NRSG 1125 PrepU Professional Behaviors/Professionalism
The experienced psychiatric nurse shares with the novice nurse that effective nursing care for the delusional client depends on what? Select all that apply.
1. Expecting the client to adhere to all unit rules 2. Being relaxed during frequent client-nurse interactions 3. Managing the milieu so as to minimize situations that will frustrate or anger the client
A nurse is working on the pediatric unit. Which assignment best demonstrates primary care nursing?
Caring for the same child from admission to discharge
In the delivery of care, the nurse acts in accordance with nursing standards and the code of ethics and reports a medication error that the nurse has made. The nurse is most clearly demonstrating which professional value?
Integrity
The nurse manager calls a staff into a unit meeting to discuss patient satisfaction. During the meeting, several staff members assume control. The nurse manager does not intervene to regain control of the group. Which type of leadership style is the nurse embodying?
Laissez-faire
The mental health nurse is helping a client learn more about the client's psychotropic medication. The nurse, in this instance, is functioning with which type of approach to nursing practice?
Teacher
While providing care to a terminally ill client, the client asks, "Am I dying?" Which response by the nurse would be most appropriate?
Tell me some more about what is on your mind."
The nurses on a busy surgical ward use hand hygiene when caring for postsurgical patients. Which action represents an appropriate use of hand hygiene?
The nurse keeps fingernails less than 1/4 in (0.63 cm) long.
The nurse is making an initial home visit for a client requiring wound care. What statement is true regarding safety during a home visit by a nurse?
The nurse should never walk into a patient's home uninvited.
A parent wants to wait outside the room while a procedure is completed on his young child, saying, "I don't think I can stand to see you do this!" The nurse's best response is:
"Certainly. I will stay with your child during the procedure."
A pregnant client is diagnosed with syphilis. Which response would demonstrate respect for the client and therapeutic communication?
"I am sure it is frightening to you to be diagnosed with a disease that can affect your baby."
An anxious client asks the nurse for the results of recent blood work and wants to know what the results mean. Which response by the nurse is the most appropriate?
"I understand your concern. I'll call the physician to review the results with you.
A client comes into the urgent care center to have sutures removed on an arm. The nurse finds significant crusting along the suture line. The client states not having time to get the sutures removed a week prior, as directed. The nurse soaks the crust and attempts to remove the sutures. As the nurse attempts the suture removal, the client frequently pulls the arm away and tells the nurse, "You are taking too long and it is hurting a little bit. Just pull them out and get it over with." Which statement is an example of appropriate therapeutic response?
"It is taking longer for me to remove the sutures because the delay allowed the crust to form and adhere to the sutures, making it harder and sometimes painful to remove them."
Having recently completed a specialty nursing program in neonatal care, a nurse is now preparing to leave the medical unit and begin providing care in the hospital's neonatal intensive care unit (NICU). The nurse has completed which process of credentialing?
Certification
The nurse from the previous shift identified a client as a high risk for falls. The oncoming nurse finds the client on the floor at the beginning of the shift. The nurse assesses the client and notes no injuries. What is the best action by the nurse?
Notify the health care provider, and document the fall in the chart, including location, injuries, the fact the health care provider was notified, and any changes to the care plan.
A couple had decided not to circumcise their newborn for nonreligious reasons. What is the appropriate response from the nurse?
OK, great. I will let the physician know."
A type of comprehensive care for clients whose disease is not responsive to cure is
palliative care
A nurse in the emergency room, who is unfamiliar with pediatric clients, assesses the vital signs of a 1-month old infant with a heart rate of 124 and a respiratory rate of 36. What would be the most appropriate measure for the nurse to take to analyze the significance of the infant's vital signs?
Consult reference materials to determine the normal vital signs for 1-month old infants.
The nurse is admitting a client who is in labor who reports her husband and doula will be arriving shortly. Which action should the nurse prioritize in response?
Continue with the admission assessment
While working with an older male client, a nurse begins to think of the client as a grandfather and responds to the client as a grandchild. The nurse is developing what type of emotional reaction?
Countertransference
Which term refers to the tendency to force one's cultural beliefs, values, and patterns of behavior on a person or people from a different culture?
Cultural imposition
Which would be most important for a nurse to do when caring for a client with somatic symptom disorder?
Develop a sound, positive nurse-client relationship
Nurses who work in a pediatric psychiatric-mental health facility should do what?
Develop self-awareness of issues that remind them of their own childhood and adolescence.
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?
Duty
The nurse is teaching health promotion to a class on osteoporosis prevention. The nurse determines that the participants understand the teaching when they identify that clients need how much sun exposure to synthesize sufficient vitamin D?
5 to 30 minutes twice a week
Which scenario is the best example of a nurse in the role of counselor?
A nurse allowing a crying client to verbalize fears of death
The health care provider has prescribed an indwelling catheter for a client. When the nurse explains the procedure, the client refuses to allow placement of the catheter. Which action should the nurse take?
Ask the client why he or she does not want a catheter.
A nurse working as part of a genetics counseling team is preparing a presentation for a career day discussion at a local college of nursing. When describing the genomic framework for nursing, which of the following would the nurse include as being most important?
Being keenly aware of one's own attitudes and assumptions about genetics and genomics
Which ethical principle is related to the duty to do good?
Beneficence
A client is being seen in the mental health clinic because of relapse. The client has been nonadherent with the medication regimen. The nurse reinforces the advantages of taking medications. The nurse is using which ethical principle?
Beneficence the health care provider uses knowledge of science and incorporates the art of caring to develop an environment in which people achieve their maximal health care potential.
Which of the following would be the priority when providing care to a client with posttraumatic stress disorder (PTSD)?
Establishing a trusting nurse-client relationship
A nurse is caring for a client following a tonsillectomy and fails to routinely assess the back of the client's throat for signs of bleeding. The nurse manager reviews the client's chart and notices the omission of the assessments. Which is the best response to the nurse regarding the missing assessments?
Failure to complete these assessments constitutes negligent behavior."
A nurse is preparing an in-service presentation about primary immunodeficiencies. When describing these conditions, what would the nurse need to integrate into the presentation?
Most cases are typically diagnosed in infancy.
The client has been diagnosed with terminal COPD. The client and the client's family have not yet agreed on the final arrangements and are discussing options. How can the nurse best intervene in these final decisions?
Respect the client's autonomy and right to determine how to spend the rest of his or her life.
A client is diagnosed with hypertension. The client also reports skin discoloration, weight gain, and nausea. Which contraceptive preparations would the nurse practitioner recommend for this client?
Progestin-only
The proficient nurse wants to become a more effective leader. Which step would be most appropriate for the nurse to take to achieve this goal?
Promote a healthy work environment and become a nurse mentor.
A nurse is conducting a 6-week social skills training program. A young adult with schizophrenia asks the nurse to call the client on the weekends so the client has someone to talk to who really cares. Which action should the nurse take?
Remind the client about the importance of boundaries to keep the relationship therapeutic
A nurse, while off-duty, tells the physiotherapist that a client who was admitted to the nursing unit contracted AIDS due to exposure to sex workers at the age of 18. The client discovers that the nurse has revealed the information to the physiotherapist. With what legal action could the nurse be charged?
Slander
A newly hired young nurse overheard the charge nurse talking with an older nurse on the unit. The charge nurse said, "All these young nurses think they can come in late and leave early." What cultural factor can the new nurse assess from this conversation?
Stereotyping
A local college is having a career-day seminar for student nurses. Booths from various agencies and facilities have been set up. One of the students approaches the booth of a home care agency and asks the nurse there about what is required to become a home care nurse. Which of the following would the nurse incorporate into the response?
Strong clinical decision-making skills
A mental health nurse is discussing the potential adverse effects of electroconvulsive therapy (ECT). According to Peplau's interpersonal theory, the nurse is functioning in which nursing role?
Teacher
A nurse saw a coworker steal drugs from a locked cabinet. The supervisor notices the missing drugs and has a good idea who is responsible for the theft. The supervisor asks if the nurse saw anything out of the ordinary. Which professional value reflects a nurse's duty to tell the truth?
Veracity
Two nursing students are role-playing a client assessment situation. One of the students is acting as the nurse, and the other student is acting as the client. The task is to focus on assessing the client's lifestyle. Which question would be most appropriate for the student acting as the nurse to ask?
What do you usually do for fun?"
A community nurse arrives at the home of a client. The client is in soiled clothes due to the inability to make it to the bathroom in time. The nurse overhears the unregulated care provider (UCP) scolding the client for the soiled clothes. What is the most appropriate response by the nurse to the UCP?
Your behavior in this situation is considered verbal abuse."
Which registered nurse should be assigned to the client who had a chest tube inserted yesterday?
a registered nurse who use to work on the cardiovascular unit
A student is choosing an educational path and desires a nursing degree with a track for community nursing and leadership and that allows for classes in liberal arts. The student would best be suited in which type of program?
baccalaureate program
Two nurses are working the night shift on a medical unit. The first nurse completes an initial shift assessment on assigned clients. One hour later, the second nurse finds the first nurse asleep in the lounge. The first nurse remains asleep for the next 4 hours and then wakes up to do client rounds. What should the second nurse do in this situation?
Discuss the situation with the first nurse, including the safety implications of sleeping on the job.
A family member of a resident in a long-term care facility reports to the nurse that her mother's diamond ring is missing. Another resident reported a day earlier that a twenty-dollar bill was missing from his/her night table. What should the nurse do in this situation?
Notify the supervisor and call the police.
To encourage adequate nutritional intake for a client with Alzheimer's disease, a nurse should
stay with the client and encourage them to eat.
Which use of restraints in a school-age child should the nurse question?
to substitute for observation
A nurse is caring for a 9-year-old child who has a grave prognosis after receiving a closed injury from being struck by a car. Which health team member should approach the family about organ donation?
transplant coordinator
The nurse manager is preparing to meet with several registered nurses (RNs) in the department to address practice issues. Which behavior by an RN will the nurse manager address as a violation of the RN's "duty to care"?
declined assignment to care for a client with dementia who was incontinent of stool
The nurse demonstrates culturally competent nursing care by doing which of the following?
providing the same nursing interventions for all clients without exceptions
A client with end-stage pancreatic cancer has decided to terminate medical intervention. What should a nurse anticipate when consulting with palliative care?
referral for bereavement counseling
A nurse is overheard in the hospital cafeteria making false, derogatory comments about a client. The nurse is guilty of:
slander.
