NSG 310 Exam 2

1. A nurse who was previously known to be a role model has become distant and cool toward patients. The manager suspects the nurse is experiencing moral distress. Which action by the nurse's manager would be best in this situation? a. Ask the nurse about perceived barriers to caregiving. b. Remind the nurse that patient relations are important. c. Ask whether the nurse needs to take a vacation or time off. d. Tell the nurse that others have noticed a behavior change.

a

1. A patient is having an operation in the morning. During the nurse's shift, the patient asks several questions that lead the nurse to determine that the patient does not understand the procedure. The best action by the nurse is to: a. call the surgeon to come back and explain the procedure. b. pass this information on to the day shift in shift report. c. reassure the patient that he or she understood the operation correctly earlier. d. try to explain the operation so that the patient understands.

a

1. A student nurse working in an ER takes a picture of a visiting friend in the middle of the crowded waiting room while posing with eight patients. Everyone in the photo is smiling and waving at the camera. The student nurse posts the photo on social media later to show how much fun working in an ER can be. Which statement best applies to this described scenario? a. Nurses breach patient privacy when they post enough information to allow recognition of a patient. b. Postings on social media platforms are an everyday happening that is innocent and harmless. c. Social media is transforming traditional nurse-patient interactions and how they are demonstrated. d. Extreme caution is required when discussing or demonstrating any patient-related experience.

a

1. The nurse performs a dressing change using sterile technique. This is an example of which pattern of knowledge? a. Empirical b. Personal c. Aesthetic d. Ethical

a

1. When admitting an adolescent to a hospital unit, which principle should the nurse keep in mind? a. The nurse should use the "three wishes" question to assess cognitive level. b. When a teen asks a direct question, the teen does not really want the answer. c. Teens recognize that life is a roller-coaster ride with ups and downs. d. Teens are able to self-assess competency.

a

2. A nurse applying for a job in a hospital notes that administration promotes accurate and timely reporting of errors and near misses. The facility has a multidisciplinary team to analyze this information as it becomes available and design solutions to identified problems. This nurse could infer that: a. nurses in this facility have a high degree of ownership in patient safety. b. nursing staff has been penalized in the past for reporting safety protocol violations. c. the hospital has had some significant issues with patient safety in the past. d. this facility's culture would be considered "immature" related to safety.

a

2. A nurse has been fired for refusing to work the designated number of weekend and holiday shifts each quarter. The nurse protests to the human resources department, saying that unit managers modified this requirement because this nurse has the most seniority on the floor and that therefore, they cannot fire him or her for this. Which statement by the human resources officer best explains the situation? a. "A court of law will uphold your written contract, not verbal promises." b. "It doesn't matter how long you have worked here; the rules apply equally." c. "Unit management does not have the authority to allow these alterations." d. "You should not have been fired; I would suggest getting a lawyer."

a

2. The nursing faculty member correctly classifies the American Nurses Association (ANA) Code of Ethics as a tool for: a. articulating actions that incorporate professional values. b. describing ethics associated with membership in the ANA. c. listing and explaining ethical principles used in nursing. d. solving ethical dilemmas encountered in daily practice.

a

3. A nursing manager for a cardiac unit wishes to improve collaborative teamwork to improve patient care outcomes. Which action by the manager would best accomplish this goal? a. permanent nurse-aide work groups. b. Formulate nurse-cardiologist work teams. c. Correct Implement daily multidisciplinary rounds. d. Require face-to-face reports between nurses.

a

3. When communicating with a preschooler who is admitted to the hospital for a fractured arm, which is the best method for the nurse to describe the preschooler's impending surgery? a. Encourage the preschooler to put a bandage on a teddy bear's arm. b. Explain what surgery will be like, using abstract terminology. c. Explain to the preschooler how long the surgery will take and that it will be done by noon. d. Inform the preschooler that fixing the fractured arm will make it possible to play sports in the future.

a

3. Whose code of ethics for nurses establishes principled guidelines designed to protect the integrity of patients related to their care, health, safety, and rights? a. American Nurses Association b. American Health Insurance Portability and Accountability Act c. National Academy of Medicine Division of the National Academies of Science, Engineering and Medicine d. Evidence-Based Practice

a

4. A newly hired graduate nurse is asking the preceptor why the facility uses a standardized template for change-of-shift reports. The preceptor explains that this template is used to: a. decrease communication failures at a risky time. b. decrease reports containing frivolous information. c. ensure all nurses get the same patient information. d. make it easier for nurses to remember what to say.

a

4. A nurse is explaining to some co-workers that the basic premise behind the confidentiality section of the Health Insurance Portability and Accountability Act (HIPAA) is that: a. health information belongs to the patient. b. it is unethical to disclose health records. c. minor transgressions are not the real issue. d. only electronic patient records are protected.

a

4. During a routine visit, the nurse notes that a child has several bruises at various stages of healing. The child reports, "Mommy doesn't like it when I don't do my chores." Failure to report these findings is an example of what form of nursing malpractice? a. Negligence b. Slander c. Liable d. Defamation

a

4. When assessing a child's reaction to illness, it is important for the nurse to implement which intervention? a. Realize the importance of observing the interaction between parent and child. b. Recognize that chronological age matches cognitive level. c. Realize that children are more comfortable with female health care providers. d. Recognize that the child's behavior will be age appropriate.

a

5. A nurse is testifying as a witness in a court case. The attorney has asked a series of questions that the nurse is having trouble understanding. The best action by the nurse is to: a. ask that the questions be reworded for comprehension. b. be cautious and not answer questions about medical care. c. request a break to get something to eat or drink. d. try his or her best to answer all of the questions honestly.

a

5. A physician asks a nurse to witness a consent form the patient has already signed, even though the nurse did not see the patient sign the form. The best action by the nurse is to: a. ask the patient if the signature on the form is his or hers. b. refuse because the nurse did not witness the signing. c. tell the physician the consent cannot be witnessed now. d. write "consent procedure witnessed" on the consent.

a

5. The nurse enters a patient's room with the intent of allowing the patient to express feelings in relation to their new cancer diagnosis. The nurse notices that the patient is crying and guarding their incision site. After validating physical discomfort, what is the nurse's initial action? a. Administering an analgesic and postponing the interaction b. Sitting with the patient and holding their hand c. Explaining that pain is expected following surgery but that it is important to increase activity to avoid complications d. Acknowledging the physical pain but stating that it is a priority to immediately address the emotional pain

a

5. The practicing nurse knows the following factor contributes to more patient injuries and death than the other factors. a. Communication failures b. High-technology equipment c. Medication administration d. Performing high-risk tasks

a

6. A chief nursing officer (CNO) has implemented a model for teamwork training in the facility. The model seems to be working in some areas but not in others. The best action by the CNO would be to: a. assess for formal and informal leaders who oppose the plan. b. inform the staff that teamwork improves safety and is expected. c. provide more education and training on benefits of the model. d. rotate staff between areas with different levels of acceptance.

a

6. A faculty member explains that professional ethics: a. guide behavior based on group consensus. b. is completely an individual nurse's concern. c. is optional in groups considered professions. d. should not consider the goals of the profession.

a

6. A nurse administered the wrong dose of insulin to an assigned patient after bypassing the facility policy to have A nurse has delegated some tasks to the unlicensed nursing assistant. At the end of the shift, the nurse discovers that most of the tasks have not been done. Which action by the nurse would be best? a. Devise a plan ensuring delegated tasks are completed and evaluated. b. Remind the assistant that he or she carries the responsibility for these tasks. c. Report the situation to the manager and request an assignment change. d. Stop delegating and perform all the nursing actions him- or herself.

a

6. A nursing instructor tells the class the most important ethical principle involved in informed consent is: a. autonomy. b. beneficence. c. confidentiality. d. veracity.

a

6. What statement is true regarding the transactional model of communication? a. Questions are framed in order to recognize the context of the message. b. People take only complementary roles in the communication. c. The context of the communication is unimportant. d. The purpose of communication is to influence the receiver.

a

1. What areas does the nurse explore with the patient when using patient-level ethics? (Select all that apply.) a. External factors b. Medical indications c. Previous health history d. Patient preferences e. Quality of life

a, b, d,e

1. A staff development nurse is orienting several new employees to the facility. The nurse explains that any good compliance program: (Select all that apply.) a. functions to identify and correct potential concerns. b. ensures a confidential way for staff to report violations. c. promotes conformity to the facility's legal requirements. d. protects staff from retaliation for good-faith reports. e. works to ensure that union negotiations become public knowledge.

a,b,c,d

5. When practicing effective and correct communication, the nurse should demonstrate which actions? (Select all that apply.) a. Speaking in a clear voice b. Being concise when providing patient education c. Being concrete when communicating with patients d. Focusing entirely on abstract communication techniques with patients e. Ensuring that communication with patients is complete f. Providing courteous communication when interacting with patients

a,b,c,e,f

2. A faculty member is explaining to the senior nursing class that to become licensed, applicants must: (Select all that apply.) a. demonstrate good moral character. b. graduate from an approved program. c. maintain a certain grade point average. d. pass the standard licensure examination.

a,b,d

2. The nurse explains that benefits of the Patient Safety and Quality Improvement Act of 2005 include: (Select all that apply.) a. being able to learn from the mistakes of others. b. finding trends amenable to quality improvement. c. financial rewards to facilities that reduce errors. d. having data that can be aggregated into trends. e. tax breaks if facilities show quality improvement.

a,b,d

3. A faculty member explains to students that laws regulating state nursing licensure incorporate which actions? (Select all that apply.) a. Disciplining licensees b. Entry into the profession c. Establishing curricula d. Handling nurse imposters e. Safeguarding nurses' rights

a,b,d

6. What may be the consequences for a simple patient privacy violation through social media? (Select all that apply.) a. Dismissal from nursing school b. Jail time c. Revocation of nursing license d. Monetary fine e. State Board of Nursing censure

a,c,d,e

1. The nurse working in health care today understands the ways in which the Patient Affordable Care Act (ACA) will affect patient safety. Which are the ways this is true? (Select all that apply.) a. Create incentives for hospitals to participate in patient safety organizations (PSOs). b. Exempt hospitals from participating in the Patient Safety and Quality Improvement Act. c. Mandate that hospitals begin reporting safety events to patient safety organizations (PSOs). d. Permit hospitals to discipline employees for safety failures and near misses. e. Require hospitals establish a patient safety evaluation system.

a,c,e

1. A chief nursing officer (CNO) wishes to integrate the Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) model of teamwork training into the hospital where the CNO works. The first action by the CNO should be to: a. design training for onsite trainers. b. determine readiness for such training. c. investigate specific training models. d. pick high-risk areas to start training.

b

1. A nurse works in a unionized hospital but has not joined the union. This nurse feels deserving of a raise for several exceptional acts during the past year. What action by the nurse would be best in this situation? a. Ask the unit management for a raise, because the nurse is not a union member. b. Consult with the union to determine whether individualized raises are possible. c. Join the union before approaching management with a request for a raise. d. Request a meeting with union and floor management to discuss the raise.

b

1. A patient states, "I don't know about taking this medicine the doctor is putting me on. I've never had to take medication before, and now I have to take it twice a day." The nurse's response is, "It sounds like you don't know what to expect from taking the medication." The nurse's response is an example of which concept? a. Clarification b. Paraphrasing c. Feedback d. Summarization

b

1. The nurse fails to demonstrate effective communication by engaging in which activity? a. Implementing a two-way exchange of information among patients and health providers b. Assuring that information is exchanged unilateral from nurse to patient c. Making sure that the expectations and responsibilities of all are clearly understood d. Recognizing that effective communication is an active process for all involved

b

2. A preoperative assessment shows that a patient's hemoglobin level is dropping. The anesthetist orders 3 units of blood to be administered. The nurse administers the first unit before discovering that the patient is a Jehovah's Witness, as documented in the record. This scenario is referred to using which phrase? a. Professional conduct b. A negligent act c. Physical abuse d. Breaching patient confidentiality

b

2. How does the nurse demonstrate understanding of the concept of metaphor use? a. Inserting humor whenever appropriate b. Substituting a familiar example for an unfamiliar one c. Using an interpreter when needed d. Relying heavily on verbal communication

b

3. The nurse is caring for a 2-year-old child on a pediatric unit. The child's parents have just left the unit for the night. The child is standing at the edge of the crib and crying. Which intervention is most appropriate for the nurse to use? a. Limit the use of kinesthetic approaches when caring for the child. b. Talk to the child about Mommy and Daddy and how much the child cares for them. c. Maintain a flat affect when interacting with the child. d. At first maintain a distance of 8 feet from the child.

b

3. When communicating with a patient, what does the nurse recognize as a barrier to effective communication? a. Introducing cultural sensitivity b. Thinking ahead to the next question c. Completing physical care in a non-hurried manner d. Focusing on the current questions asked by the patient

b

4. A chief nursing officer (CNO) has been hired to develop a healthy work environment and culture of safety in a hospital with a long record of safety problems and poor patient outcomes. The best initial action by the CNO would be to: a. create a policy where any nurse can stop procedures for a safety check. b. design team-building events and basic communications in-services. c. have all nurses in the facility reapply and interview for their jobs. d. inform nurses that it is their job to report potential safety problems.

b

1. In mastering QSEN competency of patient-centered care, effective tools need to be which of the following? a. Cognitive, developmentally appropriate, and educational b. Cultural, educational, interpersonal, and societal c. Attitudinal, cognitive, and developmentally appropriate d. Attitudinal, cultural, and developmentally appropriate

c

2. A nurse is complaining about the pharmacy being too slow in delivering medications. The nurse describes an example in which a patient could have been harmed from the delay and is angry because the nurse knows it is critical that certain medications be given on time. This nurse is most likely experiencing: a. caregiver fatigue. b. job burnout. c. moral distress. d. personal fatigue.

c

2. The pediatric nurse is working on an oncology unit with a terminally ill child. How should the nurse best convey respect to the child? a. Interact as a buddy to the child. b. Protect the child from the truth about the terminal illness. c. Use the concept of mutuality. d. Refer to the child by their full name.

c

2. The student nurse is working on an assignment which involves interviewing a fellow student nurse for 30 minutes. The conversation focuses on career plans, possible jobs after graduation, and a part-time work. After 10 minutes, both student nurses sit in silence. What is the best response by the interviewing student nurse? a. "Tell me more about how you selected your career goals." b. "Who is the most significant person in your life?" c. "What impact will these plans have on your life?" d. Remain silent until the fellow student nurse breaks the silence.

c

2. What makes the nurse-patient relationship is unique? a. It is most useful in a short-stay unit. b. It allows personal and social growth to occur primarily for the patient. c. It requires a special form of communication. d. It focuses on maintaining a personal relationship between the nurse and the patient.

c

2. When caring for a preschooler, the nurse understands that this child tends to interpret language in a literal way and will not ask for clarification, leading to a misunderstanding of messages. The nurse recognizes a preschooler is in which of Piaget's cognitive stages of development? a. Concrete operations b. Formal operations c. Preoperational d. Sensorimotor

c

2. When working with hospitalized infants and toddlers, the nurse knows to implement which method of communication? a. Using long sentences with soothing words b. Communication with a preverbal infant is nearly impossible c. Moving to the child's eye level and maintaining eye contact d. Picking up an 18-month-old infant immediately

c

3. A nurse is reading the state board of nursing's quarterly report and notes that several nurses have been disciplined for drug addiction or dependence. The nurse concludes that: a. addiction is not covered under the Americans with Disabilities Act (ADA). b. nurses are succumbing to drug addiction with increasing frequency. c. these nurses have not been compliant with their drug rehabilitation. d. the state board is increasing typical sanctions for drug dependency.

c

3. What is the primary focus of the initial phase of a therapeutic nurse-patient relationship? a. Identifying expected goals b. Providing information related to the assessment phase of the nursing process c. Exploring concerns d. Identifying community resources to help resolve health care issues

c

4. A nurse has received a charging document. The nurse manager advises the nurse that this document means: a. a lawsuit charging nursing malpractice has been filed, and the nurse is being sued. b. someone filed a motion with the state board requesting a license revocation hearing. c. the board of nursing has cause to believe the nurse violated the state practice law. d. the nurse has been charged with a civil or criminal offense and must appear in court.

c

4. A nurse is performing a procedure on a patient, and the patient suddenly says, "I don't want you to do that anymore." The best action by the nurse is to: a. discuss the patient's wishes. b. finish the procedure quickly. c. stop the procedure immediately. d. tell the patient that the procedure is almost done.

c

4. The nurse is caring for a postoperative preschooler who is crying and has been refusing to eat. What is the best communication strategy for the nurse to use? a. Avoid providing the child with simple explanations. b. Assign the child to a different nurse in order to optimize socialization. c. Give the child some clay, crayons, and paper. d. Encourage the child to express complex thoughts and feelings.

c

4. The nurse knows that the American Nurses Association (ANA) adopted its first code of ethics in: a. 1893. b. 1896. c. 1950. d. 1969.

c

4. The nurse recognizes that guidelines for developing a workable limit-setting plan include having consequences that are applied in which way? a. As part of a detailed verbal exchange with the patient b. As part of a person centered, not situation centered setting c. In a matter-of-fact manner, without lengthy discussion d. As a factor in time negotiated between the nurse and patient

c

5. The nurse is caring for a child with a severe illness who is demonstrating behaviors that are reminiscent of an earlier stage of development. When the child has toileting accidents, what action should the nurse take? a. Recommend a urology consult. b. Obtain a urine sample and send it to the lab. c. Reassure the child's parents that this is common. d. Eliminate all fluids after dinner.

c

5. Which statement about communication theory is true? a. Primates are able to learn new languages to share ideas and feelings. b. Concepts include only verbal communication. c. Perceptions are clarified through feedback. d. Past experience does not influence communication.

c

6. Several nurses are discussing a patient and family in the cafeteria. The best response by one of the nurses to this discussion is: a. "Let's discuss this once we get back to the nurses' station." b. "Shh! The patient's family might be in the cafeteria now." c. "This is confidential information and shouldn't be discussed." d. "We should really keep our voices down, so others can't hear us."

c

6. Which statement is true regarding the use of humor? a. Humor is most effective when building rapport. b. Humor should focus on the patient's personal characteristics. c. Humor and laughter have healing purposes. d. Humor should dominate the situation.

c

6. While conducting a medication education group for mentally ill patients, a patient state, "I don't think everyone needs medications. Can you tell me about psychotherapy?" What is an appropriate response by the nurse? a. Talk to the group about the benefits of psychotherapy as requested. b. Tell the group that psychotherapy is ineffective and they need medication. c. Acknowledge the question but explain the time limitations and focus of that particular group. d. Explain that it is the care provider's decision what type of treatment modality will be implemented.

c

1. A pediatric nurse is educating parents about how children cope with hospitalization. Which statement by the nurse is correct? a. "The quiet, compliant child who never complains will be comfortable on the nursing unit." b. "The child who screams and cries is much more frightened of hospitalization than the quiet child." c. "The 2-year-old child who asks for a bedtime bottle is showing signs of regression." d. "The child who screams and cries may be less frightened than the quiet, overly compliant child who never complains."

d

1. When therapeutically communicating with a patient who is newly diagnosed as being HIV-positive, what should the nurse focus on? a. Identifying professional needs b. Establishing an unlimited time frame for communication c. Conducting verbal communication only between the patient and the nurse d. Achieving identified health-related goals

d

1. Which is the purpose of feedback? a. Limiting the amount of included information b. Giving power to the messenger c. Maximizing message length d. Allowing the human system to correct its original information

d

2. A patient walked into an emergency department (ED) and then collapsed before checking in. The priority action by the nurse is to: a. check the patient's wallet for identification. b. get consent when the patient wakes up. c. check to see whether the patient has any family nearby. d. treat the patient first because consent is implied.

d

2. Which statement best represents therapeutic communication when a student discovers a patient crying in bed? a. "I am the nurse who will be doing your treatments today." b. "Will you listen to me so I can help you get better?" c. "This is what is going to happen during surgery." d. "Can we talk about what seems to be bothering you?"

d

2. Which statement is NOT true regarding nurses' use of social media? a. Confidentiality and privacy laws, such as HIPAA, apply to online postings. b. Clicking "restricted access" does not quality as a private site. c. A state board may act on complaints of privacy violations. d. Privacy laws apply to photos, but not to videos if you avoid showing a face.

d

3. A nurse is explaining to a student that SBAR is a type of: a. format for conducting a debriefing. b. process for multidisciplinary meetings. c. standardized patient chart template. d. structured communication strategy.

d

3. A nurse is in a difficult patient care situation and thinks that there is an ethical dilemma. The first action this nurse should take is to: a. decide what predominant values are operating in the situation. b. determine who is involved and uncover their individual goals. c. identify courses of action and possible consequences of actions. d. identify the actions that are justifiable.

d

3. A nurse studying the history of nursing ethics over the years would conclude that: a. articles show the topics of concern have stayed fairly similar. b. ethics has been slow in responding to independent practice. c. nurses' behavior in caring for sick patients is the main subject. d. the subject has evolved to more abstract situational ethics.

d

3. A patient is constantly disrupting therapeutic medical devices, such as intravenous lines and catheters. The staff wants to restrain the patient. Before doing this, the best action by the nursing staff would be to: a. be sure security is available to apply restraints. b. get orders from the physician for a sedative. c. move the patient away from other patients. d. try other methods to keep the patient safe.

d

3. As the nurse communicates with a patient, how should appropriate feedback provided by the nurse be described? a. Descriptive, general, and content focused b. Patient focused and evaluative c. Well-timed and general d. Specific and focused on observed behavior

d

3. During the preoperational period the nurse recognizes that children are likely to do what? a. Ask numerous questions to clarify a message. b. Process auditory information quickly. c. Clearly distinguish between fantasy and reality. d. Misunderstand messages quite easily.

d

3. Reporting which information is a violation of patient confidentiality? a. Certain communicable diseases to the Health Department b. Child abuse to local authorities c. Gunshot wounds to the police d. Patient data to an employer

d

4. A 16-year-old unconscious trauma victim arrives in the emergency department with a life-threatening condition and requires emergency surgery. Under these circumstances, what can the nurse correctly assume? a. A parent/guardian must give consent prior to surgery. b. The patient can give consent if able to provide proof of emancipation. c. the patient must first be evaluated for competency before obtaining consent. d. The surgery can be performed without consent.

d

4. A patient is in pain and requests pain medication. The nurse sees that it is too early to administer the medication. Practicing under the principle of veracity, the nurse should: a. bring the medication a little bit early to give the patient pain relief. b. call the physician and request an extra dose of the pain medication. c. sit with the patient and offer nonpharmacological pain interventions. d. tell the patient when to expect the medication and bring it on time.

d

4. A patient tells the nurse, "I am having a tough time and I am scared about the future." Which response by the nurse provides the best feedback? a. "I know what you mean." b. "You should do something about it." c. "I really don't think you are having a tough time." d. "You are having a tough time and you are scared."

d

4. Which of the following is NOT a specific way interpersonal health communication impacts health care service quality? a. More effective diagnosis and earlier recognition of health changes b. Better understanding of the patient's condition c. Development of a workable treatment partnership d. Each communicator constructing a mental picture of the other during the conversation

d

4. Which of the following is an appropriate type of listening response? a. Moralizing b. Giving advice c. False reassurance d. Paraphrasing

d

5. A nurse is having a hearing before the state board of nursing for a possible misconduct occurrence. The nurse is worried about possible sanctions, which can include: a. being fined or sentenced to prison. b. having to compensate the patient. c. mandatory community service hours. d. suspension of the nursing license.

d

5. A nursing student is skeptical about the concept of professional ethics even being possible, much less a requirement for professional practice. Which statement by this student best justifies this belief? a. "A group cannot determine what is right in each specific situation." b. "Each nurse should be smart enough to determine solutions to issues." c. "Ethics are too personal to be dictated by a professional organization." d. "There are too many gray areas for any code of ethics to be universally right."

d

5. A school-aged child is admitted to the hospital because of an accident during gymnastics. The child reports "not feeling my legs." The child's parents ask the nurse, "Will our child ever walk again?" What is the nurse's best response? a. "I'm sure everything will be okay. Your child is in good hands." b. "The best thing you can do for your child is to act like everything is alright." c. "You will have to ask the doctor; after the surgery is over." d. "You must have several fears and concerns. We will let you know the test results as soon as they are available."

d

5. How does the nurse demonstrate effective communication when caring for a hospitalized patient? a. Presenting several ideas at a time b. Using vocabulary that is unfamiliar to the patient c. Stating key ideas only once d. Arranging ideas in a logical sequence of related material

d

5. Regarding informed consent, which of the following statements is true? a. Only legally incompetent adults can give consent. b. Only parents can give consent for minor children. c. It is not required that the patient be told about costs and alternatives to treatment. d. Consent must be voluntary.

d

5. The nursing executive attempting to incorporate the American Association of Critical-Care Nurses' (AACN's) Healthy Work Environment Standards would formulate which policy? The manager would create a policy to: a. encourage all nurses to return to school to complete degrees. b. limit environmental hazards currently present in the facility. c. provide discounts to a local fitness center for all employees. d. use a standard "handoff" report format at change of shift.

d

5. This patient with a head injury is confused and combative and wants to leave the hospital, repeatedly getting out of bed. The nurses obtain an order for soft wrist restraints and a vest restraint. This action best demonstrates: a. beneficence. b. justice. c. nonmaleficence. d. paternalism.

d

5. Which statement is true in relation to the stress of having an ill child? a. Coping with uncertainty over the outcome is the most stressful factor for parents. b. Factors connected with the child's illness causes more stress than alleviation of the child's pain. c. Uncertainty about a critically ill child's current condition is considered to be a minor source of stress. d. The parents' inability to comfort the child is more stressful than factors connected with the illness.

d

6. A manager is counseling a nurse who has violated safety protocols several times. The most appropriate action by the manager is to: a. allow the nurse to continue working only under direct supervision. b. have the nurse prepare an educational in-service on safety protocols. c. maintain a confidential file on the nurse's actions and outcomes. d. report the behavior to the state board of nursing for discipline.

d

6. A nurse administered the wrong dose of insulin to an assigned patient after bypassing the facility policy to have insulin doses double checked. The patient's blood glucose level remained within normal limits afterward, and the physician was notified per protocol. The patient and family were extremely upset and demanded to be moved to another floor. Later, the patient filed a malpractice suit against the hospital. The nurse lawyer reviewing the case would conclude that: a. malpractice occurred because the patient had emotional distress. b. malpractice occurred because the nurse didn't follow the policy. c. no malpractice occurred because most nurses don't verify insulin. d. no malpractice occurred because there were no actual damages.

d

6. Which of the following statements does NOT adequately describe evidence-based practice? a. A conscious choice to use the most current research to provide "best care." b. Guidelines to clinical behaviors compiled from the best current research evidence available and the expertise of clinicians. c. Translating knowledge into practice using findings from multiple empirical studies to help solve clinical problems. d. Application of standards of professional communication necessitates use of critical thinking and problem-solving skills in all aspects of care.

d