NU470 Week 9: Evolve Elsevier EAQ Ethics

A registered nurse is explaining the Quality and Safety Education for Nurses (QSEN) competencies to a nursing student. Which information would the nurse provide about the competency teamwork and collaboration? o "Use information and technology to communicate, manage knowledge, mitigate errors, and support decision-making." o "Understand that the client is the source of control and full partner when providing compassionate and coordinated care." o "Implement improvement methods to design and test changes to improve the quality and safety of the health care system." o "Work effectively within nursing and interprofessional teams by promoting open communication and shared decision-making to provide client care."

o "Work effectively within nursing and interprofessional teams by promoting open communication and shared decision-making to provide client care." · According to the QSEN competency called teamwork and collaboration, the nurse would be able to work effectively within nursing and interprofessional teams, promoting open communication and shared decision-making to provide quality client care. According to the QSEN competency called informatics, the nurse would be able to use information and technology to communicate, manage knowledge, mitigate errors, and support decision-making. This helps deliver optimal health care. As per the QSEN competency called patient-centered care, the nurse would be able to understand that the client is the source of control and full partner when the health care team provides compassionate and coordinated care. According to the QSEN competency called quality improvement, the nurse would be able to implement improvement methods to design and test changes to improve the quality and safety of the health care system.

Which legal charges may be brought against the nurse who applies restraints to force-feed a client with dementia refusing to eat? Select all that apply. o Libel o Assault o Malpractice o Invasion of privacy o False imprisonment

o Assault o Malpractice o False imprisonment · In the given situation, the nurse threatens to force-feed the client, which is an example of assault. If the nurse fails to inform the primary health care provider regarding the problem faced when feeding the client, the nurse may be charged with malpractice for this action. Applying restraints to a client without the orders of the primary health care provider is considered false imprisonment.

Which preventive and primary care service provided by a community health center is most expensive? o Running errands o Health education o Disease management o Routine physical examinations

o Disease management · Disease management is the most expensive service provided by community health centers. Running errands is relatively inexpensive, because the cost is the merely the cost of transportation. Health education and routine physical examinations are inexpensive and can usually stop complications of diseases, which prevents from having to "manage" diseases, leading to costly and expensive treatment.

The nurse caring for a client postsurgery takes necessary steps to achieve quality client care. Which nursing actions satisfy the Quality and Safety Education for Nurses (QSEN) competency called informatics? Select all that apply. o Washing the hands before handling the client's incision site o Implementing a new method of monitoring the client's incision site for infection o Documenting in the electronic health record (EHR) after performing wound debridement o Locking the electronic health record (EHR) after every entrance of necessary information o Using a computer-assisted instruction (CAI) program to provide better quality of care to the client

o Documenting in the electronic health record (EHR) after performing wound debridement o Locking the electronic health record (EHR) after every entrance of necessary information o Using a computer-assisted instruction (CAI) program to provide better quality of care to the client · The nurse satisfies the informatics competency by using information and technology to communicate, manage knowledge, minimize errors, and support decision-making. Documenting in the client's electronic health record (EHR) after performing wound debridement enables the nurse to track the client's progress and store information for future reference. The nurse maintains confidentiality of the client's medical information by locking the electronic health record (EHR). This enables the nurse to manage knowledge appropriately and minimizes the possibility of legal issues. The nurse also satisfies the informatics competency by using computer-assisted instruction (CAI) programs to provide better quality of care to the client. To satisfy the safety competency, the nurse is required to reduce the risk for causing harm to the client by ensuring appropriate individual performances. In the given situation, the nurse washes his or her hands to minimize the risk for infection. The nurse satisfies the quality improvement competency by implementing a new method of monitoring the client for infection.

The nurse notes that the victim of an automobile crash is in need of cardiopulmonary resuscitation (CPR). Which factors would the nurse remember before performing CPR? Select all that apply. o Emergency treatment that is provided without a client's consent o Not performed on adult clients who have already consented to a do-not-resuscitate order either verbally or in writing o Not to be performed by a primary health care provider in violation of a do-not-resuscitate order under any circumstances o Performed on appropriate clients unless a do-not-resuscitate order has been signed and made part of the client's record o Generally performed on any client who requires resuscitation in an emergency, but the client's consent is required

o Emergency treatment that is provided without a client's consent o Not performed on adult clients who have already consented to a do-not-resuscitate order either verbally or in writing o Performed on appropriate clients unless a do-not-resuscitate order has been signed and made part of the client's record · Cardiopulmonary resuscitation (CPR) is an emergency treatment provided to clients without a formal consent. CPR would not be performed on an adult client who has already consented to a do-not-resuscitate order, either verbally or in writing. CPR is performed on appropriate clients unless a do-not-resuscitate order has been placed in the client's record. The primary health care provider is required to review clients' DNR orders in case there is a need for change because of the client's condition.

A client is placed on a stretcher and restrained with straps while being transported to the x-ray department. A strap breaks, and the client falls to the floor, sustaining a fractured arm. Later the client shows the strap to the nurse manager, stating, "See, the strap is worn just at the spot where it snapped." Which is the nurse's accountability regarding this incident? o Exempt from any lawsuit because of the doctrine of respondent superior o Totally responsible for the obvious negligence because of failure to report defective equipment o Liable, along with the employer, for misapplication of equipment or use of defective equipment that harms the client o Exonerated, because only the hospital, as principal employer, is responsible for the quality and maintenance of equipment

o Liable, along with the employer, for misapplication of equipment or use of defective equipment that harms the client · Using a stretcher with worn straps is negligent; this oversight does not reflect the actions of a reasonably prudent nurse. The nurse is responsible and must ascertain the adequate functioning of equipment. The hospital shares responsibility for safe, functioning equipment.

A client from China is referred to the National Cancer Institute in the United States for the treatment of a brain tumor. Which type of health information technology oversees the exchange of the client's health information among the client's health care providers and between the two countries? o Personal health record (PHR) o Electronic medical record (EMR) o The Decade of Health Information Technology o Regional Health Information Organization (RHIO)

o Regional Health Information Organization (RHIO) · An RHIO is an essential element of the health information technology infrastructure. It supervises the exchange of a client's information among health care providers and across geographic areas. A PHR helps a client maintain her or his health records. The EMR is an individual's health record within a health care provider's facility. The Decade of Health Information Technology is a report presented by Dr. Brailer. It does not oversee the exchange of client information.

Which information would the nurse provide a student about the concept of "floating"? Select all that apply. o Request and receive an orientation to the unit. o If supervisors assign a task that he/she is incapable of handling, the nurse is liable. o Inform supervisors if asked to care for more clients than is reasonable. o Learn about the policies of the institution regarding floating before accepting employment. o Inform supervisors about any lack of experience in caring for the type of clients in the assigned nursing unit.

o Request and receive an orientation to the unit. o Learn about the policies of the institution regarding floating before accepting employment. o Inform supervisors about any lack of experience in caring for the type of clients in the assigned nursing unit. · The nurse needs to request and receive an orientation to the unit. If the nurse plans to join an institution, he or she would familiarize herself with the rules regarding floating before accepting employment. The nurses who need to float would inform the supervisors about any inability to carry out a desired task. The supervisors are liable to punishment if they assign any work to the nurse that is not related to their area of expertise or training. If the nurse is assigned more clients than is reasonable, the supervisor would be notified; however, this is related to short staffing issues.

Which is the advantage for the nurse practitioner working in a Federally Qualified Health Clinic (FQHC)? o The nurse practitioner is able to formulate health policies. o The nurse practitioner has better access to higher education. o The nurse practitioner is able to provide care to underserved populations. o The nurse practitioner is able to receive a higher rate of reimbursement.

o The nurse practitioner is able to receive a higher rate of reimbursement. · Nurse-managed centers can be reviewed and designated with Federally Qualified Health Clinic (FQHC) status. The nurse practitioner working for a FQHC is eligible to receive a higher rate of reimbursement. Health policies are created via a public decision-making process; FQHC status is unrelated to this process. Likewise, access to higher education is unrelated to working in a FQHC. Nurse-managed centers provide care to underserved people irrespective of FQHC status.

A health care worker is collecting data on the quality of health care provided in a health care center. The health care worker finds that too many nurses are attending to a single client. What does the health care worker conclude from this? o Safe care is not being provided by the nursing team. o The nurses on the unit are not providing efficient care. o Effective care is not being provided to clients. o Patient-centered care is not being provided.

o The nurses on the unit are not providing efficient care. · Too many nurses attending to a single client indicates that the work that can be performed by a few nurses is being performed by many nurses. This indicates that the nursing team lacks efficiency. The inability of the nursing team to avoid injuries in the client indicates that the nursing team is unable to perform safe care. The inability to address the problems of the vulnerable groups indicates that the nursing team is unable to provide effective care. The inability to address all the problems of the client while providing care indicates that the nursing team is unable to provide patient-centered care.

Which definition of assault would the nurse include in teaching a group of parents about child abuse? o Threat to do bodily harm to another person o An unintentional act committed by one person against another person o A legal wrong committed against the public that is punishable by federal law o The application of force to another person without lawful justification

o Threat to do bodily harm to another person · Assault is a threat or an attempt to do violence to another. Assault implies harm to persons rather than property. A legal wrong committed against the public that is punishable by federal law is too broad to describe assault. Application of force to another person without lawful justification is the definition of battery. Assault is not defined as an unintentional act committed by one person against another.

Which terms might the nurse use to describe a client who was born a man but lives as a woman? Select all that apply. o Transvestite o He-she o Transgender o Transwoman o Transgendered o Transman

o Transgender o Transwoman · A client who was born as a man but lives as a woman can be referred to as transgender or a transwoman. The nurse would also respect and use any other terminology the client prefers. The terms "transvestite" and "he-she" are insensitive and offensive. The term "transgendered" is outdated; using the suffix "-ed" is inappropriate. A client who was born as a woman but lives as a man can be referred to as a transman.