question

LPN should change wound dressings

answer

The charge nurse has one nurse, one LPN, and 2 nursing assistants on the unit. the charge nurse must delegate responsibilities. Which is the best choice of assignment?

question

a nurse documents changes to the patients condition

answer

student nurses discuss characteristics of good documentation. The student nurses identify which of the following adheres to the legal guideline for appropriate documentation?

question

ask for suggestions for resolution from those involved in the conflict

answer

the nurse educator reviews conflict management strategies with new nurse managers. which strategy does the educator highlight as most likely to be successful when there is a conflict among staff?

question

when the RN assigns care to another RN, both accountability and responsibility are transferred

answer

the RN assigns the client diagnosed with an MI to another RN. The client receives the wrong medication by the assigned RN. The assigning nurse knows that which statement is true?

question

contact the clients legal guardian or health care surrogate

answer

the healthcare provider asks the nurse to assist in obtaining informed consent for a procedure from the client. which action does the nurse take to obtained informed consent from the client who is declared mentally incompetent?

question

veracity

answer

the parents of an adult child have just been informed that the client will die shortly. the parents do not want the nurse to discuss the situation with the client. the nurse states "I will be truthful" the nurses action is based on which ethical concept?

question

beneficence

answer

action promotes good; requires helping clients meet all of their needs

question

autonomy

answer

right to choose and freedom to make decisions for oneself; nurses accomplish this by providing information and supporting clients' choices

question

nonmaleficence

answer

do no harm; requires nurses to protect clients from danger and protect clients who cannot protect themselves

question

informed consent is obtained before major invasive (ie surgical) procedures

answer

the nursing instructor discusses perioperative care. which best describes informed consent?

question

liability

answer

being held to the standard of care of a reasonable and prudent nurse employed in a similar role, responsible for one's actions; if any harm or injury to another person or the property of another occurs and monetary compensation is requested and if the nurse if found legally responsible for the carelessness, the judgement is awarded to the plaintiff and the nurse must pay

question

negligence

answer

unintentional failure of an individual to perform an action that a reasonable person with the same knowledge, experience, and background would or would not perform in similar circumstances; can be acts of omission or commission; failure to act causes injury to the client: duty owed, breach of duty or standard of care, injury due to the breach, and consequential damages

question

a client 24 hours after a laminectomy with spinal fusion having difficulty voiding

answer

the nursing team consists of an RN, 2 LPNs, and 2 nursing assistive personnel. it is most appropriate for the nurse to care for which client?

question

nurse practice acts

answer

the nurse knows which document is backed by the force of law?

question

immediately inform the nurse manager that the nurse does not want to go out to dinner -

answer

a nurse approaches the nurse manager to ask for a raise. after some discussion about why the nurse feels a raise is warranted, the nurse manager suggests they discuss the raise further over dinner. The nurse refuses, and the nurse manager replies "no dinner, no raise" what action does the nurse take first?

question

delegation occurs when an RN assigns a specific function or aspect of patient care to an LPN or uap

answer

an RN discusses delegation with a new nurse. which of the following statements by the new nurse indicates an understanding of the meaning of delegation?

question

autocratic

answer

the new charge nurse says "I run my unit with a lot of control and make all of the decisions"

question

beneficence

answer

the nurse notices a patient diagnosed with major depression crying in the day room. the nurse puts her hand over the patient's shoulder and states "lets talk about it" which of the following ethical principles does the nurses action describe

question

beneficence

answer

action promotes good; requires nurse to help patients meet all of their needs

question

nonmaleficence

answer

do no harm; requires nurses to protect patients from danger and to protect patients who cannot protect themselves

question

veracity

answer

telling the truth completely; intentionally deceiving a patient is a violation of this principle

question

autonomy

answer

right to choose and freedom to make decision for oneself, accomplished by providing information and supporting patient's choices

question

maintain the focus on job position requirements, standards of care, and actual employee behaviors

answer

the nurse manager plans to conduct a performance appraisal. the nurse manager knows which action is most important during the interview phase

question

the nurse may not be covered by the whistle-blower law - these laws vary from state to state and according to the subject matter

answer

the nurse is dissatisfied about the standard of care on the oncology unit. the nurse discusses this with other nurses and a local news station. afterward, the nurse is asked to resign by the nurse manager. The nurse responds to the nurse manager, "you cant fire me because i am protected by the whistle-blower law" Which statement best describes why this nurse may be subject to being fired.

question

patient states "i have had pains in my stomach for 3 days now"

answer

the medical nurse reviews charting principles with newly assigned lpns. which of the following should the nurse indicate is charting that reflects subjective data?

question

inform the new employer about occurrences

answer

the RN employed in a medical center in a large metropolitan area was asked to resign after consistently failing to report changes in client status to the health care provider. the RN subsequently applied for a staff nurse position in another hospital. Which action is best for the nurse manager to take when the new employer asks for a reference?

question

duty to disclose

answer

obligation of healthcare providers to report certain acts, injuries or practices to healthcare providers or authorities if there is a direct threat to social good - nursing considerations include ethical and legal ramifications including licensure revocation and prosecution for failure to report

question

duty to warn

answer

legal duty to warn - therapist must warn third parties of potential violence to them by a client; supersedes client confidentiality and ethics

question

risk management

answer

legal parallel to quality assurance; the focus on preventing harm to clients, visitors and staff by preventing accidents and financial loss to the institution from liability and legal actions

question

duty to disclose

answer

the nurse reporting suspected child abuse is legally operating under which concept?

question

good samaritan law or acts

answer

this law exists to provide civil immunity for individuals who give care at the scene of an emergency such as an accident or disaster; for healthcare providers to be covered, the care they render in such circumstances must be in accordance with the appropriate standards of care

question

expert witness

answer

this is a person who testifies in a courtroom on a subject upon which she/he has special knowledge; the purpose is usually to educate the court an jury about the subject being considered

question

discretionary powers

answer

refer to the freedom a public officer has to choose courses of action that are within the limits of authority

question

cost containment

answer

the nurse on the cardiac unit recognizes which as the primary goal of managed care

question

"describe the knowledge and skill level of each member of your team"

answer

the charge nurse is having difficulty making an appropriate assignment for the nursing team. which assessment by the supervisor will help the charge nurse make the assignment for the day shift?

question

failure to document within 30 minutes after a change in client condition - failure to report and document can lead to malpractice suits

answer

the student nurse discusses causes of malpractice suits with the instructor. the instructor intervenes if the student includes which occurrence as an example of malpractive?

question

prevent and minimize institutional and treatment factors that could lead to legal liability

answer

the nurse understands that risk management, within the context of managed care, focuses on which principle?

question

there is adequate disclosure the informed consent is given voluntarily the client has sufficient comprehension

answer

the nurse reviews informed consent with a group of nursing students. which conditions must the informed consent meet to be valid?

question

subjective, objective, assessment, plan

answer

a nurse begins employment in a hospital using the SOAP system of documentation. the nurse understands that SOAP is an acronym for which information?

question

does the client give consent voluntarily

answer

when witnessing the client's signature during informed consent, it is most important for the nurse to make which assessment

question

peer review

answer

the nurse reviews the client care given by another RN to a group of psychiatric clients

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