exam 5 questions

A nurse wants to call an ethics consult to clarify treatment goals for a patient no longer able to speak for himself. The nurse believes his dying is being prolonged painfully. The patient's doctor threatens the nurse with firing if the nurse raises questions about the patient's care or calls the consult. What ethical conflict is this nurse experiencing? a. Ethical uncertainty b. Ethical distress c. Ethical dilemma d. Ethical residue

b. Ethical distress

A nurse is caring for patients of diverse cultures in a community healthcare facility. Which characteristics of cultural diversity that exist in the United States. Should the nurse consider when planning, culturally competent care? Select all that apply. a. the United States has become less inclusive of same-sex couples b. cultural diversity is limited to people of varying cultures and races. c. cultural diversity, a separate and distinct from health and illness D. people may be members of multiple cultural groups at one time E. culture gods what is acceptable behavior for people in a specific group f. cultural practices, may evolve over time, but mainly remain constant

D. people may be members of multiple cultural groups at one time E. culture gods what is acceptable behavior for people in a specific group f. cultural practices, may evolve over time, but mainly remain constant

A nurse is caring for a culturally diverse patients in the healthcare providers. Office is aware that patient of certain cultures are more prone to specific disease states than the general population. Which patient with dinner screen for diabetes mellitus based on the patient's race? Select all that apply. a. A Native American patient. b. An African-American patient. c. An Alaska native. d. A Asian patient. e. A white patient. f. A Hispanic patient.

a, c, e, f

An older nurse asks a younger coworker why the new generation of nurses just aren't ethical anymore. Which reply reflects the BEST understanding of moral development? a. "Behaving ethically develops gradually from childhood; maybe my generation doesn't value this enough to develop an ethical code." b. "I don't agree that nurses were more ethical in the past. It's a new age and the ethics are new!" c. "Ethics is genetically determined...it's like having blue or brown eyes. Maybe we're evolving out of the ethical sense your generation had." d. "I agree! It's impossible to be ethical when working in a practice setting like this!"

a. "Behaving ethically develops gradually from childhood; maybe my generation doesn't value this enough to develop an ethical code."

An attorney is representing a patient's family who is suing a nurse for wrongful death. The attorney calls the nurse and asks to talk about the case to obtain a better understanding of the nurse's actions. How should the nurse respond? a. "I'm sorry, but I can't talk with you; you will have to contact my attorney." b. "I will answer your questions so you'll understand how the situation occurred. c. "I hope I won't be blamed for the death because it was so busy that day." d. "First tell me why you are doing this to me. This could ruin my career!"

a. "I'm sorry, but I can't talk with you; you will have to contact my attorney."

a public health nurse is leaving the home of a young mother who has a special needs baby. the neighbor states, "how is she doing, since the baby's father is no help?" what is the nurse's best response to the neighbor? a. "new mothers need support" b. "the lack of a father is difficult" c. "how are you today?" d. "it is a very sad situation?"

a. "new mothers need support"

in order to provide culturally, competent care, nurses must be alert to factors, inhibiting sensitivity to diversity in the healthcare system. Which nursing actions are examples of cultural in position? Select all that apply. a. A hospital nurse tells a nurses aid that patient should not be given a choice, whether or not the shower or bath daily. b. A nurse treats, all patients, the same whether or not they come from a different culture. c. The nurse tells another nurse that Jewish diet restrictions are just a way for them to get a special treatment of their favorite foods. d. A Catholic Nurse insists that a patient diagnosed with terminal bladder cancer can see the chaplain in residence. e. A nurse directs interview questions to an older adult starter even though the patient is capable of answering them f. A nurse refuses to care for married gay man who is HIV positive because she is against same-sex marriage.

a. A hospital nurse tells a nurses aid that patient should not be given a choice, whether or not the shower or bath daily. d. A Catholic Nurse insists that a patient diagnosed with terminal bladder cancer can see the chaplain in residence.

A student nurse begins a clinical rotation in a long-term care facility and quickly realizes that certain residents have unmet needs. The student wants to advocate for these residents. Which statements accurately describe this concept? Select all that apply. a. Advocacy is the protection and support of another's rights. b. Patient advocacy is primarily performed by nurses. c. Patients with special advocacy needs include the very young and the older adult, those who are seriously ill, and those with disabilities. d. Nurse advocates make good health care decisions for patients and residents. e. Nurse advocates do whatever patients and residents want. f. Effective advocacy may entail becoming politically active.

a. Advocacy is the protection and support of another's rights. c. Patients with special advocacy needs include the very young and the older adult, those who are seriously ill, and those with disabilities. f. Effective advocacy may entail becoming politically active.

When interacting with a patient, the nurse answers, "I am sure everything will be fine. You have nothing to worry about." This is an example of what type of inappropriate communication technique? a. Cliché b. Giving advice c. Being judgmental d. Changing the subject

a. Cliché

During a nursing staff meeting, the nurses resolve a problem of delayed documentation by agreeing unanimously that they will make sure all vital signs are reported and charted within 15 minutes following assessment. This is an example of which characteristics of effective communication? Select all that apply. a. Group decision making b. Group leadership c. Group power d. Group identity e. Group patterns of interaction f. Group cohesiveness

a. Group decision making d. Group identity e. Group patterns of interaction f. Group cohesiveness

A nurse notices a patient is walking to the bathroom with a stooped gait, facial grimacing, and gasping sounds. Based on these nonverbal clues, for which condition would the nurse assess? a. Pain b. Anxiety c. Depression d. Fluid volume deficit

a. Pain

A nurse who is newly hired to manage a busy pediatric office is encouraged to use a transactional leadership style when dealing with subordinates. Which activities best exemplify the use of this type of leadership? Select all that apply. a. The manager institutes a reward program for employees who meet goals and work deadlines. b. The manager encourages the other nurses to participate in health care reform by joining nursing organizations. c. The manager promotes compliance by reminding subordinates that they have a good salary and working conditions. d. The manager makes sure all the employees are kept abreast of new developments in pediatric nursing. e. The manager works with subordinates to accomplish all the nursing tasks and goals for the day. f. The manager allows the other nurses to set their own schedules and perform nursing care as they see fit.

a. The manager institutes a reward program for employees who meet goals and work deadlines. c. The manager promotes compliance by reminding subordinates that they have a good salary and working conditions.

Newly hired nurses in a busy suburban hospital are required to read the state nurse practice act as part of their training. Which topics are covered by this act? Select all that apply. a. Violations that may result in disciplinary action b. Clinical procedures c. Medication administration d. Scope of practice e. Delegation policies f. Medicare reimbursement

a. Violations that may result in disciplinary action d. Scope of practice

a nurse is assessing patients in a skilled nursing facility for sleep deficits. which patients would be considered at a higher risk for having sleep disturbances? SATA a. a paient who has uncontrolled hypothyroidism b. a patient with coronary artery disease c. a pt who has gerd d. a pt who is HIV positive e. a pt who us taking corticosteroids for arthritis f. a pt with UTI

a. a paient who has uncontrolled hypothyroidism b. a patient with coronary artery disease c. a pt who has gerd

a 72-year-old woman who is scheduled for a hip replacement is taking several medications on a regular basis. which drug category might create a surgical risk for this patient? a. anticoagulants b. antacids c. laxatives d. sedatives

a. anticoagulants

a nurse is administering a pain med to a patient. in addition to checking his identification bracelet, the nurse correctly verifies the patient's identity by performing which action? a. asking the patient his name and birthdate b. reading the patient's name on the sign over the bed c. asking the patient's roomate to verify his name d. asking, "are you Mr. Brown?"

a. asking the patient his name and birthdate

The nurse practitioner sees patients in a community clinic that is located in a predominantly white neighborhood. After performing assessment on the majority of the patients visiting the clinic, the nurse notes that many of the minority groups living within the neighborhood, have lost the cultural characteristics that make them different. What is the term for this process? a. Cultural assimilation b. Cultural imposition. c. Culture shock. d. Ethnocentrism.

a. cultural assimilation

A nurse is telling a new mother from Africa, but she shouldn't carry her baby in a sling created from a large rectangular cloth. The African woman tells the nurse that everyone in Mozambique carries babies this way. The nurse believes that bassinets are safer for infants. This nurse is displaying what cultural bias? a. Cultural imposition b. Clustering c. Cultural competency. d. Stereotyping.

a. cultural imposition

a nurse is preparing to teach a patient with asthma how to use his inhaler. which teaching method would be the BEST choice to teach the patient this skill? a. demonstration b. lecture c. discovery d. panel session

a. demonstration

a nurse caring for a patient who is hospitalized following a double masectomy is preparing a discharge plan for the patient. which action should be the focus of this termination phase of the helping relationship? a. determining the progress made in achieving established goals b. clarifying when the patient should take medications c. reporting the progress made in teaching to the staff d. including all family members in the teaching session

a. determining the progress made in achieving established goals

a responsibility of the nurse is the administration of pre-op meds to patients. which statements describe the action of these medication? SATA a. diazepam is given to alleviate anxiety b. ranitidine is given to facilitate pain sedation c. atropine is given to decrease oral secretions d. morphine is given to depress respiratory function e. cimetidine is given to prevent laryngospasm f. Fentanyl citrate-doperidol is given to facilitate a sense of calm

a. diazepam is given to alleviate anxiety c. atropine is given to decrease oral secretions f. Fentanyl citrate-doperidol is given to facilitate a sense of calm

a nurse is administering phenytoin via a gastric tube to a patient who is receiving tube feedings. what would be an appropriate action of the nurse in this situation? a. discontinue the tube feeding and leave the tube clamped for required period of time before and after medication administration b. notify the primary care provider that medication cannot be given to the patient at this time via the gastric tube c. remove the tube in place and replace it with another tube prior to administering the medication d. flush the tube with 60 mL of water prior to administering the medication

a. discontinue the tube feeding and leave the tube clamped for required period of time before and after medication administration

a nurse who is administering medications to patients in an acute care setting studies the pharmokinetics of the drugs being administered. which statements accurately describe these mechanisms of action? SATA a. distribution occurs after a drug has been absorbed into the bloodstream and is made available to body fluids and tissues b. metabolism is the process by which a drug is transferred from its site of entry into the body to the bloodstream c. absorption is the change of a drug from its original form to a new form, usually occuring in the liver d. during first-pass effect, drugs move from the intestinal lumen to the liver by way of the portal vein instead of going into the system's circulation e. the gastrointestinal tract, as well as sweat, salivary, and mammary glands, are routes of drug absorption f. excretion is the process of removing a drug, or its metabolites (products of metabolism), from the body

a. distribution occurs after a drug has been absorbed into the bloodstream and is made available to body fluids and tissues d. during first-pass effect, drugs move from the intestinal lumen to the liver by way of the portal vein instead of going into the system's circulation f. excretion is the process of removing a drug, or its metabolites (products of metabolism), from the body

a scrub nurse is assisting a surgeon with a kidney transplant. what are the patient responsibilities of the scrub nurse? SATA a. maintaing sterile technique b. draping and handling instruments and supplies c. identifying and assessing the patient on admission d. integrating case management e. preparing the skin at the surgical site f. providing exposure of the operative area

a. maintaing sterile technique b. draping and handling instruments and supplies

a nurse observes involuntary muscle jerking in a sleeping patient. what would be the nurse's next action? a. no action is necessary as this is a normal finding during sleep b. call the primary care provider to report possible neurologic deficit c. lower the temperature in the patient's room d. awaken the patient as this is an indictation of night terrors

a. no action is necessary as this is a normal finding during sleep

a nurse is preparing medication for the patients in the ICU. the nurse is aware that there are patient variables that may affect the absorption of these medications. which statements accurately describe these variables? SATA a. patients in certain ethnic groups obtain therapeutic responses at lower doses or higher doses than those usually prescribed b. some people experience the same response with a placebo as with the active drug used in studies c. people with liver disease metabolize drugs more quickly than people with normal liver functioning d. a patient who recieves a pain medication in a noisy environment may not receive full benefit from the medication's effects e. oral medications should not be given with food as the food may delay the absorption of the medications f. circadian rhythms and cycles may influence drug action

a. patients in certain ethnic groups obtain therapeutic responses at lower doses or higher doses than those usually prescribed b. some people experience the same response with a placebo as with the active drug used in studies d. a patient who recieves a pain medication in a noisy environment may not receive full benefit from the medication's effects f. circadian rhythms and cycles may influence drug action

a patient had a surgical procedure that necessitated a thoracic incision. the nurse anticipates that the patient will have a higher risk for postoperative complications involving which body system? a. respiratory system b. circulatory system c. digestive system d. nervous system

a. respiratory system

a nurse is teaching a patient how to use a meter-dose inhaler to control asthma. what are appropriate guidelines for this procedure? SATA a. shake the inhaler well and remove the mouthpiece covers from the MDI and spacer b. take shallow breaths when breathing through the spacer c. depress the canister releasing one puff into the spacer and inhale slowly and deeply. d. after inhaling, exhale quickly through pursed lips e. wait 1 to 5 minutes a prescribed before administering the next puff f. gargle and rinse with salt water after using the MDI

a. shake the inhaler well and remove the mouthpiece covers from the MDI and spacer c. depress the canister releasing one puff into the spacer and inhale slowly and deeply. e. wait 1 to 5 minutes a prescribed before administering the next puff

a nurse is using time management techniques when planning activities for patients. which nursing action reflects effective time management? a. the nurse asks patients to prioritize what they want to accomplish each day b. the nurse includes a "nice to do" for every "need to do" tasks on the list c. the nurse "front loads" the schedule with "must do" priorities d. the nurse avoids helping other nurses if scheduling does not permit it

a. the nurse asks patients to prioritize what they want to accomplish each day

a hospice nurse is caring for a patient with end-stage cancer. what action demonstrates this nurse's commitment to the principle of autonomy? a. the nurse helps the patient prepare a durable power of attorney document b. the nurse gives the patient undivided attention when listening to concerns c. the nurse keeps a promise to provide a counselor for the patient d. the nurse competently administers pain medication to the patient

a. the nurse helps the patient prepare a durable power of attorney document

a nurse is a servant leader working in an economically depressed community to set up a free mobile health clinic for the residents. which actions by the leader BEST exemplify a key practice of servant leaders? SATA a. the nurse motivates coworkers to solicit funding to set up the clinic b. the nurse sets only realistic goals that are present oriented and easily achieved c. the nurse forms an autocratic governing body to keep the project on track d. the nurse spends time with supporters to help them grow in their roles e. the nurse first ensures that other's lowest priority needs are served f. the nurse prizes leadership because of the need to serve others

a. the nurse motivates coworkers to solicit funding to set up the clinic d. the nurse spends time with supporters to help them grow in their roles f. the nurse prizes leadership because of the need to serve others

a registered nurse assumes the role of nurse coach to provide teaching to patients who are recovering from a stroke. which nursing intervention directly relates to this role? a. the nurse uses discovery to identify the paients' personal goals and create an agenda that will result in change b. the nurse is the expert in providing teaching and education strategies to provide dietary and activity modifications c. the nurse becomes a mentor to the patients and encourages them to create their own fitness programs d. the nurse assumes an authoritative role to design the structure of the coaching session and support the achievement of patient goals

a. the nurse uses discovery to identify the paients' personal goals and create an agenda that will result in change

a nurse has been asked to witness a patient signiture on an informed consent form for surgery. what information should be included on the form? SATA a. the option of nontreatment b. the underlying disease process and its natural course c. notice that once the form is signed, the patient cannot withdraw the consent d. explain the guaranteed outcome of the procedure or treatment e. name and qualifications of the provider of the procedure or treatment f. explanation of the risks and benefits of the procedure or treatment

a. the option of nontreatment b. the underlying disease process and its natural course e. name and qualifications of the provider of the procedure or treatment f. explanation of the risks and benefits of the procedure or treatment

a nurse manager is attempting to update a health care providers office from paper to electronic health records (EHR) by using the eight-step process for planned change. place the following actions in the order in which they should be initiated: a. the nurse devises a plan to switch to EHR b. the nurse records the time spent on written records versus EHR c. the nurse attains approval from management for new computers d. the nurse analyzes all options for converting to EHR e. the nurse installs new computers and provides an in-service for the staff f. the nurse explores possible barriers to chaging EHR g. the nurse follows up with the staff to check compliance with the new system h. the nurse evaluates the effects of changing to EHR

b, f, d,c, a, e, h, g

a nurse in the rehabilitation division states to the head nurse: "i need the day off and you didn't give it to me!" the head nurse replies, "well, I wasn't aware you needed the day off, and it isn't possible since staffing is so inadequate." Instead of this exchange, what communication by the nurse would been so effective? a. "I placed a request to have 8th of August off, but i'm working and i have a doctor's appointment." b. "I would like to discuss my schedule with you. i requested the 8th of August off for a doctor's appointment. could i make an appointment?" c. "i will need to call in on the 8th of august because i have a doctor's appointment." d. "since you didn't give me the 8th of August off, will I need to find someone to work for me?"

b. "I would like to discuss my schedule with you. i requested the 8th of August off for a doctor's appointment. could i make an appointment?"

A nurse on a maternity ward is teaching new mothers about the sleep patterns of infants and how to keep them safe during this stage. What comment from a parent alerts the nurse that further teaching is required? a. "I can expect my newborn to sleep an average of 16 to 24 hours a day." b. "If I see eye movements or groaning during my baby's sleep I will call the pediatrician." c. "I will place my infant on his back to sleep." d. "I will not place pillows or blankets in the crib to prevent suffocation."

b. "If I see eye movements or groaning during my baby's sleep I will call the pediatrician."

a 70-year-old male is scheduled for surgery. he says to the nurse, "i am so frightened- what if i don't wake up?" what would be the nurse's best response? a. "you have a wonderful doctor" b. "let's talk about how you are feeling" c. "everyone wakes up from surgery" d. "don't worry, you will be just fine"

b. "let's talk about how you are feeling"

a nursing student is preparing to administer morning care to a patient. what is the most important question that the nursing student should ask the patient about personal hygiene? a. "would you prefer a bath or a shower?" b. "may i help you with a bed bath now or later this morning?" c. "i will be giving you your bath. do you use soap or shower gel?" d. "i prefer a shower in the evening. when would you like your bath?"

b. "may i help you with a bed bath now or later this morning?"

a nurse forms a contractual agreement with a morbidly obese patien to achieve optimal weight goals. which statement best describes the nature of this agreement? a. "this agreement forms a legal bond between the two of us to acheive your weight goals." b. "this agreement will motivate the two of us to do what is necessary to meet your weight goals." c. "this agreement will help us to determine what learning outcomes are necessary to achieve your weight goals." d. "this agreement will limit the scopre of the teaching session and make stated weight goals more attainable"

b. "this agreement will motivate the two of us to do what is necessary to meet your weight goals."

A nurse answers a patient's call light and finds the patient on the floor by the bathroom door. After calling for assistance and examining the patient for injury, the nurse helps the patient back to bed and then fills out an incident report. Which statements accurately describe steps of this procedure and why it is performed? Select all that apply. a. An incident report is used as disciplinary action against staff members. b. An incident report is used as a means of identifying risks. c. An incident report is used for quality control. d. The facility manager completes the incident report. e. An incident report makes facts available in case litigation occurs. f. Filing of an incident report should be documented in the patient record.

b. An incident report is used as a means of identifying risks. c. An incident report is used for quality control. e. An incident report makes facts available in case litigation occurs.

Review of a patient's record revealed that no one obtained informed consent for the heart surgery that was performed on the patient. Which intentional tort has been committed? a. Assault b. Battery c. Invasion of privacy d. False imprisonment

b. Battery

Ms. Hall has an order for hydromorphone, 2 mg, intravenously, q 4 hours PRN pain. The nurse notes that according to Ms. Hall's chart, she is allergic to hydromorphone. The order for medication was signed by Dr. Long. What would be the correct procedure for the nurse to follow in this situation? a. Administer the medication; the doctor is responsible for medication administration. b. Call Dr. Long and ask that the medication be changed. c. Ask the supervisor to administer the medication. d. Ask the pharmacist to provide a medication to take the place of hydromorphone.

b. Call Dr. Long and ask that the medication be changed.

A nurse is using the ESFT model to understand a patient's conception of a diagnosis of chronic obstructive of pulmonary disease (COPD). Which interview question would be most appropriate to assess the E aspect of this model Dash explanatory model of health and illness? a. How do you get your medication? b. How does having COPD affect your lifestyle? c. Are you concerned about the side effects of your medication? d. Can you describe how you will take your medication's?

b. How does having COPD affect your lifestyle?

Older adults often have reduced vital capacity as a result of normal physiologic changes. Which nursing intervention would be most important for the postoperative care of an older surgical patient specific to this change? a. Take and record vital signs every shift. b. Turn, cough, and deep breathe every 4 hours. c. Encourage increased intake of oral fluids. d. Assess bowel sounds daily.

b. Turn, cough, and deep breathe every 4 hours.

a nurse who is working in a hospital setting uses values clarification to help understand the values that motivate patient behavior. which example denote "prizing" in the process of values clarification? SATA a. a pt decides to quit smoking following a Dx of lung cancer b. a pt shows off a new outfit that she is wearing after losing 20lbs. c. a patient chooses to work fewer hours following a stress-related MI d. a pt incorporates a new low-cholesterol diet into his daily routine e. a pt joins a gym and schedules classes throughout the year f. a pt proudly displays his certificate for completing a marathon

b. a pt shows off a new outfit that she is wearing after losing 20lbs. f. a pt proudly displays his certificate for completing a marathon

A young Hispanic mother comes to the local clinic because her baby is sick. She speaks only Spanish, and the nurse speaks only English. What is the appropriate nursing intervention? a. Use short words and talk more loudly. b. Ask an interpreter for help. c. Explain why care can't be provided. d. Provide instructions in writing.

b. ask an interpreter for help

a nurse taught a patient with diabetes how to administer his daily insulin. how should the nurse evaluate the teaching-learning process? a. by determining the patient's motivation to learn b. by deciding if the learning outcomes have been achieved c. by allowing the patient to practice the skill he has just learned d. by documenting the teaching session in the patient's medical record

b. by deciding if the learning outcomes have been achieved

a patient tells the nurse she is having pain in her right lower leg. how does the nurse determine if the patient has developed a deep vein thrombosis (DVT)? a. by palpating the skin over the tibia and fibula b. by documenting daily calf circumfrence measurements c. by recording vital signs obtained four times a day d. by noting difficulty with ambulation

b. by documenting daily calf circumfrence measurements

a health care provider orders a pain medication for a post-op patient that is a PRN order. when would the nurse administer this medication? a. a single dose during the post-op period b. doses administered as needed for pain relief c. one dose administered immediately d. doses routinely administered as a standing order

b. doses administered as needed for pain relief

a nurse manager who is attempting to institute the SBAR process to communicate with health care providers and transfer patient information to other nurses is meeting staff resistance to the change. which action would be most effective in approaching this resistance? a. containing the anxiety in a small group and moving forward with the initiative b. explaning the change and listing the advantages to the person and the organizations c. reprimanding those who oppose the new initiative and praising those who willing accept the change d. introducing the change quickly and involving the staff in the implementation of the change

b. explaning the change and listing the advantages to the person and the organizations

a nurse is caring for an obese patient who has had surgey. the nurse monitors this patient for what post-op complication? a. anesthetic agent interactions b. impaired wound healing c. hemmorrhage d. gas pains

b. impaired wound healing

a nurse is providing instruction to a patient regarding the procedure to change a colostomy bag. during the teaching session, the patient asks, "what type of foods should I avoid to prevent gas?" the patient's question allows for what type of communication on the nurse's part? a. a close-ended answer b. information clarification c. the nurse to give advice d. assertive behavior

b. information clarification

a patient requires 40 units of NPH insulin and 10 units of regular insulin daily subcutaneously. what is the correct sequence when mixing insulins? a. inject air into the regular insulin vial and withdrawl 10 units; then, using the same syringe, inject air into the NPH vial and withdrawl 40 units of NPH insulin b. inject air into the NPH insulin vial, being careful not to allow the solution to touch the needle; next, inject air into the regular insulin vial and withdrawl 10 units; then withdraw 40 units of NPH insulin c. inject air into the regular insulin vial, being careful not to allow the solution to touch the needle; next, inject air into the NPH insulin vial and withdrawl 40 units; then, withdraw 10 units of regular insulin d. inject air into the NPH insulin vial and withdrawl 40 units; then, using the same syringe, inject air into the regular insulin vial and withdrawl 10 units of regular insulin

b. inject air into the NPH insulin vial, being careful not to allow the solution to touch the needle; next, inject air into the regular insulin vial and withdrawl 10 units; then withdraw 40 units of NPH insulin

a nurse is teaching first aid to counselors of a summer camp with asthma. this is an example of what aim of health teaching? a. promoting health b. preventing illness c. restoring health d. facilitating coping

b. preventing illness

a new nurse manager at a small hospital is interested in achieving Magnet status. which action would help the hospital to achieve this goal? a. centralizing the decision-making process b. promoting self-governance at the unit level c. deterring professional autonomy to promote teamworl d. promoting evidence-based practice over innovative nursing practie

b. promoting self-governance at the unit level

a nurse caring for patients in an instituitonal setting expresses a commitment to social justice. what action best exemplifies this attribute? a. providing honest information to the public b. promoting universal access to health care c. planning care in partnership with patients d. documenting care accurately and honestly

b. promoting universal access to health care

a nurse is caring for a patient who is admitted to the hospital with injuries sustained in a MVA. While he is in the hospital, his wife tells him that the bottom level of their house flooded, damaging their belongings. when the nurse enters his room, she notes that the patient is visibly upset. the nurse is aware that the patient will most likely be in need of which type of counseling? a. long-term developmental b. short-term situational c. short-term motivational d. long-term motivational

b. short-term situational

a nursing student asks the charge nurse about legal liability when performing clinical practice. which statement regarding liability is true? a. students are not responsible for their acts of negligence resulting in patient injury b. student nurses are held to the same standard of care that would be used to evaluate the actions of a registered nurse c. hospitals are exempt from liability for student negligence if the student nurse is properly supervised by an instructor d. most nursing programs carry group professional liability making student personal professional liability insurrance unnecessary

b. student nurses are held to the same standard of care that would be used to evaluate the actions of a registered nurse

a charge nurse in a busy hospital manages skilled nursing unit using an autocratic style of leadership. which leadership tasks BEST represent this style of leadership? SATA a. the charge nurse polls the other nurses for input on nursing protocols b. the charge nurse dictates break schedules for the other nurses c. the charge nurse schedules a mondatory in-service training on new equipment d. the charge nurse allows the other nurses to divide up nursing tasks e. the charge nurse delegates nursing responsibilities to the staff f. the charge nurse encourages the nurses to work independently

b. the charge nurse dictates break schedules for the other nurses c. the charge nurse schedules a mondatory in-service training on new equipment e. the charge nurse delegates nursing responsibilities to the staff

a nurse is planning teaching strategies based on the affective domain of learning for patients addicted to alcohol. what are examples of teaching methods and learning activities promoting behaviors in this domain? SATA a. the nurse prepares a lecture on the harmful long-term effects of alcohol on the body b. the nurse explores the reasons alcoholics drink and promotes other methods of coping with problems c. the nurse asks patients for a return demonstration for using relaxation exercises to relieve stress d. the nurse helps patients to reaffirm their feelings of self-worth and relate this to their addiction problem e. the nurse uses a pamphlet to discuss the tenants of the Alcoholics Anonymous program to patients f. the nurse reinforces the mental benefits of gaining self-control over an addiciton

b. the nurse explores the reasons alcoholics drink and promotes other methods of coping with problems d. the nurse helps patients to reaffirm their feelings of self-worth and relate this to their addiction problem f. the nurse reinforces the mental benefits of gaining self-control over an addiciton

a nurse caring for patients in the ICU develops values from experience to form a personal code of ethics. which statements best describe this process? select that all that apply. a. people are born with values b. values act as standards to guide behavior c. values are ranked on a continuum of importance d. values influence beliefs about health and illness e. values systems are not related to personal code of conduct f. nurses should not let their values influence patient care

b. values act as standards to guide behavior c. values are ranked on a continuum of importance d. values influence beliefs about health and illness

An RN on a surgical unit is behind schedule administering medications. Which of the RN's other tasks can be safely delegated to a UAP? a. The assessment of a patient who has just arrived on the unit b. Teaching a patient with newly diagnosed diabetes about foot care c. Documentation of a patient's I & O on the flow chart d. Helping a patient who has recently undergone surgery out of bed for the first time

c. Documentation of a patient's I & O on the flow chart

a nurse administers a dose of an oral medication for hypertension to a patient who immediately vomits after swallowing the pill. What would be the appropriate initial action of the nurse in this situation? a. readminister the medication and notify the primary care provider b. readminister the pill in a liquid form if possible c. assess the vomit, looking for the pill d. notify the primary care provider

c. assess the vomit, looking for the pill

a nurse pleads guilty to a misdemeanor negligence charge for failing to monitor a patient's vital signs during routine eye surgery, leading to the death of the patient. the nurse's attorney explained in court that the nurse was granted recognition in a specialty area of nursing. what is the term for this type of credential? a. accreditation b. licensure c. certification d. board approval

c. certification

a nurse discovers that a med error occured. what should be the nurse's first response? a. record the error on the med sheet b. notify the physician regarding course of action c. check the patient's condition to note any possible effect of the error d. complete an incident report, explaining how the mistake was made

c. check the patient's condition to note any possible effect of the error

a nurse is teaching a 50-year-old male patient how to care for his new ostomy appliance. which teaching aid would be most appropriate to confirm that the patient has learned the information? a. ask me 3 b. newest vital sign (NVS) c. teach-back method d. TEACH acronym

c. teach-back method

A nurse states, "that patient is 78 years old - too old to learn how to change the dressing." Tatian what is the nurse demonstrating? a. Cultural imposition b. Clustering c. Cultural competency. d. Stereotyping.

d. stereotyping

during an interaction with a patient diagnosed with epilepsy, a nurse notes that the patient is silent after communicating the nursing care plan. what would be appropriate nurse responses in this situation? SATA a. fill the silence with lighter converstaion directed at the patient b. use the time to preform the care that is needed uninterrupted c. discuss the silence with the patient to ascertain its meaning d. allow the patient time to think and explore inner thoughts e. determine if the patient's culture requires pauses between conversation f. arrange for a counselor to help the patient cope with emotional issues

c. discuss the silence with the patient to ascertain its meaning d. allow the patient time to think and explore inner thoughts e. determine if the patient's culture requires pauses between conversation

a nurse is administering heparin subcutaneously to a patient. what is the correct technique for this procedure? a. aspirate before giving and gently massage after the injection b. do not aspirate; massage the site for 1 minute c. do not aspirate before or massage after the injection d. message the site of the injection; aspiration is not necessary but will do no harm

c. do not aspirate before or massage after the injection

a nursing student is nervous and concerned about working at a clinical facility. which action would BEST decrease anxiety and ensure success in the student's provision of patient care? a. determining the established goals of the institution b. ensuring that verbal and nonverbal communication is congruent c. engaging in self-talk to plan the day and decrease fear d. speaking with fellow colleagues about how they feel

c. engaging in self-talk to plan the day and decrease fear

a nurse is dicussing with an older adult patient measures to take to induce sleep. what teaching point might the nurse include? a. drinking a cup of regular tea at night induces sleep b. using alcohol moderately promotes a deep sleep c. having a small bedtime snack high in tryptophan and carbohydrates improves sleep d. exercising right before bedtime can hinder sleep

c. having a small bedtime snack high in tryptophan and carbohydrates improves sleep

a nurse observes a slight increase in a patient's vital signs while he is sleeping during the night. according to the patient's stage of sleep, the nurse expects what conditions to be true? SATA a. he is aware of his surroundings at this point b. he is in delta sleep at this time c. it would be most difficult to awaken him at this time d. this is most likely an NREM stage e. this stage constitues around 20% to 25% of total sleep f. the muscles are relaxed in this stage

c. it would be most difficult to awaken him at this time e. this stage constitues around 20% to 25% of total sleep

a perioperative nurse is preparing a patient for surgey for treatment of a ruptured spleen as the result of an automobile crash. for what ype of surgery would the nurse prepare this patient? a. minor, diagnostic b. minor, elcetive c. major, emergency d. major, palliative

c. major, emergency

a nurse in a NICU fails to monitor a premature newborn according to the protocols in place, and is charged with malpractice. what is the term for those bringing the charges againt the nurse? a. appellates b. defendats c. plantiffs d. attorneys

c. plantiffs

a nurse is preparing a patient for a c-section and teaches her the effects of the regional anesthesia she will be receiving. which effects would the nurse expect? SATA a. loss of consciousness b. relaxation of skeletal muscles c. reduction or loss of reflex action d. localized loss of sensation e. prolonged pain relief after other anesthsia wears off f. infiltrates the underlying tissues in operative area

c. reduction or loss of reflex action d. localized loss of sensation

a nurse is teaching patients of all ages in a hospital setting. which examples demonstrate teaching that is appropriately based on the patient's developmental level? SATA a. the nurse plans long teaching sessions to discuss diet modifications for an older adult diagnosed with type 2 diabetes b. the nurse recognizes that a female adolescent diagnosed with anorexia is still dependent on her parents and includes them in all teachng sessions c. the nurse designs an exercise program for a sedentary older adult male patient based on the activities he prefers d. the nurse includes an 8-year-old patient in the teaching plan for managing cystic fibrosis e. the nurse demonstrates how to use an inhaler to an 11-year-old male patient and includes his mother in the session to reinforce the teaching f. the nurse constinues a teaching session on STIs for a sexually active male adolescent despite his protest that "I've heard enough already!"

c. the nurse designs an exercise program for a sedentary older adult male patient based on the activities he prefers d. the nurse includes an 8-year-old patient in the teaching plan for managing cystic fibrosis e. the nurse demonstrates how to use an inhaler to an 11-year-old male patient and includes his mother in the session to reinforce the teaching

a nurse who gives subcutaneous and intramuscular injections to patients in a hospital setting attempts to reduce discomfort for the patients receiving the injections. which technique is recommended? a. the nurse selects a needle of the largest gauge that is appropriate for the site and solution to be injected b. the nurse injects the medication into contracted muscles to reduce pressure and discomfort at the site c. the nurse uses the Z-track technique for IM injections to prevent leakage of medication into the needle track d. the nurse applies vigorous pressure in a circular motion after the injection to distribute the medication to the intended site

c. the nurse uses the Z-track technique for IM injections to prevent leakage of medication into the needle track

A nurse is teaching a novice nurse, how to provide care for patients in a culturally diverse community health clinic. Although all these actions are recommended, which one is most basic to providing culturally, competent care? a. Learning the predominant language of the community. b. Obtaining significant information about the community. c. Treating each patient at the clinic as an individual. d. Recognizing the importance of the patient's family.

c. treating each patient at the clinic as an individual.

a medication order reads: "K-Dur, 20 mEq po BID." when and how does the nurse correctly give the drug? a. daily at bedtime by SubQ route b. every other day by mouth c. twice a day by the oral route d. once a week by transdermal patch

c. twice a day by the oral route

the nurse is administering a medication to a patient via an enternal feeding tube. which are accurate guidelines related to this procedure? SATA a. crush the enteric-coated pill for mixing in a liquid b. flush open the tube with 60 mL of very warm water c. use the recommended procedure for checking tube placement in the stomach or intestine d. give each medication separately and flush with water between each drug e. lower the head of the bed to prevent reflux f. adjust the amount of water used if patient's fluid intake is restricted

c. use the recommended procedure for checking tube placement in the stomach or intestine d. give each medication separately and flush with water between each drug f. adjust the amount of water used if patient's fluid intake is restricted

A nurse is interviewing a newly admitted patient which question is considered culturally sensitive? a. Do you think you will be able to eat the food we have here? b. Do you understand that we can't prepare special meals? c. What types of food do you eat for meals? d. Why can't you just eat our food while you were here?

c. what types of food do you eat for meals?

During rounds, a charge nurse hears the patient care technician yelling loudly to a patient regarding a transfer from the bed to chair. Upon entering the room, what is the nurse's BEST response? a. "You need to speak to the patient quietly so you don't disturb the other patients." b. "Let me help you with your transfer technique." c. "When you are finished, be sure to apologize for your rough demeanor." d. "When your patient is safe and comfortable, meet me at the desk."

d. "When your patient is safe and comfortable, meet me at the desk."

a nurse is counseling a 19-year-old athlete who had his right leg amputated below the knee following a motorcycle accident. during the rehabilitation process, the patient refuses to eat or get up to ambulate on his own. he says to the nurse, "what's the point. my life is over now and i'll never be the football player i dreamed of becoming." what is the nurse counselor's best response to this patient? a. "you're young and have your whole life ahead of you. you should focus on your rehabilitation and make something of your life" b. "i understand how you must feel. i wanted to be a famous singer, but i wasn't born with the talent to be successful at it" c. "you should concentrate on other sports that you could play even with prosthesis" d. "i understand this is difficult for you. would you like to talk about it now or would you prefer me to make a referral to someone else?"

d. "i understand this is difficult for you. would you like to talk about it now or would you prefer me to make a referral to someone else?"

a nurse enters a patient's room and examines the patient's IV fluids and cardiac monitor. the patient states, "well, i haven't seen you before. who are you?" what is the nurse's BEST response? a. "i'm just the IV therapist checking your IV." b. "i've been transferred to this division and will be caring for you" c. "i'm sorry, my name is john smith and i am your nurse." d. "my name is John Smith, I am your nurse and i'll be caring for you until 11 PM."

d. "my name is John Smith, I am your nurse and i'll be caring for you until 11 PM."

a nurse is explaining pain control methods to a patient undergoing a bowel resection. the patient is interested in the PCA pump and asks the nurse to explain how it works. what would be the nurse's correct response? a. "the pump allows the patient to be completely free of pain during the postoperative period" b. "the pump allows the patient to take unlimited amounts of medication as needed" c. "the pump allows the patient to choose the type of medication given postoperatively" d. "the pump allows the patient to self-administer limited doses of pain medication"

d. "the pump allows the patient to self-administer limited doses of pain medication"

a patient states, "i have been experiencing complications of diabetes." the nurse needs to direct the patient to gain more information. what is the MOST appropriate comment or question to elicit additional information? a. "do you take two injections of insulin to decrease the complications?" b. "most health care providers recommend diet and exercise to regular blood sugar." c. "most complications of diabetes are related to neuropathy." d. "what specific complications have you experienced?"

d. "what specific complications have you experienced?"

a veteran nurse, pleaded guilty to a misdemeanor negligence charge in the case of a 75-year-old woman who died after slipping into a coma during routine outpatient hernia surgery. the surgeon who performed the procedure called the nurse's action pure negligence, stating that the patient could have been saved. the patient was a vibrant grandmother of 10 who had walked 3 quarters of a mile the morning of her surgery and had sung in her church choir the day before. what criteria must be established to prove that the nurse is guilty of malpractice or negligence in this case? a. the surgeon who performed the procedure called the nurse's actions pure negligence, saying that the patient could have been saved. b. The fact that this patient should not have died, since she was a healthy grandmother of 10, who is physically active and involved in her community. c. The nurse intended to harm the patient and was willfully negligent, as evidence by the tragic outcome of routine hernia surgery. d. The nurse had a duty to monitor the patients vital signs, and due to the nurse's failure to perform this duty. In the circumstance, the patient died.

d. The nurse had a duty to monitor the patients vital signs, and due to the nurse's failure to perform this duty. In the circumstance, the patient died.

a nurse administer the wrong medication to a patient and the patient is harmed. the health care provide who ordered the medication did not read the documentation that the patient was allergic to the drug. which statement is true regarding liability for the administration of the wrong medication? a. the nurse is not responsible, because the nurse was following the doctor's orders. b. only the nurse is responsible, because the nurse actually administered the medication c. only the health care provider is responsible, because the health care provider actually ordered the drug d. both the nurse and the health care provider are responsible for their respective actions

d. both the nurse and the health care provider are responsible for their respective actions

a state attorney decides to charge a nurse with manslaughter for allegedly administering a lethal medication. this is an example of what type of law? a. public law b. private law c. civil law d. criminal law

d. criminal law

a med order reads: "Hydromorphone, 2 mg IV every 3 to 4 hours PRN pain." The prefilled cartridge is available with a label reading "Hydromorphone 2mg/1mL." the cartridge contains 1.2 mL of hydromorphone. what should the nurse do? a. give all the medication in the cartridge because it expanded when it was mixed and this is what the pharmacy sent b. call the pharmacy and request the proper dose c. refuse to give the medication and document refusal in the EHR d. dispose of 0.2 mL before administering the drug; verify waste with another nurse

d. dispose of 0.2 mL before administering the drug; verify waste with another nurse

while assesing a patient in the PACU, a nurse notes increased wound drainage, restlessness, a decreasing BP, and an increase in the pulse rate. the nurse interprets these findings as most likely indicating: a. thrombophlebitis b. atelectasis c. infection d. hemorrhage

d. hemorrhage

a nurse is explaining the rationale for preforming leg exercises after surgery. which reason would the nurse include in the explanation? a. promote respiratory function b. maintain functional abilities c. provide diversional activities d. increase venous return

d. increase venous return

a nurse incorporates the "five values that epitomize the caring professional nurse" (identified by the AACN) into a home health care nursing practice. which attribute is the best described as acting in accordance with an appropriate code of ethics and accepted standards of practice? a. altruism b. autonomy c. human dignity d. integrity

d. integrity

a pediatric nurse is assesing a 5-year-old boy who has dietary modifications R/T his diabetes. his parents tell the nurse that they want him to value good nutritional habits, so they decide to deprive him of his favorite TV program when he becomes angry after they deny him foods not on his diet. this is an example of what mode of value transmission? a. modeling b. moralizing c. laissez-faire d. rewarding and punishing

d. rewarding and punishing

a nurse manager of a busy cardiac unit observes diasgreemnets between the RNs and the LPNs related to schedules and nursing responsibilities. at a staff meeting, the manager compliments all the nurses on a job well done and ppoints that expected goals and outcomes for the month have been met. the nurse concludes the meeting without addressing the disagreements between the two groups of nurses. which conflict resolution strategy is being employed by this manager. a. collaborating b. competeing c. compromising d. smoothing

d. smoothing

a nurse enters the room of a patient with cancer. the patient is crying and states, "i feel so alone." which response by the nurse is the most therapeutic action? a. the nurse stands at the patients bedside and states, "i understand how you feel. my mother said the same thing when she was ill." b. the nurse places a hand on the patient's arm and states, "you feel so alone" c. the nurse stands in the patients room and asks, "why do you feel so alone? your wife has been here everyday?." d. the nurse holds the patients hand and asks, "what makes you feel so alone?"

d. the nurse holds the patients hand and asks, "what makes you feel so alone?"

a nurse is asked to act as a mentor to a new nurse. which nursing action is related to this process? a. the nurse mentor accepts payment to introduce the new nurse to his or her responsibilities b. the nurse mentor hires the new nurse and assigns duties related to the position c. the nurse mentor makes it possible for the new nurse to participate in professional organizations d. the nurse mentor advises and assists the new nurse to adjust to the work environment of a busy emergency department

d. the nurse mentor advises and assists the new nurse to adjust to the work environment of a busy emergency department

a 3 year old child is being admitted to a medical division for vomiting, diarrhea, and dehydration. during the admission interview, the nurse should implement which communication techniques to elicit the most info from the parents? a. the use of reflective questions b. the use of closed questions c. the use of assertive questions d. the use of clarifying questions

d. the use of clarifying questions

a nurse is providing teaching for a patient scheduled to have same-day surgery. which teaching method would be most effective in pre-op teaching for ambulatory surgery? a. lecture b. discussion c. audiovisuals d. written instructions

d. written instructions

a home health nurse performs a careful safety assessment of the home of a frail older adult to prevent harm to the patient. the nurse's action reflects which principle of bioethics? a. autonomy b. beneficence c. justice d. fidelity e. nonmaleficence

e. nonmaleficence