Nursing Ch.23: Review

"A new graduate nurse is being mentored by a more experienced nurse. They are discussing ways nurses need to remain active professionally. Which of the statements below indicates the new graduate understands ways to remain involved professionally? Select all that apply." 1. "I am thinking about joining the health committee at my church." 2. "I need to read newspapers, watch news broadcasts, and search the internet for information related to health." 3. "I will join nursing committees at the hospital after I have several years of experience and better understand the issues affecting nursing." 4. "Nurses do not have very much voice in legislation in Washington, D.C, because of the shortage of nurses.

1. "I am thinking about joining the health committee at my church." 2. "I need to read newspapers, watch news broadcasts, and search the internet for information related to health."

"You are floated to work on a nursing unit where you are given an assignment that is beyond your capability. What is the best nursing action to take first?" 1. Call the nursing supervisor and discuss the situation 2. Discuss the problem with a colleague 3. Leave the nursing unit and go home 4. Say nothing and begin your work.

1. Call the nursing supervisor and discuss the situation

"The patient has a fractured femur that is placed in skeletal traction with a fresh plaster cast applied. The patient experiences decreases sensation and a cold feelign in the toes of the affected leg. The nurse observes that the patients toes have become pale and cold but forgets to document this because one of the nurses other patients experienced cardiac arrest at the same time. Two days later the patient in skeletal traction has an elevated temperature, and he is prepared for surgery to amputate the leg below the knee. Which of the following statments regarding a breach of duty apply to this situation? Select all that apply" 1. Failure to document a change in assessment data 2. Failure to provide discharge instructions 3. Failure to follow the six rights of medication administration. 4. Failure to use proper medical equipment ordered for patient monitoring 5. Failure to notify a health care provider about a change in the patients condition.

1. Failure to document a change in assessment data 5. Failure to notify a health care provider about a change in the patients condition.

"Which of the following actions, if performed by a registered nurse, would result in both criminal and administrative law sanctions against the nurse? Select all that apply" 1. Taking or selling controlled substances 2. Refusing to provide health care information to a patient's child. 3. Reporting suspected abuse and neglect of children 4. Applying physical restraints without a written physicians order.

1. Taking or selling controlled substances 4. Applying physical restraints without a written physicians order.

"The nurse notes that an advance directive is on a patients medical record. Which statement represents the best description of an advance directive guideline the nurse will follow." 1. A living will allows an appointed person to make healthcare decisions when the patient is in an incapacitated state. 2. A living will is invoked only when the patient has a terminal condition or is in a persistent vegetative state. 3. The patient cannot make changes in the advanced directive once admitted to the hospital. 4. A durable power of attorney for healthcare is invoked only when the patient has a terminal condition or is in a persistent vegetative state.

2. A living will is invoked only when the patient has a terminal condition or is in a persistent vegetative state.

"A nurse is caring for a patients who recently had a coronary bypass surgery. Which are legal sources of standards of care the nurse uses to deliver safe health care? Select all that apply." 1. Information provided by the head nurse 2. Policies and procedures of the employing hospital 3. State Nurse Practice Act 4. Regulations identified in The Joint Commission's manual 5. The American Nurses Association standards of nursing practice.

2. Policies and procedures of the employing hospital 3. State Nurse Practice Act 4. Regulations identified in The Joint Commission's manual 5. The American Nurses Association standards of nursing practice.

"A nurse is planning care for a patient going to surgery. Who is responsible for informing the patient about the surgery along with possible risks, complications, and benefits?" 1. Family member 2. Surgeon 3. Nurse 4. Nurse manager

2. Surgeon

"You are the night shift nurse and are caring for a newly admitted patient who appears to be confused. The family asks to see the patients medical record. What is the first nursing action to take? 1. Give the family the record 2. Give the patient the record 3. Discuss the issues that concern the family with them 4. Call the nursing supervisor

3. Discuss the issues that concern the family with them

"A nurse notes that the healthcare unit keeps a listing of the patient names at the front desk in easy view for health care providers to more efficiently locate the patient. The nurse talks with the nursing manager because this action is a violation of which act?" 1, Mental Heath Parity Act 2. Patient Self-Determination Act (PSDA) 3. Health Insurance Portability and Accountability Act (HIPAA)

3. Health Insurance Portability and Accountability Act (HIPAA)

"The nurse received a hand-off report at the change of shift in the conference room from the night shift nurse. The nursing student assigned to the nurse asks to review the medical records of the patients assigned to them. The nurse begins assessing the assigned patients and lists the nursing care information for each patient on each individual patients message board in the patient rooms. The nurse also lists the patients' medical diagnoses on the message board. Later in the day the nurse discusses the plan of care for a patient who is dying with the patients family. Which of these actions describes a violation of the HIPAA law?" 1. Discussing patient conditions in the nursing report room at the change of shift. 2. Allowing nursing students to review patient charts before caring for patients to whom they are assigned 3. Posting medical information about the patient on a message board in the patients room 4. Releasing patient information regarding terminal illness to family when the patient has given permission for information to be shared.

3. Posting medical information about the patient on a message board in the patients room

"A nurse stops to help in an emergency at the scene of an accident. The injured party files a suit, and the nurse's employing institution insurance does not cover the nurse. What would probably cover the nurse in this situation?" 1. The nurses automobile insurance 2. The nurses homeowner insurance 3. The Good Samaritan laws, which grant immunity from suit if there is no gross negligence 4. The patient care Partnership, which may grant immunity from suit if the injured party consents.

3. The Good Samaritan laws, which grant immunity from suit if there is no gross negligence

"A home health nurse notices significant bruising on a 2-year-old patients head, arms, abdomen, and legs. The patient's mother describes the patients frequent falls. What is the best nursing action for the home health nurse to take?" 1. Document her findings and treat the patient 2. Instruct the mother on safe handling of a 2-year-old child 3. contact a child abuse hotline 4. discuss the story with a colleague.

3. contact a child abuse hotline

"A nurse is sued for failure to monitor a patient appropriately after a procedure. Which of the following statements are correct about this lawsuit? Select all that apply" 1. The nurse represents the plantiff 2. the defendant must prove injury, damage, or loss 3. the person filing the lawsuit has a burden of proof. 4. the plantiff must prove that a breach in the prevailing standard of care caused an injury.

3. the person filing the lawsuit has a burden of proof. 4. the plantiff must prove that a breach in the prevailing standard of care caused an injury.

"A woman who is a Jehovah's Witness has severe life-threatening injuries and is hemorrhaging following a car accident. The health care provider ordered 2 units of packed red blood cells to treat the woman's anemia. The woman's husband refuses to allow the nurse to give his wife the blood. What is the nurse's responsibility?" 1. Obtain a court order to give the blood 2. Coerce the husband into giving the blood. 3. Call security and have the husband removed from the hospital. 4. Abide by the husbands wishes and inform the healthcare provider.

4. Abide by the husbands wishes and inform the healthcare provider.

"A homeless man enters the emergency department seeking healthcare. The health care provider indicates that the patient needs to be transferred to the City Hospital for care. This action is most likely a violation of which of the following laws?" 1. Health Insurance Portability and Accountability Act (HIPAA) 2. Americans with Disabilities Act (ADA) 3. Patient Self-Detemination Act (PSDA) 4. Emergency medical treatment and active labor act (EMTALA)

4. Emergency medical treatment and active labor act (EMTALA)