Prep for Exam 4

Which are examples of protected health information? Select all that apply. 1. Client's diagnosis 2. Treatment for depression 3. Account turned over to collections 4. Appointments 5. Employer records of treatment

1. Client's diagnosis 2. Treatment for depression 3. Account turned over to collections 4. Appointments

Which are discrete entities that are described objectively without interpretation? 1. Data 2. Knowledge 3. Wisdom 4. Information

1. Data

What would be an appropriate nursing diagnosis for a client who is uncertain about which course of action to take in his or her treatment? 1. Decisional Conflict 2. Moral Distress 3. Values Clarification 4. Value/Belief/Action Congruence

1. Decisional Conflict

Fair access to care and allocation of resources are examples of what type of justice? 1. Distributive 2. Procedural 3. Compensatory 4. General

1. Distributive

The nurse is giving a bedside report to another nurse taking over the clients. What should the nurse do when giving a report in this manner? 1. Ask visitors to leave the room. 2. Record the report into a recording device. 3. Document important information on a form. 4. Meet the oncoming nurse in the break room to give the report.

1. Ask visitors to leave the room.

Which are elements of the Good Samaritan law? Select all that apply. 1. Care was provided in an emergency situation. 2. A person was harmed as a result of care provided. 3. Care was voluntary and payment was not provided. 4. A health-care provider is required to provide care in an emergency situation. 5. Care is provided in a reasonably competent manner.

1. Care was provided in an emergency situation. 3. Care was voluntary and payment was not provided. 5. Care is provided in a reasonably competent manner.

What are steps to help avoid malpractice? Select all that apply. 1. Don't blame or criticize other health-care providers. 2. Recognize "problem" clients. 3. Recognize significant assessment cues. 4. Know and follow standards of care. 5. Be sure medical equipment has been properly inspected.

1. Don't blame or criticize other health-care providers. 2. Recognize "problem" clients. 3. Recognize significant assessment cues. 4. Know and follow standards of care.

A 49-year-old uninsured and unemployed client arrives at the emergency department of the local private hospital closest to home complaining of chest pain radiating between the shoulder blades, tightness in the neck, and nausea. The triage nurse calls the on-call provider, who instructs the nurse to send the client to the county hospital several blocks away. What federal law protects this client against refusal of care at the private hospital? 1. EMTALA 2. PSDA 3. HITECH 4. DPOA

1. EMTALA

Which are examples of beliefs? Select all that apply. 1. Elderly people cannot provide a good medical history. 2. A family should be told if a medical error occurs. 3. A nurse should not be allowed to work while impaired. 4. A person should not accept blood or blood products from another person. 5. Arriving 15 minutes before shift will give the appearance of dedication.

1. Elderly people cannot provide a good medical history. 4. A person should not accept blood or blood products from another person. 5. Arriving 15 minutes before shift will give the appearance of dedication.

Which are forms of electronic communication? Select all that apply. 1. Email 2. Telephone 3. Text message 4. Telehealth 5. Interoffice memo

1. Email 3. Text message 4. Telehealth

A client has called the nurse to the room several times over the course of the past hour because he or she keeps getting up and wandering and is having difficulty getting back into bed. On the last visit to the client, the nurse gives the client a sedative to cause drowsiness. What can this treatment be considered? 1. False imprisonment 2. Assault 3. Battery 4. Quasi-intentional tort

1. False imprisonment

Which legal responsibilities does the nurse have when a client dies? Select All That Apply. 1. Find out if the client is an organ donor. 2. Return the client's personal items to the family. 3. Notify the health-care providers of the client's death. 4. Sign the death certificate after pronouncing the client deceased. 5. Wash and clean up the body prior to the family viewing it.

1. Find out if the client is an organ donor. 2. Return the client's personal items to the family. 3. Notify the health-care providers of the client's death.

A home health nurse receives a referral to provide care to a client in his or her home. According to the Center for Medicare and Medicaid Services, what should the nurse document in the client's medical record? Select All That Apply. 1. Homebound status of the client 2. Ongoing need for skilled services 3. Presence of family support in home 4. Ability to afford and pay for services 5. Completion of the minimum data set

1. Homebound status of the client 2. Ongoing need for skilled services

What are applications that allow for communication among several caregivers considered to be? 1. Integrated 2. Interfaced 3. Encrypted 4. Interactive

1. Integrated

What is the mission of the Client Care Partnership? 1. It encourages health-care providers to be more aware of the need to treat clients in an ethical manner and to protect their rights. 2. A client's values, preferences, need for information, and other factors that promote autonomy must be considered in the plan of care. 3. It states that ethical behavior in care, treatment, services, and business practices should be maintained at all times. 4. It addresses the nurse's responsibilities to clients and directs nurses to contribute to the establishment and maintenance of an ethical environment.

1. It encourages health-care providers to be more aware of the need to treat clients in an ethical manner and to protect their rights.

What is one major drawback of applying the Golden Rule way of thinking when addressing a client's wishes? 1. It is presumptuous in that nursing actions may not really be what the client wants. 2. It removes all grounds for client autonomy. 3. It removes the family from decision making. 4. It blurs the role of nurse, advocate, and ethical decision making.

1. It is presumptuous in that nursing actions may not really be what the client wants.

What is the most effective way for a new nurse to influence health-care policy and become involved in legislation on the local, state, and national levels? 1. Joining and becoming involved in a professional nursing organization 2. Running for political office 3. Creating a social media forum for political activism 4. Voting in the presidential elections

1. Joining and becoming involved in a professional nursing organization

Which are functions of a client's medical record? Select All That Apply. 1. Legal record 2. Communication 3. Continuity of care 4. Quality improvement 5. Primary health-care provider evaluation 6. Development of a standardized method of charting

1. Legal record 2. Communication 3. Continuity of care 4. Quality improvement

A nurse has been caring for a client and appears to make excessive visits to the client's room. The nurse states he or she has the best understanding of the client's needs while behaving as if no one else can care for the client. When asked about this behavior, the nurse becomes defensive. What could possibly be the issue in this scenario? 1. Potential boundary issues 2. Possible substance abuse issues 3. Infraction of statutory law 4. Unclear scope of practice

1. Potential boundary issues

A nurse is enrolling a client into a research study and is going over the paperwork. Which rights should the nurse review with the client before obtaining informed consent? Select all that apply. 1. Right to full disclosure 2. Right to confidentiality 3. Right to self-determination 4. Right to not be harmed 5. Right to knowledge of placebo administration

1. Right to full disclosure 2. Right to confidentiality 3. Right to self-determination

After assessing a client who has just been weaned from the ventilator, the nurse determines the client is not yet able to ambulate and does not follow the physician's order. What protects the nurse from being terminated or disciplined for not following orders? 1. Safe harbor laws 2. Good Samaritan laws 3. Professional liability 4. Nurse practice acts

1. Safe harbor laws

What is an appropriate nursing intervention for moral distress? 1. Self-manage emotions; discuss with mentor if you are having difficulty 2. Decreased anxiety level 3. Assess nature of the action and likelihood of immediate harm 4. Self-determination; to choose and act on that choice

1. Self-manage emotions; discuss with mentor if you are having difficulty

Nurse practice acts are an example of what type of law? 1. Statutory 2. Administrative 3. Common 4. Constitutional

1. Statutory

The provider prescribed Demerol 50 mg at 1400 as an initial dose for a post-operative client to be monitored for reactions and titrate accordingly every 3 to 4 hours prn for pain. The nurse documented the following: 1500Demerol 150 mg given intramuscularly. 1530R: 10 breaths/min; BP 98/62; skin pale.1600 Called provider. Prescription for naloxone (Narcan) 1 mg IV STAT1605 Narcan given as prescribed. R: 14 breaths/min, BP 112/68What important step could be called into question when reporting this incident? 1. The 30-minute delay in contacting the provider 2. The difference in what was given and what was prescribed 3. The delay in administering the initial dosage 4. The 30-minute delay in assessing the client for side effects

1. The 30-minute delay in contacting the provider

Which must a nurse remember when accessing articles on the Internet related to nursing practice? 1. The article may not be reliable. 2. The article will be factual if it is on the Internet. 3. The article usually has an anonymous author. 4. If an article has been up-voted many times, it is probably a good resource.

1. The article may not be reliable.

How can a nurse recognize a client is struggling with an ethical issue? 1. The client experiences conflict in some form. 2. There is incongruent behavior between the client and the family. 3. Vitals signs are abnormal and the client appears to be in distress. 4. The physician and the client do not agree on the method of treatment.

1. The client experiences conflict in some form.

The nurse has a client sign a consent form for a surgical procedure, and the nurse signs the form as well. What does the nurse's signature indicate? 1. The nurse witnessed the client sign the consent form. 2. The nurse has completed the presurgical checklist. 3. The nurse explained the surgical procedure to the client. 4. The nurse has accounted for all the client's valuables.

1. The nurse witnessed the client sign the consent form.

According to the Health Information Portability and Accountability Act Privacy Rule, protected health information can only be shared for which purposes? Select all that apply. 1. Treatment 2. To ensure everyone on a nursing unit is aware of the client 3. Reassurance to family 4. Payment 5. Operations 6. Understanding past treatments

1. Treatment 4. Payment 5. Operations

When creating a password for computer usage, what are some important factors that should be kept in mind? Select all that apply. 1. Use combinations of letters, numbers, and symbols. 2. Don't use words or numbers that are easy to guess. 3. Change passwords frequently. 4. Never share passwords with others. 5. Use the same password for multiple accounts so it is not forgotten.

1. Use combinations of letters, numbers, and symbols. 2. Don't use words or numbers that are easy to guess. 3. Change passwords frequently. 4. Never share passwords with others.

Which describes an ethical dilemma? 1. A client refuses treatment for cancer, stating that his or her religious beliefs forbid it. 2. A pregnant woman may miscarry if she takes a strong chemotherapy agent, but if she doesn't, her cancer will progress quickly. 3. A nurse catches a coworker diverting drugs, and the coworker asks him or her not to tell anyone. 4. A charge nurse asks a staff nurse to stay and work late, but the nurse has plans that evening.

2. A pregnant woman may miscarry if she takes a strong chemotherapy agent, but if she doesn't, her cancer will progress quickly. An ethical dilemma is one in which a choice must be made between two equally undesirable outcomes.

Which nursing value describes the right to self-determination and to choose and act on that choice? 1. Altruism 2. Autonomy 3. Human dignity 4. Integrity

2. Autonomy

Which describes the entry of orders directly into an electronic health record by a provider? 1. Decision support algorithms 2. Computerized physician order entry 3. Online order requisitions 4. Client web portal

2. Computerized physician order entry

According to the Uniform Determination of Death Act of 1981, which factors must be present to declare an individual dead? Select All That Apply. 1. No response to painful stimuli 2. Irreversible cessation of cardiac functions 3. Permanent ending of respiratory functions 4. Permanent cessation of all brain functions 5. Inability to verbally communicate physical needs

2. Irreversible cessation of cardiac functions 3. Permanent ending of respiratory functions 4. Permanent cessation of all brain functions

Which are common responsibilities of the state boards of nursing? Select all that apply. 1. Describing a level of competency for nursing care 2. Providing approval for nursing education programs 3. Funding research for nursing education 4. Enforcing rules that govern nursing practice 5. Developing criteria that permit someone to be licensed as a registered nurse (RN) or as a licensed practical or vocational nurse (LPN/LVN)

2. Providing approval for nursing education programs 4. Enforcing rules that govern nursing practice 5. Developing criteria that permit someone to be licensed as a registered nurse (RN) or as a licensed practical or vocational nurse (LPN/LVN)

A client is being discharged after being admitted for myocardial infarction. The physician wants the client to be monitored for vital signs while he or she is engaging in rehabilitation protocol. What type of informatics system could be suggested for reliable interface with client data? 1. Smart wearable body sensors 2. Real-time health monitor system 3. Personal fitness tracker 4. Telehealth monitoring

2. Real-time health monitor system

Which consequentialist theory requires a risk-benefit analysis? 1. Deontology 2. Utilitarianism 3. Whistleblowing 4. Conflict of universal principles

2. Utilitarianism

Which are examples of negligence? Select all that apply. 1. A nurse inadvertently giving a wrong dose of a medication 2. A nurse documenting vital signs in a medical record when they have not been taken 3. A nurse not turning and repositioning a bedridden client, resulting in the development of bedsores 4. A nurse not administering pain medications as needed for a hospice client 5. A client falling after the client has called for assistance in getting up, for which nobody responded after 25 minutes

3. A nurse not turning and repositioning a bedridden client, resulting in the development of bedsores 4. A nurse not administering pain medications as needed for a hospice client 5. A client falling after the client has called for assistance in getting up, for which nobody responded after 25 minutes

Which process assists nurses with selecting correct medication and dosing? 1. Telehealth 2. Electronic database 3. Bar coding 4. Computerized order entry

3. Bar coding

How can nurses use computers to ensure they are following best practices? 1. Join a chat room with other nurses. 2. Ask a question on social media. 3. Perform a literature search. 4. Type a keyword into a browser.

3. Perform a literature search.