Ch. 1,3,14 Foundation's Study Guide

A 48-year-old man refuses to take a medication ordered for the control of his blood pressure. The nurses most effective response would be:

You have the right to refuse. This medication keeps your blood pressure under control.

Criteria that justify becoming an emancipated minor and able to sign a medical consent include all of the following except:

a 14-year-old whose parents are dead.

The nurse understands that acupuncture and acupressure are alternative therapies based on:

interrupting or changing the flow of energy fields in the body.

A single African-American working mother of three children who is in a state of poverty often misses appointments for the childrens immunizations or well child check-ups. The nurse understands that the likely reason for this could be that she:

is more concerned with surviving day-to-day problems than with taking a child to a clinic when there is no obvious illness.

A written statement expressing the wishes of a patient regarding future consent for or refusal of treatment in case the patient is incapable of participating in decision making is an example of:

an advance directive.

Nursing interventions are best defined as activities that:

are taken to improve the patients health.

Ethics and law are different from each other in that ethics:

are voluntary.

A resident in a skilled nursing facility indicates that she is an agnostic and is afraid of what will happen to her when she dies. An appropriate nursing intervention for this patient is to:

ask the patient whether she would like to talk to the facility social worker or chaplain to address her spiritual distress.

A patient who is refusing to take his medication is threatened that he will be held down and forced to take the dose. This is an example of:

assault.

An example of the role of an LPN as a delegator is: (Select all that apply.)

assigning patient care tasks to certified nursing assistants. requesting the housecleaning staff to mop the floor of a patients room. instructing the unit secretary to page a physician to the floor.

When diagnosis-related groups (DRGs) were established by Medicare in 1983, the purpose was to

attempt to contain the costs of health care.

After passing the National Council Licensure Examination for Practical Nurses (NCLEX-PN), the nurse is qualified to take an additional certification in the field of:

pharmacology.

A nurse is caring for a patient of the Muslim faith. The nurse would send the food tray back if it contains:

pork chops and sweet potatoes.

Lillian Wald and Mary Brewster established the Henry Street Settlement Service in New York in 1893 in order to:

provide health care to poor persons living in tenements.

Early nursing education and care in the United States:

provided independence for women through education and employment.

A states Nurse Practice Act is designed to protect the:

public.

The nurse supervisor becomes concerned when observing the nurse caring for an Orthodox Jewish patient preparing to trim the patients beard with a(n):

razor blade.

The advent of diagnosis-related groups (DRGs) required that nurses working in health care agencies:

record supportive documentation to confirm a patients need for care in order to qualify for reimbursement.

It is appropriate for practical nurses to provide direct patient care to persons in a hospital under the supervision of a:

registered nurse on the unit.

A nurse co-worker arrives at work 30 minutes late, smelling strongly of alcohol. The fellow nurses legal course of action is to:

report the condition of the nurse to the nursing supervisor.

An elderly, slightly confused patient sustains an injury from a heating pad that was wrongly applied by the nurse. The nurse should:

report the incident to the risk management team via an incident report.

An example of a violation of criminal law by a nurse is:

taking a controlled substance from agency supply for personal use.

If a nurse receives unwelcome sexual advances from a nursing supervisor, the first step the nurse should take is to:

tell the nursing supervisor that she is uncomfortable with the sexual advances and ask the supervisor to refrain from this behavior.

If a nurse is reported to a state board of nursing for repeatedly making medication errors, it is most likely that:

there will be a hearing to determine whether the charges are true.

An advantage of preferred provider organizations (PPOs) is that:

they make insurance coverage of employees less expensive to employers.

If a member of a health maintenance organization (HMO) is having respiratory problems such as fever, cough, and fatigue for several days and wants to see a specialist, the person is required to go:

to a primary care physician for a referral.

A practicing member of the Church of Jesus Christ of Latter Day Saints is being prepared for surgery on his left knee. The nurse should remove all the personal possessions with the exception of:

undergarments.

Professional accountability includes: (Select all that apply.)

understanding theory. asking for assistance when unsure of a procedure or physician order. participating in continuing education classes. meeting the health care needs of the patient.

A person who believes and practices the Christian Science religion is most likely to:

use prayer and altered thinking to correct the causes of illness and disease.

The LPN demonstrates an evidence-based practice by:

using scientific information to guide decision making.

A nurse is caring for an unmarried 16-year-old patient who has just given birth to a baby boy. The nurse will get the consent to perform a circumcision on the patients son from the:

16-year-old patient.

The patient who cannot legally sign his or her own surgical consent is a(n):

18-year-old who received a narcotic 30 minutes ago.

The most frequently cited cause of a sentinel event by the Joint Commission is a problem in:

inadequate communication.

In the United States, the Young Womens Christian Association (YMCA) in New York opened The __________ School, the first practical nursing school.

Ballard

CAPTA, passed in 1973, is a law regarding the safety of minors. It is the ____________ and _____________.

Child Abuse Prevention; Treatment Act

The founding of the Red Cross is attributed to

Clara Barton.

A nurse caring for a patient who is a practicing Jehovahs Witness and who has had surgery confirms that ___________ is on hand to be infused.

Dextran

Women volunteers were organized to give nursing care to the wounded soldiers during the Civil War by:

Dorothea Dix.

The nursing theory that uses seven behavioral subsystems in an adaptation model is:

Dorothy Johnson.

Characteristics of primary nursing include which of the following? (Select all that apply.)

Elimination of fragmentation of care between shifts Planning and direction performed by one nurse Ancillary workers used to increase productivity The care plan covering the entire day Associate nurses taking over care and planning when the primary nurse is off duty

The LPN (LVN) assigns part of the care for her patients to a nursing assistant. The LPN is legally required to perform which of the following for the residents assigned to the assistant?

Give medications to the residents at the prescribed times.

A nurse is caring for a postpartum patient who adheres to the beliefs of Orthodox Judaism. The question that would be the most culturally sensitive would be:

Has your husband decided on a name for your new baby?

If a patient indicates that he is unsure if he needs the surgery he is scheduled for later that morning, the nurse would best reply:

I will call the doctor to speak with you before you go to the operating room.

A Roman Catholic patient going to surgery for an emergency cesarean delivery is afraid the baby may not survive, and because she is Roman Catholic, she asks you to be sure that the baby is baptized when it is born. Your response to her should be:

I will call your priest to come in, but if he is unable to be there, Ill be sure the baby is baptized.

A nurse arrives at the scene of a motor vehicle accident. A person in the vehicle mumbles incoherently when asked his name. Which actions are not covered by the Good Samaritan Act? (Select all that apply.)

Initiating an emergency tracheotomy when the individual goes into respiratory arrest

A nurses neighbor confides that she has been treating a health problem through a faith healer in her religion but is worried because the condition seems to be worsening. She asks the nurse what she should do. The nurses best response would be:

Many people use medical treatment along with faith healing. Is there anything in your religion that forbids medical treatment?

Standards of care for the nursing practice of the LPN are established by the:

National Federation of Licensed Practical Nurses.

The nurse must be alert to non-verbal expressions to assess pain in patients from a(n) _____ background.

Pacific Islander

In 2003, the Patients Bill of Rights was revised to become the _______________: Understanding Expectations, Rights, and Responsibilities.

Patient Care Partnership

The most culturally sensitive and useful question the admitting nurse should ask the Jewish patient would be:

Tell me about any religious practices you observe that we need to incorporate into your care.

The nursing theorist whose practice framework is based on 14 fundamental needs is:

Virginia Henderson.

Florence Nightingales contributions to nursing practice and education

Were a major factor in reducing the death rate in the Crimean War.

During an employment interview, the interviewer asks the nurse applicant about HIV status. The nurse applicant can legally respond:

You do not have a right to ask me that question.

A desired outcome for a patient with a nursing diagnosis of spiritual distress is that the patient expresses:

acceptance that she is not being punished by God with illness.

When a student nurse performs a nursing skill, it is expected that the student:

achieve the same result as the licensed nurse.

The nursing theory presented by Sister Calista Roy is based on:

adaptation modes.

A characteristic of an advance directive is that:

advance directives do not expire.

The nurse is aware that when an Orthodox Jewish family has a baby boy, it is expected that the:

baby will be circumcised on the eighth day of life when he is named.

A nurse is caring for a Catholic patient who has just given birth to a nonviable fetus. When considering the religion of this patient, the nurse should:

baptize the fetus if a priest is not immediately available.

Preferred provider organizations (PPOs) use __________ to finance their services and pay the physical cost of the service

capitated cost

In order to fulfill the common goals defined by nursing theorists (promote wellness, prevent illness, facilitate coping, and restore health), the LPN must take on the roles of:

caregiver, educator, and collaborator.

The nurse understands that when an Asian patient refers to yin, the patient is referring to a balancing force that is represented by:

cold and feminine elements.

The nurse explains that a sentinel event is a situation in which a patient:

comes to harm.

The commonalities of The Codes of Ethics of the National Association for Practical Education and Service (NAPNES) and The National Federation of Licensed Practical Nurses (NFLPN) include: (Select all that apply)

commitment to continuing education. respect for human dignity. maintenance of competence. preserving the confidentiality of the nursepatient relationship.

A 76-year-old Hispanic woman is in the skilled nursing facility where she is to participate in a rehabilitation program following a hip replacement. She is alert, oriented, and cooperative but speaks only Spanish; her adult children interpret for her when they are present. The nurse plans the most effective way to communicate with this patient is to:

create a translation guide with commonly used Spanish and English words and phrases.

The Standards of Clinical Nursing Practice are designed to direct LPNs to:

deliver safe, knowledgeable care.

The Ethics Committee of a facility has the responsibility to: (Select all that apply.)

develop policies. address issues in their facility. help to find a better understanding of ethical dilemmas from different standpoints.

The nurse who may be liable for invasion of privacy would be the nurse who is:

discussing her patients with a fellow nurse.

Nurse Practice Acts define the legal scope of an LPNs practice, which are written and enforced by:

each state.

The nurse is aware that Muslims and Orthodox Jews have similar dietary restrictions in that both groups require that their followers:

eat only meat that has been slaughtered according to their religious law.

A young Hindu woman who is part of a traditional Hindu family is in a coma and is going to be transferred to the ICU. The family member whom the nurse should consult about this health matter would be the:

eldest woman in the family.

A licensed nurse is liable for charges of malpractice when she:

falsifies data, causing the patient to suffer problems resulting in death.

A patient who is Native American and visiting a health care clinic for the first time keeps his eyes on the floor and seldom makes eye contact with the nurse. The nurse would be correct in thinking that the patient:

finds direct or sustained eye contact rude or disrespectful.

A person who has been brought to the emergency room after being struck by a car insists on leaving, although the doctor has advised him to be hospitalized overnight. The nurse caring for this patient should:

have him sign a Leave Against Medical Advice (AMA) form.

An example of tertiary health care is _____ care.

hospice

Although nursing theories differ in their attempts to define nursing, all of them base their beliefs on common concepts concerning:

human relationships, the environment, and health.

A nurse who practices in a culturally competent manner is one who is able to:

look at the world through the eyes of the culturally diverse patient.

To best protect himself or herself from being sued, the nurse should:

maintain competency.

A patient has advance directives spelled out in a durable power of attorney, with the appointment of his daughter as his health care agent. The daughter will be responsible for:

making all choices about her fathers health care if the father is unable.

A young African-American man is admitted to the hospital in sickle cell crisis. He is unmarried and lives with an extended family headed by his grandmother. The nurse takes into consideration that this type of family arrangement is:

matriarchal.

A student nurse who is not yet licensed:

may perform nursing actions only under the supervision of a licensed nurse.

When a patient asks a nurse to witness the signing of a will, the nurse should refer the request to the:

notary public for the hospital.

When a devout Muslim dies, the nurse makes arrangements to:

notify a family member to come bathe the patient.

A patient has signed a do-not-resuscitate (DNR) order. If a nurse performs cardiopulmonary resuscitation (CPR) when the patient stops breathing and then successfully revives the patient, the:

nurse could be found guilty of battery.

An educational pathway for an LPN refers to an LPN:

obtaining additional education to move from one level of nursing to another.

A 16-year-old boy is admitted to the emergency room after fracturing his arm from falling off his bike while visiting with his stepfather who is not the custodial parent. The nurse is preparing him to go to the operating room but must obtain a valid informed consent by:

obtaining permission of the custodial parent for the surgery.

The Health Insurance Portability and Accountability Acts (HIPAA) main focus is in keeping:

patient information in a secure office area.

Nursing liability insurance is a policy purchased and put into effect by the nurse for the purpose of:

paying attorney fees and any award won by the plaintiff.

A postoperative patient in the intensive care unit (ICU) is so confused and agitated that staff have not been able to safely care for him. He has pulled out his central line once, and he slides to the bottom of the bed, where he attempts to climb out, pulling and disrupting the various tubes and monitors. The nurses best course of action is to:

request that the doctor write an order for a protective device and/or medication.

A woman who is part of a traditional Muslim family is hospitalized after an accident. It is most important for the nurse to include in the care to:

respect her need for modesty in keeping her body covered.

A patient refuses to take his medications or to eat his breakfast. He is alert, mentally competent, and fairly comfortable. The nurse should:

respect the patients right to refuse medications or food, because he is competent.

The nurse is sensitive to the fact that Hispanics believe that some foods and fluids have hot and cold properties that affect their health by:

restoring equilibrium to the body.

Such health services as surgical procedures, restorative care, and home health care would be classified as __________ care.

secondary

In 1991, the American Nurses Association (ANA) published the Standards of Clinical Nursing Practice. These standards are designed to: (Select all that apply.)

set standards for safe nursing care delivery. protect the nurse, patient, and health care agency. define activities in which nurses may engage.

The information in a patients chart may legally be:

shared with other health care providers at the patients request.

The acronym SBAR is a method to communicate with a physician that clarifies a situation that may result in litigation. The acronym stands for:

situation, background, assessment, recommendation.

A nurse remarks to several people that Dr. X must be getting senile because she makes so many mistakes. If that remark results in some of Dr. Xs patients changing to another doctor, Dr. X would have grounds to sue the nurse for:

slander.

The Occupational Safety and Health Act includes all of the following except:

staffing ratios and delegation criteria.

A nurse referring to an elderly Asian man says, He probably uses acupuncture and believes in yin and yang. This remark is an example of:

stereotyping of the patient.

During the Civil War, nursing schools offered education to women both in England and in the United States. The schools in the United States differed from those in Europe because in U.S. schools: (Select all that apply.)

students worked without pay. instruction was presented by physicians at the bedside.