Kaplan leadership

75 flashcards

The nurse implements client care based on the concept that the nurses actions should promote good. The nurse is aware that which principle name fits this concept?/P- 1. Justice. 2. Fidelity. 3. Beneficence. 4. Veracity.: 3. Beneficence.
The nurse notes that the elderly client has signed a durable power of attorney for health care. The nurse understands this means that if the client needs medical care, which action can the person appointed perform? 1. The appointed person can only sign consent forms for treatments or care for the client. 2. The person can only refuse treatments or care for the client. 3. The person can only make decisions for the client if they are terminally ill. 4. The appointed person can make all health care decisions for the client.: 4. The appointed person can make all health care decisions for the client.
Which action, if performed by a nurse, would be considered negligence? 1. The nurse administers heparin SQ into the client's abdomen without aspirating before giving the injection. 2. The nurse administers a preoperative injection to the client before removing the client's dentures. 3. The nurse waits two hours before checking the pedal pulses for the client after a cardiac catheterization. 4. The nurse waits an hour to removes wrist restraints and put the client's arms though passive range of motion.: 3. The nurse waits two hours before checking the pedal pulses for the client after a cardiac catheterization.
The nurse protects the client from incompetent or unethical practice. This demonstrates which action? 1. Accountability. 2. Autonomy. 3. Advocacy. 4. Confidentiality: 3. Advocacy.
Which factor is unnecessary for the nurse to be found professionally negligent? 1. The client must have suffered an injury as a result of the nurses action. 2. The nurse fails to perform an action resulting in an injury to the client. 3. The injury of the client by the nurse's action must be intentional. 4. The nurse performs an action resulting in an injury to the client.: 3. The injury of the client by the nurse's action must be intentional.
The 60-year-old client is to follow a critical pathway following a herniorrhaphy. The nurse should recognize that which item is NOT part of the critical pathway? 1. The third party provider. 2. The client's medical diagnosis. 3. The clinical outcomes for the client. 4. The expected length of hospital stay: 1. The third party provider.
Which description BEST demonstrates the nurses function as a risk manager? 1. The nurse has not used any sick days provided by the hospital for a 2-year period. 2. The nurse serves on a committee evaluating the uniform worn by health care personnel at the hospital. 3. The nurse works with other nurses at the hospital to make a change in the policies and procedures manual. 4. The nurse has not been involved in an incident or occurrence report at the hospital for a 2- year period.: 3. The nurse works with other nurses at the hospital to make a change in the policies and procedures manual.
The nurse collects data regarding client falls on the nursing unit. Which indicator would be MOST helpful for the nurse to use to identify factors that may lead to client falls? 1. The time of day the client falls happen. related to the gender of the clients who fell. 2. The number of client falls that occur while a specific nurse manager was on the unit. 3. The list of the medications the clients who fell received before the falls occurred. 4. The age of the clients who fell compared to the presence of family members at the bedside.: 3. The list of the medications the clients who fel received before the falls occurred.
The adult client plans to leave the hospital against medical advice (AMA). Which is the nurse's BEST action? 1. Document the client's statements about leaving and notify the nursing supervisor. 2. Inform the client's insurance company and the health care provider. 3. Refuse to return the client's clothes so they will be unable to leave the hospital. 4. Cal the client's family and ask that they refuse to come to get the client.: 1. Document the client's statements about leaving and notify the nursing supervisor.
Which statement describes the purpose of the Nurse Practice Act? 1. Determines the length of time that nurses may practice in a particular client care delivery setting. 2. Defines standards for the practice of nursing and regulates the licensure of nurses. 3. Determines the acute care, long-term care, and outpatient settings that are available for nursing practice. 4. Defines how nurses are compensated for their practice and interactions with patients.: 2. Defines standards for the practice of nursing and regulates the licensuce of nurses.
Which statement BEST describes the nurse's responsibility with regard to the Required Request laws or organ donation That are in place in most states? 1. the nurse should ask family members to consider organ donation at the time of a client's death. 2. The nurse should assist clients with chronic Illnesses to get on the list to receive donated organs. 3. The nurse should ensure that no money changes hands in exchange for agreeing to donate organs. 4. The nurse should ask clients to sign the back of their driver's licenses to become an organ donor.: 1. the nurse should ask family members to consider organ donation at the time of a client's death.
The nurse from the newborn nursery (NBN) is assigned to float to the orthopedic unit. Which is the MOST important action for the NBN nurse to take? 1. Refuse to go to the unit until someone Is designated to accompany the nurse to the unit. 2. Refuse to go to the unit because the nurse's skill set is not transferable to clients on the orthopedic unit. 3. Request an orientation to the unit, and inform the supervisor that the NBN nurse has not cared for this type of patient In several years. 4. Request a light client assignment, and ask questions of a more senior nurse.: 3. Request an orientation to the unit, and inform the supervisor that the NBN nurse has not cared for this type of patient In several years.
The nursing unit staff develops indicators to assess the quality of client care on the unit. The. staff wants to know whether blond transfusion documentation was completed correctly by each staff member for a period of 1 month. The staff understands that this Is which type of assessment? 1. The quality improvement process. 2. quality assurance. 3. The Quality management concept. 4. Risk management.: 2. quality assurance.
The nurse knows that the clients advanced directive will be consulted when which event occurs? 1 The children of a client have questions about the care that should be provided to the client. 2. The client no longer has the ability to make decisions about health care treatments. 3. The family of the client expresses concern about the quality of care provided to the client. 4. The client changes health care providers during an acute illness that requires hospitalization.: 2. The client no longer has the ability to make decisions about health care treatments.
Which statement is appropriate for the nurse to make during a change of shift report? 1. "The client is involved in a lawsuit with their employer." 2. "The client walks around wearing crazy purple pajamas." 3. "The clients lab results show that they are anemic." 4. "The client had several visitors that are known celebrities.": 3. "The clients lab results show that they are anemic."
Which behavior, if observed by the nurse, would violate The American Hospital Association's Patient's Bill of Rights? 1. A client asks the nurse manager for the names of caregivers and the names are provided. 2. The nurse decides to give the client a placebo instead of the prescribed narcotic because it's too soon to administer the narcotic. 3. A client tells the nurse, "I do not know if I can follow through with these treatments once I get home." 4. The hospital administrator visits a client and answers questions about the hospital's charges for services and available methods for payment: 2. The nurse decides to give the client a placebo instead of the prescribed narcotic because it's too soon to administer the narcotic.
The nurse establishes a comprehensive care plan for the client in an acute care setting. Which intervention is written correctly? 1. Provide 10 ml of mint mouthwash at the bedside. 2. Change abdominal dressing at 6 a.m., 2 p.m., 10 p.m. 3. Turn right, left, and back on even hours. 4. Irrigate nasogastric tube every 2 hours.: 1. Provide 10 ml of mint mouthwash at the bedside.
The elderly client tells the outpatient clinic nurse that they have a living will. The nurse understands which statement is correct about living wills? 1. The client has specified how they want to prolong or delay the process of dying if they become terminally ill. 2. The client wants everything possible done for them if they become seriously ill or develop a chronic condition. 3. The client refuses to have their family and spouse be involved in decisions about the care they receive if they become unconscious. 4. The client wants no care if they become terminally ill or develop a persistent vegetative state.: 1. The client has specified how they want to prolong or delay the process of dying if they become terminally ill.
The nurse manager evaluates the nursing employee for a mandatory annual review. What information would be MOST helpful for the nurse to help complete a performance appraisal for the employee? 1. A list of personal learning objectives provided by the employee. 2. Anecdotal entries in the employee's file made by supervising personnel. 3. Comments made by the employees peers. 4. Ideas for unit innovations developed by the employee.: 2. Anecdotal entries in the employee's file made by supervising personnel.
The nurse admits a client to the acute care unit. Which factor is MOST important to consider when planning the clients care? 1. The client wears an amulet. 2. The client is a practicing vegetarian. 3. The client believes that illness is caused by past sins. 4. The client believes in reincarnation.: 2. The client is a practicing vegetarian.
The nurse understands which consideration has the MOST influence on allocation of health care resources? 1. To provide the greatest good for the greatest number of people. 2. To provide clients who have health care insurance with the help that they need. 3. To provide all products and services that are needed by clients to restore optimal functioning. 4. To provide services, such as transplants, to clients who have the ability to pay.: 1. To provide the greatest good for the greatest number of people.
The nurse cares for the client that experienced a variance following a cholecystectomy. The nurse understands which is the BEST definition of a variance? 1. The client refused services from the nursing staff. 2. The client asked for something that was unavailable. 3. The client was uncooperative following surgery. 4. The client received more or less services than were planned.: 4. The client received more or less services than were planned.
The client in a long-term facility becomes confused and combative at night and can not stay in bed during the night. The health care provider gives orders for wrist restraints for the client. Which documentation of the order by the nurse is BEST? 1. "Apply bilateral wrist restraints to ensure client safety during the night." 2. "Apply bilateral wrist restraints at bedtime if the client is confused and combative and remove in the morning." 3. "Apply bilateral wrist restraints to the client as needed at bedtime and remove in the morning." 4. "Apply bilateral wrist restraints so the client will not fall out of bed and hurt himself during the night.": 2. "Apply bilateral wrist restraints at bedtime if the client is confused and combative and remove in the morning."
The nurse knows that which statement is NOT part of an informed consent for surgery? 1. The alternatives to the planed surgery. 2. A guarantee of the results of the planed surgery. 3. The anticipated risks of the planed surgery. 4. The potential benefits of the planed surgery.: 2. A guarantee of the results of the planed surgery.
The nurse cares for the client who declines treatment for cancer. Which action, by the nurse, is MOST appropriate? 1. Contact the nurse recently assigned to care for the client. 2. Contact the nursing supervisor. 3. Contact the health care provider. 4. Contact the client's family: 2. Contact the nursing supervisor.
The nurse reviews an incident report. The nurse should intervene if which entry was recorded? 1. "Client has a 3 cm. abrasion on the right knee." 2. "Ice applied to client's right knee for 15 minutes." 3. "Discovered client on the floor in front of the bathroom door." 4. "Client fell because she did not ask for help.: 4. "Client fell because she did not ask for help
The nurse manager examines the cultural diversity of the nursing unit in order to plan for an improved social climate on the unit. Before planning any improvements, it is MOST important for the nurse manager to determine which information? 1. The nurse managers own values, beliefs, and biases related to culture. 2. What holidays are honored by the culturally diverse nursing staff. 3. How the male and female staff on the nursing unit relate to each other. 4. The patterns of communication between the culturally diverse nursing staff.: 1. The nurse managers own values, beliefs, and biases related to culture.
The nursing staff of a well-established hospital plans to change their units admission procedure. Which change model or theory would be BEST suited this situation? 1. Planned, linear change. 2. Innovation-decision process. 3. Cybernetics theory. 4. Chaos theory.: 1. Planned, linear change.
The nurse manager has been informed that the temporary worker will be assigned to the unit due to short staffing. It is MOST important for the nurse manager to take which action? 1. Orient the temporary worker to policy and procedures of the nursing unit. 2. Determine the skills and competencies of the temporary worker. 3. Review with the temporary worker the documentation procedures of the institution. 4. Assign the temporary worker to care for the least acute clients.: 1. Orient the temporary worker to policy and procedures of the nursing unit.
The nurse understands which client should NOT sign an informed consent form? 1. A 14-year-old at tour months gestation scheduled tor an amniocentesis. 2. A sexually-active 15.year old requesting contraceptive services. 3. A married 16.year-old scheduled for a hernia repair. 4. A 17-year-old away at boarding school scheduled for an open reduction of a fractured tibia: 4. A 17-year-old away at boarding school scheduled for an open reduction of a fractured tibia
Which chart entry, if completed by the nurse, shows a lack of understanding of competent documentation? 1. "I he client was transferred to the cardiac catheterization lab per stretcher. BP 130/80 HR 80 RR 18." 2. "clients watch and wedding ring were removed by the client and given to his wife to take home." 3. 'The client seemed to have a goal day and is pleasant to the nursing staff.' 4. "The client signed the consent for a breast biopsy after a 20 minute discussion with her health Care provider.': 3. 'The client seemed to have a good day and is pleasant to the nursing staff.'
The staff nurse routinely begins documentation of client care on 6 clients after providing report for the next shift. As a result, the nurse works several hours of overtime each week. The nurse manager often sees the nurse assisting other nurses complete their client care. Which statement, if made by the nurse manager is best? 1. "You must have personal problems that are interfering with your work." 2. "You spend quite a bit of time talking to other nurses." 3. "You appear to have difficulty saying 'no' to other nurses who need help." 4. "You seem very disorganized when you complete client care activities.: 3. "You appear to have difficulty saying 'no' to other nurses who need help."
The nurse should identify which factor as the MOST critical social barrier to health care? 1. Unstable family relationships. 2. Unemployment. 3. Lack of health insurance. 4. Poverty.: 4. Poverty.
The nurse believes that there is insufficient staffing to provide safe client care. Which PRIORITY action should the nurse take? 1. Complete the assigned client care and help other clients if there is time. 2. Notify the nursing supervisor that more nurses are needed for client care. 3. Gather the nurses and divide the client care equally among the nurses. 4. Report the situation to the local news media to expose the danger to clients.: 2. Notify the nursing supervisor that more nurses are needed for client care.
The new nurse is interested in developing a mentoring relationship with the unit education coordinator. Which techniques should the new nurse use to develop this relationship? 1. The nurse asks peers what they think about the coordinator's abilities. 2. The nurse postpones returning to school for additional education. 3. The nurse openly discusses professional goals with the coordinator. 4. The nurse tells the coordinator about personal obstacles that the nurse faces.: 3. The nurse openly discusses professional goals with the coordinator.
The nurse is accountable for the nursing care provided to clients. This is interpreted as which statement? 1 The nurse follows the orders provided by the client's health care provider. 2. The nurse uses reasonable care when providing care to the client. 3. The nurse provides client care as assigned by the nurse manager. 4. The nurse involves the client in providing as much of their care as possible.: 2. The nurse uses reasonable care when providing care to the client.
he nurse manager is approached by a staff member who complains that another staff member is always rude. The nurse identifies the nurse manager is using a "purposeful inaction" approach to problem solving if the nurse manager makes which statement? 1. "I'll schedule a meeting for the three of us to talk." 2. "Why don't you talk with your peer to find out why they are acting in an angry way.?' 3. "I'll ask your peer to speak to you in a more respectful way." 4. "I'll assign you to work on a different team so you won't have to interact with each other.": 2. "Why don't you talk with your peer to find out why they are acting in an angry way.?'
The nurse prepares to teach the client to perform self-care activities at home. Which factor is the MOST important for the nurse to consider?? 1. The client is anxious about being able to care for himself at home. 2. The client is a retired insurance company executive. 3. The client is male, 67-years-old, and lives with his sister. 4. The client's sister is confined to a wheelchair and has glaucoma.: 1. The client is anxious about being able to care for himself at home
the nurse manager analyzes how staff members use power to attain their goals. The nurse manager recognizes that a staff member is using referent power when which action is observed? 1. The staff member possesses special information that is needed by others. 2. The staff member coerces less knowledgeable staff to do things the nurse's way. 3. The staff member identifies with a clinical specialist on the unit. 4. The staff member demonstrates skills that other staff members do not have.: 3. The staff member identifies with a clinical specialist on the unit.
The nurse manager is concerned that the staff member may be chemically dependent on controlled substances found missing from the nursing unit. Which observation may indicate that an employee has a substance abuse problem? 1. The nurse has offered to organize all the unit parties. 2. The nurse checks on all the clients receiving medications for pain control. 3. The nurse has been early for work several days during the week. 4. The nurse seems to be working more efficiently than the previous week: 2. The nurse checks on all the clients receiving medications for pain control.
The nurse provides emergency assistance at an accident scene. The nurse knows which statement is correct according to the Good Samaritan Law? 1. The nurse will be held to a standard consistent with the nurse's education and experience. 2. The nurse will be held liable if the nurse acts without permission of the victim. 3. The nurse will be able to provide care to the victim without regard to the consequences of the nurse's actions. 4. The nurse will not be held liable for any care provided to the victim at the accident site: 1. The nurse will be held to a standard consistent with the nurse's education and experience.
Which situation describes a break in client confidentiality by the nurse? 1. The nurse provides information about a client's status to his employer. 2. The nurse informs a client about his lab results. 3. The nurse discusses a client's failure to eat with a dietician. 4. A nurse performs a treatment on a client who is comatose.: 1. The nurse provides information about a client's status to his employer.
The nurse case manager in an acute care setting is responsible for which action? 1. Encouraging client variances. 2. Providing direct client care. 3. Following clients from admission to discharge. 4. Ensuring reir6ursement for nursing care: 3. Following clients from admission to discharge.
One of the nurses on the hospital's planned change committee has emerged as a strong change agent for a proposed project. Which characteristic of a change agent is MOST important to facilitate change? 1. Reliance on written communication skills. 2. Drive to expand power base. 3. Formal title as the committee leader. 4. Professional credibility and education.: 4. Professional credibility and education.
recent emigre from Europe is scheduled to have a cholecystectomy. The admitting notes state the client speaks fluent French and Spanish and has some knowledge of English. Which situation, if observed by the nurse, describes the BEST way for consent to be obtained from this client? 1. The health care provider asks the nurse to take the consent form into the client's room and begin a discussion of the surgery. 2. The health care provider and a translator take the consent form into the client's room to discuss the surgery. 3. The health care provider asks the translator to explain the surgery to the client, and later has the client sign the consent form. 4. The health care provider (HCP) asks the nurse to be present in the room while the HCP talks to the client about the surgery.: 2. The health care provider and a translator take the consent form into the client's room to discuss the surgery.
The nurse delegates client care tasks to the assistive nursing personnel (NAP) on the hospital unit. Which factor is MOST important for the nurse to consider? 1. NAPs have varying skill levels. 2. NAPs require supervision by the nurse. 3. NAPs do not carry personal malpractice insurance. 4. NAPs often request to perform certain tasks.: 1. NAPs have varying skill levels.
Which action is BEST for the nurse to provide continuity of care for a client? 1. The nurse talks about a client's requests in the lunch room. 2. The nurse performs the morning care for the client in a particular sequence. 3. The nurse asks the client how to provide care. 4. The nurse provides a detailed change of shift report.: 4. The nurse provides a detailed change of shift report.
Which nursing action can be specified by a client as part of a living will? 1. Receive a clear liquid diet through a straw. 2. Change the bed linen daily on an egg crate mattress. 3. Receive blood components through an intravenous line. 4. Turn, cough, and deep breathe every four hours.: 3. Receive blood components through an intravenous line.
The nurse cares for the client declining treatment. The nurse understands that which action is necessary? 1. Have the client try the treatment at least one time before declining. 2. Assess the client's understanding of the consequences that will result from declining treatment. 3. Have someone in authority convince the client that the treatment should be performed. 4. Encourage the client to ask for assistance when making the decision to decline treatment.: 2. Assess the client's understanding of the consequences that will result from declining treatment.
It is MOST important for the nurse to consider which concepts when planning nursing care for a client from a culture other than the United States? 1 Distance from the U.S. and climate. 2. Length of time in the U.S. and geography of native country. 3. Financial status and physical characteristics. 4. Time orientation and social organization.: 4. Time orientation and social organization.
before a meeting, the nursing director tries to obtain consensus from the nurse managers on the annual goals for the nursing department using the Delphi technique. Which is the DISADVANTAGE of using this technique? 1. The Delphi technique avoids verbal digressions and unproductive interactions. 2. The Delphi technique can involve a large number of people without actually meeting. 3. The Delphi technique involves a small time commitment in data gathering. 4. The Delphi technique reduces participants' involvement in the project.: 4. The Delphi technique reduces participants' involvement in the project.
68-year-old client is admitted to the outpatient surgery unit for cataract surgery. The nurse administers a preoperative injection. Ten mint test later the nurse finds the client on the floor at the foot of the bed. Which action should be taken by the nurse initially? 1. Stay with the client and call for assistance. 2. Ask the client how she fell. 3. Complete an accident report. 4. Move the client back onto the bed: 1. Stay with the client and call for assistance.
The nurse knows that which is the BEST description of an advanced directive? 1. It determines the distribution of the clients resources after the client dies. 2. It informs health care providers about a client's wishes regarding consent or refusal for treatment. 3. It relieves the client of the responsibility for making decisions about treatments to prolong life. 4. It relieves the hospital of the responsibility to provide certain expensive types of life sustaining treatments.: 2. It informs health care providers about a client's wishes regarding consent or refusal for treatment.
The nurse manager assesses the nursing staff for signs of stress. It is MOST important for the nurse manager to intervene with which employee? 1. An employee has called in sick on two occasion in the past 2 months. 2. An employee omitted medication doses for 3 patients over the past week. 3. An employee has gained 10 lb. over the last 3 months. 4. An employee has become increasingly irritable over the past month.: 2. An employee omitted medication doses for 3 patients over the past week.
nurse teaches a non-native English speaking client how to perform a preoperative scrub prior to outpatient surgery. Which is the best to teach the client how to perform the scrub? 1. Provide a written explanation to the client of how to perform the scrub. 2. Use facial expressions and hand gestures when explaining to the client how to perform the scrub. 3. Speak in a low forceful voice when explaining to the client how to perform the scrub. 4. Use pantomime to demonstrate to the client how to perform the scrub.: 4. Use pantomime to demonstrate to the client how to perform the scrub.
the nurse leads an in-service about how to improve client care and decrease risk to clients. The nurse would be MOST concerned if a staff member made which statement? 1. "Following the policy and procedure manual will help me give quality client care." 2. "I plan to participate in continuing education programs." 3. "I will discuss, with the family, deficits noted in the care of their loved one." 4. "The quality of client care improves when I attend in-service programs.": 3.I will discuss, with the family, deficits noted in the care of their loved one."
The nursing unit contains 30 clients, the medication nurse, the treatment nurse, the charge nurse, and the hygiene provider. The nurse identities this as which health care delivery model? 1. Functional nursing. 2. Team nursing. 3. Modular nursing. 4. Primary nursing: 1. Functional nursing.
Which action fails to demonstrate the role of the nurse as a client advocate? 1. The nurse serves as a consultant to a politician drafting health care legislation. 2. The nurse provides information to a neighbor who asks for advice on health care issues. 3. The nurse implements the orders written in the chart by the health care provider. 4. The nurse works on a committee to formulate health care guidelines at the local preschool.: 3. The nurse implements the orders written in the chart by the health care provider.
The director of nursing explains to nurse managers how Medicare uses diagnosis-related groups (DRGs) as the basis of payment. The director understands which statement BEST explains this process? 1. A third-party payer determines in advance fees that will be paid for a service. 2. Charges are determined by the cost of providing a service plus a profit markup. 3. Providers are paid a per person per year fee by the insurance company. 4. Retrospective costs are determined by the insurance company.: 1. A third-party payer determines in advance fees that will be paid for a service.
The nurse manager makes assignments for the RN, LPN/LVN, and a nursing assistive personnel (NAP) in the acute care setting. Which factor is MOST important for the nurse manager to consider in the assignment process? 1. One client experienced complications from a treatment the night before. 2. The NAP asks to be assigned to a particular client that day. 3. The LPN/LVN is going on vacation the following day. 4. One client was transferred from another hospital two days ago.: 1. One client experienced complications from a treatment the night before.
During the staff meeting, the nursing staff informs the nurse manager that they will not accept the manager's new staffing proposal for weekends. Using knowledge of the modes of conflict resolution, which response, by the manager, would be BEST? 1. "Let's have a small group rework the schedule and present it again next week." 2. "We can't move to the next issue until all of us agree on the staffing solution." 3. "You all work so hard, I guess I could try and help you out on weekends." 4. "I've told you I've researched this thoroughly, and there is no other solution.": 1. "Let's have a small group rework the schedule and present it again next week."
The nursing staff works on a team-building project for their unit. Which behavior would be MOST effective to build a viable team? 1. There is frequent discussion of individual team members' shortcomings. 2. Discussion of feelings is discouraged by the team. 3. Dissenters are free to voice their individual opinions. 4. The team leadership remains with the same team person.: 3. Dissenters are free to voice their individual opinions.
The nurse has a "do not resuscitate" (DNR) order written by the healthcare provider. Which activity by the nurse would be contraindicated? 1.The nurse regulates IV so that the it infuses at 150 ML's\HR of 0.9% NaCL into the client's left forearm. 2. The nurse performs rescue breathing for the client at a rate of 12 the breaths per minute 3. The nurse administers Demerol 100 MG IM into the clients left ventricle gluteal area 4. The nurse administers one unit of RBCS into the client's central venous line.: 2. The nurse performs rescue breathing for the client at a rate of 12 the breaths per minute
The nurse manager initiates a project involving a change in nursing function on the unit. Individuals are characterized by the pattern of their responses to change. Which in an individual on the nursing unit would be most damaging to the success of the project 1. A laggard 2. A late majority person 3. An innovator 4. A rejector: 4. A rejector
Which statement indicates that the nurse is functioning outside of recommended boundaries with regards to the client advanced directive according to patient self-determination act 1. The nurse implements a healthcare provider's order involving care that is inconsistent with the clients advanced directive 2. The nurse notifies the healthcare provider that the client has an advanced directive 3. The nurse in an emergency room ask the clients family if the client has an advance directive 4. The nurse puts a written copy of the clients advanced directive and the clients chart: 1. The nurse implements a healthcare provider's order involving care that is inconsistent with the clients advanced directive
Which statement, if made by the nurse, would be most therapeutic and an acute care setting? 1. You must get rid of all your pets because your son has asthma 2. I hear you're a gourmet cook. Tell me what kind of foods you cook for your family. 3. If your husband hadn't been upset with the healthcare provider, he would have been first on the surgery schedule. 4. I feel awful about your husband heart attack. My mother had a heart attack last year.: 2. I hear you're a gourmet cook. Tell me what kind of foods you cook for your family.
The four-year-old child is scheduled to have a tonsillectomy at the same day surgery center. The nurse notes that the custody of the child is shared by the child divorced parents. The nurse knows who May sign the consent for surgery 1. Both parents because of the arrangement of the courts divorce decree 2. The child's father because he provides monetary support for the child 3. The parent who accompanies the child to the same day surgery center 4. The child's mother because she provides most of the physical care for the child: 1. Both parents because of the arrangement of the courts divorce decree
To determine nursing negligence the nurse action is compared to which a standard 1. What an ordinary, reasonable and prudent nurse would do in similar circumstances. 2. What authority figures from the nursing profession say should be done in a similar circumstances 3. Actions performed by the same nurse in similar circumstances during past interactions with the clients 4. Written information in nursing textbooks found in healthcare libraries that describe similar circumstances: 1. What an ordinary, reasonable and prudent nurse would do in similar circumstances.
Which statement, have made by the nurse during a change of shift report, is not appropriate 1. The client has been on the phone with his girlfriend since he returned from surgery 2. The client returned to his room at 1 PM from a hemorrhoidectomy 3. The client received Demerol 50 MG IM at 2 PM for reports of pain 4. The client has used the sitz bath twice since he returned from surgery: 1. The client has been on the phone with his girlfriend since he returned from surgery
The nurse signs that informed consent form after the form is signed by a 22-year-old female scheduled for a dilation and current age (D & C) the nurse identifies the signature indicates which legal action? 1. The nurse explained the D & C procedure to the client 2. The nurse repeated the facts about the D & C to the client 3. The nurse watched the client sign their name to the D & C consent form 4. The nurse listened to the client ask questions about the D & C: 3. The nurse watched the client sign their name to the D & C consent form
During the staff meeting organized by the nurse manager, a nurse it states "I think we should table this issue until everyone is back from vacation" which title best describes this type of behavior? 1. Aggressive 2. Avoiding 3. Blocking 4. Dominating: 2. Avoiding
The nurse manager analyzes the communication techniques of the nursing staff to identify individual styles and strengths. The nurse who consistently ask, "how do you all feel about this issue?" Would be placed in which category? 1. An initiator 2. A procedural facilitator 3. An opinion seeker 4. An information seeker: 3. An opinion seeker
Which situation should the nurse identifies an example of assault and battery 1. A nurse inserts a Foley catheter and an elderly male while the client is being restrained by another nurse 2. A nurse fails to turn the comatose client on a regular schedule and the client develops a decubitus ulcer 3. A nurse shares information about the clients and fertility treatments with a nurse from a different unit at the hospital 4. The nurse documents that the client is in a Vest restraint as ordered by THE healthcare provider: 1. A nurse inserts a Foley catheter and an elderly male while the client is being restrained by another nurse
The nurse understands that which statement represents the Florence Nightingale theory of nursing practice 1. Nursing helps the client attain total self-care 2. Nursing reduces stress so that the client can recover more easily 3. Nursing allows the body to heal itself through manipulating the environments 4. Nursing identifies demands on the client and helps the client to adapt to them.: 3. Nursing allows the body to heal itself through manipulating the environments
What ACTION is the correct way for the nurse to enter information into the clients chart? 1. The nurse draws a single line through a blank space before beginning an entry on the next line 2. The nurse uses a blue felt tip pen to complete an entry describing the clients behavior 3. The nurse signs and entry made by another nurse caring for the same client 4. The nurse completes several entries covering in a hour. At one time: 1. The nurse draws a single line through a blank space before beginning an entry on the next line