Week 4

4A nurse leader reviews the Code of Ethics for Nurses to decide if a situation is an ethical dilemma. Which role in the ethical dilemma framework is the nurse leader acting within?

Decision-maker

3Which requirements does the nurse follow to be in compliance with the Occupational Safety and Health Administration (OSHA) Act of 1970?

Ensure the proper handling of bodily fluids Utilize isolation-specific precaution procedures Proper storage and labeling of dangerous substances

2Which assumptions are made within the ANA social policy statement to allow structure or a framework for a contract between the profession and society to allow trust?

Humans are defined by their different contextual or cultural differences or experiences. Humans exist with a unity of mind, body, and soul; therefore, all aspects of the human should be cared for. Public policy and health care delivery systems shape the well-being of society and the profession of nursing. Health and illness are part of the human experience and are parts that make up the whole of a person, not separate entities.

Which action demonstrates the nurse's role as a change agent?

Identifying patient safety issues and implementing methods to promote patient safety

3How does a self-aware nurse leader benefit his or her unit and/or patient outcomes?

Improved relationships Increased staff performance Improved staff and employee morale

Which strategy implemented by hospital administration produces self-renewal in employees?

Incorporating an employee wellness program

3Nurse A worked in a department for 5 years with exemplary evaluations. Nurse A is very pleasant and professional on shift; however, she is not very social outside of work. Nurse B has worked in the department for the same amount of time; however, she has been written up for being rude to a patient's family and is frequently late for work. Nurse B is very popular and spends time with the nurse manager and colleagues outside of work. Both nurses apply for a leadership position, and the nurse manager awards the promotion to Nurse B. Which ethical principle is not being displayed by the nurse manager?

Justice

1Which actions might a self-aware nursing leader take?

Listening to a staff nurse's concerns about new infection control protocols Understanding and setting aside one's own biases regarding patients who are noncompliant Assessing a nurse's capabilities based on his or her performance rather than on personal opinion Praising another nurse for developing a plan of action that facilitates increased patient satisfaction

2A nurse manager tells the nurse that he has to stop acting up and being lazy on shift, or he will be fired. The discussion occurs in front of the whole department, and the nurse manager's tone is condescending and demeaning. The nurse manager does not give any guidance or constructive feedback. Which ethical principle is the nurse manager not upholding?

Nonmaleficence

4A new nurse is concerned that a task requested by the unit manager is not within the scope of nursing practice. Which piece of legislation is the nurse referring to?

Nurse Practice Acts

1The health care team decides to withhold a terminal diagnosis from a patient until the consulting psychiatrist develops a treatment plan. This is an example of which ethical principle?

Paternalism

A nurse is having difficulty in a new role as nurse leader. The role requires the nurse to arrive early and keep detailed lists of staff requests. Frequently, the nurse arrives late, is easily irritated, and loses notes from staff. According to role theory, which may the nurse be experiencing?

Role stress

8A nurse manager learns that a nurse has not been providing a complete report about her patient to the oncoming shift. How can the nurse's actions be classified?

Secretive behavior

A direct-care nurse has accepted a new position as a nurse manager at a new organization. The nurse is struggling to learn the policies of the institution and the responsibilities of the position. Which first step should the nurse implement in adjusting to the new organization and role?

Seek a mentor

4Which activities are examples of a nurse expending emotional energy in a positive way?

Sitting down with a coworker to discuss an issue Being open and honest with a peer to solve a problem

6Which of the following are overseen by the National Council of State Boards of Nursing (NCSBN)?

The design of the NCLEX-RN Research related to the supply of nurses in the United States Education about the importance of state-level nurse licensure

6Which are provisions of the Code of Ethics for Nursing?

The nurse advances the profession through research. The nurse promotes health by teaching a nutrition class. The nurse advocates for the patient by calling a rapid response team. The nurse practices with compassion when caring for a patient who is receiving comfort care.

Which example indicates a new nurse manager is experiencing role ambiguity?

The nurse fails to complete assigned tasks, citing being unaware it was his or her responsibility.

9A nurse in a long-term care facility is going through a rough divorce. One of her patients notices that the nurse has red eyes, is quiet, and is distracted. The patient asks the nurse if she is okay, and the nurse proceeds to tell the patient about her divorce. Why might this cause the nurse manager to be concerned?

The nurse is at risk for a boundary violation by sharing personal information with a patient.

1.How does the nursing social contract allow for autonomy in the nursing profession?

The nursing social contract is an agreement between the nursing profession and society that ensures nurses will have proper training, act responsibility, and be mindful that society trusts the profession.

7An emergency department nurse is talking on the phone with a friend and misses the signs and symptoms of a ruptured ovarian cyst in a patient. Where would this relationship be plotted on the continuum of professional behavior?

Underinvolvement

5Which standards are included in the American Nurses Association's (ANA) Nursing: Scope and Standards of Practice?

Using job descriptions for performance appraisals Classroom and in-service programs for continuing education Certification and credentialing of nurses in specialty areas, such as critical care Quality improvement initiatives to help improve patient experiences and outcomes

4Which questions are ethical or moral questions that may result when there is unrest or instability in the health care system?

Who has the right to live or die? Who decides the priority of a patient on the organ transplant list? Who should make the decisions about a patient's insurance covering birth control? Should insurance companies be able to decide who gets coverage based on preexisting conditions?

2Match the piece of legislation to its appropriate function.

osha hippa ada

6A new nurse has been working in the same unit for 6 months and appears quiet when performing patient care. The nurse leader suspects the new nurse is in the doldrums phase and wants to help the nurse get excited about his or her job again. Which statement made by the new nurse supports the nurse leader's suspicion?

"I thought being a nurse would be cool and adventurous every day like on television."

8Which scenarios indicate that the nurse followed the National Council of State Boards of Nursing (NCSBN) social media guidelines?

A nurse in a small rural community blogs about the pediatric patients using special nicknames. The nurse tweets about a rough day. Although no names were used, the nurse called coworkers "lazy slobs." A nurse reports a coworker (who called their mutual coworker a derogatory name on social media) to the direct supervisor.

9Which are benefits of social media or electronic media use by a nurse?

A nurse posts class dates and times for a diabetic education course open to the public. An IV pump video was developed by a nursing instructor and placed on the Internet for any nursing student who needs the information. A new nurse virtually meets an experienced nurse who becomes his mentor and helps him transition during difficult times in the first few years of his career. A nurse teaches a hypertensive patient with high cholesterol how to log in to a patient portal that gives the patient access to parts of the patient's health record such as laboratory work and vital signs.

7Which scenarios show a breach or a potential breach in patient privacy and confidentiality?

A nurse sends an unencrypted email on an unsecure server of a patient chart to the patient's primary health care provider. A clinic nurse faxes a patient's record to the surgeon for review before seeing the patent. The nurse inadvertently sends the wrong patient record; however, the correct record is resent. A hospice nurse leaves a patient's home and charts outside using an unencrypted computer with password protection. However, the nurse did not log off. The nurse places computer on the car and drives off. Once the mistake is realized, the nurse drives back to the location, but cannot find the computer.

3Which policy statement directs the nursing profession to conduct the nurse-patient relationship within the values and beliefs of both the patient and the nurse regardless of differences?

ANA's social policy statement

6Which prudent guidelines would a nurse who is developing cultural awareness and sensitivity follow?

Adjust interventions and expectations accordingly related to cultural sensitivity or awareness Observe interactions of minority group members and learn from those patients and interactions Attempt to learn more about common culturally diverse groups or populations in the nurse's geographic location Make an effort to not stereotype or make assumptions based on a patient's culture, religion, ethnicity, gender, or socioeconomic status

5A nurse manager reports a medication error that a staff nurse failed to report. Which role in the ethical dilemma framework is the nurse leader portraying?

Advocator

A nurse who was promoted to manage a medical-surgical nursing unit tells his or her immediate supervisor, "This is becoming too much work. I feel like I'm doing everyone's job now." Which activities would the immediate supervisor recommend to the nurse manager?

Allow the direct-care nurses autonomy in making patient care decisions Provide educational opportunities for direct-care nurses to facilitate critical thinking skills Advise the new nurse manager to act as a facilitator between the direct-care nurses and administrators Foster independence and allow the new nurse manager to make decisions without going to supervisors

5Which scenarios demonstrate forces that cause unrest, change, or reform in health care?

An aging population and advances in technology or genetics The closing of a rural chemotherapy clinic that decreases a patient's access to care Complex social situations such as poverty, violence, progressing or new diseases, and climate change A shift from hospitalization after a surgery to having the surgery as an outpatient and going home the same day

2Which nursing action demonstrates that the nurse is curious and open-minded?

Asking another nurse why a procedure is performed a certain way

A new nurse leader plans to make staffing changes. Which principle should be used?

Build the team

1How does the nurse follow the standards set by HIPAA (The Health Insurance Portability and Accountability Act) of 1996?

By only discussing patient information in private By only discussing patient information with necessary providers By not discussing private patient information with unauthorized persons on the phone