Fundamentals Exam 2

Healthcare consumer centered practices evidence based practice interprofessional collaboration use of informatics continuous quality improvement Are all what?

Core practice competencies

acts where the nurse does not intend to do harm to another but does

Quasi- intentional tort

A nurse is preparing to clean a patients wounds and knows the patient is at great risk of infection and disfigurement if not completed. The nurse has administered the necessary pain medications but knows that the patient will likely still experience discomfort. The nurse explains the procedure and wound care is performed. Which ethical principle guided this nurses decision-making most? a) beneficence b) nonmaleficence c) autonomy d) justice

a

Actions are right or wrong based on rules and principles a) deontology b) utilitarianism c) casuistry d) feminist e) ethics of care

a

When a patient presents to an emergency department they must be treated a) emergency medical treatment and Active labor act b) the omnibus budget reconciliation act c) mental health parity and addiction equity act

a

When two opposing courses of action can both be justified by ethical principles a) ethical dilemma b) moral distress

a

a young full time mother joins a new mothers support group which kind of prevention is this? a) primary b) tertiary c) secondary d) quaternary

a

nurse practitioner, clinical nurse specialist, nurse anesthetist, nurse midwife are all examples of advance practice nurses. a)true b) false

a

patients choice a) autonomy b) beneficence c) nonmaleficence d) fidelity e) justice

a

the nurse is about to administer an oral medication and questions the dosage. The nurse would: a) notify the ordering physician b) ask the charge nurse c) withhold the medication d) document that the dosage appears incorrect

a

which member of the interprofessional team in a palliative care setting serves as the client advocate, evaluating the physical, emotional, and spiritual needs of the client? a) nurse b) pharmacist c) music therapist d) primary health care provider

a

which statement best describes the nurses role as an advocate? a) protects the clients human and legal rights and helps assert these rights b) helps client maintain health, manage disease, and attain highest level of independence c) explains concepts about health, describes reasons for routine care, and demonstrates procedures such as self-injections d) establishes an environment for collaborative client centred care to provide safe, quality services

a

which statement demonstrates that a psychiatric nurse has successfully fostered a therapeutic nurse-client relationship? a) my clients and i are partners in the planning that helps meet their physical and mental health needs b) nurses and clients must develop a therapeutic relationship if appropriate mental and physical care is to be provided. c) mental health is achieved and maintained when the nurses and the clients exhibit respect and caring for each other d) without a mutually satisfying relationship between nurse and client achieving mental and physical wellness is very difficult

a

working within the context of the patients meaning a)present b) retrospective c)prospective

a

Which information would the nurse provide a client about tertiary prevention? Select all that apply a) focuses on preventing complications of illness b) helps clients achieve as high a level of functioning as possible c) aims at minimizing the effects of long term disease or disability d) applied when the client is physically and emotionally healthy e) activities are aimed at diagnosis and treatment instead of rehabilitation

a,b,c

Which questions are applicable in determining nursing malpractice? Select all that apply a) was reasonable care provided? b) was there a breach of nursing duty? c) was there an act of omission that resulted in harm? d) except for the nurses action would the injury have occurred? e) were the nurses actions unintentional?

a,b,c,d

which factors will the home health nurse use to assess an adolescents safety in the home environment? Select all that apply. a) use of helmets b) drug and alcohol use c) presence of weapons d) vehicle safety restraints e) number of people in home f) nutrition and food consumption

a,b,c,d

Which scenarios mentioned by the student nurse relate to the health care ethic of fidelity. Select all that apply a)monitoring a client after providing non pharmacological measures to relieve anxiety due to hospitalization b) noting that the pain relief measures provided to that client have been effective the nurse formulates a different plan of care c) ensuring that the client understands the risks and benefits of an experimental d) carefully evaluation the advantages and disadvantages of the clients plan of care e) caring for a client who refuses to be touched by people of certain skin color, the nurse continues to provide care because other colleagues refuse to attend to the client

a,b,e

Which information would the nurse provide to a client regarding a DNR order? Select all that apply a) DNR orders would be reviewed routinely by primary health care provider b) a primary health care provider would make every effort to receive a client if a DNR order exists c) legally competent adults may issue a DNR order verbally or in writing after receiving proper info about it d) primary health care providers would check for a DNR order before deciding to perform cardiopulmonary resuscitation e) a DNR order may be attached to the client's medical orders medical orders without any legal proof of consultation regarding the order

a,c,d

which important points regarding orders from a primary health care provider would the nurse keep in mind to prevent any legal complications? select all that applies. a) follow the primary health care providers order unless the order seems to be harmful or is incorrect b) ensure that nursing students verify verbal orders by reading them out to the primary health care provider c) be aware that following an inappropriate order does not make the nurse legally responsible for any harm to the client d) inform the nursing supervisor if the order looks inappropriate but the primary health care provider is required to confirm the order e) document that the primary health care provider was notified about an incorrect order along with his or her response follow up and the clients response

a,d,e

Which of the following actions performed by a nurse could result in criminal and civil law sanctions against the nurse? Select all that apply. a) reviewing the health record of a family member who has been admitted to another unit b) reporting suspected abuse or neglect c) refusing to provide healthcare information to a patients child d) completing an incident report on the unit e) restraining a patient without due cause

a,e

A client with a fractured hip is helped to pivot from the bed to a chair after surgery. Which benefit of bearing most of the weight on the unaffected leg would the nurse explain to the client? a) increasing circulation in the lower extremities b) helping maintain the strength of the unaffected limb c) providing the quickest method of getting the client to and from the bed d) reducing the amount of help necessary to lift the client to the chair

b

Examining root cause, risks, lifestyle, culture, environment a)present b)retrospective c)prospective

b

Instead of competing options for action, the nurse feels the need to take a specific action while believing that action to be wrong. a) ethical dilemma b) moral distress

b

Older adults and has to do with restraints a) emergency medical treatment and Active labor act b) the omnibus budget reconciliation act c) mental health parity and addiction equity act

b

The client with a full-thickness burns of the entire right arm states, ill never be able to use my arm again. Ill be scarred forever. Which is the best initial response by the nurse? a) think about how lucky you are you' still alive b) minimizing scarring is the goal of the entire professional staff c) being worried is understandable but its really to early to tell d) try not to worry concentrate on doing your range of motion exercises

b

a primary health care provider writes a prescription of restraints for a client who has a history of violent behavior. Which action would the nurse take? a) ask the health care provider to specify the type of restraint in the prescription b) notify the provider that PRN prescription for restraint are unacceptable c) implement the restraint prescription when the client begins to act out d) ensure that the entire staff is aware of the prescription for the restraints

b

do good a) autonomy b) beneficence c) nonmaleficence d) fidelity e) justice

b

the nurse gives the child a vaccination injection against the wishes of the mother. Which legal charges may be brought against the nurse? a) assault b) battery c) invasion of privacy d) false imprisonment

b

value of something based on its usefulness (greatest good for the greatest number of people) a) deontology b) utilitarianism c) casuistry d) feminist e) ethics of care

b

which action should the nurse manager take when it becomes apparent that communication between the nurse and the client is consistently superficial? a) assess the clients ability to understand the nurse b) evaluate how well the nurse uses active listening c) reinforce to the client the importance of sharing d) review the nurses use of questioning techniques

b

which nursing action would be planned to prevent thrombus formation for a client who had a total hip replacement? a) turning the client from side to side b) encouraging the patient to perform ankle excercises c) elevating the clients knee gatch 15 degrees d) getting the client to sit in a chair as long as tolerated

b

Caregiver, advocate, activist, educator, communicator, coordinator, manager, leader, innovator, last line of defense are all roles of what? a) the how of nursing b) the what of nursing c) professional nursing roles d) the where of nursing

b,c

which activities would the nurse perform to meet the clients safety and security needs based on Maslow's hierarchy of needs? Select all that apply a) providing a cold bath to reduce the clients body temp b) positioning the bed in a low position and keeping the side rails up c) monitoring vital signs to decrease risk of falls d) observing a client who has suicidal tendencies to prevent adverse incidents e) collaborating with family members to provide emotional support for the client post surgery

b,c,d

A client newly diagnosed with type 1 diabetes asks why it is necessary to exercise on a regular basis. Which response is accurate? a) exercise decreases insulin sensitivity b) it stimulates glucagon production c) exercise improves the cellular uptake of glucose d) it reduces metabolic requirements for glucose

c

A patient asks about an herbal medication they heard eases anxiety. The nurse would be most concerned with which ethical principle when providing advice about herbal remedies? a) autonomy b) fidelity c) nonmaleficence d) justice

c

A state passes a law that mandates that clinicians can only perform abortions and family planning education in two suburban area codes. Which ethical principle is most represented in this case? a) nonmaleficence b)autonomy c) justice d) beneficence

c

Do no harm a) autonomy b) beneficence c) nonmaleficence d) fidelity e) justice

c

Which response will the nurse provide when a family member asks why a client who is intubated and receiving mechanical ventilation has restraints in place? a) the restraints will be removed once the client is extubated b) we are required to restrain all clients with breathing tubes c) restraints are a last resort to prevent accidental extubation d) it is routine procedure fo rus to restrain all intubated clients

c

case based reasoning (similar cases to form a precedent similar course of action) a) deontology b) utilitarianism c) casuistry d) feminist e) ethics of care

c

promoting health, preventing disease, aiding in transitions, dealing with anticipatory guidance a)present b)retrospective c)prospective

c

requires health insurance companies to provide coverage for mental health and substance use disorder treatment a) emergency medical treatment and Active labor act b) the omnibus budget reconciliation act c) mental health parity and addiction equity act

c

which member of the interprofessional team is a appropriate for the nurse to ask for support in informing and consoling the family of a terminally ill client who has died? a) primary health care provider b) pharmacist c) social worker d) occupational therapist

c

which point regarding ethics and values requires further education? a) the nurses point of view offers a unique voice in the resolution of ethical dilemma b) professional nursing promotes accountability, responsibility, advocacy, and confidentiality c)the american nurses association code of ethics ensures that the code remains consent d) standards ethics in health care consist of autonomy, beneficence, nonmaleficence, justice, and fidelity

c

which point requires correction regarding the characteristics of an ethical issue a) the situation is perplexing and is not easy to think logically or make a decision b) it is not possible to resolve solely through a review of scientific data c) the problem aims at the greatest good for the greatest number of people d) the answer to the problem has a profound relevance for areas of human concern

c

which purpose is served by establishing a therapeutic nurse client relationship? a) modifying and improving nonverbal communication b) presenting an outlet for suppressed hostile feelings c) assisting the client in acquiring more effective behavior d) providing the client with someone who can make decisions

c

A client in need of a lung transplant tells the nurse, "I will not take the organ of any person belonging to a different religion." The nurse initiates the process for resolving the ethical dilemma by collaborating with other healthcare team members. What should the team do after agreeing to a statement of the problem? a) interview the family members of the client b) initiate negotiations for the appropriate course of action c) assess whether the client is satisfied with the course of action taken d) determine all the possible courses of action based on available information

d

A nurse assesses that her patient grimaces and becomes restless when a dressing change is done. The doctor has discontinued all pain medication due to the patients age and mental status. The nurse feels that these actions are wrong but also feels that she needs to continue the plan of care based on doctor orders and observations. The nurse is at risk for which of the following? a) ethics breach b) breaching a duty regarding the anatomical gift act c) causing patient harm via false imprisonment d) moral distress

d

A patient has to have her leg amputated after the nurse called the doctor regarding worrisome assessment findings and received no response. No other interventions were performed. This type of breach of duty by the nurse would be classified as: a) an ADA violation b) near miss c) unfortunate event d) malpractice

d

a registered nurse is teaching a nursing student about the nurses professional roles and responsibilities. When would the nurse play the role of an educator? A) client request nurse to pray with them b) client is unable to sleep due to back pain. nurse provides back massage c) client with dementia refuses to take bath and loudly protest. Nurse provides bath later d) client is being discharged from the hospital setting with an implanted port. Nurse describes routine care to prevent complications

d

keeping promises to patient a) autonomy b) beneficence c) nonmaleficence d) fidelity e) justice

d

looks at possible inequalities based on gender a) deontology b) utilitarianism c) casuistry d) feminist e) ethics of care

d

the nurse is helping a client and her family to set and meet goals. Which professional role is the nurse developing? a)educator b)advocate c)manager d)caregiver

d

the nurse is teaching an adolescent with a sprained ankle how to use one crutch when walking. Which statement indicates that no further teaching is necessary? a) i shouldnt use my crutch on the stairs b) after a month i can stop using the crutch c) i should place the crutch in front of my bad ankle d) i should use the crutch on the side of my good ankle

d

which legal implications would the nurse understand about applying restraints to a client? a)the law prohibits restraining clients until a written prescription is obtained b) a felony charge may be leveled against nurses who use any kind of restraints c) nurses are not obligated to report institutions that use restraints unlawfully d) the nurse can be charged with assault and battery for using restraints improperly

d

which point requires correction regarding the use of restraints a) less restrictive interventions must have been unsuccessful before applying restraints b) all other alternatives must have been tried and exhausted before applying restraints c) restraints may be applied to ensure the physical safety of the resident or other residents d) a written order for restraints is not required

d

equal distribution of resources a) autonomy b) beneficence c) nonmaleficence d) fidelity e) justice

e

relationship based focuses on the context of a situation a) deontology b) utilitarianism c) casuistry d) feminist e) ethics of care

e

Body alignment, joint mobility, balance, and coordinated movement are all elements of what?

normal movement

Has to do with an individual at least 18 yrs old to make an organ donation, must have written consent

uniform anatomical gift act

what are the "w" and "h" of nursing

what, when, where, how