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During a clinical placement, a student witnesses a nurse administer a medication to the wrong client. When the student confirms what happened, the nurse reassures the student, “these things happen from time to time. We’ll just check her vital signs in a while and I’m sure she’ll be okay.” What should the student do next?
Report this event to the clinical instructor promptly.
In which phase of the interview process should the nurse inquire of the client, “How do you perceive your health status?”
Orientation.
The nurse is caring for a client who has recently suffered a miscarriage. How can the nurse best foster empathy in the nurse–client relationship?
The nurse seeks an understanding of the client's situation through active listening.
A nursing student has developed therapeutic communication with a client over the course of several shifts on a medical unit. During a conversation, the client tells the student, “Sometimes, I think my family would be a lot better off if I wasn't such a burden to them.” The client asks the student to “keep this just between the two of us.” What is the student's most appropriate action?
Inform the client that this cannot be kept a secret but that only people involved in her care will know about this.
A student nurse is beginning his first clinical placement and is preparing to assess a client. Upon entering the room, the student should perform what action first?
Tell the client his name and his role.
During the process of completing a course in leadership and management in nursing, a group of nursing students have identified the need to take a leadership role in the nursing profession. How can the students best perform this role?
By becoming actively involved in student nursing associations.
Which statements describe Florence Nightingale’s POSITIVE contributions to healthcare? Select all that apply.
Sanitary conditions are important for infection control., Nutrition helps aid in healing and recovery., Healthy environments promote well-being.
Which of the following questions posed by a client would the new nursing graduate answer to demonstrate therapeutic self-disclosure? Select all that apply.
“How are you enjoying your new job on the medicine unit?” , “What do you like to do for fun on the weekends?” ,
“Why did you decide to become a nurse?”
What factors should a nurse consider when utilizing social media? Select all that apply.
Patient confidentiality.,
Provincial nursing standards of practice.,
Institutional policies.
Which of the following is the BEST action during the pre-orientation phase of a client interview?
Plan assessment questions to be asked during the initial interactions.
What communication style is reflected in the following statement: “You should have used your call bell to ask me for help. It is your fault you fell out of bed.”
Aggressive.
When interacting with clients, nurses are expected to:
Demonstrate cultural sensitivity.
A client cries immediately after hearing a diagnosis from a health care provider. How can the nurse BEST demonstrate therapeutic communication?
Use silence to allow the client time to reflect on the diagnosis.
An elderly client stated, “I just moved from my home to a long term care facility. I’m feeling sad and angry because of this change.” What response by the nurse BEST demonstrates active listening?
“It sounds like you’re having some struggles with the transition?”
During shift report, the nurse uses ISBARR format to communicate information about the client. The nurse includes the following statement, "Mr. Brown is a 83-year-old man, admitted with acute confusion. The team is collaborating on a plan of care, including appropriate diagnostic tests." Which component of the framework is the nurse sharing?
Situation.
A non-confrontational approach to conflict resolution includes:
Placating, distracting, computing, and withdrawing.
Which is an example of a boundary violation demonstrated by a nurse?
Accepting money from a client for competent care.
In a therapeutic relationship between a nurse and a client, who must take responsibility for establishing boundaries?
The nurse.
Which action by the nurse BEST demonstrates appropriate boundaries with a client?
Set limits for personal protection.
A client who suffered a stroke has developed dysphagia (difficulty swallowing). The care team recommends inserting a feeding tube, but the client is opposed to this intervention. What variable will determine whether this client can refuse consent?
The client's mental competence.
A recent nursing graduate has accepted a position on a busy acute medical unit. When considering legal liabilities, the nurse should understand that:
The nurse is held to a standard of care equivalent to that of the other nurses on the unit.
A nurse made a medication error by administering the incorrect medication. The nurse followed up with this error by informing the client about the event and filing out a hospital incident report. The nurse's actions exemplify what aspect of the Canadian Nurses Association Code of Ethics for Registered Nurses?
Being accountable.
A nurse has set a goal of maintaining moral integrity in each interaction with clients and families. This nurse can best meet this goal by performing what action?
“I will ensure that my actions are congruent with my beliefs.”
A nurse is caring for an older adult client who defers decisions about her care to her son, whom the nurse finds to be overbearing. The nurse suspects that the son does not have his mother's best interests at heart. What response to this ethical challenge would best protect client autonomy?
Acknowledge the client's right to delegate decision-making to her son
A group of nurses are discussing the moral implications of a client's circumstances during a care conference. Which of the following statements about morality is most accurate?
Morality is influenced by one's values and beliefs.
A student nurse has resisted the temptation to consult a social networking site that includes screenshots from some of the online exams of a current course. In maintaining academic honesty, the student is doing which of the following?
Demonstrating values that are necessary for nursing practice.
The nurse informs a young, healthy client that the small supply of flu vaccine available will be given to the most vulnerable clients first. Which ethical principle does this situation best describe?
Justice.
The model of delivery for the CNUR 102 course is a framework consisting of three modules for professional practice, including:
Professionalism, communication and safety.
Which of the following statements most accurately describes an aspect of males in nursing during the early to mid-20th century?
Males were not accepted to most Canadian nursing schools.
Which factors BEST describe the reason for the shift in nursing education from apprenticeship to educational institutions?
Complexity and specialization.
A Registered Nurse has sparked a legal controversy by establishing a harm reduction campaign aimed at protecting sex trade workers. What goal will guide the decision making of the provincial nursing regulatory body in this controversy?
The need to promote and protect the interests of the public.
What is one of the primary roles of the Saskatchewan Registered Nurses Association (SRNA)?
Develops competencies and standards for Registered Nurses.
Who delegates the regulatory power of the Saskatchewan Registered Nurses Association (SRNA)?
The provincial government.
Where can a student nurse access information regarding nursing competencies for practice?
On the website of the provincial or territorial regulatory body.
Which would be the most credible source for a nurse to access when searching for a scholarly article?
Cumulative Index to Nursing and Allied Health Literature (CINAHL).
Which description BEST represents the nursing theory developed by Hildegard Peplau?
Therapeutic relationships between the nurse and the client.
A nurse is providing care for a client whose most recent computed tomography (CT) scan reveals a tumor. The client's children are adamant that the client not be made aware of any negative diagnostic findings. On which of the fundamental way of knowing will the nurse most need to draw from?
Ethical.
A nursing student is feeling the effects of stress and anxiety. How can the student BEST protect and enhance their mental health and well being?
Strategically schedule activities that allow for refreshment and relaxation.
A nursing student admits to feeling overwhelmed by the quantity and variety of tasks that are required of the program. What is the student’s BEST response to this challenge?
Prioritize the tasks according to deadlines and importance.
A nursing student has come out of a biology exam feeling inadequately prepared. What is the student’s BEST response to this situation?
Wait to decide what to do until after the exam marks are returned.
When communicating with a client who is struggling with the decision to place their spouse with moderate cognitive impairments in a care facility, which is the MOST effective approach for the nurse to use?
Convey a nonjudgmental attitude.
A nursing student has refused to provide care for a client who uses intravenous drugs, stating, “I simply don’t agree with what the client does. Just look at the effect on the client’s health.” How should this student’s actions be BEST interpreted?
The student is unjustified in refusing care based on the client’s lifestyle.
In a professional therapeutic relationship, which of the following is considered an advantage of the nurse using self-disclosure? Self-disclosure may help:
Build trust and rapport between the nurse and client.
Which example BEST displays a nurse staying in a professional therapeutic relationship with a client?
A client asks the nurse to go for a walk, and the nurse responds “I will be back to take you right after my break.”
A team made up of members from various health disciplines has been commissioned with improving client safety in a health region. What action has the greatest potential to meet this goal?
Foster respectful and collaborative relationships between all members of the care team.
Which of the following best describes an ethical dilemma?
A situation in which there are conflicting values and beliefs
Fitness to practice
All the qualities and capabilities of an individual relevant to his or her capability to practice as a nurse, including, but not limited to, freedom from any cognitive, physical, psychological, or emotional condition or a dependence on alcohol or drugs, that impair his or her ability to practice nursing.
Duty to report
Nurses or others who observe practice in nurses or other health professionals who place clients at risk have an ethical and legal duty to report concerns to the appropriate person or organization including the regulatory body if appropriate.
Continuing competence
The ongoing ability of a registered nurse to integrate and apply the knowledge, skills, judgment, and personal attributes required to practice safely and ethically in a designated role and setting.
Standard
An authoritative statement that describes the required behaviour of every nurse and is used to evaluate individual performance.
A client in an oncology unit does not wish to have chemotherapy, but the family insists he should accept it. What is the best response by the nurse?
assert the client's right to make the decision
A client learns she is pregnant and asks the nurse for names of abortion clinics. What is the nurse's best response?
give the client a list of available clinics
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