NURS 100 Evolve Qs

Chapters: quiz 1: 1, 2, 3, 4, 5 quiz 2: 6, 8, 9, 23, 15, & 19 (and questions from class power points) quiz 3: 13, 7, 10, & 17 20 & 26

The American Nurses Association (ANA)'s Principles for Delegation provides nurses with guidance when delegating patient care to \_________.

nursing assistive personnel

\__________ focuses on managing the increasingly complex requirements of documenting patient care activities.

Principles for Nursing Documentation

What is the best example of a situation where a nurse could demonstrate workforce advocacy?

A. A nurse volunteers time to participate in a fund raiser to provide toys for a hospital's pediatric unit.
B. Staff on a particular unit feel that the nurse manager is showing favoritism when granting vacation time.
C. A client feels pressured by a health care provider into agreeing to a specific medical procedure.
D. A client wishes to become an organ donor in spite of family opposition.

C. A client feels pressured by a health care provider into agreeing to a specific medical procedure.

Based on current trends, which nursing care environment has the greatest employment potential for new nurses?

A. Primary health care provider practices
B. Hospital emergency departments
C. Pre- and postsurgical departments
D. Long-term care facilities

D. Long-term care facilities

In order to best address workplace satisfaction among its nursing staff, a hospital's administration should consider implementing what intervention?

A. Additional vacation time
B. An extra 15-minute break per shift
C. A yearly salary raise
D. Tuition reimbursement

D. Tuition reimbursement

Which characteristics are associated with patient advocacy? (Select all that apply.)

-Cornerstone of the nursing profession
-Promotion of an optimal nursing working environment
-Enhancement of health care systems' accountability
-Delivery of quality nursing care
-Promotion of safe patient care

-Cornerstone of the nursing profession
-Enhancement of health care systems' accountability
-Delivery of quality nursing care
-Promotion of safe patient care

Which hospital-wide policy would best address the nurse's negative view of job satisfaction?

A. Providing security backup when there is a perceived sense of workplace violence
B. Instituting biannual staff recognition days that include a free meal in the cafeteria
C. Making it possible to earn additional personal leave time based on their absentee records
D. Providing a dedicated parking area close to the hospital for nursing staff

C. Making it possible to earn additional personal leave time based on their absentee records

In order to best ensure client safety, which of the following questions should a staff nurse ask first when determining whether to accept a client assignment that is made when several staff members have reported off sick?

A. "Do I have the experience and knowledge to care for these patients?"
B. "Is this a staffing crisis or a result of typical staffing patterns?"
C. "How long will it be before I get additional help?"
D. "Can I expect to be mandated to stay an additional shift?"

A. "Do I have the experience and knowledge to care for these patients?"

What elements are considered when addressing workforce advocacy? (Select all that apply.)

-Staffing
-Workflow design
-Physical enviroment
-Social factors
-Support of health care policies

-Staffing
-Workflow design
-Physical enviroment
-Social factors

When an unemployed, blind adult requires medical treatment but cannot afford the services, the nurse suggests that the client is possibly eligible for what form of payment assistance?

A. Medicare
B. Point of service (POS) insurance
C. Medicaid
D. Private insurance

C. Medicaid

Which statement is true when considering characteristics of a preferred provider organization (PPO)? (Select all that apply.)

-Always pays for preventive care
-Includes deductible and copayment
-Member may select their primary health care provider.
-Members pay less for care at facilities on the plan's preferred list.
-Member pays a premium for a fixed percentage of expense covered.

-Includes deductible and copayment
-Member may select their primary health care provider.
-Members pay less for care at facilities on the plan's preferred list.
-Member pays a premium for a fixed percentage of expense covered.

What component is included in the Hospital Consumer Assessment of Health Care Providers and Systems survey? (Select all that apply.)

-Cost of hospital services
-Discharge information
-Responsiveness of hospital staff
-Communication with nurses
-Cleanliness and quietness of hospital environment

-Discharge information
-Responsiveness of hospital staff
-Communication with nurses
-Cleanliness and quietness of hospital environment

What area of professional nursing is directly affected by changes in financing of health care services? (Select all that apply.)

-The general perception of the worth and values of health care services
-The public's willingness to seek services for various health care providers
-Rate of reimbursement for nurse practitioners
-Accessibility of health care services to minority populations
-Job opportunities for salaried health care providers

-The general perception of the worth and values of health care services
-The public's willingness to seek services for various health care providers
-Rate of reimbursement for nurse practitioners
-Job opportunities for salaried health care providers

Starting in the 1960s, the rapid introduction of technically advanced health care diagnostics and treatment procedures contributed negatively to what aspect of health care?

A. Speed with which services could be delivered
B. Cost of services
C. Public's view of delivery systems
D. Research into new technologies

B. Cost of services

The 2010 Patient Protection and Affordable Care Act (PPACA) projects that within the next 10 years what health care related situation will be a realization?

A. Medicare will be unable to provide care for America's elderly citizens.
B. All Americans will have health care insurance available to them.
C. Adequate health care will be cost prohibitive for most Americans.
D. The need for health care reform will no longer exist.

B. All Americans will have health care insurance available to them.

When hospitals receive payment for services based on the pay-for-performance model, what is the nurses' role?

A. Minimizing the amount of time clients spend in the hospital
B. Maximizing the positive effect of rehabilitative services
C. Serving as the client's advocate
D. Providing client care that helps ensure positive health outcomes

D. Providing client care that helps ensure positive health outcomes

An example of nursing's influence on outcome management through consumer empowerment would include what intervention?

A. Witnessing the signing of an organ donation form by an elderly, terminally ill client
B. Ambulating a postsurgical client in order to minimize the risk of developing pneumonia
C. Providing a postsurgical client with education regarding the early signs of incisional infection
D. Encouraging an elderly client to get both flu and pneumonia shots

C. Providing a postsurgical client with education regarding the early signs of incisional infection

Place the following events associated with health care finance in the appropriate chronological order. (Select all that apply.)

- Blue Cross/Blue Shield originates at Baylor Hospital
- Individual disability and illness insurance policies become available
- Managed care emerges
- Medicare and Medicaid are created

1. Individual disability and illness insurance policies become available
2. Blue Cross/Blue Shield originates at Baylor Hospital
3. Medicare and Medicaid are created
4. Managed care emerges

The belief that one's own culture is superior to all other cultures is called \_____.

ethnocentrism

A nursing school best demonstrates an understanding of strategies that support recruitment of minority nursing students when engaging in what behavior?

A. Offering a number of scholarships reserved for minority students
B. Offering remediation to those for whom English is a second language
C. Arranging for campus housing for all minority students
D. Providing same-culture mentors from among faculty and student populations

D. Providing same-culture mentors from among faculty and student populations

How is cultural humility best achieved?

A. Through regular self-evaluation of biases
B. Through regular self-evaluation of biases
C. By caring for the culturally diverse
D. By embracing the cultures of others

A. Through regular self-evaluation of biases

Acceptance of others regardless of their cultural background is referred to using what term?

A. Tolerance
B. Enculturation
C. Respect
D. Stereotyping

A. Tolerance

When considering the philosophy and values of a health care facility, \______ is the highest priority.

compassion

The \________ management style encourages staff involvement in the decision-making process.

democratic/participative

According to the definition, which word best describes leadership?

A. Control
B. Influence
C. Evaluate
D. Allocate

B. Influence

A nurse manager will likely have which of the following types of power?

A. Informal
B. Referent
C. Connection
D. Legitimate

D. Legitimate

Which skill is most important for a nurse to possess when attempting to exercise or earn informal power within an organization?

A. Ability to persuade others
B. Expert-level nursing knowledge
C. Understanding of management goals
D. Willingness to compromise with everyone in the team

A. Ability to persuade others

Which activity engaged in by a nurse manager would be expected to have the greatest impact on patient care?

A. Conducting a survey to identify factors affecting staff job satisfaction
B. Providing all staff members with written copies of organizational policies
C. Providing all nursing staff with opportunities to influence unit policies
D. Role modeling effective communication between all levels of staff

D. Role modeling effective communication between all levels of staff

What interventions will a nurse manager implement when coaching a newly licensed nurse regarding the way a patient's complaint was handled? (Select all that apply.)

-Use close-ended questions to help focus the conversation on the situation
-Asks, "What will you do differently the next time this situation occurs?"
-Approach the conversation in a nonjudgmental fashion
-Focus on how to achieve the "ideal situation"
-Begin the discussion with a personal interpretation of the situation

-Asks, "What will you do differently the next time this situation occurs?"
-Approach the conversation in a nonjudgmental fashion
-Begin the discussion with a personal interpretation of the situation

Which situations have been identified as positive factors in achieving job satisfaction among nurses? (Select all that apply.)

-Managers taking care not to interfere when a patient focused crisis occurs
-Respect is given to and expected by all members of the health care team.
-Attention is paid to fostering excellent nurse-physician relationships.
-Having policy and practice decisions made by administration
-Professional development opportunities made available at the facility

-Respect is given to and expected by all members of the health care team.
-Attention is paid to fostering excellent nurse-physician relationships.
-Professional development opportunities made available at the facility

Which characteristics are expected to be represented in a health care facility's mission statement? (Select all that apply.)

-Ethical treatment of all patients and staff
-Utilization of innovated service delivery methods
-Providing the most economic health care services
-Commitment to professional excellence
-Teamwork to deliver quality care

-Ethical treatment of all patients and staff
-Utilization of innovated service delivery methods
-Commitment to professional excellence
-Teamwork to deliver quality care

The American Red Cross is established by __.

Clara Barton

The first diploma nursing program for blacks is established at __.

spelman college, atlanta, georgia

The Mosaic Code is one of the oldest sources of what type of health promotion?
- Use of trained midwives
- Personal and public hygiene
- Use of medications
- Documentation of health records

Personal and public hygiene

In the Middle Ages (467 BCE to AD 1450), what was the basis for women delivering food, medicine, and care to the community's ill?

-The need to make offerings to the gods in exchange for good health

-Emphasis being placed on the patient-centered approach to health care

-Emerging understanding of the importance of hygiene and sanitation

-Christian concepts of charity and the sanctity of human life

- Christian concepts of charity and the sanctity of human life

Which intervention best demonstrates that a nursing administrator understands the challenges currently facing the professional nurse regarding patient safety?

-Supporting nursing interventions directed toward providing holistic care to both the client and his or her support system

-Requiring representation of the nursing staff in any discussion related to the redesign of patient care environments

-Requiring that staffing and schedules accommodate the attendance at mandatory in-services focusing on interprofessional care collaboration

-Supporting the right of the registered nurse to appropriately act as an advocate when a family disagrees with a client's wishes to limit visitors

- Requiring that staffing and schedules accommodate the attendance at mandatory in-services focusing on interprofessional care collaboration

Which behavior provides evidence addressing the ability of nursing as a profession to provide high-quality, effective care as patient-centered needs intensify?

-Regularly speaking to groups of high school students regarding the profession of nursing

-Enrolling in a Masters of Nursing Education graduate program

-Becoming politically active regarding the delivery of health care on the national level

-Volunteering to provide community health screening at a senior citizen center

- Enrolling in a Masters of Nursing Education graduate program

In order to meet the projected need for professional nurses, what area of concern is funded by the Nurse Reinvestment Act of 2002? (Select all that apply.)

-The establishment of retention programs focused on existing nursing faculty

-Increased classroom space for associate and baccalaureate nursing programs

-Support for those enrolled in master's and doctoral nursing programs

-Higher compensation for clinical nursing professionals

-Recruitment enticements for nursing faculty positions

- The establishment of retention programs focused on existing nursing faculty
- Support for those enrolled in master's and doctoral nursing programs
- Recruitment enticements for nursing faculty positions

What factor is cited as contributing to the inability of America's schools of nursing to meet the expected demand for professional nurses? (Select all that apply.)

-Insufficient clinical practice sites
-Lack of qualified student applicants
-Lack of school funding
-Lack of clinical preceptors
-Inability to fill faculty positions

- Insufficient clinical practice sites
- Lack of school funding
- Lack of clinical preceptors
- Inability to fill faculty positions

What event in American history influenced the role black women have played in the nursing profession?

-The North Carolina Nurse Practice Act of 1903

-The Civil War, beginning in 1861
-The Army Nurse Corps, established in 1901

-The creation of the U.S. Marine Hospital Service in 1798

- The Civil War, beginning in 1861

The play Miss Evers' Boys was one of the first literary presentations that depicted nurses in what role?

-Trained professionals
-Caring and charitable
-Client advocates
-Self-sacrificing

Client advocates

The ability to maintain appropriate professional boundaries and preserve nurse-client confidences has been most severely impacted by what factor?

-The hesitation of state board of nursing to discipline offenders

-The courts' reluctance to uphold legal decisions involving professional boundaries

-The nursing profession's inability to adequately define unacceptable behaviors

-The frequent misuse of social media forums by nurses

The frequent misuse of social media forums by nurses

A staff nurse routinely finds it difficult to receive clarification on prescriptions and orders written by a particular member of the medical staff. When numerous attempts to deal directly with the physician fail, how should the nurse most appropriately manages the problem?

-By informing the clients that any dissatisfaction with their care should be directed toward their physician for resolution

-By presenting the issues to the unit's entire nursing staff so that a unified plan can be developed to ensure the safety of the physician's clients

-By making it known to the nurse manager that they will no longer accept the physician's clients as patients

-By documenting the problem in terms of client safety concerns and forwarding the information to both the nursing manager and chief of medical staff

By documenting the problem in terms of client safety concerns and forwarding the information to both the nursing manager and chief of medical staff

The nursing profession viewed the television series \_______ as a negative portrayal of nurses based on the exploits of the program's nurses and physicians.

M A S H

The image that best serves today's profession of nursing is one that portrays what characteristics?

-Dependability and charity
-Trust and belief
-Honesty and loyalty
-Skill and caring

trust and belief

a new nurse manager is concerned about the workforce diversity in the unit. A staff survey is created to assess the opinion of those who work on the unit about their perceptions. Which of the following questions should be added to the survey?

-Do you have the perception that nursing is a female profession?

-Do you find the income potential adequate for the nurse on the unit?

-Do you find the work to be routine and boring?

-Do you experience a lack of professional autonomy while working on the unit?

Do you have the perception that nursing is a female profession?

Which statement accurately describes elements concerning the play Miss Ever's Boys? (Select all that apply.)

-Treatment of syphilis
-Dramatizes an ethical nursing dilemma
-Focuses on the infamous Tuskegee experiment
-Involves the administration of penicillin as a treatment modality
-The treatment of military personnel

-Involves the administration of penicillin as a treatment modality
-Focuses on the infamous Tuskegee experiment
-Dramatizes an ethical nursing dilemma
-Treatment of syphilis

Which intervention is associated with a focus of The Institute of Medicine's The Future of Nursing report? (Select all that apply.)

-Facilitating nurses in practicing to the full scope of their educational preparation

-Preparing more nurses with advanced nursing degrees

-Supporting the nursing role in the interdisciplinary health care team

-Improving data collection to support nursing workforce planning

-Impacting the image of professional nursing in a direct manner

-Facilitating nurses in practicing to the full scope of their educational preparation
-Preparing more nurses with advanced nursing degrees
-Supporting the nursing role in the interdisciplinary health care team
-Improving data collection to support nursing workforce planning

A nurse can find guidance in managing ethical nursing issues in the ANA's \_______.

Code of Ethics for Nurses with Interpretive Statements

When clinical settings are limited, faculty can best assess competence associated with entry level clinical skills by implementing \__________ assessments.

simulation (standardized patient)

Which educational intervention demonstrates the most acceptable application of technology as a trend that is currently influencing nursing education as well as client safety?

-Requiring each student to have access to a personal laptop computer installed with all required software

-Allowing pre- and post-clinical written assignments to be submitted electronically

-Providing a list of acceptable Internet sites to use as resources for medication administration

-Scheduling an orientation session on computer-based documentation for each freshman nursing student

Providing a list of acceptable Internet sites to use as resources for medication administration

Increasing professional and personal responsibility has been identified as an issue influencing the education of today's nursing professional. Which intervention has the greatest impact on client safety in the acute care setting?

-Requiring all nurse managers to possess at least a Bachelor's degree in nursing (BSN)

-Scheduling mandatory competency assessments on all shifts to facilitate compliance

-Providing nursing staff with classes that focus on effective communication skills

-Offering monetary incentives to nursing staff who earn appropriate certifications

Scheduling mandatory competency assessments on all shifts to facilitate compliance

What action demonstrates to the nurse manager that a novice nurse has achieved a desirable practice-based competency for a recently licensed registered nurse?

-Having no absences during the required probationary employment period

-Meeting orientation expectations 1 week ahead of schedule

-Demonstrating excellent communication and interpersonal skills

-Asking for a work schedule that supports enrollment in an advanced nursing program

Meeting orientation expectations 1 week ahead of schedule

The nursing faculty incorporates which practice-based learning activity in order to meet the students' need to learn about the sociodemographics currently present among today's population?

-Creation of a poster that compares and contrasts Medicaid and private insurance health care coverage

-Participation in a panel discussion on the political agendas of several national nursing organizations

-Inclusion of a geriatric experience as a clinical requirement of all nursing students

-Preparing a care plan that addresses the needs of an immigrant client with limited English language skills

Inclusion of a geriatric experience as a clinical requirement of all nursing students

A nursing class is divided into teams that are asked to make recommendations for resolving concerns that have a negative impact on the learning environment. Which intervention best demonstrates an understanding of the problem and should be implemented?

-Requiring that electronic devices be turned off when entering a classroom or other learning environment

-Defining behaviors that will not be tolerated in the classroom since they do not demonstrate respect or civility

-Presenting information using a variety of methods so that all learning styles will be addressed

-Presenting information on the proper use of social media by nursing students as it impacts client confidentiality

Defining behaviors that will not be tolerated in the classroom since they do not demonstrate respect or civility

What patient care area is addressed by The Quality and Safety Education for Nurses (QSEN) Competencies? (Select all that apply.)

-Evidence-based practice
-Nursing professionalism
-Team work
-Informatics
-Quality improvement

-Evidence-based practice
-Team work
-Informatics
-Quality improvement

Interprofessional care requires improvement in respect to which patient care area? (Select all that apply.)

-Safety
-Economics
-Impartiality
-Patient-centered focus
-Efficiency

-Safety
-Impartiality
-Patient-centered focus
-Efficiency

The mobility of nurses and the growing area of telehealth have resulted in the development of a new licensing model called the \______________.

mutual recognition model

Which event was an initial factor in the mutual recognition model of nursing regulation?

-The growing presence of nurse-managed telehealth services
-The legal need to ensure nurses due process under the law
-The need to clarify the responsibilities and rights of professional nurses
-The introduction of the associate degree nursing program

The growing presence of nurse-managed telehealth services

Uniform testing for entry into professional nursing practice is accomplished through the \________.

NCLEX-RN® examination

What is the primary purpose of nursing licensure?

-Recognizing the knowledge and skills of the professional nurse
-Identifying all persons who have graduated from a school of nursing
-Providing the public with protection against poorly trained nurses
-Raising nursing to the level of a profession

Providing the public with protection against poorly trained nurses

A nursing student is telling peers about a scheduled appointment with a primary care provider. The student says, "One of the office staff come to take my blood pressure and said, "I will be your nurse today." "I noticed the name tag said nursing technician." Which of the following is the best response the student should make when explaining the implications of the nurse practice acts related to the technician's statement?

-The RN title is defined and protected by the definition of nursing practice.

-The RN title is defined and protected by the purpose of the nurse practice act.

-The title RN is defined and protected by licensure requirements.

-The RN title is defined and protected by the nurse's scope of practice.

The RN title is defined and protected by the purpose of the nurse practice act.

Where can a registered nurse (RN) find the most reliable guidelines regarding the appropriate delegation of activities or tasks to unlicensed nursing personnel?

-The American Nurses Associate (ANA)
-The American Nurses Credentialing Center (ANCC)
-That state's nurse practice act
-The National Council of State Boards of Nursing (NCSBN)

-That state's nurse practice act

Although requirements governing the practice of advance practice nursing may vary significantly, what is required by all states?

-A master's degree in nursing
-A supervisory relationship with a physician
-10 years of practice in the specialty area
-Certification in the specialty area

Certification in the specialty area

Which of the following is an area of clinical specialist nursing for which the American Nurses Credentialing Center (ANCC) offers a certifying examination? (Select all that apply.)

-Home Health
-Pediatrics
-Adult Psychiatric and Mental Health
-Adult Health
-Informatics

-Pediatrics
-Adult Psychiatric and Mental Health
-Adult Health

What characteristic applies to the process of licensure? (Select all that apply.)

-Is granted by governmental legislation
-Recognizes excellence in performance
-Awarded by nongovernmental agencies
-Administered by state-associated boards
-Establishes minimal levels of practice

-Is granted by governmental legislation
-Administered by state-associated boards
-Establishes minimal levels of practice

In nursing the term conceptual model is often used interchangeably with the term \_______.

nursing theory

The phrase "expanding consciousness" defines health in the nursing theory attributed to \_______.

Margaret Newman

What factor qualifies nursing to be defined as a profession?

-Engagement in the management of unlicensed nursing caregivers
-Existence of a substantial body of nursing knowledge
-Regular collaboration with members of the medical profession
-Implementation of the nursing process in the delivery of care

Existence of a substantial body of nursing knowledge

The question that is being focused on during the implementation of the scientific process is referred to by what term?

-Method
-Result
-Theory
-Hypothesis

Hypothesis

When does a theory meet the criteria of fruitfulness?

-When it includes all concepts related to the area of interest
-When it generates new directions for future research
-When it is easily understood and replicated
-When it is reflective of its scientific basis

When it generates new directions for future research

What is the primary benefit nursing theories have provided the profession?

-They add additional information to the body of nursing knowledge.
-They focus on future research related to nursing care.
-They encourage the use of scientific inquiry when planning client care.
-They guide the nursing process in the effective delivery of nursing care.

They guide the nursing process in the effective delivery of nursing care.

When a nurse places clean linen on the bed of a comatose client, which nursing theory is being implemented?

-Roy's adaptation model
-Nightingale's theory of practice
-Peplau's interpersonal relations as a nursing process
-Rogers' science of unitary human beings

Nightingale's theory of practice

Research that places importance on the identification of best practices and benchmark innovation is the focus of the nursing organization
\_____________.

Sigma Theta Tau International (STTI)

Currently, \________ is the major driving force in the delivery of health care.

evidence-based practice (EBP)

What is the primary reason nurses engage in research?

a. Achieving equal status with other health care sciences
b. Advancing the profession of nursing in the eyes of the public
c. Collaborating with other members of the science community
d. Providing the most appropriate evidence-based client care

d. Providing the most appropriate evidence-based client care

If a nursing research project strives to discover new information concerning client care practices, this project is said to be what kind of model?

a. Pilot study
b. Triangulation
c. Quantitative design
d. Qualitative design

d. Qualitative design

When researching an aspect of human grief response, the nurse researcher will likely select which method of qualitative design?

a. Meta-analysis
b. Phenomenology
c. Ethnography
d. Needs assessment

b. Phenomenology

Regarding nursing research, when is the role of the clinical nurse specialist (CNS) best utilized?

a. Identifying clinical care problems
b. Recruiting participants for specific studies
c. Designing research studies
d. Collecting research data

c. Designing research studies

A novice nurse reading a research article should first concentrate on which sections of the article?

a. Introduction and results
b. Study design and methods
c. Future implications and acknowledgment
d. Abstract and discussion

d. Abstract and discussion

\____________ occurs when a standard of care is not met by the responsible caregiver.

Breach of duty

\_____________ occurs when a professional fails to meet the standard of conduct required of all similar professionals.n

Malpractice

What type of law protects the public's right to expect to receive treatment that meets the standards of nursing care?
a. Common law
b. State law
c. Federal law
d. Case law

c. Federal law

Which nursing action best complies with the expectations for nursing care defined by the "never events" identified by the 2012 Rules of Participation for Hospitals?

a.Requiring all unlicensed nursing personal to attend shift reports

b.Providing care when convenient for the client whenever possible

c.Reporting suspected elder abuse to the nursing manager immediately

d.Attending an in-service on evidence-based practice on urinary catheter care

d. Attending an in-service on evidence-based practice on urinary catheter care

Which of the following situations fails to meet the criteria for establishing nursing negligence or malpractice?

a. The nurse leaves a client's bed in the raised position, resulting in a fall.

b. A nurse comes to work under the influence of alcohol.

c. A nurse assigns first-time ambulation of a postop client to an aide and the client falls.

d. The nurse fails repeatedly to document a client's response to pain medication.

d. The nurse fails repeatedly to document a client's response to pain medication.

In what situation may a nurse deliver care that is not considered at the level of required standard of care?

a. When the situation is determined to be an emergency
b. When the nursing area is considered understaffed
c. When directly ordered to do so by a physician
d. When the client refuses care that would meet the standard of care

a. When the situation is determined to be an emergency

A client who insists on leaving the hospital against medical advice (AMA) after being properly advised signs the necessary form. In order to avoid legal consequences regarding the client's decision, the nurse should:

a. objectively document all the details of the situation thoroughly but concisely in the client's medical record.

b. notify the nursing supervisor of the client's decision and that all reasonable efforts were made to dissuade the client from leaving.

c. with the client's permission notify a contact person that the client is leaving the hospital against medical advice.

d.have a member of the security staff escort the client off the facility's property and into their private vehicle or public transportation.

a. objectively document all the details of the situation thoroughly but concisely in the client's medical record.

Which situation frequently results in a nursing negligence claim? (Select all that apply.)
Select all that apply.

-Reporting
-Cure
-Safety
-Monitoring
-Communication

-Reporting
-Safety
-Monitoring
-Communication

Which incidences are the basis for disciplinary action by state boards of nursing? (Select all that apply.)
Select all that apply.

-Practicing without a valid license
-Misappropriation of a patient's personal belongings
-Medicare fraud
-Falsification of nursing records
-History of employment absenteeism

-Practicing without a valid license
-Misappropriation of a patient's personal belongings
-Medicare fraud
-Falsification of nursing records

What hospital-acquired conditions would meet the criteria for nonpayment? (Select all that apply.)
Select all that apply.

-A Stage III pressure ulcer
-Catheter-associated urinary tract infection (UTI)
-Vascular catheter-associated infection
-Stress-related hypertension
-Hypoglycemic coma

-A Stage III pressure ulcer
-Catheter-associated urinary tract infection (UTI)
-Vascular catheter-associated infection
-Hypoglycemic coma

Fidelity is based on the virtue of \________.

caring

The customs and behaviors that society regards as desirable are called \__________.

values

Which scenario demonstrates a nurse engaging in value clarification?

a. A client is reassured by the nurse who states, "I will stay with you as long as you want."

b. When a client asks for advice, the nurse responds, "What can I do to help you make this decision?"

c. A novice nurse regularly asks a veteran nurse, "What would you do if you were in my place?"

d. A nurse reflects on the question, "What would be important to me if I was told my cancer was terminal?"

d. A nurse reflects on the question, "What would be important to me if I was told my cancer was terminal?"

Which scenario demonstrates the preconventional level of moral development?

a. Opening the door for an elderly woman to show her respect

b.Driving within the speed limit in order to avoid getting a speeding ticket

c. Cleaning up the kitchen to make your mother happy

d. Anonymously providing money to a homeless shelter

b. Driving within the speed limit in order to avoid getting a speeding ticket

A nurse demonstrates client-centered altruism when engaging in what activity?

a. Making sure the client receives all medications on time and as prescribed

b. Advocating for a client whose mental illness causes him to be a target of bullies

c. Spending time each evening with a client who has expressed feelings of sadness and loneliness

d. Reporting a nurse who has reported to work impaired by alcohol or drugs

c. Spending time each evening with a client who has expressed feelings of sadness and loneliness

How would a nurse preserve a client's right to autonomy?

a. Providing medication to a trauma victim in a timely, appropriate manner

b. Providing pain medication only after a needed surgical consent has been obtained

c. Answering a client's questions so he can make an informed decision

d.Answering a client's questions about his prognosis truthfully

c. Answering a client's questions so he can make an informed decision

What are the nurse's fundamental responsibilities as described by the International Council of Nurses Code of Ethics? (Select all that apply.)
Select all that apply.

-To restore health
-To prevent illness
-To alleviate suffering
-To educate all populations
-To promote health

-To restore health
-To prevent illness
-To alleviate suffering
-To promote health

Normally, by what developmental milestone is a person expected to have learned there are consequences for making bad decisions?

a. Toddler
b. Late teens
c. School age
d. Middle teens

c. School age

A course of action undertaken by governments or health care organizations to achieve a particular health outcome is referred to as a \_________.

health policy

What is the most effective means for a nurse to impact the health and wellness of those being cared for at a local hospital?

a. Donate to the national political party that advocates health policies that support health and wellness

b. Be active in local politics by lobbying city policymakers on health and wellness issues

c. Regularly attend the hospital's board meetings to be aware of discussions on policy changes

d.Volunteer at local health screenings held for a variety of health and wellness issues

b. Be active in local politics by lobbying city policymakers on health and wellness issues