wait and give me a report in the room at the bedside."

A nurse's friend states, "I admire you so much. I would love to be a nurse, but I don't think I have the courage." Which response will the nurse make? A. "You can work on being more courageous as you learn to be a nurse." B. "It is more important to be smart than it is to be courageous." C. "I'm not courageous at all." D. "You don't have to be courageous to be a nurse."

A. "You can work on being more courageous as you learn to be a nurse."

Which scenario is an example of the laissez-faire approach to value transmission? A. Allowing a child to decide not to have an intravenous line inserted B. Modeling healthy behaviors for adolescents, such as not smoking electronic cigarettes C. Telling a child an injection will feel like a pinch before the nurse gives the injection D. Teaching children right from wrong and telling them the reason behind a bad action

A. Allowing a child to decide not to have an intravenous line inserted

Nurses who value client advocacy follow what guideline? A. They give priority to the good of the individual client rather than to the good of society in general. B. They value their loyalty to an employing institution or to a colleague over their commitment to their clients. C. They choose the claims of the client's well-being over the claims of the client's autonomy. D. They make decisions for clients who are uninformed concerning their rights and opportunities.

A. They give priority to the good of the individual client rather than to the good of society in general.

Which process evaluates and recognizes educational programs as having met certain standards?

Accreditation

Which is an emerging trend in health care delivery?

Active involvement of consumers

Which ethical principle refers to the obligation to do good?

Beneficence

The growth in home health care is largely attributed to which factor?

Early discharge of clients from the hospital setting

A nurse working in a critical care unit has experienced personal tragedy, extreme shortage of staff in the work environment, and health issues. The nurse has overcome much of these hardships and is now mentoring other nurses in similar situations. What behavior is this nurse demonstrating?

Moral Resilience Rationale: Moral resilience is the developed capacity to respond well to morally distressing experiences and to emerge strong. This nurse has demonstrated that although life issues have been overwhelming, there is an emergence of strength and resilience. Moral distress occurs when you know the right thing to do but either personal or institutional factors make it difficult to follow the correct course of action. Conscientious objection is the refusal to participate in certain types of treatment and care based on the fact that these activities violate the nurse's personal and professional ethical beliefs and standards. There is not an ethical dilemma present between the nurse and the workplace.

Nurses complete incident reports as dictated by the agency protocol. What is the primary reason nurses fill out an incident report?

To improve quality of care Rationale: The primary reason to fill out an incident report is to improve the quality of care. Incident reports are not designed to be a means for disciplinary action. Incident reports are designed to identify actual or potential risks that can be addressed to improve quality of care. Incident reports are not intended to initiate litigation or document everyday occurrences.

A nurse arrives on the medical unit wearing large, dangling earrings. This is an example of which type of conduct?

Unprofessional

What is the term for the beliefs held by the individual about what matters?

Values Rationale: Values are ideals and beliefs held by an individual or group about what matters; values act as a standard to guide one's behavior. Ethics are moral principles and values that guide the behavior of honorable people. A moral is a standard for right and wrong. Bioethics is related to ethical questions surrounding life and death, as well as questions and concerns regarding quality of life as it relates to advanced technology.

A nurse is acting inappropriately and has an odor of alcohol. This behavior breaches the principle of:

ethical conduct.

A nurse working on a critical care unit was informed by a client with multiple sclerosis that the client did not wish to be resuscitated in the event of cardiac arrest. Now the client is no longer able to express wishes, and the family has informed the health care provider that they want the client to be resuscitated. Aware of the client's wishes, the nurse is involved in a situation that may involve:

ethical distress.

A nurse is administering evening medications and notices that a medication was omitted during the day shift. Which statement demonstrates the principle of accountability?

illing out an occurrence report and notifying the healthcare provider

While riding in the elevator, a nurse discusses the HIV-positive status of a client with other colleagues. The nurse's action reflects:

invasion of privacy

A client tells the nurse that the client does not want to have a painful procedure. By respecting and supporting the client's right to make decisions, the nurse is demonstrating: A. Justice B. Advocacy C. Altruism D. Confidentiality

B. Advocacy

Which is the primary reason extended care facilities have proliferated in recent years?

Clients being discharged from the hospital while their care requirements remain beyond the scope of home care

A new nurse is considering getting a job in either an acute care setting or a home care setting. Which statement about these care settings is most accurate?

Clients play a large role in helping themselves in the home care setting.

In anticipation of discharge, a nurse is teaching the daughter of an older adult client how to change the dressing on the client's venous ulcer. Which teaching strategy is most likely to be effective?

Demonstrate and explain the procedure and then have the daughter perform it.

Which example most accurately depicts the ethical principle of autonomy?

Describing a surgery to a client before the consent is signed Rationale: Autonomy is the capacity to make an informed, uncoerced decision. Describing a surgery to a client before a consent is signed provides the client with all of the information needed to make an informed decision and thus an autonomous one. The nurse changing a dressing on a wound does not require the client to make an informed decision, nor does administering a morning dose of insulin or transporting a client.

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?

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

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?

Duty. Rationale: Duty refers to an obligation to use due care. The nurse assessed the client and made appropriate interventions and notifications. Breach of duty is the failure to meet the standard of care. An example of breach of duty would be not performing assessments, appropriate interventions, and notifications of the health care provider. Causation is when the breach of duty caused the injury. An example of causation would be failure to perform assessment and appropriate interventions when providing client care, and this caused injury to the client. Damages are the harm or injury that occurred to the client. In this situation, it would be the death of the client.

When initiating home health care services, during which phase is it appropriate for the nurse to implement the initial client assessment?

Entry phase

The nurse is a member of the multidisciplinary team in a large primary healthcare setting. The nurse understands that which healthcare team member is responsible for a client's swallow evaluation following a cerebral vascular accident?

Speech pathologist/therapist

Nurse practice acts are examples of which type of laws?

Statutory Laws Rationale: Nurse practice acts are statutory laws. Statutory laws must be in keeping with both the federal constitution and the state constitution. Constitutional law refers to rights carved out in the federal and state constitutions. The majority of this body of law has developed from state and federal supreme court rulings, which interpret their respective constitutions and ensure that the laws passed by the legislature do not violate constitutional limits. Administrative law is the body of law that governs the activities of administrative agencies of government. Common law is the body of English law as adopted and modified separately by the different states of the U.S. and by the federal government and is in contrast with statutory law.

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?

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

A charge nurse has implemented staff education on nursing values. The nurse would determine that further education is required when which statement(s) are overheard? Select all that apply.

"I can't believe the client is giving that precious infant up for adoption." "The gonorrhea test was positive. That's what the client gets for sleeping around." "If that was my mother, I sure wouldn't agree to a no-code."

The home care nurse asks the client and family about their socioeconomic status, culture, and beliefs. Which is the best response by the nurse when the family asks why those questions are being asked?

"I want to understand what your desires are."

At the last hospital unit meeting, the policy for the insertion of Foley catheters was revised based on current evidence. The new nurse on the unit just learned "the old way" and is frustrated to now have to learn a new methodology. Several other nurses comment that the change is "all about money." The charge nurse must educate the staff about the importance of this new policy. Which explanation by the charge nurse is most appropriate?

"Incorporating evidenced-based practice into our care routines links our interventions to valued outcomes, thereby increasing quality care. When we provide quality care, we can decrease cost."

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?

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

Which statements are true of primary health care? Select all that apply.

- It is essential health care based on sound methods and technology. - It is made universally accessible to individuals and families in the community. - It brings health care close to where people live and work.

What methods are used to ensure that clients have continuity of care and cost-effective care during movement throughout the health care system? Select all that apply.

- Managed Care - Case Management - Primary Health Care Rationale: Methods to ensure continuity of care and cost-effective care would include managed care, case management, and primary health care. Rural health centers are often located in geographically remote areas that have few health care providers. The primary focus of rural health centers is providing primary care. Parish nursing is an expanding area of specialty nursing practice that emphasizes holistic health care, health promotion, and disease-prevention activities. The focus of parish nursing is not continuity of care or cost-effective care. Primary care center services include the diagnosis and treatment of minor illnesses; performing minor surgical procedures; and providing obstetric care, well-child care, counseling, and referrals. The primary care center's main focus is not continuity of care or cost-effective care.

The nurse has an ethical conflict regarding the client's use of marijuana to control symptoms of advanced cancer. Which argument(s) regarding this conflict reflect a utilitarian approach? Select all that apply.

- The client experiences significant reduction of cancer symptoms when using marijuana. - The client is homebound and will not be driving. - There is little opportunity for any other persons to divert or use the marijuana the client obtains. Rationale: Utilitarian arguments are those that determine rightness or wrongness of an action based on the action's consequences. In this case, that the client experiences reduction of symptoms, that the client will not be driving, and that there is little opportunity for diversion all reflect an utilitarian approach. Deontologic arguments are based on a rule such as legality or specific dosages.

Which statements indicate a correct understanding of the tenets of the Code of Ethics for Nurses? Select all that apply.

- The nurse maintains standards of personal conduct. - The nurse is active in developing a core of research-based principles. - The nurse holds personal information as confidential. Rationale: The ANA Code of Ethics states: "The nurse promotes, advocates for, and strives to protect the health, safety, and rights of the patient." Standards of personal conduct, developing research, and confidentiality are all tenets of the Code of Ethics for Nurses. Fair compensation and participation in the advancement of the profession are related to the Bill of Rights for Registered Nurses, not the Code of Ethics for Nurses.

The nurse is caring for several clients with chronic conditions that need to be evaluated for long-term care. After evaluating each client, the nurse determines which client is most appropriate to receive long-term care?

A client who suffered a stroke who has mobility issues and problems completing activities of daily living (ADLs).

Which scenario is an example of the laissez-faire approach to value transmission?

Allowing a child to decide not to have an intravenous line inserted Rationale: A laissez-faire approach to value transmission is one that allows others, especially children, to make decisions without guidance, resulting in a decision that may not be a sound one. Teaching a child about right and wrong behavior is a more active learning strategy, and reflects the moralizing approach to value transmission. Modeling or role modeling is leading (and transmitting values) by example—in this case, not smoking electronic cigarettes to show the adolescents good behavior. Telling the child about the injection feeling like a pinch is not an approach to value transmission.

A client informs the nurse about leaving the health care facility because the client is not satisfied with the treatment. The nurse knows that the client's treatment is incomplete and further testing and evaluations are scheduled. Which action by the nurse would be most appropriate to prevent false imprisonment?

Ask the client to sign a release without medical approval. Rationale: If a client wants to leave the health care facility, the nurse should ask the client to sign a release stating that the client left without medical approval. The nurse cannot restrain the client because it amounts to false imprisonment. Calling the health care provider may be seen by the client as a delay tactic, although the nurse should follow facility protocol. Additional options would include having the client meet with the health care provider or client advocate if the client was willing to remain for care while those actions were initiated. Telling the client that the client may not be able to access the health care facility again is an inappropriate response because health care is a right and the client can access it whenever necessary.

Which therapist is most likely to focus on teaching a client to hold a toothbrush with an adaptive device and brush the teeth?

An occupational therapist

Which scenario is using a prospective payment plan to reimburse for services?

An older adult client is admitted to the hospital and treated for pneumonia. The hospital is reimbursed based on a predetermined fixed price.

The nurse is providing care to several clients on a medical-surgical unit. For which client's plan of care should the nurse include information regarding extended care?

An older adult client who fell at home and required a hip replacement Rationale: Extended care meets the health needs of clients who no longer require acute hospital care but require rehabilitation and skilled nursing care, such as an older adult following a hip replacement surgery, who may need additional assistance with mobility and more time for physical therapy before being ready to be discharged home. The other clients do not require, or would not benefit from, extended care.

A nurse is providing care to a client with end-stage cancer. After weighing the alternatives, the client decides not to participate in a clinical trial offered and is requesting no further treatment. The nurse advocates for the client's decision based on the understanding that the client has the right to self-determination, interpreting the client's decision as reflecting which ethical principle?

Autonomy

Which example best describes feminist ethics? A. The formal study of ethical issues that arise in the practice of nursing B. An approach critiquing existing patterns of oppression and domination in society C. A combination of elements of utilitarian and deontologic theories that offer specific action guidelines for practice D. Attention directed to the specific situation of individual clients viewed within the context of their life narratives

B. An approach critiquing existing patterns of oppression and domination in society

A client diagnosed with cancer has met with the oncologist and is now weighing whether to undergo chemotherapy or radiation for treatment. This client is demonstrating which ethical principle in making this decision? A. Justice B. Autonomy C. Beneficence D. Confidentiality

B. Autonomy

A nurse is caring for an older adult who has cancer and is experiencing complications requiring a revision of the plan of care. The nurse sits down with the client and the family and discusses their preferences while sharing the nurse's own judgments based on the nurse's expertise. Which type of healthcare decision making does this represent? A. Paternalistic Model B. Shared decision making C. Client Sovereignty model D. Ethical decision making

B. Shared decision making

Ethical distress is: A. having trouble deciding which of two conflicting ethical principles to follow. B. knowing the correct action but being unable to perform it due to constraints. C. being aware of the principles of right and wrong. D. supporting the rights of a client during hospitalization.

B. knowing the correct action but being unable to perform it due to constraints.

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?

Breach of duty Rationale: Breach of duty is the failure to assess, intervene, or notify the health care provider regarding the client's condition. It does not meet the expected standard of care. Duty refers to an obligation to use due care and is defined by the standard of care appropriate for the nurse-client relationship. Causation is when the failure to meet the standard of care caused injury. Damages are the harm or injury to the client.

A nurse volunteers to serve on the hospital ethics committee. Which action should the nurse expect to take as a member of the ethics committee? A. Present options about the type of care. B. Convince the family to choose a specific course of action. C. Assist in decision making based on the client's best interests. D. Decide the care for a client who is unable to voice an opinion.

C. Assist in decision making based on the client's best interests.

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 Rationale: The nurse has committed battery by unlawfully carrying out a procedure that the client had refused. Battery is an assault and includes negligent touching of another person's body or clothes or anything attached to or held by that other person. Assault is the threat of touching another person without the person's consent. Defamation of character in spoken words is called slander. Libel is defamation of character in written words.

A client tells the nurse that the client does not want to have a painful procedure. By respecting and supporting the client's right to make decisions, the nurse is demonstrating: A. confidentiality. B. altruism. C. advocacy. D. justice.

C. advocacy.

What would be an example of the nurse practicing fidelity? The nurse: A. regulates visitors B. withholds information as requested C. stays with a client during death as promised D. provides continuity of care

C. stays with a client during death as promised

Which service would most likely be provided in a tertiary care center?

Cardiovascular surgery

A nurse is caring for an older adult client in the home. The nurse concludes that the client needs an X-ray to determine whether the client has pneumonia and requires oxygen for shortness of breath. The nurse calls to inform the health care provider of the client's status and then makes arrangements to carry out the health care provider's orders. In this scenario, what role does the nurse play?

Case manager Rationale: Case management means the nurse coordinates many resources to maximize the opportunity for people to manage their own health care at home. A nurse does not have to be nurse practitioner, clinical nurse specialist, or other type of advanced practitioner to serve as a case manager.

A nurse sits down with a client and explains the "Patient Care Partnership." This action best exemplifies which role of the community-based nurse?

Client Advocate

A single parent age 17 years, with one child and pregnant with a second, has the mental age of a 12-year-old. The home care nurse's greatest concern in caring for this client should be the client's ability to do which?

Cognitively understand how to care for the children Rationale: Regarding all aspects of survival, the cognitive ability of this young client is of greatest concern. The cognitive ability to understand how to organize work, manage financial responsibilities, and ensure safety within the home is essential to a single parent of two young children.

Based on the Patient Protection and Affordable Care Act (ACA), nurses are to assume an important new role in health care. Which is an example of this new role?

Collaborating with all agencies to provide for the client's home health needs

Nurses in various health care settings provide services to prevent the fragmentation of care that is occurring as a health care trend in today's society. What role of the nurse is most important in preventing this effect?

Coordinator of care Rationale: The most important role of the nurse in preventing fragmentation of care would be coordinator of care. Care coordination is the deliberate organization of client care activities between two or more participants (including the client) involved in a client's care to facilitate the appropriate delivery of health care services. The roles of care provider, counselor, and educator are all important roles, but the priority role is as the coordinator of care.

A nurse working for a home health agency is scheduled to evaluate a client with worsening heart failure to determine whether the client is a candidate for the new "Hospital at Home" program. Which statement accurately reflects an outcome for this program? A. Clients in the acute care setting require fewer chemical and physical restraints. B. Clients and their family members have been found to be happier with stays in the hospital in which they have 24/7 access to the healthcare team. C. Disease-specific quality standards have been found to be slightly worse than when clients are treated in the hospital. D. Clients in the "Hospital at Home" program have been found to require shorter lengths of stay than when admitted to the acute care setting.

D. Clients in the "Hospital at Home" program have been found to require shorter lengths of stay than when admitted to the acute care setting.

A nurse obtains an order for a bed alarm for a confused client. This is an example of which ethical principle? A. Conflict B. Confidentiality C. Deception D. Paternalism

D. Paternalism Rationale: Making a decision for a client who is confused to prevent an injury is an example of paternalism. Deception occurs when the true nature or reason is concealed and the client is deprived of basic human rights. Confidentiality requires a health care provider to keep a client's personal health information private unless consent to release the information is provided by the client. Conflict is a disagreement or argument and does not represent the example in this question.

What is likely to have the greatest influence on an adolescent's formation of values during this developmental stage? A. Awareness of other cultures B. School Administration C. Work D. Peers

D. Peers

A nurse believes that abortion is an acceptable option if a pregnancy results from a situation of rape. What is the best description of this belief? A. Ethical principle B. Legal obligation C. Professional value D. Personal moral

D. Personal moral

To practice ethically, the nurse should avoid: A. asking the client's family about their views on caring. B. reviewing past cases before making decisions about practice. C. allowing an ethics committee to guide the nurse's practice. D. allowing the nurse's own personal judgment to guide practice.

D. allowing the nurse's own personal judgment to guide practice.

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. get written consent C. notify the family D. obtain a medical order

D. obtain a medical order Rationale: Nurses must obtain a medical order before each and every instance in which they use restraints. Due to the severity of the client illness requiring endotracheal intubation, the client may not be able to provide a written consent. The client does not need to be sedated unless medically necessary, and although it is appropriate to notify the family, this is not the priority.

Which nursing situation is an example of an ethical dilemma?

Deciding whether to perform cardiac compressions against a client's wishes Rationale: An ethical dilemma occurs when it is difficult for a decision to be made due to competing ethical principles. If there is no signed do not resuscitate order, then legally cardiac compressions must be started; however, if this is against the client's wishes, the nurse must weigh the ethical principles of beneficence and complying with the law against the ethical principle of autonomy. Administering pain medication as ordered, transferring a client to a step-down unit, and discussing the care of a comatose client with the family are all within the ethical scope of nursing practice.

The goals of health care reform include which?

Focusing on cost containment with improved access and quality of services for everyone

Which is the acute care setting for people who are too ill to care for themselves at home, are severely injured, or require surgery?

Hospitals

Which is the primary criterion for admission to a long-term care facility?

Inability to provide self-care

A nurse reports to the charge nurse that a client medication due at 9 am was omitted. Which principle is the nurse demonstrating?

Integrity

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?

Invasion of Privacy Rationale: The nurse has committed the tort of invasion of privacy. Personal names and identities should be concealed or obliterated in case studies or research work. Invasion of privacy is a type of intentional tort. Defamation is an act in which untrue information harms a person's reputation and is therefore not applicable here. Negligence is the harm that results because a person did not act reasonably.

Which is true of the Occupational Safety and Health Act?

It helps to reduce workforce injuries and illness in the workplace.

Which is the largest single source of reimbursement for home health care services?

Medicare

A nurse is caring for a client with hypertension whose blood pressure has increased from 154/78 mmHg to 196/98 mmHg with a heart rate of 110 beats per minute during the past hour. The nurse goes to lunch without reporting the change to the health care provider, and the client experiences a cardiac arrest. What tort has the nurse likely committed?

Negligence

In preparation for discharge, the nurse is reviewing information related to new dietary guidelines with the client. This is an example of which step in discharge planning?

Providing client education

A client diagnosed with terminal leukemia is receiving home health care services to assist in the client's care. After assessing the client, the home health care nurse determines that the client is unable to afford needed medical supplies. Which is the best strategy for the nurse to implement to assist the client?

Refer the client to a social worker to determine eligibility for assistance.

A nurse recommends palliative care for a client who is being discharged following a diagnosis of cancer. What is the chief focus of this type of care?

Relief from physical, mental, and spiritual distress

During a home care visit to a home-bound older client, the client's spouse, who is the caregiver, verbalizes anger, fatigue, and sleeplessness. Which recommendations by the nurse would be most effective in relieving caregiver role strain?

Respite care Rationale: Hospice, voluntary services, and palliative care would all be helpful to the client and spouse, but only respite care directly provides the spouse with a break from caregiving duties.

A nurse witnesses a traffic accident and dresses the open wounds sustained by a child. Later, in the hospital, the child develops complications from an infection in the wound. The family holds the nurse responsible for the complications and attempts to file a lawsuit. Which statement is true regarding how the Good Samaritan law applies to this case?

The Good Samaritan law will provide legal immunity to the nurse.

What governing body has the authority to revoke or suspend a nurse's license?

The State Board of Nurse Examiners

Which statement is true when comparing home care with acute care?

The nurse is the guest in the client's home. Rationale: An essential difference in home care versus acute care is that the home care nurse is a "guest" in the client's home. In the home, clients and families retain the power and control that they give to providers in other settings. Nurses in the home usually work as members of a therapeutic team that includes the client and other members of the health care team working collaboratively. The client does not direct the education of the caregivers.

A health care provider is called to see a client with angina. During the visit the health care provider advises the nurse to decrease the dosage of atenolol to 12.5 mg. However, because the health care provider is late for another visit, the health care provider requests that the nurse write down the order for the health care provider. What should be the appropriate nursing action in this situation?

The nurse should ask the health care provider to come back and write the order.

Which is a characteristic of the care-based approach to bioethics?

The promotion of the dignity and respect of clients as people Rationale: The care-based approach to bioethics focuses on the specific situations of individual clients, and characteristics of this approach include promoting the dignity and respect of clients as people. The need to emphasize the relevance of clinical experience and the need for an orientation toward service are part of the criticisms of bioethics. The deontologic theory of ethics says that an action is right or wrong independent of its consequences.

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?

The student nurse, the nurse instructor, and the hospital

A nurse is providing care for a client with cancer. The client's spouse requests that the client not be told that the client is terminal. The nurse complies with this request. The nurse's action is a breach of which ethical principle?

fidelity Rationale: The principle of fidelity involves the nurse being faithful to the client, who has the right to the truth. By not telling the client, the nurse is not being faithful to the client. Justice is acting fairly. In this scenario, the nurse do not need to recognize any bias or discrimination in the distribution of care. Beneficence is the act of doing of good. The nurse is not doing good by withholding the information. Nonmaleficence means not harming or inflicting the least harm possible to reach a beneficial outcome. The nurse is inflicting harm by not being faithful to the client.

The nurse understands that planning for discharge actually begins at admission to the facility. The purpose of discharge planning is best described as:

providing continuity of care that is goal directed.

A nurse is overheard in the hospital cafeteria making false, derogatory comments about a client. The nurse is guilty of:

slander.