Exam 2 prepu pt 3
joining the local garden club
A 65-year-old client has experienced the death of a parent and a family pet in the span of 1 month. Which action is a coping mechanism that demonstrates adaptation? deciding to no longer attend his family reunion picnic visiting a psychic joining the local garden club buying a new car
Focus on positive client care outcomes Autonomous, accountable professional nursing practice Supportive nurse managers
A nurse graduate applies for a job working in a hospital that achieved Magnet® status. Which conditions would this nurse expect? Select all that apply. Supportive nurse managers Autonomous, accountable professional nursing practice Higher staff turnover Focus on positive client care outcomes Higher levels of staff burnout and exodus from the bedside Centralized decision making
authortarian
A nurse is in charge of a large group of employees on a busy surgical floor. Today's care must be completed early due to a special event involving most of the employees. Which management style would work best in this situation? Authoritarian Democratic Coercive Laissez-faire
Leader
A nurse is successful in promoting change on the nursing division. This nurse would be considered a: leader. specialist. manager. guide.
collaborating
A nurse manager is trying to resolve a conflict between the day and night shifts. The nurse manager wants to convince the involved persons to set aside their differences, determine a priority common goal having to do with improved client care, and accept mutual responsibility for achieving this goal. The nurse manager is using which type of conflict resolution? Avoiding Competing Collaborating Compromising
case management
In the hospital setting, a nurse is responsible for overseeing the quality and financial outcomes of client care while working collegially with health care providers. What type of professional nursing practice is this considered? Nurse mentorship Primary nursing Functional nursing Case management
They give priority to the good of the individual client rather than to the good of society in general.
Nurses who value client advocacy follow what guideline? They value their loyalty to an employing institution or to a colleague over their commitment to their clients. They make decisions for clients who are uninformed concerning their rights and opportunities. They give priority to the good of the individual client rather than to the good of society in general. They choose the claims of the client's well-being over the claims of the client's autonomy.
The nurse practice act or facility's policy and procedures
The registered nurse (RN) wants to delegate a task to an unlicensed assistive personnel (UAP) but is unsure if the task can be delegated. What is the best resource for the RN to use in determining if the task is appropriate? The nurse practice act or facility's policy and procedures A more experienced nurse working on the same unit The medical practice act website A nurse mentor or a nurse preceptor
Trustworthiness Humility Compassion
Which traits are examples of virtues that can exemplify character and conduct as a professional nurse? Select all that apply. Humility Deception Compassion Conflict Trustworthiness
invasion of privacy
While riding in the elevator, a nurse discusses the HIV-positive status of a client with other colleagues. The nurse's action reflects: professional negligence. false imprisonment. invasion of privacy. defamation of character.
transformational
leadership style that creates intellectually stimulating practice environments, and challenge themselves and others to grow personally, to grow professionally, and to learn.
To improve quality of care
Nurses complete incident reports as dictated by the agency protocol. What is the primary reason nurses fill out an incident report? To improve quality of care To initiate litigation To document the need for disciplinary action To document everyday occurrences
values
Socialization into the nursing profession may have the most significant effect on:
democratic
The nurse manager who asks staff members to give suggestions on how to improve collaboration between nurses and physicians is exhibiting what style of leadership? Laissez-faire Transactional Autocratic Democratic
autonomy
Which ethical principle is related to the idea of self-determination? Confidentiality Autonomy Beneficence Nonmaleficence
Ethical practice requires a skill set that must be conscientiously learned and nurtured.
Which statement best conveys the concept of ethical agency? Individuals who enter the nursing profession often innately possess ethical characteristics. Ethical practice is best learned and fostered by surrounding oneself with people who exhibit ethical character. Ethical practice requires a skill set that must be conscientiously learned and nurtured. A nurse's understanding and execution of ethical practice is primarily a result of increased years of experience.
directive leadership
A nurse informs the client that the client has no choice and must take a bath in the morning. What type of leadership does this exemplify? Participative leadership Shared governance Directive leadership Institutional governance
higher-than-normal blood glucose levels
The nurse is reviewing the care of a client who is experiencing the exhaustion stage. Which sign or symptom does the nurse expect to find? lower-than-normal magnesium levels lower-than-normal range sodium levels higher-than-normal iron levels higher-than-normal blood glucose levels
Deciding whether to perform cardiac compressions against a client's wishes
Which nursing situation is an example of an ethical dilemma? Deciding whether to perform cardiac compressions against a client's wishes Administering pain medication as ordered Discussing care of a comatose client with the family Transferring a client to a step-down unit
A nurse who demonstrates advanced expertise in a content area of nursing through special testing
Which scenario is an example of certification? An education program that meets standards of the National League for Nursing A graduate of a nursing education program who passes NCLEX-RN A nurse who demonstrates advanced expertise in a content area of nursing through special testing A hospital that meets the standards of the Joint Commission
The agency's risk manager
A nurse and the facility have been named as defendants in a malpractice lawsuit. In addition to the nurse's attorney, whom else would be appropriate for the nurse to talk with about the case? The plaintiff's lawyer The agency's risk manager The local press A colleague
Follow the prescribed plan of care for the client. Explain every nursing intervention in detail. Document nursing actions shortly after completion.
A nurse is caring for a client in the community who is at risk for sudden death from a chronic health condition. To reduce the legal risks associated with working with this client, the nurse carries out which action(s)? Select all that apply. Ensure client compliance with safety warnings. Avoid physically touching the client when possible. Explain every nursing intervention in detail. Follow the prescribed plan of care for the client. Document nursing actions shortly after completion.
health care institution
During the orientation to the hospital, the staff development educator discusses unit and institutional-based policies. What is the source of the practice rules that result in unit and institutional-based policies? Health care institution Federal legislation State legislation Board of nursing
shared
A nurse is providing care to an older adult client who was just diagnosed with cancer. The client together with the immediate family discuss their preferences with the health care providers involved. The health care providers offer their clinical recommendations about possible treatments. Utlimately, the group arrives at a decision. The nurse interprets this decision-making process as reflecting which type? Paternalistic Shared Patient sovereignty Clinical
Nonmaleficence Nonmaleficence is conducting procedures and interventions in a safe manner so that no harm is caused to the client. Justice is the idea that the burdens and benefits of new or experimental treatments must be distributed equally among all groups in society. Fidelity is demonstrated by continuing loyalty and support to a client. Beneficence requires that the procedure be provided with the intent of doing good for the client involved.
A nurse knows that the expression "Do not cause harm" refers to which ethical principle? Justice Beneficence Fidelity Nonmaleficence
Sharing a vision for the unit and enlisting support
A nurse manager best demonstrates effective leadership characteristic by which action? Knowing all information about the unit processes Being very structured and rigid with the unit flow Sharing a vision for the unit and enlisting support Indicating an interest in becoming a role model
Decisions are made by those who are most knowledgeable about the issue.
A nurse manager of a hospital unit is working within a decentralized management structure. Which nursing action best exemplifies this type of system? Decisions are made by those who are most knowledgeable about the issue. Nurse managers are not accountable for clients, staffing, supplies, or budgets. Senior managers make all the decisions. Nurses are not intimately involved in decisions involving client care.
paternalism Making a decision for a client who is confused to prevent an injury is an example of paternalism. Deception occurs when the true nature or reason is concealed and the client is deprived of basic human rights. Confidentiality requires a health care provider to keep a client's personal health information private unless consent to release the information is provided by the client. Conflict is a disagreement or argument and does not represent the example in this question.
A nurse obtains an order for a bed alarm for a confused client. This is an example of which ethical principle? Conflict Paternalism Deception Confidentiality
unfreezing
Following a myocardial infarction (heart attack), a client begins to recognize the need to increase exercise, eat a low-fat diet, and implement relaxation techniques. According to Lewin, this client is in which stage of the change process? Refreezing Moving Unfreezing Prizing
Approach both nurses to discuss incentives that can be given for agreeing to accept new postoperative surgical clients.
The charge nurse on a postoperative surgical unit is responsible for making client assignments for staff nurses. Two staff nurses have voiced not wanting to assume care for any new postoperative surgical clients during their shifts. How can the charge nurse resolve this conflict using the strategy of compromise to address the immediate concerns of the two staff nurses? Coerce the staff by complimenting on them on how well they care for new postoperative surgical clients. Reassign all nurses' clients in a manner that ensures the two staff nurses will not have to care for new postoperative surgical clients. Consult with the nurse manager to decide how postoperative surgical clients should be assigned to the two nurses. Approach both nurses to discuss incentives that can be given for agreeing to accept new postoperative surgical clients.
Set short-term goals for modifying eating habits. Encourage participation in a diabetes support group. Include the client in creating a list of benefits for exercising
The home health nurse is caring for a noncompliant client who has been diagnosed with type 2 diabetes. Which nursing interventions would be effective in helping the client change behaviors? Select all that apply. Provide information taken from textbooks regarding the consequences of diabetes. Set short-term goals for modifying eating habits. Encourage participation in a diabetes support group. Include the client in creating a list of benefits for exercising. Request immediate changes to behaviors.
Administer a dose of digoxin that is two hours behind schedule. The first step in time management is to determine which tasks are priority. Digoxin is a critical client medication and therefore takes priority over the other options. Dressing changes, discharge orders, and completing facility forms can be delayed until critical tasks are complete.
The new nurse is having difficulty managing the time required to care for a group of complex clients and is several hours behind in completing nursing interventions. Which intervention should the nurse complete first? Perform a dressing change to an abdominal abscess that is three hours behind schedule. Complete a medication reconciliation form on a client who has recently been admitted to the hospital. Administer a dose of digoxin that is two hours behind schedule. Obtain discharge orders for a client who is ready to be transferred to a long-term nursing facility.
Assess the need for assistance with ambulation.
The nurse is caring for an older adult client who states the need to use the restroom. Which safety intervention must the nurse perform first? Assess the need for assistance with ambulation. Put the client's bedside rails up. Apply socks to the client's feet. Arrange furniture so that the client has something to hold on to.
Collaborative mindset
The nurse manager in a critical care unit actively listens to the staff and engages the staff to offer decisions regarding problem solving and implementing these decisions. What type of managerial mindset does this manager exhibit? Reflective mindset Collaborative mindset Action mindset Analytical mindset
Enlist volunteers to help develop a community outreach project that will educate teenagers on methods to prevent pregnancy.
The nurse manager is concerned about the large number of teenage mothers being seen in the obstetrics clinic. How can the nurse manager use the transformational leadership style to address the concern? Talk to each teenager who comes in to the clinic about ways to not get pregnant again. Conduct community-based research into the number of teenagers who have become parents over the last five years. Enlist volunteers to help develop a community outreach project that will educate teenagers on methods to prevent pregnancy. Create a new policy that will limit the number of teenage mothers the clinic can treat.
primary nursing Primary nursing results in increased continuity of care because the same nurse is assigned to provide care for a given client over an extended period of time. The other approaches listed involve multiple nurses providing care to the client at the same time.
Which nursing model results in the greatest continuity of care? Primary nursing Modular nursing Total client care Team nursing
democratic
leadership style that is characterized by a sense of equality among the leader and other participants and shared decision making.
laissez-faire leadership, also called nondirective leadership,
leadership style where the leader relinquishes power to the group, such that an outsider could not identify the leader in the group.
autonomy
A client diagnosed with cancer has met with the oncologist and is now weighing whether to undergo chemotherapy or radiation for treatment. This client is demonstrating which ethical principle in making this decision? Justice Confidentiality Autonomy Beneficence
cortisol
A client is having a stress response related to a recent accident while boating. What does the nurse identify will be excreted from the adrenal cortex in response to this reaction? insulin cortisol epinephrine thyroxine
autocratic
A client is received into the emergency department after getting shot in the chest. The client is hemorrhaging profusely and is in hypovolemic shock. The nurse calls a code blue. What type of leadership style will be most effective during the management of the code? Laissez-faire leadership Autocratic leadership Transactional leadership Democratic leadership
sympathetic nervous system
A group of nursing students is learning about the body's response to stress. Which system is responsible for initiating the fight-or-flight response to stress? sympathetic nervous system parasympathetic nervous system respiratory system endocrine system
an advanced directive Clients communicate their wishes to health care providers by verbally participating in health care decision making and by employing written documents called advance directives. A will is a legal document where one communicates wishes of how to dispose of personal effects and belongings upon one's death. The terms license and standard of care have no application in this scenario.
A legal document that states a client's health-related wishes — such as a preference for pain management if the client becomes terminally ill — and also allows the client's adult child to direct the client's care, is: an advance directive. a license. a standard of care. a will.
Nurse midwife
A nurse aspires to work independently in obstetrics and gynecology in a rural, impoverished setting. Which advanced practice role would be most suitable for this nurse? Women's nurse practitioner Family nurse clinical specialist Adult nurse practitioner Nurse midwife
To evaluate the quality of care provided and assess the potential risks for injury to the client
A nurse enters the client's room and finds the client lying on the floor experiencing a seizure. After stabilizing the client, the nurse informs the physician. The physician advises the nurse to prepare an incident report. What is the purpose of an incident report? To evaluate the quality of care provided and assess the potential risks for injury to the client To provide information to local, state, and federal agencies To evaluate the immediate care provided by the nurse to the client To determine the nurse's fault in the incident
heightens arousal and increases energy
A nurse is assisting a neurologist, who is assessing the norepinephrine (noradrenaline) level of a client who is reporting stress. Which function does norepinephrine (noradrenaline) perform? heightens arousal and increases energy stabilizes mood and regulates temperature promotes coordinated movement transmits sensation of pain
integrity The principle of integrity is based on the honesty of a nurse according to professional standards. In this instance, the nurse reported the occurrence of the missed medication to the charge nurse. The definition of altruism is concern for others; it can best be explained by a nurse concerned about how a client will care for self after discharge. Social justice is a concept of fair and just relations between the individual and society and is related to wealth and distribution of goods in a society. Autonomy is the right to self-determination or acting independently and making decisions.
A nurse reports to the charge nurse that a client medication due at 9 am was omitted. Which principle is the nurse demonstrating? Altruism Autonomy Social justice Integrity
Arrange a meeting where the issue can be discussed and addressed by as many of the nurses as possible.
Conflict has emerged on a nursing unit due to the perception by new graduates that some of the more experienced nurses are manipulating the client assignment to ensure a lighter workload during night shifts. How should the manager of the unit best address this conflict? Reassure the new graduates that the more experienced nurses are acting in the interests of both staff and clients. Arrange a meeting where the issue can be discussed and addressed by as many of the nurses as possible. Gather evidence over the next several weeks in order to determine if the practice is indeed happening. Arrange for the newer nurses to organize the client assignment for a trial period.
The nurse confirms informed consent was give by the client to perform a procedure. The nurse educates the client about what to expect during the hospital stay. The nurse documents all client care in a timely manner.
Legal safeguards are in place in the nursing practice to protect the nurse from exposure to legal risks as well as to protect the client from harm. What is an example(s) of legal safeguards for the nurse? Select all that apply. The nurse confirms informed consent was give by the client to perform a procedure. The nurse executes the health care provider's prescriptions without questioning them. The health care provider is responsible for administration of a wrongly prescribed medication. The nurse claims management is responsible for inadequate staffing leading to negligence. The nurse educates the client about what to expect during the hospital stay. The nurse documents all client care in a timely manner.
Delivering culturally safe care Acknowledging that the client is the focus and center of care and remains a part of the treatment team Protecting the client's right to confidentiality and privacy
Nursing practice consistent with the Code of Ethics for Nurses includes which actions? Select all that apply. Empathizing with clients and establishing friendships when appropriate Protecting the client's right to confidentiality and privacy Assuming responsibility for care with limited collaboration with other healthcare professionals Acknowledging that the client is the focus and center of care and remains a part of the treatment team Delivering culturally safe care
justice
The foundation for decisions about resource allocation throughout a society or group is based on the ethical principle of: confidentiality. justice. autonomy. veracity.
duty
The nurse is providing care to a client whose condition has progressively declined. The nurse assesses and makes appropriate interventions as well as notifies the health care provider. Despite the nurse's efforts, the client expires. What element of liability has the nurse demonstrated? Damages Breach of duty Duty Causation
Better patient outcomes Magnet® hospitals have better patient outcomes than facilities without the recognition. Magnet® hospitals have higher nurse retention and job satisfaction scores, but these do not have a direct effect on client care. Magnet® hospitals have shorter, not longer, patient stays.
The nurse is working at a facility that is applying for Magnet® Recognition. The nurse knows that compared with other hospitals, Magnet® hospitals have which direct effect on client care? Improved job satisfaction scores Longer patient stays Higher nurse retention Better patient outcomes
a Leader
Their role is to direct or motivate a person or group to achieve set goals.
Manager
Their role is to plan, organize, direct, and control available human, material, and financial resources to deliver quality care to patients and families.
laissez-faire Laissez-faire leadership would work best in this situation, as it alone would allow the nurses the autonomy and creative environment they need to complete the project. The autocratic, democratic, and authoritarian leadership styles may stifle the creativity the nurses require to complete the project. Laissez-faire leadership style involves the leader relinquishing power or control to the group. Autocratic, or authoritarian, leadership style involves assuming control over the decisions and activities of the group. Democratic leadership style involves sharing the decision-making process and activities with others who have an interest.
Two nurses have requested that the nurse manager allow them to plan in-service education with creative, new education techniques. Which leadership style would be best for the nurse manager to use to get the new project completed? Authoritarian Laissez-faire Democratic Autocratic
conflict resolution
Two staff nurses on a unit disagree with one another over certain key aspects of providing client care. The nurse manager of the unit arranges a meeting with the charge nurse and the two staff nurses at a mutually agreed-upon time to discuss this situation. This activity is mostaccurately described as what? Delegation Client protection Conflict resolution Problem solving
Veracity Fidelity Privacy Confidentiality
When providing nursing care to clients, the nurse is required to adhere to ethical values and legal rules to guide practice behavior. Which values would be included? Select all that apply. Confidentiality Privacy Safety Veracity Fidelity
Is supportive Is resourceful Demonstrates leadership abilities Is an experienced, licensed professional
Which attributes should be characteristic of a nurse mentor? Select all that apply. Is an experienced, licensed professional Demonstrates leadership abilities Embraces disruptive conflict Is driven by financial reward Is supportive Is resourceful Deconstructs health care networks
A leader who is dynamic and inspiring and promotes change by the power of the leader's convictions
Which nurse leader most clearly exemplifies transformational leadership? A leader who is careful to thoughtfully assess the issues and priorities surrounding a problem prior to acting A leader who is dynamic and inspiring and promotes change by the power of the leader's convictions A leader who prioritizes the fact that every member of the team is considered valuable and equal A leader who prioritizes the delegation of leadership to the individual members of the group
Allowing a child to decide not to have an intravenous line inserted
Which scenario is an example of the laissez-faire approach to value transmission? Telling a child an injection will feel like a pinch before the nurse gives the injection Modeling healthy behaviors for teenagers, such as not smoking electronic cigarettes Teaching children right from wrong and telling them the reason behind a bad action Allowing a child to decide not to have an intravenous line inserted
"Dispose of the disconnected IV set." Disposing of a disconnected IV set is a task that is within the scope of practice of a nursing assistant. Discontinuing an IV solution, inspecting an IV site for thrombophlebitis, and checking the IV infusion rate are not within the scope of practice of a nursing assistant and should be performed by the RN.
Which statement by a registered nurse (RN) represents appropriate delegation to a nursing assistant? "Inspect the site for thrombophlebitis." "Check the infusion rate." "Dispose of the disconnected IV set." "Discontinue the IV solution."
The nurse maintains standards of personal conduct. The nurse is active in developing a core of research-based principles. The nurse holds personal information as confidential.
Which statements indicate a correct understanding of the tenets of the Code of Ethics for Nurses? Select all that apply. The nurse holds personal information as confidential. The nurse is active in developing a core of research-based principles. The nurse participates in the advancement of the profession. The nurse maintains standards of personal conduct. The nurse has the right to fair compensation for the workload.
autocratic
leadership style that assumes complete control over the decisions and activities of the group.
Anticipatory guidance
A client is refusing to get out of bed the day after hip surgery. The nurse knows that for the intervention to be safe, therapeutic, and nonthreatening, she will need to not only enlist the client's cooperation, but also her willing participation. Which stress reduction technique does the nurse acknowledge as the best choice in this situation? Guided imagery Anticipatory guidance Biofeedback Meditation
The nurse withholds the medication and notifies the health care practitioner.
A client newly diagnosed with congestive heart failure has a prescription for digoxin. The nurse counts the heart rate before administration of the medication and obtains a heart rate of 51 beats per minute. Which action by the nurse demonstrates adherence to the standards of nursing care? The nurse administers the medication and reassesses the client after 30 minutes. The nurse withholds the medication, retakes the heart rate, and gives the medication at a later time. The nurse withholds the medication and notifies the health care practitioner. The nurse administers the medication after reviewing the client's serum potassium level.
foundation value A habitual act is indicative of a foundation value.
A client requests that the nurse allow the client 15 minutes two times a day for prayer during hospitalization. What value does this represent? Focused value Free value Future value Foundation value
tort A tort is a litigation in which one person asserts that a physical, emotional, or financial injury was a consequence of another person's actions or failure to act. The lack of action on the nurse's part indicates unintentional tort. A misdemeanor or felony would be an offense under criminal law, and neither is applicable in this case. Fraud is willful and purposeful misrepresentation that could cause, or has caused, loss or harm to a person or property.
A client was admitted to a postoperative nursing unit after undergoing abdominal surgery. During this time, the nurse failed to recognize the significance of abdominal swelling, which significantly increased during the next 6 hours. Later, the client had to undergo emergency surgery. The lack of action on the nurse's part is liable for action. Which legal term describes the case? Felony Misdemeanor Fraud Tort
breach of duty Failing to communicate a change in the client's condition reflects a breach of duty. Duty describes the relationship between the person and the person being sued. Nurses have a duty to care for their clients. The existence of a duty is rarely an issue in a malpractice suit. The action or lack of action must be proven as the cause of the injury. Damages refer to the injury sustained by the client. Reference:
A nurse fails to communicate a change in the client's condition to the physician. Which element related to proving malpractice has been met? Damages Proximate cause Duty Breach of duty
Allocation of scarce nursing resources
A nurse has completed 4 hours of an 8-hour shift on a medical-surgical unit when the nursing supervisor calls. The nursing supervisor directs the nurse to give a report to the other two nurses on the medical-surgical unit and immediately report to the telemetry unit to assist with staff needs on that unit. The nurse informs the supervisor that the nurse has been busy with client assignments and feels this will overwhelm the nurses on the medical-surgical unit. The supervisor informs the nurse that the need is greater on the telemetry unit. This is an example of which type of ethical problem? Conflicts concerning new technology Advocacy in a market-driven environment Allocation of scarce nursing resources Deception
Ethical conduct dictates that a nurse act in a professional, safe, competent manner. Drinking alcohol while at work and behaving inappropriately breaches this principle. Beneficence is acting for the good of the client. Fidelity is keeping promises. Autonomy is respecting one's right to self-determination and making decisions. Although the nurse's intoxication will likely lead to breaches in the principles of beneficience, fidelity, and autonomy, there is no evidence of such breaches in these specific principles in this case.
A nurse is acting inappropriately and has an odor of alcohol. This behavior breaches the principle of: beneficence. autonomy. fidelity. ethical conduct.
Obtaining vital signs every 4 hours
A nurse is caring for a client with pneumonia. Which task is most appropriate for the nurse to delegate to an experienced unlicensed assistive personnel (UAP)? Obtaining vital signs every 4 hours Assessing for shortness of breath Administering nebulizer treatments as needed Instructing the client about the need to alternate activity with rest
Lack of safety measures implemented with status change
A nurse is providing care to an older adult client. The client has been alert and independent with ambulation but now is exhibiting some confusion along with being unsteady when getting out of bed and walking. The nurse fails to report and document this change in status. No safety measures are taken and the client falls while getting out of bed to use the bathroom and fractures a hip. The client is experiencing significant pain from the fractured hip and requires surgery to repair the fracture. The nurse is sued for malpractice. Which action reflects the element of causation in this case? Lack of safety measures implemented with status change Failure to document and report the change Responsibility to report changes in status Fractured hip, pain, and need for surgery
performance appraisal
A nurse manager reviews an employee's contribution to the nursing division annually. This process is: interpreting quality indicators. employee's job satisfaction survey. reward and development survey. performance appraisal.
offering a hospice consultation to a client who is terminally ill. The definition of advocacy is to ensure that the client's best interests are being met. A hospice consult is an appropriate example. Insisting that a client take a medication does not reflect advocacy for the client because it violates the client's autonomy. Sending a client home with verbal discharge instructions is normal and customary practice and does not ensure that the client's best interests are being met. Refusing to allow a spouse to stay by the client's bedside is not likely to be in the best interests of the client.
A nurse shows client advocacy by: insisting that a medication be taken. refusing to allow a spouse to stay by the bedside. offering a hospice consultation to a client who is terminally ill. sending a client home with verbal discharge instructions.
Assist in decision making based on the client's best interests. One reason an ethics committee convenes is when a client is unable to make an end-of-life decision and the family cannot come to a consensus. In this case, the committee members are there to advocate for the best interest of the client and to promote shared decision making between the client (or surrogates, if the client is decisionally incapacitated) and the clinicians. The committee would not convince, decide, or present options about the type of care. This is not the role of an ethics committee.
A nurse volunteers to serve on the hospital ethics committee. Which action should the nurse expect to take as a member of the ethics committee? Decide the care for a client who is unable to voice an opinion. Convince the family to choose a specific course of action. Present options about the type of care. Assist in decision making based on the client's best interests.
"I collaborate with health care teams to promote client care."
A staff nurse is talking with a clinical nurse leader and asks, "What exactly do you do?" Which statement by the clinical nurse leader wouid be appropriate? "I'm an administrator involved with client care." "My position is one of management." "I'm an advanced practice nurse with a specific specialty area." "I collaborate with health care teams to promote client care."
Democratic
A staff nurse works on a medical unit where staff retention is very high. There is a sense of equality between the leader and the staff nurses. The unit decisions and activities are shared between the leader and the group. The designated nurse leader practices which leadership style? Democratic Transformational Autocratic Laissez-faire
This behavior is called regression. Children often regress to soiling diapers or demanding a bottle when they are ill and this is called regression. Repression is excluding an anxiety provoking event from conscious awareness. Reaction formation is when a person develops conscious attitudes and behavior patterns that are opposite to what he or she would really like to do. Sublimation is when a person substitutes a socially acceptable goal for one whose normal channel of expression is blocked.
A toilet trained toddler was admitted to the hospital for dehydration. Upon returing home, the toddler becomes incontinent of urine and stool. The parent is concerned regarding this return to previous behavior and calls the pediatric clinic. What is the nurse's best response to the parent? This behavior is known as repression. This behavior is reaction formation. This behavior is sublimation. This behavior is called regression.
assess whether the desired results have occurred.
After a nurse manager implements a solution to the problem of delays in obtaining supplies, the first task for the manager is to: assess whether the desired results have occurred. plan to monitor the supply cabinets. ask the staff members for other solutions. make an appointment with the chief nursing officer.
The nurse is legally held to the same standards of care as when staffing levels are normal.
After reporting to work for a night shift, the nurse learns that the unit is understaffed because two RNs called out sick. As a result, each nurse on the unit must provide care for four acute clients in addition to the nurse's regular clients. Which statement is true for this nurse when working in understaffed circumstances? The nurse is legally obliged to refuse to provide care when understaffing creates the potential for unsafe conditions. Understaffing constitutes an extenuating circumstance that creates a temporarily lower expectation for care for the nurse. The nurse is legally held to the same standards of care as when staffing levels are normal. The nurse must document that float staff, nurses on overtime, and part-time staff were contacted in an effort to fill the gaps in care.
A need for a safer intravenous therapy pump is identified. New intravenous therapy pumps are purchased and training for staff nurses is provided. Intravenous therapy pumps are placed on the nursing unit for client care.
The nurse is conducting an in-serve on change theories. Which example should the nurse include in the presentation illustrating Lewin's three stages of change? Multifunctional machines monitor clients' vital signs. Data from the machines is used to create trends in clients' health. The trends are compared to national norms and used to determine if measures can be taken to improve client care. Nurses work in groups to care for clients. Physicians collaborate with nurses. Quality client care is provided. A need for a safer intravenous therapy pump is identified. New intravenous therapy pumps are purchased and training for staff nurses is provided. Intravenous therapy pumps are placed on the nursing unit for client care. Staff voice concerns among themselves about the requirement of mandatory overtime. A unit meeting is called to discuss the issues with management. The mandatory overtime requirement is reinforced by management.
Delegate bathing and vital signs tasks.
The nurse is working to enhance time management skills and has to administer pain medications to several patients, obtain vital signs, and assist clients with bathing. What should the nurse do next? Bathe clients. Administer pain medications. Delegate bathing and vital signs tasks. Obtain vital signs.
collaborating
The nurse manager for the psychiatric unit sees that there are major conflicts between the day and night shift staff. The nurse manager suggests that each shift put aside their differences for a time and determine a common major goal. Which conflict resolution style does the nurse manager display? Competing Collaborating Smoothing Avoiding
Monitor time clock reports on a monthly basis and enter all nurses who have not been tardy into a raffle for a paid day vacation.
The nurse manager notices a trend in nurses routinely arriving to work late. How can the nurse use the transactional leadership style to get nurses to arrive to work on time? Monitor time clock reports on a monthly basis and enter all nurses who have not been tardy into a raffle for a paid day vacation. Allow the nursing staff to develop a plan to decrease tardiness within the unit. Emphasize the importance of arriving to work on time during a monthly unit meeting. Generate a report of nurses who routinely arrive to work late and set an example by firing the nurse who has been tardy the most.
The new mother attempts to breastfeed the baby again using the new techniques and is successful.
The nurse recognizes that a new mother is having difficulty breastfeeding. The nurse demonstraties various positions in which to hold the baby while feeding. The nurse also educates the mother on ways to ensure proper latching. The new mother attempts to breastfeed the baby again using the new techniques and is successful. Which statement in this scenario illustrates Lewin's stage of refreezing? The nurse demonstrates various positions in which to hold the baby while feeding. The nurse recognizes that a new mother is having difficulty breastfeeding. The new mother attempts to breastfeed the baby again using the new techniques and is successful. The nurse also educates the mother on ways to ensure proper latching.
Describing a surgery to a client before the consent is signed Autonomy is the capacity to make an informed, uncoerced decision. Describing a surgery to a client before a consent is signed provides the client with all of the information needed to make an informed decision and thus an autonomous one. The nurse changing a dressing on a wound does not require the client to make an informed decision, nor does administering a morning dose of insulin or transporting a client.
Which example most accurately depicts the ethical principle of autonomy? Changing a dressing on a wound as needed Transporting a client to a scheduled physical therapy appointment Administering a morning dose of insulin before breakfast Describing a surgery to a client before the consent is signed
care based ethics Central to the care-based approach to ethics is the nurse's relationships with clients and the nurse's "being," or character and identity. Deontology is the study of the nature of duty and obligation. Utilitarianism is the doctrine that actions are right if they are useful or for the benefit of a majority. Principle-based ethics prioritizes goals and principles that exist beyond the particularities of the nurse-client relationship.
Which theory of ethics prioritizes the nurse's relationship with clients and the nurse's character in the practice of ethical nursing? Utilitarianism Principle-based ethics Deontology Care-based ethics
Assign clients to one of the nurses and tell the nurse that it will be remembered in the future for a day off
two staff nurses have voiced not wanting to assume care for any new postoperative surgical clients during the shift. How can the charge nurse resolve this conflict using the strategy of accommodation to address the immediate concerns of the two staff nurses? Assign clients to one of the nurses and tell the nurse that it will be remembered in the future for a day off Complement the nurses on how well they care for new postoperative surgical clients. Discuss incentives that can be given for agreeing to accept new postoperative surgical clients. Decide how postoperative surgical clients should be assigned to the two nurses.
