Midterm Quiz questions

Which ethical principle applies to the patient regarding their rights with decision making by being knowledgeable when signing an informed consent for a medical procedure? A. veracity B. justice C. privacy and confidentiality D. autonomy

D. autonomy

What is the best course of action for a registered nurse to take if another nurse asks him/her to document their nursing care for them? A. refuse to chart the documentation as the nurse "asking you" can make a 'late' entry in the medical record B. check the Nurse Practice Act to see if this is advisable as it could be under certain emergency situations C. check with the nursing supervisor to review the documentation/charting policy in the agency D. complete the documentation by having the Information Technology department scan the nurse's hand-written personal notes into the medical record as you have been given 'permission' to do so for a 'complete timeline' of the patient's care

A. refuse to chart the documentation as the nurse "asking you" can make a 'late' entry in the medical record

The registered nurse's scope of nursing practice is mandated by: A. agency in which the nurse is employed B. The State Nurse Practice Act C. The National League of Nursing "Guidelines for Nursing Practice" D. State mandates and Federal healthcare laws

B. The State Nurse Practice Act

A formal document that outlines a person's wishes in terms of health care when they are not able to communicate these wishes would help families and healthcare providers to determine appropriate treatment while easing the decision-making process with withholding treatment or deciding on options is known as: A. a health care proxy B. an advance directive C. a power of attorney D. a treatment proxy with specific directives for care

B. an advance directive

The relief charge nurse has assigned you, a newly licensed registered nurse, to be one of the team leaders for the 3-11 shift. In making this decision, the charge nurse has overlooked your: A. leadership and management abilities B. clinical expertise as a 'novice nurse' C. leadership skills and effective communication with others D. conflict resolution skills and decision making

B. clinical expertise as a 'novice nurse'

What would be an ethical justification, by the nurse, for withholding treatment for a patient? A. extremely high deductibles or co-pay for insurance that would cause a hardship for the patient B. patient's verbalization of wishes, beliefs or values concerning their own treatment C. family or significant other wants treatment withheld with 'justification" for their choice and decision as it had been discussed earlier with the patient D. nurse's own personal values, beliefs and wishes as a means of advocating for the patient to make the 'best choice' in their treatment

B. patient's verbalization of wishes, beliefs or values concerning their own treatment

The medical-surgical unit is desperately short-staffed for the pm shift. A registered nurse agrees to continue working for an extra shift. During the 14th hour while on duty, this nurse makes a medication error while giving Potassium IVP that caused harm to the patient. Since the nurse was filling a 'desperate' staffing need and was therefore fatigued so: A. now both the hospital and nursing supervisor must also accept the responsibility for the negligent act B. the nurse would meet any legal responsibilities if an incident report/med variance report was filled out explaining the staffing situation C. the nurse will be held to the same 'standard of care' as any nurse with a similar education and nursing experience D. there is no problem if the patient will be 'ok' later on and no legal action was brought forth by the family

C. the nurse will be held to the same 'standard of care' as any nurse with a similar education and nursing experience

The Nurse Practice Act is a law that governs your nursing practice. If you are looking for specific nursing regulations about your practice, in what chapter could you locate this information? Chapter N6, N7 and N12 Chapter N7 Chapter N441 Chapter N320

Chapter N441

What is the ethical principle where the nurse must disclose factual information to the patient/family as it relates to be truthful? A. Autonomy B. Beneficence C. Role fidelity D. Veracity

D. Veracity

You are the charge nurse making out patient-nurse assignments for the next shift. Which patient should you assign to a new graduate nurse who is orienting to the neurology unit? a. A new admission with a spinal cord injury b. A patient with Parkinson's disease who needs assistance with bathing c. A patient with a stroke four days ago with left-sided weakness d. A patient with dementia who will be transferred to a nursing home today

b. A patient with Parkinson's disease who needs assistance with bathing

The Charge nurse is reviewing charts of patients who were assigned to a new graduate nurse. The graduate nurse has correctly charted medication dosages, route and time, but there is not documentation of non-pharmacological measures. What is the most appropriate action by the Charge Nurse? a. Quiz the graduate nurse about their knowledge of pain management b. Give praise to the graduate nurse for correct documentation and then discuss the deficits with charting c. Document a note in the graduate nurse's personnel record and continue to observe clinical performance d. Refer the graduate nurse to the nurse educator to complete an in-service or additional training on pain management

b. Give praise to the graduate nurse for correct documentation and then discuss the deficits with charting

The RN is admitting a patient with a C3-4 spinal cord injury. What is a priority assessment for this patient? a. Determining the level at which the patient has intact sensation b. Assessing the level at which the patient has retained mobility c. Assessing for respiratory effort and oxygen saturation levels d. Monitoring blood pressure and pulse of signs of spinal shock

c. Assessing for respiratory effort and oxygen saturation levels

In caring for patients with pain and discomfort issues, which task is the most appropriate for the nurse to delegate to a certified nursing assistant: a. To assess the patient for signs of discomfort while being ambulated b. Coach the patient to deep breathe during painful procedures c. Assist the patient with preparation for a sitz bath d. Evaluate relief after applying a cold application such as an ice pack

c. Assist the patient with preparation for a sitz bath

A patient in chronic pain reports to the RN supervisor that her nurses have not been responding to her requests for pain medication. What is the best response by the RN supervisor when responding to this patient's complaint? a. Review the patient's medical history and perform a complete pain assessment b. Check the MAR and nursing notes for the past several days to determine quality of care given c. Ask the unit educator to provide an in-service on pain management to the nurses d. Have a care conference with the nurses that are responsible for the patient's care

d. Have a care conference with the nurses that are responsible for the patient's care

A patient with Parkinson's disease has a nursing diagnosis of Impaired Physical Mobility R/T neuromuscular impairment. The RN observes the nursing assistant performing the following actions. For which action must the RN intervene? a. Assists the patient to ambulate to the bathroom and then back to bed b. Sets up the patient's tray and encourages the patient to feed himself without assistance c. Reminds the patient not to look at his feet when he is walking d. Performs the patient's complete bath and oral care

d. Performs the patient's complete bath and oral care

4. A security guard working in a nursing home found a resident in a totally dark room undressed and covered with urine and fecal material. The resident was partially in his bed and partially restrained in an overturned wheelchair. In a lawsuit of Hicks versus the New York State Department of Health (Whitehead, Weiss & Tappen, 2010), there was a UAP assigned to care for this resident, but the RN on duty was found guilty of nursing negligence. Using the concepts of delegation, what impacted this court decision? a. Inappropriate delegation for the UAP to provide physical care b. UAP was working outside their role and responsibility c. RN failed to assess whether or not the UAP delivered proper care to the resident d. RN failed to train and/or supervise the UAP working under them during the shift

d. RN failed to train and/or supervise the UAP working under them during the shift

A graduate nurse is observed by a registered nurse breaking sterile technique with the insertion of an indwelling catheter for a patient who has dementia. The registered nurse needs to address this issue based on which of the following ethical principles? autonomy nonmalificence justice role fidelity

nonmalificence