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The title licensed practical nurse (LPN) is used in all states except California and 1. Texas. 2. Maine. 3. Alaska. 4. Arizona.

1. Texas LPN is used in all states except California and Texas. Those states use the title licensed vocational nurse (LVN).

Whereas other health-care professionals come in and out of patients' lives with short-term contact, as 24/7 caregivers, nurses have an amazing opportunity to ____________________ patients' lives every day.

impact

A failure to adequately care for patients or conform to minimum standards of nursing practice is considered ____________________ conduct and in many states is a reason to revoke or suspend a nurse's license.

unprofessional

The nurse is supervising a certified nursing assistant (CNA). The nurse intervenes when the CNA asks a patient: 1. "Would you like some more pain medication?" 2. "Would you like some fresh sheets?" 3. "When would you like your bath?" 4. "Is it okay if I take your vital signs?"

1. "Would you like some more pain medication?" The licensed practical/vocational nurse (LPN/LVN), not the CNA, may be responsible for administering medications to all of the patients, as well as performing any treatments, such as dressing changes, assessing the patient for any changes from baseline, evaluating pain levels (such as asking the patient, "What is your pain level?") and medicating appropriately, and providing patient teaching.

The Nurse Practice Act is enforced by the 1. State Board of Nursing. 2. County Health Department. 3. State Department of Health. 4. National League for Nursing.

1. State Board of Nursing The Board of Nursing in each state determines and enforces the contents of the Nurse Practice Act.

The National Council Licensure Examination for Practical Nursing (NCLEX-PN) is 1. Taken in order to practice as a nurse. 2. Given as an entrance examination for nursing school. 3. Individualized based on where an examinee resides. 4. Taken in order to practice as a certified nursing assistant (CNA).

1. Taken in order to practice as a nurse When students finish their educational program, they will take the NCLEX-PN test to become licensed as a nurse.

The purpose of the National League for Nursing is to 1. Set standards and rules in nursing education. 2. Keep nurses aware of the newest medical information. 3. Oversee training to protect patients from incompetent nurses. 4. Keep nurses updated on the newest information about nursing education.

1. Set standards and rules in Nursing education The American Society of Superintendents of Training Schools for Nurses, which later became the National League for Nursing Education, was established to set standards and rules in nursing education and continues in that function today.

select all that apply: The Quality and Safety Education for Nurses (QSEN) project was established to equip the next generation of nurses to help make needed changes in health care. Which of the following are included in the six prelicensure knowledge, skills, and attitudes (KSAs) for nursing and graduate students? Select all that apply. 1. Patient-centered care 2. Appearance 3. Leadership 4. Teamwork and collaboration 5. Evidence-based practice

1, 4, 5

A case manager is giving an in-service about public health insurance to a group of nursing students. The case manager recognizes that additional instruction is warranted when a nursing student states: 1. "Aetna is an example of public health insurance." 2. "Medicaid is an example of public health insurance." 3. "Medicare is an example of public health insurance." 4. "Indian Health Service is an example of public health insurance."

1. "Aetna is an example of public health insurance." Public health insurance is funded by the federal or state governments, or a combination of both. It includes Medicare, Medicaid, and the Indian Health Service.

A patient is considering moving to an assisted living facility. When providing education about assisted living facilities, the nurse states: 1. "An assisted living facility provides a homelike atmosphere." 2. "An assisted living facility provides a hospital-like atmosphere." 3. "Your physician will make daily visits while you're at an assisted living facility." 4. "You should move to an assisted living facility when you can no longer care for yourself."

1. "An assisted living facility provides a homelike atmosphere." Assisted living facilities provide relatively independent seniors with assistance and limited health-care services in a homelike atmosphere.

A nursing instructor recognizes that further teaching is needed if a nursing student states: 1. "Client-centered care fosters a feeling of dependence." 2. "Client-centered care is often seen in a rehabilitation setting." 3. "Client-centered care empowers the patient to manage his or her care." 4. "Client-centered care empowers the patient to take control of his or her care."

1. "Client-centered care fosters a feeling of dependence." Client-centered care allows the patient to achieve independence within the limits of his or her disability by permitting the patient to have a voice in his or her rehabilitation, schedule, goals, and method of attaining those goals.

When teaching a student nurse about the scope of practice for the licensed practical/vocational nurse (LPN/LVN), the nursing instructor notes that additional teaching is needed when the student nurse states: 1. "The LPN/LVN can practice independently." 2. "The LPN/LVN can practice under the supervision of a dentist." 3. "The LPN/LVN can practice under the supervision of a physician." 4. "The LPN/LVN can practice under the supervision of a registered nurse."

1. "The LPN/LVN can practice independently." An LPN/LVN can practice within a defined scope under the supervision of a physician, dentist, or registered nurse.

The payment system that is used by health maintenance organizations (HMOs) is known as 1. Capitation. 2. Medicaid. 3. Medicare. 4. Single payer.

1. Capitation. Capitation refers to the payment system used by HMOs. In this system, primary care physicians (PCPs) are paid a set amount per member per month to manage the health care of those members.

A problem-solving approach to delivering health care that uses the best evidence from nursing research studies and patient care data, and considers the patient's preferences and values is known as 1. Evidence-based practice (EBP). 2. The interacting systems framework. 3. Quality and Safety Education for Nurses (QSEN). 4. The adaptation model.

1. Evidence-based practice (EBP). Now nurses use EBP as a problem-solving approach to delivering health care. This approach uses the best evidence from nursing research studies and patient care data, and considers the patient's preferences and values. In other words, research is very important to determine what care is appropriate for certain situations, but making the care fit the patient's preferences and values is just as important.

A nurse is caring for a patient with a repaired fractured hip. The nurse recognizes that the most appropriate health-care worker to collaborate with is a(n) 1. Physical therapist. 2. Respiratory therapist. 3. Occupational therapist. 4. Speech and language therapist.

1. Physical therapist. A physical therapist provides services to help improve or restore function and mobility, relieve pain, and prevent or limit permanent physical disabilities for patients suffering from injuries and disease.

select all that apply: Examples of unprofessional conduct that could lead to having one's nursing license revoked or suspended include which of the following? Select all that apply. 1. Accidentally causing a skin tear on a frail elderly patient 2. Conduct that violates the Nurse Practice Act 3. Documenting patient care at the end of the shift 4. The use of drugs or alcohol while on duty 5. Failure to supervise nursing assistants and unlicensed assistive personnel

2, 4, 5

A nursing instructor teaches a student nurse about the importance of joining a professional organization. The nursing instructor recognizes that further instruction is necessary when the student nurse states, 1. "Professional organizations allow me to have a collective voice." 2. "Professional organizations limit my ability to influence laws and policies." 3. "Professional behavior is demonstrated by joining a professional organization." 4. "By joining a professional organization, I will have opportunities for leadership."

2. "Professional organizations limit my ability to influence laws and policies." Professional organizations give nurses and student nurses a collective voice that will be heard by those who enact laws and establish policy for health care.

A student nurse is caring for a patient at a rehabilitation facility. The student nurse educates the patient about the rehabilitation facility. A nurse intervenes when the student states: 1. "You will receive intense therapy services while you're here." 2. "You must participate in at least 6 hours of therapy each day." 3. "You will be seen by a physician who specializes in rehabilitation." 4. "If you get sick while you're here, we can transfer you to the hospital."

2. "You must participate in at least 6 hours of therapy each day." As a rule of thumb, the patient must be capable of participating in at least 3 hours of therapy a day to be admitted to a rehabilitation facility.

A nursing instructor teaches students that Florence Nightingale was 1. The founder of contemporary nurses' notes. 2. A provider of nursing care during the Crimean War. 3. The first president of what is known today as the American Red Cross. 4. Known as the "Angel of the Battlefield" during the U.S. Civil War.

2. A provider of nursing care during the Crimean War. Florence Nightingale is famous for her nursing care during the Crimean War.

One aspect of professional behavior includes the participation in professional organizations. Which of the following organizations is not available to the student nurse? 1. National Federation of Licensed Practical Nurses (NFLPN) 2. American Nurses Association (ANA) 3. The National Student Nurse Association (NSNA) 4. Health Occupations Students of America (HOSA)

2. American Nurses Association (ANA) Upon graduation, registered nurses (RNs) can join their professional organization, the ANA.

A nurse is caring for a resident in a long-term setting. The nurse best demonstrates a caring approach when 1. Performing all activities of daily living for the resident. 2. Asking the resident's spouse to bring a family picture for the resident's room. 3. Answering the resident's questions quickly without allowing time for clarification. 4. Encouraging the resident's spouse to decide which activities the resident should do.

2. Asking the resident's spouse to bring a family picture for the resident's room. In a long-term setting, care is delivered in a more homelike environment that is less institutional than a hospital. Residents are surrounded by familiar items from home (such as family pictures).

A home health-care nurse delegates to a home health-care aide the responsibility of 1. Administering the patient's intravenous (IV) medications. 2. Assisting the patient in the shower. 3. Communicating the patient's condition with the physician. 4. Assessing the patient for any changes from baseline.

2. Assisting the patient in the shower. Specially trained nursing assistants, or home health-care aides, provide nonskilled services such as assistance with bathing and grooming, housekeeping, transportation (including transporting the patient to the physician's office), and food preparation and delivery.

The ability of a nurse to care for several patients, help families understand what is happening to a patient, and notice changes in a patient's condition are all examples of an important characteristic of nurses known as 1. Being helpful. 2. Being responsible. 3. Being organized. 4. Being compassionate.

2. Being responsible. Nursing is a unique field in which to work due to the amount of responsibility involved. A nurse is responsible for caring for several patients, tending to their medications and comfort, and seeing that their physical, emotional, and spiritual needs are met; helping families understand what is happening to a patient and preparing them for his or her care after discharge; and noticing changes in a patient's condition and notifying the appropriate health-care professional if negative changes occur.

A nurse works in a facility that promotes helping clients attain total self-care. The nurse recognizes this approach as adhering to the ideas of nursing theorist 1. Martha Rogers. 2. Dorothea Orem. 3. Virginia Henderson. 4. Hildegard E. Peplau.

2. Dorothea Orem Dorothea Orem's self-care deficit nursing theory explains what nursing care is required when people are not able to care for themselves. The goal is to help the client attain total self-care.

A nurse is caring for multiple patients on a medical unit. The nurse can best practice the art of nursing with an emphasis on caring by 1. Providing identical care to each patient. 2. Individualizing care provided to each patient. 3. Viewing the patients in terms of a cellular disorder. 4. Viewing the patients as seriously ill and needing a cure.

2. Individualizing care provided to each patient A caring nurse does not treat patients in a one-approach-fits-all manner, but individualizes care for each patient.

The federal government's health insurance program for people older than 65 years or those with certain disabilities or conditions is known as 1. Medicaid. 2. Medicare. 3. Social security. 4. Private insurance.

2. Medicare Medicare is the federal government's health insurance program for people older than 65 years or those with certain disabilities or conditions.

While caring for a patient, a nurse performs a nursing action that is not within his or her scope of practice. The nurse has violated the 1. Ethics Committee. 2. Nurse Practice Act. 3. State Department of Health. 4. National League for Nursing Education.

2. Nurse Practice Act All nurses are responsible for knowing their own scope of practice, or the limitations and allowances of what they can do as nurses. Every state has a Nurse Practice Act to govern nurses' actions. To perform an action outside of one's scope of practice would be a violation of this act.

A nurse is caring for a patient with increasing difficulty breathing. The nurse recognizes that the most appropriate health-care worker to collaborate with is a(n) 1. Physical therapist. 2. Respiratory therapist. 3. Occupational therapist. 4. Speech and language therapist.

2. Respiratory therapist A respiratory therapist evaluates, treats, and cares for patients with breathing problems caused by heart and lung disease.

Which statement about the Nurse Practice Act is accurate? 1. The Nurse Practice Act clarifies who can supervise a physician. 2. The Nurse Practice Act is the law that governs the actions of nurses. 3. The Nurse Practice Act is determined by the National League of Nursing. 4. The Nurse Practice Act specifies the tasks of the unlicensed assistive personnel.

2. The Nurse Practice Act is determined by the National League of Nursing Every state has a Nurse Practice Act to govern nurses' actions.

The Affordable Care Act was designed to address all of the following issues in the existing health-care system with the exception of 1. The cost containment of health care. 2. The expansion of Medicaid programs to cover everyone. 3. The treatment of patients with pre-existing conditions. 4. The removal of lifetime benefit caps.

2. The expansion of Medicaid programs to cover everyone. Medicaid has been expanded to cover low-income individuals and families in some states. Depending on income, individuals may get health insurance tax credits. However, there may still be some people who do not have health insurance.

A student nurse is learning about women who molded nursing history. The student nurse recognizes that Mary Mahoney is best described as 1. The first visiting nurse and founder of the Henry Street Settlement. 2. The first president of the National Association for Colored Graduate Nurses. 3. An activist for nursing labor reform who advocated for meal breaks for nurses. 4. An activist for better mental health care and the establishment of psychiatric hospitals.

2. The first president of the National Association for Colored Graduate Nurses. Mary Mahoney was the first African American nurse in the United States. She worked tirelessly to improve acceptance for African Americans in nursing. She established an association for this purpose, the National Association for Colored Graduate Nurses, and served as its first president.

A student nurse is learning about nursing history. The student nurse recognizes that Lillian Wald is best described as 1. Instrumental in providing nursing care during the Crimean War. 2. The first visiting nurse and founder of the Henry Street Settlement. 3. Instrumental in establishing a 3-year training program for nurses. 4. The first president of what is known today as the American Red Cross.

2. The first visiting nurse and founder of the Henry Street Settlement. Lillian Wald is known as the first visiting nurse. She opened the Henry Street Settlement to provide health care to the poor.

A student nurse is caring for a patient who will be transferred to a skilled nursing facility (SNF). When educating the student nurse about an SNF, the nurse recognizes that further instruction is needed when the student nurse states: 1. "Medicare will most likely pay for my patient's care at the SNF." 2. "I hope that my patient gets to return home after going to the SNF." 3. "My patient will never get to go home again if he's transferred to an SNF." 4. "My patient will receive skilled nursing care such as physical therapy as needed."

3. "My patient will never get to go home again if he's transferred to an SNF." Patients may stay in an SNF for a few days or as long as 100 days, but they eventually move to a rehabilitation facility, nursing home, or home setting.

A patient's spouse asks a nurse about hospice. The nurse educates that hospice is 1. A service that provides care to the terminally ill patient only. 2. Warranted when the patient still seeks a cure for his or her terminal illness. 3. A program that focuses on palliative treatment and emotional support. 4. Appropriate when the patient is expected to live for fewer than 9 months.

3. A program that focuses on palliative treatment and emotional support. Hospice services include management of the patient's pain and symptoms (palliative treatment), emotional support to the patient and family, medications, medical supplies and equipment, caregiver instructions and support, coordination of all health-care services, and grief support for surviving loved ones and friends.

While supervising a home health-care aide, a nurse intervenes when observing the home health-care aide 1. Giving the patient a back massage. 2. Preparing the patient's favorite meal. 3. Changing the dressing on a patient's wound. 4. Transporting the patient to a medical appointment.

3. Changing the dressing on a patient's wound. The licensed practical/vocational nurse (LPN/LVN) may be responsible for administering medications to all of the patients, as well as performing any treatments (e.g., dressing changes), assessing the patient for any changes from baseline, evaluating pain levels and medicating appropriately, and providing patient teaching.

A nurse works in a hospital that provides care based on the nursing theory of Martha Rogers. The nurse recognizes that this theory is based on the goal of 1. Helping clients attain total self-care. 2. Providing nursing care that is culturally diverse. 3. Maintaining an environment free of negative energy. 4. Recognizing one's pattern of interacting with the environment.

3. Maintaining an environment free of negative energy Martha Rogers's nursing theory focuses on maintaining an environment free of negative energy.

A nurse is educating a nursing student about nursing history. The nurse explains that throughout ancient history, nursing care was provided by family members and... 1. Nurses. 2. Physicians. 3. Male priests. 4. Female priests.

3. Male Priests Through ancient history, nursing care was provided by family members and male priests

A nurse recognizes that a system of health-care delivery aimed at managing the cost and quality of access to health care is known as 1. Medicaid. 2. Medicare. 3. Managed care. 4. Private insurance.

3. Managed care Managed care is defined as a system of health-care delivery aimed at managing the cost and quality of access to health care.

When caring for a patient, a nurse maintains an environment that is free of negative energy. The nurse is demonstrating care based on nursing theorist 1. Imogene King. 2. Betty Neuman. 3. Martha Rogers. 4. Sister Callista Roy.

3. Martha Rogers. Martha Rogers's nursing theory focuses on maintaining an environment free of negative energy.

A registered nurse (RN) who wishes to become a clinical nurse specialist (CNS), nurse practitioner (NP), certified registered nurse anesthetist (CRNA), or certified nurse midwife (CNM) must complete a 1. Doctor of nursing practice (DNP) degree. 2. Practical nurse (PN) to associate degree nurse (ADN) program. 3. Master of science in nursing (MSN) degree. 4. Bachelor of science in nursing (BSN) degree.

3. Master of science in nursing (MSN) degree. MSN degrees require 2 or more years in graduate school. Graduates may teach in BSN, ADN, and licensed practical nursing/licensed vocational nursing (LPN/LVN) programs and may also choose to specialize further as either a CNS, NP, CRNA, or CNM.

A nurse teaches a student nurse that in 1897, the Nurses Associated Alumnae of the United States was formed in an effort to 1. Set standards and rules in nursing education. 2. Keep nurses aware of the newest medical information. 3. Oversee training to protect patients from incompetent nurses. 4. Keep nurses updated on the newest information about nursing education.

3. Oversee training to protect patients from incompetent nurses. In 1897, in Baltimore, Maryland, the Nurses Associated Alumnae of the United States was formed in an effort to oversee training to protect patients from incompetent nurses.

A nurse is working in a critical care unit where the focus is on primary care nursing. The nurse demonstrates understanding of primary care nursing when 1. Asking an unlicensed assistant to give a bed bath. 2. Asking another nurse to call the physician for orders. 3. Providing all aspects of nursing care for assigned patients. 4. Instructing the nursing assistant to take the patient's vital signs.

3. Providing all aspects of nursing care for assigned patients. In primary care nursing, one nurse is responsible for all aspects of nursing care for his or her assigned patients. This means that there is no unlicensed assistant or nursing assistant who takes vital signs, no other nurse to call the physician or take orders, and no one else who bathes the patient or changes the bed.

A nurse is teaching a student about the history of nursing. The nurse informs the student that in 1836, the first school of nursing was established in Kaiserworth, Germany, by 1. Jean Watson. 2. Clara Barton. 3. Theodor Fliedner. 4. Florence Nightingale.

3. Theodor Fliedner In 1836, Pastor Theodor Fliedner established the first school of nursing in Kaiserworth, Germany. Many women, including Florence Nightingale, were educated at this school.

When teaching a class of nursing students about advanced practice nursing, a nursing instructor states: 1. "A nurse practitioner cannot diagnose illnesses." 2. "A nurse practitioner is not able to prescribe medications." 3. "A nurse practitioner must be supervised by a registered nurse." 4. "A nurse practitioner can diagnose illnesses and prescribe medications for them."

4. "A nurse practitioner can diagnose illnesses and prescribe medications for them." A nurse practitioner can diagnose illnesses and prescribe medications and treatments for them.

A nurse is educating a student nurse about the responsibilities of a student nurse. The nurse recognizes that additional teaching is needed when the student nurse states: 1. "I will check laboratory results for my patients often." 2. "I am responsible for noting abnormal assessment findings." 3. "I will frequently check the patient's chart for diagnostic test results." 4. "It is not within my scope of practice to notify someone of abnormal findings."

4. "It is not within my scope of practice to notify someone of abnormal findings." It is the responsibility of the student nurse to check laboratory and diagnostic tests often, to note any abnormal findings, and to notify the appropriate health-care professionals of significant abnormal findings.

A nurse educates a nursing student about the Nurse Practice Act. The nursing student demonstrates understanding when he or she states: 1. "The Nurse Practice Act is the same in every state." 2. "The Nurse Practice Act does not specify who can supervise a nurse." 3. "The Nurse Practice Act is determined by the American Nurses Association." 4. "The Nurse Practice Act establishes the scope of practice for each level of nurse."

4. "The Nurse Practice Act establishes the scope of practice for each level of nurse." The Nurse Practice Act in each state establishes the scope of practice for each level of nurse based on educational preparation.

All states required practical nurses to be licensed in the year 1. 1940. 2. 1945. 3. 1950. 4. 1955.

4. 1955 It was not until 1955 that all states required practical nurses to be licensed.

Nursing students in which of the following entry-level nursing education programs can receive credit toward their course requirements for a baccalaureate degree in nursing? 1. Practical nurse (PN) to bachelor of science in nursing (BSN) program 2. Associate degree nurse (ADN) to BSN program 3. Diploma to BSN program 4. All of the above

4. All of the above All previous entry-level nursing education programs are credited toward the course requirements for a baccalaureate degree in nursing, making the time in school shorter.

When working in a health clinic, a nurse recognizes that a communicable disease that should be reported to the health department is 1. Hepatitis. 2. Rubella. 3. Tuberculosis. 4. All of the above.

4. All of the above Some examples of communicable diseases that health departments treat and track include tuberculosis, sexually transmitted diseases (such as gonorrhea), measles, mumps, rubella, hepatitis, influenza, and certain viruses.

A nurse recruiter is seeking a graduate nurse who has been educated more extensively on management and leadership. The graduate nurse who most likely fits this description is the 1. Diploma nurse. 2. Associate degree nurse (ADN). 3. Licensed practical/vocational nurse (LPN/LVN). 4. Baccalaureate degree nurse (BSN).

4. Baccalaureate degree nurse (BSN) The focus of the nursing education of a BSN puts more emphasis on management and leadership than do the ADN and diploma programs.

When the economics of care is a foremost consideration, which of the following factors is used to help guide decisions about patient care? 1. Appropriate level of care 2. Type of health insurance 3. Medical necessity 4. Both 1 and 3

4. Both 1 and 3 When the economics of care is a foremost consideration, two factors help guide decisions about patient care: medical necessity and the appropriate level of care.

A student nurse is learning about nursing theorists. Based on this learning, the student nurse writes a care plan focused on providing culturally diverse care. The student nurse is adopting the approach of nursing theorist 1. Myra Levine. 2. Dorothea Orem. 3. Sister Callista Roy. 4. Madeleine M. Leininger.

4. Medelieine M. Leininger Madeleine M. Leininger's nursing theory focuses on cultural care diversity and universality theory.

An infant is brought into a medical center and diagnosed with measles, a communicable disease. The correct course of action in this situation would be to 1. Refer the patient to a rehabilitation facility. 2. Notify the local police department. 3. Prepare the patient for hospice care. 4. Notify the health department.

4. Notify the health department. Health departments are responsible for the tracking and treatment of certain communicable diseases, which are diseases transmitted through direct contact with an infected individual or indirect contact through a carrier. Some examples of communicable diseases that health departments treat and track include tuberculosis, sexually transmitted diseases, measles, mumps, rubella, hepatitis, influenza, and certain viruses.

A student nurse is caring for a patient who is covered by Medicaid. When speaking with the case manager about Medicaid, the case manager tells the student nurse that Medicaid 1. Offers the same benefits in every state. 2. Is funded by the city health department. 3. Is a county government matching funding program. 4. Offers assistance for poor and medically indigent individuals.

4. Offers assistance for poor and medically indigent individuals Medicaid offers assistance for poor and medically indigent individuals, pregnant women with an income below the poverty level, children meeting certain income-level requirements, and certain disabled individuals meeting income-level requirements.

A nursing student is learning about the nursing theory of Margaret Newman. The nursing student recognizes that this theory is based on the goal of 1. Helping clients attain total self-care. 2. Providing nursing care that is culturally diverse. 3. Maintaining an environment free of negative energy. 4. Recognizing one's pattern of interacting with the environment.

4. Recognizing one's pattern of interacting with the environment. Margaret Newman's nursing theory of health as expanding consciousness describes nursing intervention as nonintervention, where the nurse's presence helps patients recognize their own pattern of interacting with the environment.

While supervising a home health-care aide, a nurse intervenes when observing the home health-care aide 1. Braiding a patient's hair. 2. Driving a patient to a medical appointment. 3. Giving a patient a bed bath. 4. Teaching a patient about nutrition.

4. Teaching a patient about nutrition. The licensed practical/vocational nurse (LPN/LVN) is responsible for administering medications to all of the patients, as well as performing any treatments, assessing the patient for any changes from baseline, evaluating pain levels and medicating appropriately, and providing patient teaching.

A student nurse is caring for a patient who will be transferred to a skilled nursing facility (SNF). When collaborating with the case manager about transferring the patient to an SNF, the case manager tells the student that the SNF will most likely be covered by Medicare if 1. The patient stays longer than 100 days per year. 2. The patient enters the SNF within 60 days of a hospitalization. 3. The patient has been hospitalized for at least 1 day before admission. 4. The patient makes regular progress as documented by medical professionals.

4. The patient makes regular progress as documented by medical professionals. An SNF level of care is usually covered by Medicare and most private insurances, but there are certain requirements: for example, the patient must be making regular progress as documented by medical professionals.

Before leaving a patient's room, the nurse says that pain medication will be provided within 15 minutes. The nurse returns in 10 minutes with the pain medication. Which ethical principle did the nurse demonstrate? a. Justice b. Fidelity c. Veracity d. Beneficence

ANS: A A. Active listening and accountability are characteristics of the coaching leadership style. B. Utilitarian is a theory of ethical behavior. C. Autonomy is an ethical principle. D. In democratic leadership, participation is encouraged in determining goals and in planning for their achievement.

The nurse manager actively listens to the nursing staff and encourages the staff to be accountable for all patient care. Which leadership style is this manager demonstrating? a. Coaching b. Utilitarian c. Autonomy d. Democratic

ANS: A A. Active listening and accountability are characteristics of the coaching leadership style. B. Utilitarian is a theory of ethical behavior. C. Autonomy is an ethical principle. D. In democratic leadership, participation is encouraged in determining goals and in planning for their achievement.

The nurse is deciding whether or not to obtain personal liability insurance, even though the organization has insurance for each employee. What must the nurse do to ensure the organization's liability insurance provides adequate coverage against liability? a. Follow institutional policies. b. Have premiums payroll-deducted. c. Understand the state's tort laws. d. Provide professional nursing care.

ANS: A A. Employer's liability insurance will provide liability coverage when the employee follows the employer's work policies. B, C, and D do not determine liability coverage

The nurse is deciding whether or not to obtain personal liability insurance, even though the organization has insurance for each employee. What must the nurse do to ensure the organization's liability insurance provides adequate coverage against liability? a. Follow institutional policies. b. Have premiums payroll-deducted. c. Understand the state's tort laws. d. Provide professional nursing care.

ANS: A A. Employer's liability insurance will provide liability coverage when the employee follows the employer's work policies. B, C, and D do not determine liability coverage.

During a patient care conference, the HCPs are reviewing potential outcomes based on individual interventions. Which bioethical theory is being demonstrated during this care conference? a. Religion b. Deontology c. Theological d. Utilitarianism

ANS: A A. Evaluation of outcomes is the final step in the ethical decision-making process. Evaluation helps us to learn from success or failure and gain knowledge for the next ethical dilemma. B, C, and D are steps that occur before the evaluation phase, within the ethical decision-making process.

The ethical decision-making process is being used for a patient regarding the use of life support measures. What action should the nurse take as the final step in this decision-making process? a. Evaluate the outcomes. b. Implement the decision. c. Clarify the values of all the participants. d. Determine which action has the strongest ethical support.

ANS: A A. Evaluation of outcomes is the final step in the ethical decision-making process. Evaluation helps us to learn from success or failure and gain knowledge for the next ethical dilemma. B, C, and D are steps that occur before the evaluation phase, within the ethical decision-making process.

The family of a patient who has been diagnosed with cancer does not want the patient to be told about the diagnosis. The patient asks the nurse, "Do I have cancer?" Which ethical principles should the nurse consider when resolving this situation? a. Autonomy and veracity b. Beneficence and justice c. Welfare rights and moral obligations d. Nonmaleficence and legal obligations

ANS: A A. In health care, autonomy refers to individuals who are considered capable and competent making health care decisions for themselves. Veracity is the virtue of truthfulness that requires health care providers (HCPs) whenever possible to tell the truth and not intentionally deceive or mislead patients. B. Beneficence is considering and offering treatments that are likely to provide relief. Justice is the ethical principle of fairness and equality. C. Welfare rights are guaranteed by laws. Morals are standards set by our own conscience. D. Nonmaleficence is doing no harm. Legal rights are guaranteed by laws.

The nurse is concerned that a nursing assistant is violating a patient's rights. What action did the nursing assistant make to cause the nurse to come to this conclusion? a. Telling the patient to bathe right now b. Identifying name and title to the patient c. Knocking before entering the patient's room d. Asking the patient which beverage is preferred

ANS: A A. Not allowing patients to have a choice in their care would violate patients' rights. B. C. D. Knocking before entering a patient's room, introducing oneself, and allowing patient input are examples of ensuring patients' rights

The nurse is concerned that a nursing assistant is violating a patient's rights. What action did the nursing assistant make to cause the nurse to come to this conclusion? a. Telling the patient to bathe right now b. Identifying name and title to the patient c. Knocking before entering the patient's room d. Asking the patient which beverage is preferred

ANS: A A. Not allowing patients to have a choice in their care would violate patients' rights. B. C. D. Knocking before entering a patient's room, introducing oneself, and allowing patient input are examples of ensuring patients' rights.

The charge nurse is concerned that an HCP is breaching a patient's confidentiality. What did the charge nurse observe to come to this conclusion? a. A physician asking a nurse if a friend has cancer b. Use of patient initials on nurse's assignment worksheet c. A nurse asking an unknown physician for identification d. A nurse reviewing charts of assigned patients for orders

ANS: A A. Nurses are obligated to discuss the patient only under circumstances in which it is necessary to deliver high-quality health care according to Health Insurance Portability and Accountability Act (HIPAA). B, C, and D are not breaches of confidentiality

The charge nurse is concerned that an HCP is breaching a patient's confidentiality. What did the charge nurse observe to come to this conclusion? a. A physician asking a nurse if a friend has cancer b. Use of patient initials on nurse's assignment worksheet c. A nurse asking an unknown physician for identification d. A nurse reviewing charts of assigned patients for orders

ANS: A A. Nurses are obligated to discuss the patient only under circumstances in which it is necessary to deliver high-quality health care according to Health Insurance Portability and Accountability Act (HIPAA). B, C, and D are not breaches of confidentiality.

The nurse is served with a summons relating to the care of a patient. Which action should the nurse take first? a. Notify employer immediately. b. Answer summons after 30 days. c. Acknowledge liability promptly. d. Seek legal counsel after 30 days.

ANS: A A. Nurses served with a summons relating to work should notify their employers and ensure the summons is answered. B. D. If the employer does not answer the summons, the nurse must seek legal counsel to answer the summons within the specified time—20 to 30 days. C. If the nurse fails to answer the summons and complaint, a default judgment may be made, which is acknowledgment of liability.

A patient is identified to participate in a new drug study, but does not understand the drug or the study. Which ethical principle should the nurse use to prevent the patient from participating in the study? a. Veracity b. Autonomy c. Nonmaleficence d. Standard of Best Interest

ANS: A A. To provide quality care and limit liability, the nurse should understand and provide care according to the patients' rights. B. C. Directions that are controversial, given verbally, concern situations of high liability, or involve a discrepancy between the direction and standard policy should be questioned. D. Having insurance does not limit liability. Insurance provides liability coverage and may be offered by some employers but not all

While planning patient care, the nurse considers what needs to be done to limit any liability. Which action should the nurse take to minimize liability when providing patient care? a. Ensure patients' rights. b. Follow verbal orders. c. Follow directions exactly as given. d. Verify employer's liability insurance.

ANS: A A. To provide quality care and limit liability, the nurse should understand and provide care according to the patients' rights. B. C. Directions that are controversial, given verbally, concern situations of high liability, or involve a discrepancy between the direction and standard policy should be questioned. D. Having insurance does not limit liability. Insurance provides liability coverage and may be offered by some employers but not all.

A health care administrator is reviewing material submitted to the legislature on tort reform. What should the administrator explain to nurse leaders about this legislation? a. Limits organizational liability for damages b. Requires continuing education for all caregivers c. Expects all staff to have read organizational policies before completing procedures d. Expects all staff to have malpractice or liability insurance

ANS: A A. Tort reform legislation is directed at limiting liability for health care professionals and institutions. B. C. D. Having liability insurance, reading policies, and continuing education can help reduce a nurse's liability, but are not part of legislative reform.

The nurse assigned to care for a patient who has HIV accepts the patient assignment despite believing that the patient's condition is a punishment from God. With which ethical principle is this nurse's behavior associated? a. Justice b. Veracity c. Beneficence d. Nonmaleficence

ANS: A Justice is the ethical principle of fairness and equality. B. Veracity is the virtue of truthfulness. C. Beneficence is considering and offering treatments that are likely to provide relief. D. Nonmaleficence is doing no harm.

While planning patient care, the nurse considers what needs to be done to limit any liability. Which action should the nurse take to minimize liability when providing patient care? a. Ensure patients' rights. b. Follow verbal orders. c. Follow directions exactly as given. d. Verify employer's liability insurance.

ANS: A Justice is the ethical principle of fairness and equality. B. Veracity is the virtue of truthfulness. C. Beneficence is considering and offering treatments that are likely to provide relief. D. Nonmaleficence is doing no harm.

A nurse is working on a medical unit in a hospital undergoing a Joint Commission review. The investigator asks the nurse to explain "never events." What examples should the nurse use to explain these kinds of events? (Select all that apply.) a. Surgery on the wrong body part b. Paralyzed leg after falling from a bed c. Death from falling out of bed d. Having to restart an intravenous (IV) infusion e. Canceling surgery because blood work is not safe

ANS: A, B, C A. B. C. The Joint Commission considers "never events" to be sentinel events. Examples of these events include surgery on the wrong body part, loss of body function from a fall, or a death after a fall. D. E. Having to restart an IV infusion and canceling surgery are not considered sentinel events.

The nurse is performing a procedure while caring for a patient and unintentionally eliminates a step in the procedure. What may result from the nurse's action? (Select all that apply.) a. Negligence b. Breach of duty c. Unintentional tort d. Assault and battery e. Civil liability for employer

ANS: A, B, C, E A. B. C. E. An unintentional tort is known as negligence. Negligence occurs when injury results from the failure of the wrongdoer to exercise care. This failure to follow due care in the protection of the person injured is a breach of duty. The institution that employs the worker may become liable for the acts or omissions of its employees. D. Assault and battery involve threatened or real touching or bodily harm. This did not occur in this situation.

The nurse is performing a procedure while caring for a patient and unintentionally eliminates a step in the procedure. What may result from the nurse's action? (Select all that apply.) a. Negligence b. Breach of duty c. Unintentional tort d. Assault and battery e. Civil liability for employer

ANS: A, B, C, E A. B. C. E. An unintentional tort is known as negligence. Negligence occurs when injury results from the failure of the wrongdoer to exercise care. This failure to follow due care in the protection of the person injured is a breach of duty. The institution that employs the worker may become liable for the acts or omissions of its employees. D. Assault and battery involve threatened or real touching or bodily harm. This did not occur in this situation.

Before leaving a patient's room, the nurse says that pain medication will be provided within 15 minutes. The nurse returns in 10 minutes with the pain medication. Which ethical principle did the nurse demonstrate? a. Justice b. Fidelity c. Veracity d. Beneficence

ANS: B B. Fidelity is the obligation to be faithful to commitments made to self and others. In health care, fidelity includes faithfulness or loyalty to agreements and responsibilities accepted as part of the practice of nursing. It also means not promising a patient something that one cannot deliver or cannot control. A. Justice is based on fairness and equality. C. Veracity is to tell the truth and not intentionally deceive or mislead patients. D. Beneficence means actions taken and treatments provided will benefit a person and promote welfare.

While standing in the lunchroom, the nurse recognizes friends of a patient who was recently transferred to critical care. The nurse approaches them and offers to take them to the patient's care area. What action is this nurse demonstrating? a. Defamation b. Compassion c. False Imprisonment d. Disclosure of Confidential Information

ANS: B B. Fidelity is the obligation to be faithful to commitments made to self and others. In health care, fidelity includes faithfulness or loyalty to agreements and responsibilities accepted as part of the practice of nursing. It also means not promising a patient something that one cannot deliver or cannot control. A. Justice is based on fairness and equality. C. Veracity is to tell the truth and not intentionally deceive or mislead patients. D. Beneficence means actions taken and treatments provided will benefit a person and promote welfare.

A patient decides to not to have a hysterectomy, even though it is recommended by the physician. The nurse disagrees and says that it should be done, because the patient has already had children; the nurse leaves to get the consent form for the surgery. Which ethical principle is the nurse demonstrating with this patient? a. Autonomy b. Paternalism c. Beneficence d. Nonmaleficence

ANS: B B. Making a care decision for a patient without regard for the patient's preferences is paternalism. A. Autonomy refers to individuals making health care decisions for themselves. C. Beneficence is considering and offering treatments that are likely to provide relief. D. Nonmaleficence is doing no harm.

The nurse is concerned about a patient filing a civil liability suit. What should the nurse expect to occur if a civil liability suit is planned? a. Receive a summons b. Receive a copy of the complaint c. Respondeat superior determination d. Receive a notice that a complaint was filed with a court

ANS: B B. Making a care decision for a patient without regard for the patient's preferences is paternalism. A. Autonomy refers to individuals making health care decisions for themselves. C. Beneficence is considering and offering treatments that are likely to provide relief. D. Nonmaleficence is doing no harm.

A patient with malnutrition refuses to ingest animal protein products, because it is against religious teachings. What should the nurse do to support this patient's beliefs while ensuring the patient's health status? a. Explain the animal protein is the best source of nutrition for the patient's needs at this time. b. Talk with a dietitian about sources of non-animal-based protein to include in the patient's diet. c. Suggest to the physician that the patient is going against medical advice and should be discharged. d. Schedule the organization's clergy to meet with the patient to discuss interpretation of religious teachings.

ANS: B B. Religious teachings are key concepts of ethical decision making for some people, and many consider these teachings a divine source of values and morals. One of the difficulties with religious traditions is that it is not simply the official church teaching that is involved, but the individual member's interpretation of that teaching. Assessment of the importance of this dimension of the patient's life is important in an ethical analysis. Since the patient will not consume animal-based protein, the nurse should support the patient's needs by discussing alternative sources of protein with the dietitian. A. There are other sources of protein besides animal-based products. C. The patient is not going against medical advice in this situation. D. This would be challenging the patient to defend personal interpretation of religious teachings.

The nursing staff is meeting to discuss a patient's desire for all life support measures, even though the patient has end-stage renal disease. Once a list of all possible actions is generated, what should the staff do next? a. List the stakeholders. b. Determine the best action. c. Gather important information. d. Identify positive and negative consequences.

ANS: B B. Religious teachings are key concepts of ethical decision making for some people, and many consider these teachings a divine source of values and morals. One of the difficulties with religious traditions is that it is not simply the official church teaching that is involved, but the individual member's interpretation of that teaching. Assessment of the importance of this dimension of the patient's life is important in an ethical analysis. Since the patient will not consume animal-based protein, the nurse should support the patient's needs by discussing alternative sources of protein with the dietitian. A. There are other sources of protein besides animal-based products. C. The patient is not going against medical advice in this situation. D. This would be challenging the patient to defend personal interpretation of religious teachings.

The LPN is working in a senior center and is approached by a participant who asks the nurse, "Can you help me understand my Medicare benefits?" What should the nurse include in a response to this patient? (Select all that apply.) a. Medicare is a payment system for the working poor. b. Medicare Part B covers outpatient services and has a monthly cost. c. Medicare is a federally funded program for individuals 65 and over. d. Prescription drug coverage for those with Medicare is available. e. Medicare Part A covers inpatient hospital care and is free to those who qualify for Social Security.

ANS: B, C, D, E B. C. D. E. Medicare is run by the U.S. government and currently covers all individuals age 65 and over. Several Medicare plan options are offered: Original Medicare, Medicare Health Plans, Medigap policies, and prescription drug coverage for everyone with Medicare. There are two parts of coverage in the original Medicare plan. Part A covers inpatient hospital care, skilled nursing facilities, hospice services, and some home care. There is no premium or deductible for Part A. Part B is medical insurance that covers physician costs, outpatient services, some home care, supplies, and other things not covered by Part A. Some preventive services may also be covered. A monthly premium and yearly deductible are paid in exchange for Part B coverage. Medicare Part D is prescription drug coverage. A. Medicare is not a payment system for the working poor. This best describes Medicaid.

The nurse is preparing to delegate a task to unlicensed assistive personnel (UAP). Which actions should the nurse take in compliance with The National Council of State Boards of Nursing's (NCSBN) rights of delegation? (Select all that apply.) a. Right day b. Right place c. Right person d. Right supervision e. Right circumstances f. Right communication

ANS: B, C, D, E, F B. C. D. E. F. The NCSBN identifies the five rights of delegation as the right task, person, circumstances, supervision, and communication. A. The right day is not an identified right to follow when delegating.

The nurse is preparing to delegate a task to unlicensed assistive personnel (UAP). Which actions should the nurse take in compliance with The National Council of State Boards of Nursing's (NCSBN) rights of delegation? (Select all that apply.) a. Right day b. Right place c. Right person d. Right supervision e. Right circumstances f. Right communication

ANS: B, C, D, E, F B. C. D. E. F. The NCSBN identifies the five rights of delegation as the right task, person, circumstances, supervision, and communication. A. The right day is not an identified right to follow when delegating. .

Patients place their trust in and depend on nurses. One of the most important characteristics of a nurse is to be ____________________ with patients about anything that could potentially harm them.

honest

The nurse is planning to prepare medications for assigned patients. Which actions should the nurse take to ensure a safe environment while preparing the medications? (Select all that apply.) a. Find a laboratory value for a physician as requested. b. Place a "no interruption sign" on the door of the medication room. c. Answer a patient's call-light after checking the medication administration record. d. Listen to information provided by the charge nurse about a newly admitted patient. e. Ask coworkers to provide you with time to concentrate while preparing medication.

ANS: B, E B. E. Efforts to reduce medication errors include identifying "no interruption" zones and asking coworkers for time to concentrate while preparing medications. A. C. D. Finding laboratory values, answering a call-light, and listening to the charge nurse provide information are all distractions that could lead to medication errors.

A patient has exhausted all possible treatments to arrest or cure their illness and is not expected to live for longer than 6 months. The nurse determines that this is the appropriate time to arrange for ____________________ care for the patient.

hospice The appropriate time for hospice care is when the patient is no longer seeking treatment to arrest or cure the disease and is expected to live for 6 months or fewer. The patient is treated with medications and other measures to relieve pain and remain comfortable

While providing wound care, the nurse skips a step and does not cleanse the wound before applying a new sterile dressing. What action did this nurse make? a. Crime b. Summons c. Malpractice d. Respondeat superior

ANS: C C. Malpractice is a breach of duty that arises from the relationship between the patient and the health care worker. A. A crime is an action taken by an individual against society. B. A summons is a notice to defendants that they are being sued. D. Respondeat superior means that an employer may also become liable for the acts or omissions of its employees.

While providing wound care, the nurse skips a step and does not cleanse the wound before applying a new sterile dressing. What action did this nurse make? a. Crime b. Summons c. Malpractice d. Respondeat superior

ANS: C C. Malpractice is a breach of duty that arises from the relationship between the patient and the health care worker. A. A crime is an action taken by an individual against society. B. A summons is a notice to defendants that they are being sued. D. Respondeat superior means that an employer may also become liable for the acts or omissions of its employees. .

A patient is identified to participate in a new drug study, but does not understand the drug or the study. Which ethical principle should the nurse use to prevent the patient from participating in the study? a. Veracity b. Autonomy c. Nonmaleficence d. Standard of Best Interest

ANS: C C. The principle of nonmaleficence requires a nurse to protect from harm those who cannot protect themselves such as the mentally incompetent or the unconscious. A. Veracity is the virtue of truthfulness. B. Autonomy refers to individuals who are considered capable and competent making health care decisions for themselves. D. The best interest standard involves the determination of what action is best for the patient. This is usually for patients who are unconscious or medically incompetent and cannot make decisions for themselves. Family members together with HCPs usually make the best-interest determination.

The nurse educator is preparing a seminar that focuses on the impact of technology on patient care. Which effect of technology on ethical decision making should the educator include in this seminar? a. Ethical situations remain similar to what they have always been in health care. b. Nurses have fewer ethical decisions, because computers now make many decisions. c. Ethical dilemmas have become more complex owing to technologies that prolong life. d. Nurses can postpone ethical decisions, because technology allows patients to live longer.

ANS: C C. The principle of nonmaleficence requires a nurse to protect from harm those who cannot protect themselves such as the mentally incompetent or the unconscious. A. Veracity is the virtue of truthfulness. B. Autonomy refers to individuals who are considered capable and competent making health care decisions for themselves. D. The best interest standard involves the determination of what action is best for the patient. This is usually for patients who are unconscious or medically incompetent and cannot make decisions for themselves. Family members together with HCPs usually make the best-interest determination.

A patient has a living will and gives it to the nurse to follow. The patient says, "Do not tell my family about the living will." Which action should the nurse take? a. Send a copy of the living will to medical records. b. Assure the patient that the nurse will not tell anyone. c. Encourage the patient to discuss the living will with the family. d. Return the living will to the patient until the family is informed.

ANS: C C. The second step in the ethical decision-making model is to clarify the values of all the participants involved in a patient's care. This would include the patient's family, and it is best that the patient discusses the will with the family. A. B. D. The other options do not support this clarification or ensure that the patient's wishes will be known or followed if the living will is not placed in the patient's medical record.

The nurse is caring for an 80-year-old patient. Which statement made by the nurse conveys dignity and respect to the patient? a. "Honey, I have your medications." b. "I have your medications for you, dear." c. "I have your medications for you." d. "It's time for us to take our medications."

ANS: C C. This statement demonstrates respect by valuing the patient and his or her feelings as a unique individual. A. B. Terms of endearment do not convey respect, especially to older adults, and should not be used. D. Speaking in the third person plural is a form of talking down to the patient and does not demonstrate dignity or respect

The nurse is caring for an 80-year-old patient. Which statement made by the nurse conveys dignity and respect to the patient? a. "Honey, I have your medications." b. "I have your medications for you, dear." c. "I have your medications for you." d. "It's time for us to take our medications."

ANS: C C. This statement demonstrates respect by valuing the patient and his or her feelings as a unique individual. A. B. Terms of endearment do not convey respect, especially to older adults, and should not be used. D. Speaking in the third person plural is a form of talking down to the patient and does not demonstrate dignity or respect.

The nurse educator is preparing a seminar that focuses on the impact of technology on patient care. Which effect of technology on ethical decision making should the educator include in this seminar? a. Ethical situations remain similar to what they have always been in health care. b. Nurses have fewer ethical decisions, because computers now make many decisions. c. Ethical dilemmas have become more complex owing to technologies that prolong life. d. Nurses can postpone ethical decisions, because technology allows patients to live longer.

ANS: C C. Today's sophisticated technology and complex treatments have resulted in more complex ethical issues that caregivers must consider in decision making. A. Ethical decisions have become more complex because of technology. Technology can prolong decisions regarding life-or-death actions. B. Computers have not affected the nurse's decision making regarding ethical issues. D. Because of technology, life-or-death decisions are more complicated.

After working a 12-hour shift, the nurse is asked to work part of the next shift due to short staffing. Which obligation to work should the nurse use to guide the response to this request? a. Justice b. Welfare c. Moral d. Legal

ANS: C Morals are standards set by our own conscience, and they guide a person's decision to work. A. Justice is the ethical principle of fairness and equality. B. D. Welfare and legal rights are guaranteed by laws.

A patient tells the nurse that the Patient's Bill of Rights gives patients the legal right to read their medical information. Which of these responses would be appropriate for the nurse to make? a. "I'll ask your physician if you can read the record." b. "Are you concerned about the care you are receiving?" c. "I'll stay here with you while you read it in case you have any questions." d. "Let me check with the charge nurse first."

ANS: C The content of the medical record is considered the property of the patient. According to HIPAA, the patient has the right to read the medical information. The patient, however, might not understand everything that is written in the record. The best response would be for the nurse to stay with the patient while the record is being read in the event the patient does not understand the information in the record. A. The nurse does not need to ask the physician if the record can be read by the patient. B. Asking if the patient is concerned about care is a defensive response and does not address the patient's request to read the medical record. D. The nurse does not need to ask the charge nurse if the patient can read the medical record.

The nurse assigned to care for a patient who has HIV accepts the patient assignment despite believing that the patient's condition is a punishment from God. With which ethical principle is this nurse's behavior associated? a. Justice b. Veracity c. Beneficence d. Nonmaleficence

ANS: C The content of the medical record is considered the property of the patient. According to HIPAA, the patient has the right to read the medical information. The patient, however, might not understand everything that is written in the record. The best response would be for the nurse to stay with the patient while the record is being read in the event the patient does not understand the information in the record. A. The nurse does not need to ask the physician if the record can be read by the patient. B. Asking if the patient is concerned about care is a defensive response and does not address the patient's request to read the medical record. D. The nurse does not need to ask the charge nurse if the patient can read the medical record.

The nurse is concerned about a patient filing a civil liability suit. What should the nurse expect to occur if a civil liability suit is planned? a. Receive a summons b. Receive a copy of the complaint c. Respondeat superior determination d. Receive a notice that a complaint was filed with a court

ANS: D D. A civil liability suit begins with the filing of a complaint with a court. A, B, and C are actions that may be taken after a suit is filed.

The nurse manager actively listens to the nursing staff and encourages the staff to be accountable for all patient care. Which leadership style is this manager demonstrating? a. Coaching b. Utilitarian c. Autonomy d. Democratic

ANS: D D. After developing a list of all possible actions, identify the positive and negative consequences for each. A. Identifying the stakeholders occurs earlier in the process. B. Determining the best action occurs after each action is analyzed for positive and negative consequences. C. Gathering important information occurs earlier in the process.

The nursing staff is meeting to discuss a patient's desire for all life support measures, even though the patient has end-stage renal disease. Once a list of all possible actions is generated, what should the staff do next? a. List the stakeholders. b. Determine the best action. c. Gather important information. d. Identify positive and negative consequences.

ANS: D D. After developing a list of all possible actions, identify the positive and negative consequences for each. A. Identifying the stakeholders occurs earlier in the process. B. Determining the best action occurs after each action is analyzed for positive and negative consequences. C. Gathering important information occurs earlier in the process.

The nurse is concerned about a patient's ability to make decisions about a proposed treatment plan. Which patient characteristic is causing the nurse to have this concern? a. Lower socioeconomic status b. Authoritarian family relationship c. Past experience with hospitalization d. Lack of information about treatment

ANS: D D. Autonomy refers to individuals who are considered capable and competent making health care decisions for themselves, but to do so, individuals must first have the information to make the decision. A. B. C. These choices could influence the patient's decisions but not as greatly as information about the treatment plan.

A patient decides to not to have a hysterectomy, even though it is recommended by the physician. The nurse disagrees and says that it should be done, because the patient has already had children; the nurse leaves to get the consent form for the surgery. Which ethical principle is the nurse demonstrating with this patient? a. Autonomy b. Paternalism c. Beneficence d. Nonmaleficence

ANS: D D. In utilitarian theory, actions are judged by their consequences, so outcomes are the most important elements to consider in ethical decision making. A. Religious teachings are key concepts for ethical decision making for some individuals. B. Deontology requires actions not to be judged only in terms of their consequences. C. Theological perspectives include the many religious traditions represented in our culture.

During a patient care conference, the HCPs are reviewing potential outcomes based on individual interventions. Which bioethical theory is being demonstrated during this care conference? a. Religion b. Deontology c. Theological d. Utilitarianism

ANS: D D. In utilitarian theory, actions are judged by their consequences, so outcomes are the most important elements to consider in ethical decision making. A. Religious teachings are key concepts for ethical decision making for some individuals. B. Deontology requires actions not to be judged only in terms of their consequences. C. Theological perspectives include the many religious traditions represented in our culture.

A patient with malnutrition refuses to ingest animal protein products, because it is against religious teachings. What should the nurse do to support this patient's beliefs while ensuring the patient's health status? a. Explain the animal protein is the best source of nutrition for the patient's needs at this time. b. Talk with a dietitian about sources of non-animal-based protein to include in the patient's diet. c. Suggest to the physician that the patient is going against medical advice and should be discharged. d. Schedule the organization's clergy to meet with the patient to discuss interpretation of religious teachings.

ANS: D D. Maintaining confidentiality of personal health information is an expectation when providing patient care unless it compromises mandatory reporting such as the reporting of gunshot wounds. A. B. C. There are no regulations about the mandatory reporting of fractures, abrasions, and lacerations.

The nurse is informed of several victims of gang violence being brought by ambulance to the emergency department. Which injury should the nurse prepare to report to the authorities? a. Fractures b. Abrasions c. Lacerations d. Gunshot wounds

ANS: D D. Maintaining confidentiality of personal health information is an expectation when providing patient care unless it compromises mandatory reporting such as the reporting of gunshot wounds. A. B. C. There are no regulations about the mandatory reporting of fractures, abrasions, and lacerations.

The nurse is reviewing information on the state board of nursing website prior to renewing a state license. Which type of law is guiding this nurse's actions? a. Tort b. Civil c. Moral d. Administrative

ANS: D D. State nursing practice laws and the attendant nursing regulations establish the parameters within which nurses must practice and are referred to as administrative laws. A, B, and C are laws that are not associated with nursing licensure.

The ethical decision-making process is being used for a patient regarding the use of life support measures. What action should the nurse take as the final step in this decision-making process? a. Evaluate the outcomes. b. Implement the decision. c. Clarify the values of all the participants. d. Determine which action has the strongest ethical support.

ANS: D D. The Health Insurance Portability and Accountability Act of 1996 (HIPAA) creates civil and criminal liability for health care workers who wrongfully disclose an individual's health information. A. Medicare is a nationally sponsored health insurance coverage plan. B and C do not establish liability for disclosure of health information.

The nurse educator is preparing an in-service program to review laws applicable for patient care. Which law should the educator include that was established to protect a patient's medical and personal information? a. Medicare b. Patients' Bill of Rights c. Department of Health and Human Services regulations d. Health Insurance Portability and Accountability Act (HIPAA)

ANS: D D. The Health Insurance Portability and Accountability Act of 1996 (HIPAA) creates civil and criminal liability for health care workers who wrongfully disclose an individual's health information. A. Medicare is a nationally sponsored health insurance coverage plan. B and C do not establish liability for disclosure of health information.

The nurse educator is preparing an in-service program to review laws applicable for patient care. Which law should the educator include that was established to protect a patient's medical and personal information? a. Medicare b. Patients' Bill of Rights c. Department of Health and Human Services regulations d. Health Insurance Portability and Accountability Act (HIPAA)

ANS: D D. The wrongful release of confidential information is an intentional tort. A. Defamation is the wrongful injury to another's reputation. B. Compassion is a central virtue that allows the nurse to identify with another's pain or suffering. D. False imprisonment is the unlawful restriction of a person's freedom.

While standing in the lunchroom, the nurse recognizes friends of a patient who was recently transferred to critical care. The nurse approaches them and offers to take them to the patient's care area. What action is this nurse demonstrating? a. Defamation b. Compassion c. False Imprisonment d. Disclosure of Confidential Information

ANS: D D. The wrongful release of confidential information is an intentional tort. A. Defamation is the wrongful injury to another's reputation. B. Compassion is a central virtue that allows the nurse to identify with another's pain or suffering. D. False imprisonment is the unlawful restriction of a person's freedom.

A nursing student in the first year of a(n) ____________________ program will prepare to take the National Council Licensure Examination for Practical Nurses (NCLEX-PN). After passing the examination, the student will work as a licensed practical nurse/licensed vocational nurse (LPN/LVN) while completing the second-year curriculum. The student can then take the National Council Licensure Examination for Registered Nurses (NCLEX-RN) to be licensed as a registered nurse (RN).

One plus One

A veteran is expressing to the nurse that he is having difficulty finding insurance. The nurse explains that ____________________ is an insurance plan specifically for active and retired military service members and their families.

TRICARE Some health insurance plans are designed to serve only a specific group of people. TRICARE is an insurance plan for active and retired military service members and their families, and CHAMPVA provides free health benefits for veterans of military service.

Arriving on time and prepared to work, assuming responsibility for other nurses' patients when they leave the unit, and leaving the unit only after ensuring that another nurse is aware of and responsible for your patients are all examples of professional ____________________.

behavior

A nurse has determined that a patient is suffering from chemical dependency and mental health issues. The patient is sent to a type of rehabilitation facility that will provide medical care in the form of ____________________, or the removal of drugs and alcohol from the person's body, which generally takes several days.

detoxification Another type of rehabilitation facility focuses on treating patients with chemical dependency and mental health issues. Some of these facilities provide medical care in the form of detoxification, or the removal of drugs and alcohol from the person's body, which generally takes several days.

A nurse's ability to deal with changing orders from the physician, patient needs and problems, supervision and delegation issues, vital signs readings, and medication orders requires being ____________________; it is the only way for them to accomplish all of this for several patients during one shift.

organized

A patient enrolled in a health maintenance organization (HMO) arrives at an appointment with a specialist. The nurse explains to the patient that without a(n) ____________________ from their primary care physician (PCP), the insurance company may deny the claim.

referral If the PCP is unable to successfully treat the patient's condition, he or she makes a referral to a specialist. The patient cannot self-refer, and the specialist cannot accept the patient without a referral. In this way, access to more costly care and potentially redundant testing is controlled.

Once a nurse has evaluated and treated a patient's injuries, arrangements are made to transfer the patient to a(n) ____________________ facility where the patient can receive intense physical, occupational, and speech therapy services.

rehabilitation Rehabilitation, often shortened to rehab, is a level of care in which the patient can receive intense physical, occupational, and speech therapy services

All nurses are responsible for knowing their own ____________________ of practice, or the limitations and allowances of what they can do as a nurse.

scope