Theory Exam 1 Questions

B

A client who needs nursing and rehabilitation following a stroke would most benefit from receiving care at a: A. primary care center B. restorative care setting. C. assisted-living center. D. respite center.

D

A 92 year old client will have extensive wound care needs after he is discharged from the hospital. Which facility should the nurse discuss with the client for post discharge? A. Hospice B. Respite C. Assisted Living D. Skilled Nursing

A

A client in the emergency room says to the nurse, " I have been so sick for a while with pain in my stomach and nothing seems to work." Which statement by the nurse demonstrates the use of an open ended question? A. "Tell me what you have been doing to manage your illness." B. "Would you like for me to sit with you for a little while?" C. "Can you tell me how long you have been experiencing this pain?' D. "It must be frustrating when nothing works to make you feel better."

C

A client tells a nurse that she is enrolled in a preferred provider organization (PPO) but does not understand what this is. What is the nurse's best explanation of a PPO? A. This health plan is for people who cannot afford their own health insurance B. This is plan operated by the federal government to provide health care for older adults C. This plan gives you a list of physicians and hospitals from which to choose D. This is a fee for service plan in which you can choose any physician or hospital in your state

C

A client who is Spanish speaking does not appear to understand the nurse's information on wound care for her leg. Which action should the nurse take? A) Arrange for a Spanish speaking social worker to explain the task B) Ask a fellow Spanish speaking client to explain the procedure C) Use a professional interpreter to provide wound education in Spanish D) Ask the client to write down questions that she has for the nurse

2

A critical care nurse is using a new research-based intervention to correctly position her ventilated patients to reduce pneumonia caused by accumulated respiratory secretions. This is an example of which Quality and Safety in the Education of Nurses (QSEN) competency? 1. Patient-centered care 2. Evidence-based practice 3. Teamwork and collaboration 4. Quality improvement

B

A home health RN is visiting an older adult who experienced a brain attack 2 years ago and now has a sacral ulcer. The RN identifies that the client and spouse both appear unkempt, and the spouse appears tired and irritated. The client is very quiet and avoids eye contact. Which nursing action is most appropriate? A. Explore with the client and spouse their concerns B. Assess the client for signs of physical abuse and neglect C. Discuss additional resources with client and spouse to help with client's care. D. Assess the client's pressure ulcer and report findings to the primary health care provider

3

A home health nurse notices significant bruising on a 2-year-old patient's head, arms, abdomen, and legs. The patient's mother describes the patient's frequent falls. What is the best nursing action for the home health nurse to take? 1. Document her findings and treat the patient. 2. Instruct the mother on safe handling of a 2-year-old child. 3. Contact a child abuse hotline. 4. Discuss this story with a colleague.

4

A man who is homeless enters the emergency department seeking health care. The health care provider indicates that the patient needs to be transferred to the city hospital for care before assessing the patient. This action is most likely a violation of which of the following laws? 1. Health Insurance Portability and Accountability Act (HIPAA) 2. Americans with Disabilities Act (ADA) 3. Patient Self-Determination Act (PSDA) 4. Emergency Medical Treatment and Active Labor Act (EMTALA)

A

A new nurse complains to his preceptor that he has no time for therapeutic communication with his clients. Which of the following is the best strategy to help the nurse find more time for communication? A. Include communication while performing vital signs, changing dressings, and other tasks B. Ask the client if you can talk during the last few minutes of visiting hours C. Ask pastoral care to come by D. Remind the nurse to complete all her tasks and leave the remaining time for communication

A

A nurse accidentally administers a medication to the wrong client and the client experiences a serious untoward reaction. For which tort can the nurse be legally charged? A. Malpractice B. Assault C. Battery D. Fraud

2

A nurse is assigned to care for an 82-year-old patient who will be transferred from the hospital to a rehabilitation center. The patient and her husband have selected the rehabilitation center closest to their home. The nurse learns that the patient will be discharged in 3 days and decides to make the referral on the day of discharge. The nurse reviews the recommendations for physical therapy and applies the information to fall prevention strategies in the hospital. What discharge planning action by the nurse has not been addressed correctly? 1. Patient and family involvement in referral 2. Timing of referral 3. Incorporation of referral discipline recommendations into plan of care 4. Determination of discharge date

D

A nurse is attempting to identify a client's concerns. Which communication technique is most appropriate for the nurse to use? A. Silence B. Reflection C. Paraphrasing D. Open-ended Questions

D

A nurse is caring for a client who is unconscious. What is the sense that is most important to a person who appears unconscious? A. Taste B. Smell C. Touch D. Hearing

2

A nurse is caring for a patient with end-stage lung disease. The patient wants to go home on oxygen and be comfortable. The family wants the patient to have a new surgical procedure. The nurse explains the risk and benefits of the surgery to the family and discusses the patient's wishes with them. The nurse is acting as the patient's: 1. Educator. 2. Advocate. 3. Caregiver. 4. Communicator.

2

A nurse is planning care for a patient going to surgery. Who is responsible for informing the patient about the surgery along with possible risks, complications, and benefits? 1. Family member 2. Surgeon 3. Nurse 4. Nurse manager

D

A nurse is planning client care based on moral and ethical principles. Which nursing statement demonstrates an effort to implement the principle of fidelity? A. "Let's talk about food that are healthy and that you should include in your diet". B. "I know that you are out of work, so I have arranged for you to get follow up care at an outpatient center ". C. "You said your son wants you to have this surgery. What is important is what you believe is best for you". D. "It has been half an hour, and I am back as I promised to ensure that the pain medicine I gave you is providing relief".

1

A nurse is providing restorative care to a patient following an extended hospitalization for an acute illness. Which of the following is an appropriate goal for restorative care? 1. Patient will be able to walk 200 feet without shortness of breath. 2. Wound will heal without signs of infection. 3. Patient will express concerns related to return to home. 4. Patient will identify strategies to improve sleep habits.

C

A nurse is using SBAR communication technique during a crisis. Which nursing intervention reflects the R step of this technique? A. Recording the reaction of the client to the event B. Reassessing the client after medical intervention C. Recommending a potential action to manage the event D. Reporting the situation to the primary healthcare provider

C

A nurse is using data collected from a unit to monitor the incidence of falls after the unit implemented a new fall protocol. The nurse is working in which area? A. Quality improvement B.Health care client system C.Nursing informatics D.Computerized nursing network

B

A nurse is working on completing a Minimum Data Set. Which area is the nurse working in? A.psychiatric center B.skilled nursing facility. C.adult day care. D. immunization clinic

C

A nurse meets with the registered dietitian and physical therapist to develop a plan of care that focuses on improving nutrition and mobility for a client. This is an example of which Quality and Safety in the Education of Nurses (QSEN) competency? A. Safety B. Client Centered Care C. Teamwork and Collaboration D. Informatics

2, 3, 5

A nurse newly hired at a community hospital learns about intentional hourly rounding during orientation. Which of the following are known evidence-based outcomes from intentional rounding? (Select all that apply.) 1. Reduction in nurse staffing requirements 2. Improved patient satisfaction 3. Reduction in patient falls 4. Increased costs 5. Reduction in patient call light use

3

A nurse received bedside report at the change of shift with the night-shift nurse and the patient. The nursing student assigned to the patient asks to review the patient's medical record. The nurse lists patients' medical diagnoses on the message boards in the patients' rooms. Later in the day the nurse discusses the plan of care for a patient who is dying with the patient's family. Which of these actions describes a violation of the Health Insurance Portability and Accountability Act (HIPAA)? 1. Discussing patient conditions at the bedside at the change of shift 2. Allowing the nursing student to review the assigned patient's chart before providing care during the clinical experience 3. Posting medical information about the patient on a message board in the patient's room 4. Releasing patient information regarding terminal illness to family when the patient has given permission for information to be shared

2, 3

A nurse sends a text message to the oncoming nurse to report that a patient refuses to take medication as ordered. What should the oncoming nurse do? (Select all that apply). 1. Add this information to the board hanging at the patient's bedside. 2. Tell the nurse who sent the text that the text is a HIPAA violation. 3. Inform the nursing supervisor. 4. Forward the text to the charge nurse. 5. Thank the nurse for sending the information.

1, 5

A patient is in skeletal traction and has a plaster cast due to a fractured femur. The patient experiences decreased sensation and a cold feeling in the toes of the affected leg. The nurse observes that the patient's toes have become pale and cold but forgets to document this because one of the nurse's other patients experienced cardiac arrest at the same time. Two days later the patient in skeletal traction has an elevated temperature, and he is prepared for surgery to amputate the leg below the knee. Which of the following statements regarding a breach of duty apply to this situation? (Select all that apply.) 1. Failure to document a change in assessment data 2. Failure to provide discharge instructions 3. Failure to provide patient education about cast care. 4. Failure to use proper medical equipment ordered for patient monitoring 5. Failure to notify a health care provider about a change in the patient's condition

C

A student nurse employed as a nursing assistant may perform care A. As learned in school. B. Expected of a nurse at that level. C. Identified in the hospital's job description. D. Requiring technical rather than professional skills.

4

A woman has severe life-threatening injuries, is unresponsive, and is hemorrhaging following a car accident. The health care provider ordered two units of packed red blood cells to treat the woman's anemia. The woman's husband refuses to allow the nurse to give his wife the blood for religious reasons. What is the nurse's responsibility? 1. Obtain a court order to give the blood. 2. Convince the husband to allow the nurse to give the blood. 3. Call security and have the husband removed from the hospital. 4. Gather more information about the wife's preferences and determine whether the husband is her power of attorney for health care.

B

According to Benner, a beginning nurse student or any nurse entering a situation in which there is no previous level of experience is a/an _____. A)Proficient Nurse B)Novice Nurse C)Advanced Beginner Nurse D)Beginner Nurse

C

An 18 year old woman is in the emergency department with fever and cough. The nurse obtains her vital signs, listens to her lung and heart sounds, determines her pain level, and collects a sputum sample for analysis. Which standard of practice is performed? A. Diagnosis B. Evaluation / Evaluate Outcomes C. Assessment / Recognize Cues D. Implementation /Take Action

C

Auburn graduates notice an increased incidence of medication errors on their unit. After further investigation it is determined that nurses are not consistently identifying the client correctly. A change is needed quickly. Best method? A) Plan Do Study Act B) Sigma Six C) Rapid Improvement Event D) A Randomized Control Trial

1, 2, 3, 4

Contemporary nursing requires that the nurse has knowledge and skills for a variety of professional roles and responsibilities. Which of the following are examples of these roles and responsibilities? (Select all that apply.) 1. Caregiver 2. Autonomy 3. Patient advocate 4. Health promotion 5. Genetic counselor

A

Health care reform will bring changes in the emphasis of care. Which of these models in expected from health care reform? A. Moving from an illness prevention to health promotion, illness prevention model B. Moving from an illness prevention to a health promotion model C. Moving from a hospital based to a community-based care. D. Moving from an acute illness to a disease management model

D

Joan gives Mr. Owens his prescribed medications, changes his dressing, and helps him with his bath. Which standard of care is Joan performing? A.Assessment B.Planning C.Diagnosis. D.Implementation E.Evaluation

A

Helping relationships serve as the foundation of clinical nursing practice. Contracts for a therapeutic helping relationship are formed during the A. Orientation stage. B. Working stage. C. Termination stage D. Preinteraction stage

B

If a nurse decides to withhold a medication because it might further lower the client's blood pressure, the nurse will be practicing the principle of: A. responsibility. B. accountability C. competency. D. moral behavior.

B, C, D

Ming graduated with an associate's degree in nursing last year and received his RN credential. He currently works in a long-term care facility. Although Ming enjoys his work and has been promoted to shift supervisor on his unit, he finds that he'd like to pursue a nursing career that offers a regular schedule and more autonomy. Ming considers returning to school for an advanced degree. Ming is particularly drawn to the idea of becoming an advanced practice registered nurse (APRN). Ming's career options for becoming an APRN include which of the following? (Select all that apply.) A.Physician assistant (PA) B. Clinical nurse specialist (CNS) C. Certified nurse midwife (CNM) D. Certified RN anesthetist (CRNA)

C

Nurses on a nursing unit are discussing the processes that led up to a near miss error on the clinical unit. They are outlining strategies that will prevent this in the future. This is an example of nurses working on what issue? A. Client Satisfaction B. Maintenance of Competency C. Client Safety D. Evidence Based Practice

B

Nursing is defined as a profession because nurses: A. perform specific skills. B. practice autonomy. C. utilize knowledge from the medical discipline. D. charge a fee for services rendered.

D

Professional nursing specialty organizations seek to: A improve standards of practice. B. expand nursing roles. C. improve the welfare of nurses in specialty areas. D. all of the above.

A

Raegan may not agree with Tom's choice to not pursue treatment of his bladder cancer and go home, but she supports his right to make his choice. What principle of ethical nursing is Reagan using in this situation? A. Autonomy B. Advocacy C. Accountability D. Beneficence

1

Resolution of an ethical problem involves discussion with the patient, the patient's family, and participants from appropriate health care disciplines. Which statement best describes the role of the nurse in the resolution of ethical problems? 1. To articulate the nurse's unique point of view, including knowledge based on clinical and psychosocial observations 2. To study the literature on current research about the possible clinical interventions available for the patient in question 3. To hold a point of view but realize that respect for the authority of administrators and physicians takes precedence over personal views 4. To allow the patient and the physician private time to resolve the dilemma on the basis of ethical principles

D

Technological advances in health care: A. make the nurse's job easier. B. depersonalize bedside client care. C. threaten the integrity of the health care industry. D. do not replace sound personal judgment.

3

The application of deontology does not always resolve an ethical problem. Which of the following statements best explains one of the limitations of deontology? 1. The emphasis on relationships feels uncomfortable to decision makers who want more structure in deciding the best action. 2. The single focus on power imbalances does not apply to all situations in which ethical problems occur. 3. In a diverse community it can be difficult to find agreement on which principles or rules are most important. 4. The focus on consequences rather than on the "goodness" of an action makes decision makers uncomfortable.

A, C

The client states," I don't have confidence in my doctor. She looks so young." the nurse therapeutically responds by saying. (Select all that apply) A. Tell me more about your concern. B. You have nothing to worry about. She is very competent. C. You are worried about your care? D. You can go online and see how others have rated your doctor. I do that. E. You should ask your doctor to tell you about her background.

1, 3, 4

The ethics of care suggests that ethical dilemmas can best be solved by attention to relationships. How does this differ from other approaches to ethical problems? (Select all that apply.) 1. Ethics of care pays attention to the context in which caring occurs. 2. Ethics of care is used only by nurses because it is part of the Nursing Code of Ethics. 3. Ethics of care requires understanding the relationships between involved parties. 4. Ethics of care considers the decision maker's relationships with other involved parties. 5. Ethics of care is an approach that suggests a greater commitment to patient care. 6. Ethic of care considers the decision maker to be in a detached position outside the ethical problem.

D

The examination for registered nurse (RN) licensure is exactly the same and given in every state in the US. This examination: A. Guarantees safe nursing care for all clients B. Ensures standard nursing care for all clients C. Ensures honest and ethical care is provided D. Provides a minimal standard of knowledge for an RN in practice

6, 4, 5, 2, 1, 3

The following are steps in the process to help resolve an ethical problem. What is the best order of these steps to achieve resolution? 1. List all the possible actions that could be taken to resolve the problem. 2. Articulate a statement of the problem or dilemma that you are trying to resolve. 3. Develop and implement a plan to address the problem. 4. Gather all relevant information regarding the clinical, social, and spiritual aspects of the problem. 5. Take time to clarify values and identify the ethical elements, such as principles and key relationships involved. 6. Recognize that the problem requires ethics.

A

The nurse is applying for a position with an organization that specializes in spinal cord injury. In which type of health care facility is the nurse applying? A. Secondary Acute Care B. Preventative Care C. Primary Care D. Restorative Care

A

The nurse is caring for a patient who needs a liver transplant to survive. This patient has been out of work for several months, does not have health insurance, and cannot afford the procedure. Which of the following statements speaks to the ethical elements of this case? a. The health care team should select a plan that considers the principle of justice as it pertains to the distribution of health care resources. b. . The patient should enroll in a clinical trial of a new technology that can do the work of the liver, similar to the way dialysis treats kidney disease. c. The social worker should look into enrolling the patient in Medicaid, since many states offer expanded coverage. d. A family meeting should take place in which the details of the patient's poor prognosis are made clear to his family so that they can adopt a palliative approach.

A

The nurse spends time with the client and family reviewing the dressing change procedure for the client's wound. The spouse demonstrates how to change the dressing. The nurse is acting in which professional role? A. Educator B. Advocate C. Caregiver D. Case Manager

4

The nurses on an acute care medical floor notice an increase in pressure injury formation in their patients. A nurse consultant decides to compare two types of treatment. The first is the procedure currently used to assess for pressure injury risk. The second uses a new assessment instrument to identify at-risk patients. Given this information, the nurse consultant exemplifies which career? 1. Clinical nurse specialist 2. Nurse administrator 3. Nurse educator 4. Nurse researcher

2, 3, 5

The school nurse has been following a 9-year-old student who has shown behavioral problems in class. The student acts out and does not follow teacher instructions. The nurse plans to meet with the student's family to learn more about social determinants of health that might be affecting the student. Which of the following factors would be appropriate for this type of assessment? (Select all that apply.) 1. The student's seating placement in the classroom 2. The level of support parents offer when the student completes homework 3. The level of violence in the family's neighborhood 4. The age at which the child first began having behavioral problems 5. The cultural values about education held by family

A, B, C, D, E

Tim Owens is a 66-year-old man who is in the hospital for a total knee repair. He had surgery the day before. He has an intravenous line infusing at 125 mL/hr and a client-controlled analgesia pump for pain control. His wife Linda is in the room with him. Joan Black is the nursing student assigned to Mr. Owens for her clinical experience. Joan is in her second clinical nursing course. In preconference, Joan's instructor asks her if she thinks that nursing is a profession, and Joan responds that she does. What are some characteristics that identify nursing as a profession? (Select all that apply.) A.Nursing provides a specific service. B.Nursing requires an extended education. C.Nursing has a code of ethics for practice. D.Nursing has a theoretical body of knowledge. E.Nurses have autonomy in decision making and practice.

4

What is the best response for the nurse to give if a patient asks the nurse to send a photo of an x-ray to him via a messaging tool in a social media site? 1. Yes, if you remove all patient identifiers before sending 2. No, because the patient's x-ray results should be discussed with a provider 3. Yes, because respect for autonomy means honoring this patient's request 4. No, because health information of any kind should not be shared on social media

2

When designing a plan for pain management for a patient following surgery, the nurse assesses that the patient's priority is to be as free of pain as possible. The nurse and patient work together to identify a plan to manage the pain. The nurse continually reviews the plan with the patient to ensure that the patient's priority is met. If the nurse's actions are driven by respect for autonomy, what aspect of this scenario best demonstrates that? 1. Assessing the patient's pain on a numeric scale every 2 hours 2. Asking the patient to establish the goal for pain control 3. Using alternative measures such as distraction or repositioning to relieve the pain 4. Monitoring the patient for oversedation as a side effect of his pain medication

A

When talking with a client, a nurse states "Since speaking with you for a while, it seems that your are very worried about your upcoming surgery." In which phase of the nurse client relationship is this statement most appropriate? A. Working B. Orientation C. Termination D. Preinteraction

A, D, E

Which actions meet obligations regarding the Health Insurance Portability and Accountability Act (HIPPA) of 1996 or which actions are permissible? Select all that apply. A. Allowing clients the right to review and copy their clinical record B. Providing access to a client's clinical record to all members of the nursing team C. Holding client rounds in the hallway out of the hearing range of the client being discussed D. Explaining to a person inquiring about the condition of a client that information about the client is confidential E. Giving medical information about an unconscious client to the client's daughter who is the person indicated in the client's proxy directive

4

Which activity performed by a nurse is related to maintaining competency in nursing practice? 1. Asking another nurse about how to change the settings on a medication pump 2. Regularly attending unit staff meetings 3. Participating as a member of the professional nursing council 4. Attending a review course in preparation for a certification examination

B

Which fundamental concept about communication should the nurse include in a foundation for nursing practice? A. Communication through humor is highly objective in nature B. Previous patterns of communication may be ineffective when one is ill C. Verbal communication is more meaningful than nonverbal communication

C

Which is MOST effective when the nurse is developing a therapeutic relationship with a client? A. Catharsis B. Confrontation C. Trustworthiness D. Recommendations

B

Which is MOST important for the nurse to do when assessing a client's nonverbal expressions? A. Increase the client's self awareness B. Validate their meaning C. Remain observant D. Explore Feelings

1, 4

Which of the following actions, if performed by a registered nurse, could result in both criminal and administrative law sanctions against the nurse? (Select all that apply.) 1. Reviewing the electronic health record of a family member who is a patient in the same hospital on a different unit 2. Refusing to provide health care information to a patient's child 3. Reporting suspected abuse and neglect of children 4. Applying physical restraints without a written order 5. Completing an occurrence report on the unit

1, 2

Which of the following are common barriers to effective discharge planning? (Select all that apply.) 1. Ineffective communication among providers 2. Lack of role clarity among health care team members 3. Sufficient number of hospital beds to manage patient volume 4. Patients' long-term disabilities 5. The patient's cultural background

1, 2, 5

Which of the following are examples of a nurse participating in primary care activities? (Select all that apply.) 1. Providing prenatal teaching on nutrition to a pregnant woman during the first trimester 2. Assessing the nutritional status of older adults who come to the community center for lunch 3. Working with patients in a cardiac rehabilitation program 4. Providing home wound care to a patient 5. Teaching a class to parents at the local grade school about the importance of immunizations

1, 3, 5

Which of the following describe characteristics of an integrated health care system? (Select all that apply.) 1. The focus is holistic. 2. Participating hospitals follow the same model of health care delivery. 3. The system coordinates a continuum of services. 4. The focus of health care providers is finding a cure for patients. 5. Members of the health care team link electronically to use the EMR to share the patient's health care record.

3

Which of the following nursing activities is provided in a secondary health care environment? 1. Conducting blood pressure screenings for older adults at the Senior Center 2. Teaching a patient with chronic obstructive pulmonary disease purse-lipped breathing techniques at an outpatient clinic 3. Changing the postoperative dressing for a patient on a medical-surgical unit. 4. Doing endotracheal suctioning for a patient on a ventilator in the medical intensive care unit.

1, 2, 3

Which of the following statements indicate that the new nursing graduate understands ways to remain involved professionally? (Select all that apply.) 1. "I am thinking about joining the health committee at my church." 2. "I need to read newspapers, watch news broadcasts, and search the Internet for information related to health." 3. "I will join nursing committees at the hospital after I have completed orientation and better understand the issues affecting nursing." 4. "Nurses do not have very much voice in legislation in Washington, DC, because of the nursing shortage." 5. "I will go back to school as soon as I finish orientation."

4

Which of the following statements is true regarding Magnet® status recognition for a hospital? 1. Nursing is run by a Magnet manager who makes decisions for the nursing units. 2. Nurses in Magnet hospitals make all of the decisions on the clinical units. 3. Magnet is a term that is used to describe hospitals that are able to hire the nurses they need. 4. Magnet is a special designation for hospitals that achieve excellence in nursing practice.

1, 2, 4

Which statements properly apply an ethical principle to justify access to health care? (Select all that apply.) 1. Access to health care reflects the commitment of society to principles of beneficence and justice. 2. If low income compromises access to care, respect for autonomy is compromised. 3. Access to health care is a privilege in the United States, not a right. 4. Poor access to affordable health care causes harm that is ethically troubling because nonmaleficence is a basic principle of health care ethics. 5. If a new drug is discovered that cures a disease but at great cost per patient, the principle of justice suggests that the drug should be made available to those who can afford it.

1, 2, 4

Which statements reflect the difficulty that can occur for agreement on a common definition of the word quality when it comes to quality of life? (Select all that apply.) 1. Community values influence definitions of quality, and they are subject to change over time. 2. Individual experiences influence perceptions of quality in different ways, making consensus difficult. 3. The value of elements such as cognitive skills, ability to perform meaningful work, and relationship to family is difficult to quantify using objective measures. 4. Statistical analysis is difficult to apply when the outcome cannot be quantified. 5. Whether a person has a job is an objective measure, but it does not play a role in understanding quality of life.

A

While Joan is in with Mr. Owens, Judy Collins, the clinical nurse specialist (CNS), enters the room to check on Mr. Owens. After Judy leaves, Mr. Owens asks Joan what the difference is between a CNS and a regular nurse. What is the best response for Joan to give to Mr. Owens? A.A CNS is an advanced practice nurse who is an expert in a specialized area of nursing. B.She has a higher degree, that's all. C.She is considered the manager of the unit. D.A CNS does the same things as a physician.

B

While admitting a client, during the initial interview, a family member tells you, "My mom really means that she does not understand her medical diagnosis." The communication form used by the family member is A. Focusing. B. Clarifying. C. Summarizing. D. Paraphrasing.

B

While providing care to a client the nurse is responsible, both professionally and legally. Which concept does this describe? A. Autonomy B. Accountability C. Client Advocacy D. Client Education

B

You are about to administer an oral medication and you question the dosage. You should A. Administer the medication as ordered. B. Notify the physician and withhold the medication. C. Give the correct dose based on Nursing Central. D. Document that the dosage appears incorrect and call the physician.

1

You are floated to work on a nursing unit where you are given an assignment that is beyond your capability. Which is the best nursing action to take first? 1. Call the nursing supervisor to discuss the situation. 2. Discuss the problem with a colleague. 3. Leave the nursing unit and go home. 4. Say nothing and begin your work.

D

You are invited to attend the weekly unit client care conference. The staff discusses client care issues. This type of communication is: A. public. B. intrapersonal. C. transpersonal. D. small group.

4

You are preparing a presentation for your classmates regarding the clinical care coordination conference for a patient with terminal cancer. As part of the preparation you have your classmates read the Nursing Code of Ethics for Professional Registered Nurses. Your instructor asks the class why this document is important. Which statement best describes this code? 1. Improves self-health care 2. Protects the patient's confidentiality 3. Ensures identical care to all patients 4. Defines the principles of right and wrong to provide patient care

D

Your client is about to undergo a controversial orthopedic procedure. The procedure may cause periods of pain. Although nurses agree to do no harm, this procedure may be the client's only treatment choice. This example describes the ethical principle of A. Autonomy. B. Fidelity. C. Justice. D. Nonmaleficence.

D

_____ is an advanced practice nurse with advanced education from a nurse anesthesia accredited program. A. Nurse Educator B. Nurse Practitioner C. Nurse Administrator D. Certified Registered Nurse Anesthetist