perspectives test 3- practice questions

Kevin is a highly experienced licensed practical nurse who has provided care on an acute medical unit for several years. A registered nurse (RN) who is new on the unit has asked Kevin to flush a patient's central venous catheter (CVC), a task that is outside of Kevin's scope of practice but one that he has often witnessed and feels confident in doing safely. How should Kevin respond to the RN's request? A) Flush the CVC after ensuring the RN is aware of Kevin's qualifications and job title. B) Inform the RN that he cannot flush the CVC because it is outside of his scope of practice. C) Flush the CVC this time, but inform the RN that he cannot do so under normal circumstances. D) Ask the RN to observe his technique while he flushes the CVC.

Inform the RN that he cannot flush the CVC because it is outside of his scope of practice.

A nurse finds that a colleague is intoxicated while on duty. What appropriate action should the nurse take? A) Inform the nursing supervisor B) Tell the colleague to take a 30-minute break C) Inform the physician D) Watch the colleague closely during the shift

Inform the nursing supervisor

After several years of providing bedside care in an inpatient setting, a nurse has taken a position with the state board of nursing. In this role, the nurse may contribute to which of the following activities of a state board of nursing? A) Issuing and transferring nursing licenses within the state B) Providing consultation on ethically challenging clinical situations C) Promoting the visibility of the nursing profession within the state D) Allocating financial resources within clinics and hospitals in the state

Issuing and transferring nursing licenses within the state

A nurse practitioner (NP) is a registered nurse who has advanced education in a specialty. Which of the following aspects of nursing care is exclusive to the NP role? A) Ordering medications and diagnostic tests B) Meeting the psychosocial needs of patients and families in crisis C) Initiating and maintaining intravenous (IV) access D) Performing care of surgical incisions and traumatic wounds

Ordering medications and diagnostic tests

An experienced nurse has recently transitioned from performing bedside care to acting in a case manager role. In this new role, the nurse is participating in the care of a patient who has been diagnosed with colorectal cancer and who will receive chemotherapy before having surgery. What aspect of this patient's care will most likely be performed by this nurse? A) Organizing the patient's care to minimize cost and maximize benefit. B) Ensuring that the patient's psychosocial and spiritual needs are met during this difficult time. C) Performing dressing (bandage) changes after the patient has surgery. D) Teaching other nurses how to safely handle and administer chemotherapy drugs.

Organizing the patient's care to minimize cost and maximize benefit.

A nurse who works on a palliative care unit has participated in several clinical scenarios that have required the application of ethics. Ethics is best defined as A) The relationship between law and culture B) Moral values that are considered to be universal C) The principles that determine whether an act is right or wrong D) The laws that govern acceptable and unacceptable behavior

The laws that govern acceptable and unacceptable behavior

A nurse is aware that there are numerous safety hazards that exist in the hospital setting. In order to reduce or eliminate patients' risks of injury, the nurse should A) learn the fire and safety regulations of the hospital. B) apply physical restraints to elderly patients at night. C) keep all bed rails raised at all times. D) make sure that patients are aware of needles that are left at the bedside.

learn the fire and safety regulations of the hospital.

Since being admitted to the hospital with a stroke, a patient has received direct and indirect care from dozens of members of the health care team. What member of the team completed the most postsecondary education in order to provide care for the patient? A) Laboratory technologist B) Dietitian C) Electrocardiograph technician D) Pathologist

pathologist

Ethnic grouping is generally based on A) place of residence and country of birth. B) income. C) race, religion, language, and nationality D) values and beliefs

race, religion, language, and nationality

A client who is scheduled for hernioplasty needs clarification regarding the procedure. The nurse calls the physician at the client's insistence. The physician, who is in a bad mood, is overheard telling the client that the nurse is incompetent and does not know anything. Which of the following legal torts has the physician committed? A) Libel B) Battery C) Assault D) Slander

slander

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 physiotherapist, during his usual care to the client, expresses his concern regarding his exposure to sex workers at an early age. The client discovers that the nurse has revealed the information to the physiotherapist. With what legal action could the nurse be charged? A) Libel B) Slander C) False imprisonment D) Unintentional tort

slander

A 76-year-old patient is being treated in hospital for pneumonia and his discharge planning is in progress. The patient had been living with his son and daughter-in-law but they have expressed to the care team that this will no longer be the case. The patient, however, is unable to live independently due to a number of chronic health problems. What member of the care team would be most able to assist the patient with organizing his living situation? A) Social worker B) Psychologist C) Registered nurse (RN) D) Physical therapist (PT)

social worker

A patient who has suffered a stroke has been scheduled for a follow-up computed tomography (CT) scan of his head and the hospital porters have arrived to transport him to the radiology department. However, the patient's son and daughter-in-law have recently arrived to visit the patient and have asked for the procedure to be put off until they can spend some time with him. How should the nurse best respond to the family's request? A) "Unfortunately, this can't be put off because it's very important for your father's care." B) "I understand. I'll make sure that someone communicates with the radiology department." C) "It's hospital policy that all patients receive their scheduled treatments without delay." D) "Please just let us know when you would be comfortable with him going for his test."

"Unfortunately, this can't be put off because it's very important for your father's care."

A licensed practical nurse performs many tasks and functions in the course of his or her job. Which of the following aspects of nursing is a reflection of Dorothy Orem's theory of nursing? A) Helping patients achieve harmony between mind, body, and spirit B) Compensating for patients' deficits in their ability to care for themselves C) Providing conditions where patients can become self-actualized D) Teaching patients what their most significant needs are

Compensating for patients' deficits in their ability to care for themselves

A nurse assesses a client with psychotic symptoms and determines that the client likely poses a safety threat and needs vest restraints. The client is adamantly opposed to this. What would be the best nursing action? A) Contact the physician and obtain necessary orders B) Restrain the client with vest restraints C) Ask a family member to come in to supervise the client D) Apply wrist restraints instead of vest restraints

Contact the physician and obtain necessary orders

A client informs the nurse that he wants to discontinue his treatment and go home. Later, the nurse finds the client dressed to leave. What action should the nurse take in this situation? A) Let the client go after signing a document stating he is going against medical advice. B) Restrain the client until his medical treatment is over. C) Call the physician and get his discharge paper signed. D) Warn the client that he may not be able to access health care again.

Let the client go after signing a document stating he is going against medical advice.

A nurse is caring for a client with multiple sclerosis. The client informs the nurse that a lawyer is coming to prepare a living will and requests the nurse to sign as witness. Which of the following actions should the nurse take? A) State that the physician will be a witness B) Arrange for other colleagues to sign as a witness C) Note that the nurse caring for the client cannot be a witness D) Inform the physician about the living will

Note that the nurse caring for the client cannot be a witness

A group of nursing students are reviewing the ANA's current code of ethics. A code of ethics is important in the nursing profession because A) Nurses are highly vulnerable to criminal and civil prosecution in the course of their work B) Nurses interact with clients and families from diverse cultural and religious backgrounds C) Nursing practice involves numerous interactions between laws and individual values D) Nurses are responsible for carrying out actions that have been ordered by other individuals

Nursing practice involves numerous interactions between laws and individual values

Licensed practical/vocational nurses, as well as the other members of the health care team, require a particular set of skills and personal characteristics. Which of the following personal characteristics is essential in order to be a competent and effective provider of health care? A) Willingness to tell patients and clients what is best for them B) Ability to emotionally disengage in order to remain objective C) Willingness to inflict pain on others D) Ability to keep their personal problems private and to themselves

Ability to keep their personal problems private and to themselves

When you go to a patient's room to give morning care, you notice that she is reading a Bible. What should you do? A) Ask her what religion she practices B) Ask if she wants you to come back in 15 minutes C) Tell her that her morning care will only take a few minutes and then she can return to her reading D) Leave the toilet articles on her table for her to use later

Ask if she wants you to come back in 15 minutes

A licensed practical nurse has recently begun working in a new setting and has been informed by the unit manager that she will be responsible for admitting a patient who will soon be arriving on the unit. The nurse is unsure of the specific admission process that is used on the unit and was not responsible for admissions in her previous nursing role. How should the nurse respond to the manager's directive? A) Perform the admission to the best of her ability since it is within her scope of practice B) Inform the patient that she is doing an admission for the first time before performing the task C) Delegate the task to an unlicensed care provider who has more experience on the unit D) Ask the manager for further teaching and training about the admission process on the unit

Ask the manager for further teaching and training about the admission process on the unit

A nurse enters a client's room and finds that the client is lying on the floor. The nurse makes the client comfortable on the bed and completes an assessment. The nurse then informs the physician and the nursing supervisor about this incident and also completes an incident report. Which of the following actions by the nurse indicates correct knowledge of handling an incident report? A) Documents a complete description of the happenings in the client's records B) Makes a copy of the incident report and places it in the client's records C) Makes a copy of the incident report to give to the physician D) Mentions in the client's report that an incident report was completed

Documents a complete description of the happenings in the client's records

The health care team is made up of a diverse group of individuals who ultimately share a common goal. Members of the health care team, including licensed practical/vocational nurses, prioritize what goal? A) Ensuring that the knowledge and skills that underlie good health care are widely taught. B) Ensuring that health care institutions are sustainable and socially responsible. C) Ensuring that patients, clients, and residents receive excellent health care. D) Ensuring that each member of the health care team is accountable to the other members.

Ensuring that patients, clients, and residents receive excellent health care.

A client is admitted with symptoms of psychosis. The nurse hurries to the client's room when she hears the client calling for help. She finds the client lying on the ground. The nurse assists the client back to the bed and performs a thorough assessment. The nurse informs the physician and completes the incident report. Which of the following statements should the nurse document in the incident report? A) The client was trying to lower the side rails. B) The client was found lying on the floor. C) The client was trying to get out of the bed. D) The client was not aware that he had fallen.

The client was found lying on the floor.

A nursing student has been learning how to apply the nursing process in clinical situations. This morning, the student has just completed a head-to-toe assessment of a patient who has a complex medical history. What is the next step in the student's application of the nursing process? A) Perform another assessment to identify changes from the previous assessment B) Teach the patient how he or she can best maintain health. C) Perform interventions that best meet the patient's needs. D) Identify nursing diagnoses that apply to the patient.

Identify nursing diagnoses that apply to the patient.

An experienced nurse who works in a busy, urban hospital is aware of the importance of multidisciplinary teams. What is the primary benefit of multidisciplinary teams in patient care? A) Multidisciplinary teams make use of different individuals' areas of expertise B) the use of multidisciplinary teams allows health care institutions to employ larger numbers of people. C) Multidisciplinary teams help create a rigidly defined hierarchy in health care settings. D) Multidisciplinary teams help to reduce the workload of physicians and nurses.

Multidisciplinary teams make use of different individuals' areas of expertise

The care of the many residents of a large, long-term care facility is organized according to the functional nursing model. The use of this nursing delivery model has what consequence for residents? A) Each resident is able to develop a close relationship with one particular care provider B) Residents can be confident that every care provider is being held accountable by his or her peers. C) Residents experience efficient, but fragmented care because of the large number of people who care for them. D) Residents must choose what activities they require assistance with on a daily basis.

Residents experience efficient, but fragmented care because of the large number of people

A nurse in a psychiatric care unit finds that a client with psychosis has become violent and has struck another patient in the unit. What action should the nurse take in this case? A) Do not restrain the client, as it is equivalent to false imprisonment. B) Restrain the client, as he is harmful to the other patients. C) Do not restrain the client, as it is equivalent to battery. D) Inform the physician and complete a comprehensive assessment.

Restrain the client, as he is harmful to the other patients.

A nurse is caring for a very weak client with a multiple pregnancy. Which of the following views might a teleologist have in such a situation? A) Support the procedure of selective abortion B) Argue that destroying any fetus is wrong C) Avoid telling the truth to the client D) Avoid analyzing ethical dilemmas of a case

Support the procedure of selective abortion

A nurse witnesses a traffic accident in which a child is badly hurt. The nurse dresses the open wounds sustained by the child. The family tries to give monetary compensation, which the nurse refuses. Later, in the hospital, the child develops complications due to infection in the wound. The family holds the nurse responsible for the complications and wants to file a lawsuit. Which of the following statements is true regarding the Good Samaritan law? A) The Good Samaritan law will provide legal immunity to the nurse. B) The Good Samaritan law will not protect the nurse, as she did not accept the compensation. C) The Good Samaritan law is not applicable to health care workers. D) The Good Samaritan law provides absolute exemption from all forms of prosecution.

The Good Samaritan law will provide legal immunity to the nurse.

A group of nurses who work at a large, long-term care facility have become embroiled in controversy over a large number of residents who are refusing a seasonal influenza vaccination. Specifically, there is controversy around the appropriate amount of influence that nurses can exercise when encouraging residents to become immunized. A teleological perspective on this issue would prioritize what consideration? A) The "rightness" or "wrongness" of coercion B) The legal rights of the individual C) The greatest good for the greatest number D) Historical precedents

The greatest good for the greatest number

Numerous job opportunities exist for licensed practical/vocational nurses (LP/VNs) who have skills and interests outside of providing direct patient care. Which of the following nursing roles is most likely to be open to an experienced LP/VN? A) Clinical Nurse Specialist (CNS) B) Nurse Manager C) Team Leader D) Nurse Practitioner (NP)

team leader

A client who has undergone resection of the intestine is on a liquid diet with a nasogastric tube in place. He refuses the food tray with regular food that comes to his room and insists that a physician be called. The nurse insists that it is the right food and makes the client to take it. The client develops complications and has to be reoperated upon. How is negligence determined in this situation? A) The nurse did not call the physician when the client asked. B) The nurse did not realize the importance of the tube. C) The dietary department sent the wrong diet for the client. D) The nurse did not communicate clearly with the client.

The nurse did not realize the importance of the tube.

A home care nurse is caring for a paralyzed client who needs regular position changes and back massages. A man identifying himself as a family friend inquires if he can be of any help to the family. What should be the nurse's response be? A) The nurse should ask the man to talk to the family directly. B) The nurse should invite the man to learn the caring techniques. C) The nurse should state that the family does not need any help. D) The nurse should refer the man to the local social worker.

The nurse should ask the man to talk to the family directly.

In an effort to promote clarity, the manager of a busy hospital unit has posted a copy of the hospital's organizational chart. What information will be conveyed by this chart? A) Acceptable strategies for organizing patient care B) The specific responsibilities of the key staff members and the lines of authority C) The flow of nursing tasks that should take place over the course of a typical shift D) The correct responses to common events that occur on the unit

The specific responsibilities of the key staff members and the lines of authority

A licensed practical nurse has recently graduated from nursing school, passed the NCLEX-PN and secured employment at a long-term care facility. At the facility, the nurse will be providing care along with several unlicensed assistive personnel (UAPs). The nurse should be aware that UAPs are A) graduates of an 8- 10month training program in a college or technical school. B) accountable to their own professional association for the care they provide. C) able to do the same tasks as a licensed practical/vocational nurse. D) able to provide certain aspects of basic patient care under the direction of a nurse.

able to provide certain aspects of basic patient care under the direction of a nurse.

A nurse can best demonstrate respect for a patient's ethnic practices by A) asking the patient to describe his or her ethnic practices. B) arranging the environment to accommodate his or her ethnic practices. C) completing an ethnic assessment. D) introducing the patient to another patient who has a similar ethnic background.

arranging the environment to accommodate his or her ethnic practices.

When an unmarried pregnant teenager asks you for advice on what she should do about her pregnancy, you should A) suggest abortion or adoption. B) ask her what her family wants her to do about the pregnancy. C) ask her what she wants to do about the pregnancy. D) ask her if she would like to talk to a counselor.

ask her if she would like to talk to a counselor.

Immediately after the death of a patient, family members should be A) escorted to a private area. B) allowed to spend time with the deceased. C) asked what they want to do. D) consoled by the hospital chaplain.

asked what they want to do.

A nurse warns a client who has a recent history of seizures that he may fall off his bed during a seizure attack if he does not leave the side rails of the bed raised. Before leaving the client's room, the nurse puts up the side rails, but after the nurse has left, the client lowers them again. Later, the client has a fall from the bed during seizures and holds the nurse responsible for it. Which of the following legal provisions protects the nurse in this case? A) Good Samaritan law B) Statute of limitations C) Common law D) Assumption of risk

assumption of risk

If you find a patient who does not speak your language quietly crying in his bed, the first thing you should do is to A) find an interpreter. B) notify your supervisor. C) gently touch his shoulder. D) ask him why he is crying.

gently touch his shoulder.

Administrators of a hospital are considering a fundamental reorganization of the way that care is provided. Nurses and administrators alike should be aware that A) small incremental changes over several years are preferable to a rapid larger change. B) changes to the way that nursing is organized can have profound effects on patient safety. C) every time that nursing delivery models change there is an increase in health care costs. D) it is normally best to maintain the present situation than introduce change.

changes to the way that nursing is organized can have profound effects on patient safety.

A client with a bone infection had a central venous catheter ordered for the long-term administration of antibiotics. The intravenous line was inserted at the bedside by a qualified nurse, but the nurse was observed to make a serious lapse in aseptic technique and the client developed sepsis. What type of law most directly addresses this situation? A) Criminal law B) Civil law C) Common law D) Statutory law

civil law

A middle-aged man has just died in a motorcycle accident and his wife has been informed by the care team. According to Dr. Elizabeth Kübler-Ross, what is the first stage of grief that the patient's wife will likely experience? A) Depression B) Acceptance C) Denial D) Rage

denial

The goal of transcultural nursing care is to A) incorporate all aspects of a person's culture in planning and providing care. B) assess the patient's cultural and ethnic background. C) be certain that the patient follows prescribed medical treatment plans. D) help the patient understand the importance of following all of his or her doctor's orders.

incorporate all aspects of a person's culture in planning and providing care.

An HIV-positive client discovers that his name is published in a report on HIV care prepared by his nurse. He strongly opposes this and files a lawsuit against the nurse. Which of the following offenses has this nurse committed? A) Unintentional tort B) Invasion of privacy C) Defamation D) Negligence of duty

invasion of privacy

A licensed vocational nurse provides care on an inpatient hospital unit that has a census of 27 beds. The LVN works together with a registered nurse and a nurse's aide to provide care for nine of the patients on the unit, and two similar groups of care providers are responsible for the remaining 18 patients on the unit. What model of nursing care is utilized on this unit? A) Team nursing B) Primary nursing C) Total patient care D) Case method

team nursing

A nurse is applying for professional liability insurance. The nurse knows that professional liability insurance is important for which of the following reasons? A) To obtain sound compensation for work that is performed B) To mitigate the financial obligations arising from unexpected health outcomes C) To upgrade professional knowledge and meet standards of practice D) To meet the requirements of the state board of nursing

to mitigate the financial obligations arising from unexpected health outcomes

A nurse is caring for a client who has undergone coronary angioplasty. The cardiac monitor is showing abnormal ECG waves, indicating arterial fibrillation. The nurse does not recognize the importance of the sign. As a result, the client's condition deteriorates and the client has to be taken up for an emergency procedure. Which of the following describes the nurse's legal liability? A) Felony B) Defamation C) Tort D) Slander

tort

In order to accept and respect differences in others, one must first A) identify those differences. B) know people with many differences. C) study differences among people. D) understand oneself.

understand oneself

Cultural grouping is most often based on A) values and beliefs. B) place of residence. C) income and social status. D) race, religion, language, and nationality.

values and beliefs.

A cultural assessment should be done A) on every patient to whom you are assigned. B) before developing a nursing care plan. C) when the patient's beliefs may impact care. D) when the patient is from a another country.

when the patient's beliefs may impact care.