Nur 3010 final

A client refuses to have pain medication administered by injection. The nurse states, "if you don't let me give you the shot, I will get help to hold you down and give it." What tort may the nurse be committing? A. Battery B. assault C. defamation D. negligence

B. assault

A nurse posts the following to their social media account; "Today was a bad day at work; my patients were tough to work with, especially one in particular". What response by the nurse manager is most appropriate? A. "Any information that can identify a person is considered a breach of client privacy" B. "You may continue to post about a client as long as you do not use the client's name" C. It's okay to discuss these things with your best friend, but not on social media." D. "The information being posted on social media is inappropriate. Make sure to discuss information about clients privately with family."

A. "Any information that can identify a person is considered a breach of client privacy"

The nurse suspects that another staff member may have a substance use disorder. What changes would the nurse observe that would indicate possible substance use? Select all that apply. A. A decrease in personal hygiene and appearance B. Confusion about clients plans of care C. Arriving on time to work consistently D. Adherence to completing work assignment E. Clients frequently reporting ineffective pain relief following administration of opioids

A. A decrease in personal hygiene and appearance B. Confusion about clients plans of care E. Clients frequently reporting ineffective pain relief following administration of opioids

Which actions should the nurse perform to limit casual access to the identity of clients? Select all that apply. A. Obscuring identifiable names of clients and private information about clients on clipboards B. Placing fax machines, filing cabinets, and medical records in areas that are off limits to the public

A. Obscuring identifiable names of clients and private information about clients on clipboards B. Placing fax machines, filing cabinets, and medical records in areas that are off limits to the public

The nurse is educating a client regarding use of the incentive spirometer. When evaluating the client's knowledge about the incentive spirometer, which best represents that the client has learned correct use of this device? A. The client organizes materials needed and gives return demonstration B. The client verbalizes items needed and how to perform the skill C. The client nods when asked about process and assists with cleanup D. the client states understanding and passes a written test.

A. The client organizes materials needed and gives return demonstration

The client being admitted to the oncology unit conveys wishes regarding resuscitation in the event of cardiopulmonary arrest. The nurse advises the client that it would be in the client's best interest to obtain which document? A. a living will B. an order for do not resuscitate (DNR) c. proof of health care power of attorney D. a living will

A. a living will

Which actions should the nurse take to ensure that client information remains confidential? select all that apply. A. dispose of client SBAR forms in a secured container for shredding of documents at the end of the shift B. exit the client's room when called on the hospital- issued cell phone about another client on the team C. verify the number in the fax machine as correct prior to transmission

A. dispose of client SBAR forms in a secured container for shredding of documents at the end of the shift B. exit the client's room when called on the hospital- issued cell phone about another client on the team C. verify the number in the fax machine as correct prior to transmission

A nurse forgot to document that a client drank 120ml of water at 0830. It is now 1030. What action should the nurse take? A. document the water for the 0830 timeB. do not document this water since too much time has lapsed C. document the water for the 1030 time D. fill out an incident report

A. document the water for the 0830 time

A diabetic client discovers that the client's name is published in a research report on diabetic care prepared by the client's nurse. The client is hurt and files a lawsuit against the nurse. Which offense has the nurse committed? A. invasion of privacy B. unintentional tort C. defamation of character D. negligence of duty

A. invasion of privacy

The nurse gives a change of shift report to the oncoming nurse. What vital information should the nurse include in the report? select all that apply. A. ms. J-Lo is in room 7, admitted postoperatively for an open appendectomy B. the client's hobby is modeling, which we had a conversation about C. pain level is currently a 2 following administration of intravenous morphine D. the client has a clean and dry abdominal dressing E. the client has two cats at home; the client's mother is taking care of the cats F. no new labs have been ordered after surgery

A. ms. J-Lo is in room 7, admitted postoperatively for an open appendectomy C. pain level is currently a 2 following administration of intravenous morphine D. the client has a clean and dry abdominal dressing F. no new labs have been ordered after surgery

What is an example of the doctrine of double effect? A. nurse gives ordered high dose of morphine to dying patient B. Health care provider advises patient of two different treatment C. a medical error doubles the cost of the patient's hospital stay D. physician orders the less expensive of two tests

A. nurse gives ordered high dose of morphine to dying patient

The nurse calls the health care provider due to changes in the client's status. Using the SBAR, the nurse is about to address Recommendation. Which statement appropriately supports this part of the SBAR? A. "The client was admitted today with a urinary tract infection" B. "Will you prescribe a complete blood count to check the white blood cell count and a culture?" C. "The client's temperature has been 102 degrease fahrenheit for the last 6 hours." D. "Will you prescribe a complete blood count to check the white blood cell count and a culture?"

B. "Will you prescribe a complete blood count to check the white blood cell count and a culture?"

The nurse charted the administration of preparation for a colonoscopy in the AM in the progress notes of the client's paper chart, pictured above. Which correct documentation guidelines did the nurse follow? Select all that apply. A. Leave blanks in the charting B. Sign every entry C. document in chronological order

B. Sign every entry C. document in chronological order

The client recently immigrated from Mumbai, India. The client was just admitted to the nurse's unit postoperatively following gallstones removal. The client does not speak the dominant language. When using the hospital's interpretive services, which is most important? A. Have the interpreter write out all of the information listed in the unit brochure B. Speak directly to the client C. Give all the discharger instructions at once D. Ensure that family members are present

B. Speak directly to the client

When caring for a client at the health care facility, the nurse observes that the client is having difficulty understanding the health education. Which action is most appropriate? A. delegate the health education to a colleague B. assess for cultural differences C. boost the morale of the client D. replace one on one teaching with written materials

B. assess for cultural differences

Which one of the following is the nurse's best legal safeguard? A. malpractice insurance B. competent, safe practice C. patient education D. Union contract

B. competent, safe practice

Which situation is an example of battery that the nurse may witness while performing duties at the health care facility? A. Telling the client that the client may not leave the hospital B. performing a surgical procedure without getting consent C. Verbal violence towards another nurse

B. performing a surgical procedure without getting consent

The nurse is caring for a client who requests to see a copy of the client's own health care records. What action by the nurse is most appropriate? A. discuss how the hospital can be fined for allowing clients to view their health care records B. review the hospital's process for allowing clients to view their health care records C. explain that only a paper copy of the health care record can be viewed by the client D. access the health care record at the bedside and show the client how to navigate the electronic health record

B. review the hospital's process for allowing clients to view their health care records

A nurse is caring for a client who is newly diagnosed with terminal cancer. The nurse enters the client's room and finds the client sitting in the dark crying. which statement conveys empathy by the nurse? A. "can you please tell me why you are crying?" B. "Sitting in the dark is not going to cure your cancer. Let's open the curtains." C. "I know this is hard for you. Is there any way I can help?" D. "I am so sorry you are going through this."

C. "I know this is hard for you. Is there any way I can help?"

A nurse is transfusing multiple units of packed red blood cells. After the second unit is transfused , the nurse auscultates bilateral crackles at the bases of the client's lungs and the client reports dyspnea (shortness of breath ). The nurse telephones the health care provider and provides an SBAR report . Which statement represents the second step in this type of communication ? A. "It seems like this client has fluid volume overload B. "I think the client would benefit from intravenous furosemide. C. "This client has a medical history of heart failure." D. "I am calling because the client receiving blood has developed dyspnea and had crackles."

C. "This client has a medical history of heart failure."

The spouse of a client who has recently been diagnosed with early-stage Alzheimer's disease asks the nurse to recommend websites that may supplement the spouse's learning about this diagnosis. How should the nurse respond to the spouse's request? A. Encourage the spouse to avoid online resources due to the unregulated nature of the Internet. B. Direct the spouse to online databases such as the Cumulative Index to Nursing and Allied Health Literature. C. Identify and recommend some credible websites appropriate to the spouse's learning needs

C. Identify and recommend some credible websites appropriate to the spouse's learning needs

A client is brought to the emergency department in an unconscious state with a head injury. The client requires surgery to remove a blood clot. What would be the appropriate nursing intervention in keeping with the policy of informed consent prior to a surgical procedure? A. the nurse informs the family about the living will B. the nurse informs the family about advance directives C. the nurse ensures that the client's family signs the consent form D. the nurse ensures that the client signs the consent form

C. the nurse ensures that the client's family signs the consent form

The nurse is completing documentation after an education session with a client. Which statement best demonstrates detailed documentation of an effective teaching plan? A. Spouse taught to flush feeding tube before and after medication. Denied further instruction needed. B. Lecture provided about infection, and client stated understanding what infection is C. Discussed wet to dry dressing changes, and client stated understanding D. Demonstrated cord care to mother, who stated understanding and perform return demonstration using correct technique

D. Demonstrated cord care to mother, who stated understanding and perform return demonstration using correct technique

A client states that the client's recent fall was caused by his scheduled antihypertensive medications being mistakenly administered by two different nurses, an event that is disputed by both of the nurses identified by the client. Which measures should the nurses prioritize when anticipating that legal action may follow? A. consult with practice advisors from the state board of nursing B. Enlist support from nursing and non-nursing colleagues from the unit C. consult with hospital's legal department as soon as possible D. document the client's claims and the events surrounding the alleged incident

D. document the client's claims and the events surrounding the alleged incident

To provide effective nursing care, the nurse should engage in what type of communication with the client and significant others? A. purposive communication B. intrapersonal communication C. metacommunication D. therapeutic communication

D. therapeutic communication