Leadership Exam 1

After 3 years of uneventful employment, the nurse made a medication error that resulted in patient injury. What hospital response to this event is ethical? 1. The hospital was supportive and assistive as the nurse coped with this event 2. The nurse was dismissed for incompetence 3. The hospital quality department advised the nurse not to tell the patient about the error 4. The nurse was reassigned to an area in which there is no direct patient care responsibility

1

Which of the following represent the knowledge and skills expected of the professional nurse? (SELECT ALL THAT APPLY) 1. Accountability 2. Advocacy 3. Autonomy 4. Social networking 5. Participation in nursing blogs

1,2,3

A nurse is providing care to a patient whose family has previously brought suit against another hospital and two physicians. Under which ethical principle should the nurse practice? 1. Justice 2. Veracity 3. Autonomy 4. Nonmaleficence

1

Which common practice puts the nurse at liability for invasion of patient privacy? 1. During care, the nurse reveals information about the patient to those in the room 2. The nurse releases information about the patient to nursing students who will be caring for the patient the next day 3. The nurse conducts a patient care session about a patient whose care is difficult and challenging 4. Confidential information regarding an admitted patient is released to third-party payers

1

Which of the following is unique to a professional standard of decision making? (SELECT ALL THAT APPLY) 1. Weighs benefits and risks when making a decision 2. Analyzes and examines choices more independently 3. Concrete thinking 4. Anticipates when to make choices without others' assistance

1,2

Professional accountability serves the following purpose: (SELECT ALL THAT APPLY) 1. To provide a basis for ethical decision making 2. To respect the decision of the client 3. To maintain standards of health 4. To evaluate new professional practices and reassess existing ones 5. To belong to a professional organization

1,2,3,4

A patient tells a nurse that he has an advance directive from 6 years ago. The nurse looks at the medical record for the advance directive. What content should the nurse expect to find in the advance directive? (SELECT ALL THAT APPLY) 1. Decisions regarding treatments 2. When to take the patient to the hospital 3. Do not resuscitate orders 4. Who should be notified in the case of illness, injury, or death 5. Durable power of attorney for health care 6. HIPPA protocols

1,2,3,5

The health-care facility has sponsored a continuing education offering on emergency management of pandemic influenza. At lunch, a nurse is overheard saying, "I'm not going to take care of anyone who might have the flu. I have kids to think about." What is true of this statement? (SELECT ALL THAT APPLY) 1. The nurse has a greater obligation than a layperson to care for the sick or injured in an emergency 2. This statement reflects defamation and may result in legal action against the nurse 3. This statement is a breach of the Code of Ethics for nurses 4. The nurse has this right as no nurse-patient contract has been established

1,3

Health Insurance Portability and Accountability Act (HIPPA) regulations guard confidentiality. In several situations, confidentiality can be breached and information can be reported to other entities. Which of the following meet these criteria? (SELECT ALL THAT APPLY) 1. The patient is from a correctional institution 2. The situation involves child abuse 3. An injury occurred from a firearm 4. The patient is a physician 5. The breach of information was unintentional

2,3

Which of the following demonstrates a nurse as advocating for a patient? The nurse: 1. calls a nursing supervisor in conflicting situations 2. reviews and understands the law as it applies to the client's clinical conditions 3. documents all clinical changes in the medical record in a timely manner 4. assess the client's point of view and prepares to articulate this point of view

4

Who stated that the "function of the nurse is to assist the individual, sick or well, in the performance of those activities contributing to health or it's recovery (or to peaceful death)? 1. Henderson 2. Rogers 3. Robb 4. Nightingale

4

APRNs generally: (SELECT ALL THAT APPLY) 1. Function independently 2. Function as unit directors 3. Work in acute care settings 4. Work in the university setting 5. Hold advanced degrees

1,5

An RN is obtaining a signature on a surgical informed consent document. Before obtaining the signature, the RN must ensure which of the following? (SELECT ALL THAT APPLY) 1. The client is not sedated 2. The doctor is present 3. A family member is a witness 4. The signature is in ink 5. The patient understands the procedure

1,5

A nurse is working on an ethics committee to determine the best course of action for a patient who is dying. The nurse considers the positive and negative outcomes of the decision to assist with choices. Which best describes the distinction of using a list when making an ethical decision? 1. The nurse can back up her reasons for why she has decided to provide a certain type of care 2. The nurse can compare the benefits of one choice over another 3. The nurse can communicate the best choice of action to the interdisciplinary team 4. The nurse can provide care based on developed policies and standards

2

A nurse is caring for a patient who feels that life should not be prolonged when hope is gone. She has decided that she does not want extraordinary measures taken when her life is at its end. She has discussed her feelings with her family and health-care provider. The nurse realizes that this is an example of: 1. Affirming a value 2. Choosing a value 3. Prizing a value 4. Reflecting a value

3

An RN new to the emergency department documented that "the patient was intoxicated and acted in a crazy manner." The team leader told the RN that this type of documentation can lead to: 1. Assault 2. Wrongful publication 3. Defamation of character 4. Slander

3

An RN sees an older woman fall in the mall. The RN helps the woman. The woman later complains that she twisted and sprained her ankle. The RN is protected from litigation under: 1. Hospital malpractice insurance 2. Good faith agreement 3. Good Samaritan law 4. Personal professional insurance

3

Nursing has it's origins with? 1. Florence Nightingale 2. The Knights of Columbus 3. Religious orders 4. Wars and battles

3

An RN calls a health-care provider to report that a patient's condition is deteriorating. The physician gives orders on the telephone to draw arterial blood gases. What should the nurse do next when receiving telephone orders from a health-care provider? 1. Call the respiratory therapist to obtain the blood gases 2. Give the order to the unit secretary to ensure it is entered quickly 3. Enter the order directly into the system as it was given to the RN 4. Write the order down and read it back to the provider

4

An RN has asked a LPN to trim the toenails of a diabetic pt. The LPN trims them too short, which results in a toe amputation from infection. The patient files a lawsuit against the hospital, the RN, and the LPN. What might all 3 be found guilty of? 1. Unintentional tort 2. Intentional tort 3. Negligence 4. Malpractice

4

Several studies have shown that although care planning and advance directives are available to clients, only a minority actually complete them. Which of the following has been shown to be related to completing an advance directive? (SELECT ALL THAT APPLY) 1. African American race 2. Younger age 3. History of chronic illness 4. Lower socioeconomic status 5. Higher education

5

The ANA Code of Ethics with Interpretive Statements guides nurses in ethical behaviors. Provision 3 of the ANA Code of Ethics says: "The nurse promotes, advocates for, and strives to protect the health, safety, and rights of the patient." Which of the following best describes an example of this provision? 1. Respecting the patient's privacy and confidentiality when caring for him 2. Serving on a committee that will improve the environment of patient care 3. Maintaining professional boundaries when working with a patient 4. Caring for oneself before trying to care for another person

1

Nurses at a community hospital are in an education program to learn how to use a new pressure-relieving device for patients at risk for pressure ulcers. This is which type of education? 1. Continuing education 2. Graduate education 3. In-service education 4. Professional Registered Nurse Education

3

Nursing practice in the 21st century is an art and science that focuses on: 1. The client 2. The nursing process 3. Cultural diversity 4. The health-care facility

1

A patient is transported to the emergency department by rescue after being involved in a motor vehicle accident. The patient is alert & oriented but keeps stating he is having trouble breathing. Oxygen is started, but the patient is still showing signs of dyspnea. The patient suddenly develops respiratory arrest and dies. During the resuscitation process, it is discovered that the nurse failed to open the correct oxygen valve. The family sues the hospital and the nurse for: 1. Malpractice 2. Negligence 3. Nonmaleficence 4. Equipment failure

1

The NCLEX for nurses is exactly the same in every state in the United States. The examination: 1. Guarantees safe nursing care for all patients 2. Ensures standard nursing care for all patients 3. Ensures that honest and ethical care is provided 4. Provides a minimal standard of knowledge for a registered nurse in practice

4

A patient asks a nurse if he has to agree to the health provider's treatment plan. The nurse asks the patient about his concerns. Which ethical principle is the nurse applying in this situation? (SELECT ALL THAT APPLY) 1. Beneficence 2. Autonomy 3. Veracity 4. Justice

2

A nurse's significant other undergoes explanatory surgery at the hospital where the nurse is an employee. What practice is most appropriate? 1. The nurse is an employee; therefore, access to the chart is permissible 2. Access to the chart requires a signed release form 3. The relationship with the the client provides the nurse special access to the chart 4. The nurse can ask the surgeon to discuss the outcome of the surgery

2

Which best describes the difference between patient privacy and patient confidentiality? 1. Confidentiality occurs between persons who are close, whereas privacy can affect anyone 2. Privacy is the right to be free from intrusion into personal matters, whereas confidentiality is protection from sharing a person's information 3. Confidentiality involves the use of technology for protection, whereas privacy uses physical components of protection 4. Privacy involves protection from being watched, whereas confidentiality involves protection from verbal exchanges

2

You are participating in a clinical care coordination conference for a patient with terminal cancer. You talk with your colleagues about using the nursing code of ethics for professional registered nurses to guide care decisions. A non-nursing colleague asks about this code. Which of the following statements best describes this code? 1. Improves communication between the nurse and patient 2. Protects the patient's right of autonomy 3. Ensures identical care to all patients 4. Acts as a guide for professional behaviors in giving patient care

4