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Stack #4189748
| Question | Answer |
|---|---|
| The nurse is caring for a diabetic patient whose religious beliefs require fasting from sun-up to sun-down on holy days. How can the nurse best advocate for this patient? | Meet the patient's caloric needs before sunrise and after sunset and monitor blood sugar closely. |
| A nurse is caring for a group of clients on a medical-surgical unit. The nurse delegates various tasks the clients require to another licensed practical nurse (LP) and an assistive personnel (AP).The nurse should identify that the responsibility for makin | The nurse who delegated the tasks |
| The LPN enters a patient and finds the patient lying on the bathroom floor. The LPN calls the RN who checks the patient thoroughly and then assists the patient back into bed. The LPN complete an incident report. The physician is notified about the inciden | Document a complete entry in the client's record concerning the incident. |
| Which of these are intervention to deter disruptive behaviors? SATA | create an environment of mutual respect among staff model appropriate behavior support Zero tolerance for disruptive behavior |
| A nurse is assigning care to an assistive personnel (AP). Which of the following tasks should the nurse delegate to the AP? | Providing postmortem care on a client who has died |
| The nurse is floating to a meg surg unit and hears that the actor, Bill Murray, is being treated on that floor. The nurse decides to pull up his chart to see what he was admitted for. Which of the following did the nurse | Invasion of privacy |
| Which best demonstrates the student nurse performing in an ethical manner in the clinical setting? | Performing procedures as taught |
| Critical thinking is demonstrated through: | Analyzing |
| A nurse participates in the process of informed consent with a client who is considering a surgical procedure. Which ethical principle is being demonstrated? | Autonomy |
| Doing something for the “greater good” is an example of which ethical theory? | Utilitarianism |
| How can a nurse avoid being liable for negligence? SATA | Communicate appropriately with other health team members. Fully document assessment, interventions, and evaluations Provide competent care. |
| Which of these methods is a nonverbal way to show openness and nonaggression when trying to resolve conflict? | Listening Intently |
| An Autocratic leader is likely to | Make decisions independently |
| The nurse is discussing end-of-life issues with a client. The nurse is explaining about a document used for listing the person the client will allow to make healthcare decisions should he or she become unable to do so. Which specific document is the nurse | advance medical directive |
| A nurse is reinforcing teaching with a client about advance directives. Which of the following topics should the nurse include? SATA | Organ donation Durable power of attorney of health care Cardiopulmonary resuscitation Disclosure of personal health care information |
| The nurse has received the morning shift report on a surgical unit in a community hospital. Which client should the nurse assess first? | The client who is 3 days postoperative for abdominal surgery and has a rigid, hard abdomen |
| A nurse is reinforcing instructions given to a diabetic client about glucose control. While instructing the client the nurse informed that the client’s blood glucose level is 75 mg/dl. Which should the nurse do | Document result as normal |
| All the following tasks may be delegated to an assistive personnel except: | Suctioning |
| A nurse makes a medication error she immediately collects data from the client and finds no adverse effects from the error. The nurse decides not to report the error because no harm came to the client. Which of the following ethical principles did the nur | Veracity |
| The LPN comes on shift and discovers that it is her turn to float to a different unit. When the LPN arrives, she notice that her assignment has several patient that required unfamiliar task that she has never perform before Which of the following actions | The nurse talks to the charge nurse about her assignment |
| A nurse is caring for a group of clients with the help of an assistive personnel (AP). Which of the following determinations must the nurse make before delegating a client task to the AP? | Whether the task Is within the AP's job description |
| Which of the following are usually included in advance directives? SATA | Living will Durable power of Attorney |
| An elderly client is brought in by her family after reporting she saw stranger faces peering in her windows, and in the middle of the night a man appeared at the foot of her bed. The client’s family report concerns. Which nursing intervention should the n | Asks client why she thinks someone would be trying to frighten her |
| A nurse is hired to replace a staff member who has resigned. After working on the unit for several weeks, the nurse notices that the unit manager does not intervene when there is a conflict between the team members, even when it escalates. Which of the fo | Avoidance |
| Which statement best describes Florence Nightingale’s fundamental principles about nursing? | Florence believed that treating the ill and promoting good health are priorities of nursing care |
| When a person refuses to recognize the cultural needs of another person it is: | Justice- being just, impartial, and fair Non-Maleficence- do no harm to the patient Veracity- being truthful and honest Fidelity- faithfulness to promises or agreements Beneficence- do what is good for the patient Autonomy- The right to cho |
| A group of caring for a group of clients on a medical surgical unit. Which of the following task is unsafe to assign to an assistive personnel (AP) | observe a confused surgical client who has multiple tubes and surgical drains |
| Which of the following best describes the “avoiding/withdrawing” conflict management approach? | It is a lose-lose situation, and there is an avoidance of dealing with conflict. |
| A nurse is reinforcing teaching about advance directives with a client admitted to the hospital and is schedule for surgery. Which of the following statements made by the client indicates a need for further teaching? | "My children can make changes to my living will if I am incapacitated." |
| What is likely to happen is a conflict has never been properly handled, resulting in unresolved conflict? | There will be an increased risk that the conflict will occur again. |
| The nurse overheard by a patient’s family member discussing sensitive information with another nurse regarding a patient they are caring for while in an elevator. Which of the following can the nurse be liable for? | Defamation and invasion of privacy |
Created by:
Nya Thomas