Nur 140 unit 6 questions with answers 2023 assuared success, Exams of Nursing

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Nur 140 unit 6 questions with answers 2023 assured success Which example best describes feminist ethics? • The formal study of ethical issues that arise in the practice of nursing • An approach critiquing existing patterns of oppression and domination in society • A combination of elements of utilitarian and deontologic theories that offer specific action guidelines for practice • Attention directed to the specific situation of individual clients viewed within the context of their life narratives Which is a characteristic of the care-based approach to bioethics? • The need for an orientation toward service • The need to emphasize the relevance of clinical experience • The rightness or wrongness of an action independent of its consequences • The promotion of the dignity and respect of clients as people A nurse is administering evening medications and notices that a medication was omitted during the day shift. Which statement demonstrates the principle of accountability? • Filling out an occurrence report and notifying the healthcare provider • Documenting in the chart a narrative note about the occurrence • Telling the client that the medication will be given the following morning • Administering the medication with the other evening medications A nurse is of the Catholic faith and votes pro-life. This nurse is considered to have: • ethics. • legal obligations. • personal values. • moral agency. A client continues to complain of pain despite receiving medication. The family states, “In our culture it is acceptable to complain out loud.” What would be the best response by the nurse? • Describe your home situation to me. • Tell me more about your cultural beliefs. • It is fine to complain out loud. • The pain medication should have worked by now. A nurse is providing care to a client and is preparing the client for breakfast. The nurse assists the client out of bed to the chair and then helps the client open the items on the breakfast tray. The client begins to eat breakfast. The nurse tells the client, "I'll be back in about 10 minutes to check on you. In the meantime, here is your call light in case you need me." About 10 minutes later, the nurse returns to check on the client. The nurse is demonstrating which ethical principle? • Nonmaleficence • Autonomy • Fidelity • Justice Nur 140 unit 6 questions with answers 2023 assured success A nurse reports to the charge nurse that a client medication due at 9 am was omitted. Which principle is the nurse demonstrating? • Integrity • Altruism • Autonomy • Social justice Which scenario is an example of the laissez-faire approach to value transmission? • Allowing a child to decide not to have an intravenous line inserted • Telling a child an injection will feel like a pinch before the nurse gives the injection • Teaching children right from wrong and telling them the reason behind a bad action • Modeling healthy behaviors for teenagers, such as not smoking electronic cigarettes To practice ethically, the nurse should avoid: • allowing the nurse's own personal judgment to guide practice. • asking the client's family about their views on caring. • allowing an ethics committee to guide the nurse's practice. • reviewing past cases before making decisions about practice. A nurse working on a critical care unit was informed by a client with multiple sclerosis that the client did not wish to be resuscitated in the event of cardiac arrest. Now the client is no longer able to express wishes, and the family has informed the physician that they want the client to be resuscitated. Aware of the client's wishes, the nurse is involved in a situation that may involve: • ethical distress. • confidentiality. • deception. • paternalism. Ethical distress is: • supporting the rights of a client during hospitalization. • having trouble deciding which of two conflicting ethical principles to follow. • being aware of the principles of right and wrong. • knowing the correct action but being unable to perform it due to constraints. Nur 140 unit 6 questions with answers 2023 assured success A charge nurse has implemented staff education on nursing values. The nurse would determine that further education is required when which statement(s) are overheard? Select all that apply. • “I can’t believe the client is giving that precious baby up for adoption.” • “Smoking has been shown to be a risk for many illnesses, including heart disease and cancer.” • “If that was my mother, I sure wouldn’t agree to a no-code.” • “If you are going to have extramarital sex, please protect yourself by using a condom.” • “The gonorrhea test was positive. That’s what the client gets for sleeping around.” Which theory of ethics prioritizes the nurse's relationship with clients and the nurse's character in the practice of ethical nursing? • Care-based ethics • Deontology • Utilitarianism • Principle-based ethics Which nursing actions best describe the use of the professional value of human dignity? Select all that apply. • The nurse includes the client in developing the plan of care. • A nurse plans individualized nursing care for clients. • A nurse provides privacy for an older adult client. • A nurse provides honest information to a client about the client's illness. • A nurse refuses to discuss a client with a curious friend. • A nurse reports an error made by an incompetent coworker. A nurse practices the ethical principle of autonomy when providing nursing care for clients. Which nursing actions best describe the use of this value? Select all that apply. • A nurse asks the surgeon to further explain details of a surgery to a client before obtaining informed consent. • A nurse researches a new procedure that would benefit a client. • A novice nurse seeks the help of a more experienced nurse to insert a catheter in a client. • A nurse stays past shift end to continue caring for a client in critical condition. • A nurse keeps a promise to call a client’s healthcare provider regarding pain relief. • A nurse reads The Patient Care Partnership to a visually impaired client. Which statement by the nurse is an example of deception? • "This injection of procaine will feel like a little pinch." • "It is important to get out of bed to prevent pneumonia." • "I will administer your pain medication as soon as it is due." • "I am going to teach you how to give yourself insulin." Nur 140 unit 6 questions with answers 2023 assured success A nurse is caring for an older adult who has cancer and is experiencing complications requiring a revision of the plan of care. The nurse sits down with the client and the family and discusses their preferences while sharing the nurse's own judgments based on the nurse's expertise. Which type of healthcare decision making does this represent? • Ethical decision making • Shared decision making • Client sovereignty model • Paternalistic model Which word is best described as protection and support of another’s rights? • Ethics • Paternalism • Advocacy • Autonomy Nurses who value client advocacy follow what guideline? • They make decisions for clients who are uninformed concerning their rights and opportunities. • They choose the claims of the client’s well-being over the claims of the client’s autonomy. • They give priority to the good of the individual client rather than to the good of society in general. • They value their loyalty to an employing institution or to a colleague over their commitment to their clients. The nurse is managing the care for a postoperative client. How does the nurse demonstrate advocacy? • Turning and positioning the client every 4 hours • Administering pain medication when the pain level reaches 9 on a pain scale of 0 to 10 • Limiting visitors due to the client reporting pain • Changing the channel on the television while providing care Which ethical principle refers to the obligation to do good? • Beneficence • Veracity • Fidelity • Nonmaleficence A nurse learns to adopt behavior modeled by a charge nurse. What ethical principle or behavior is the nurse most likely to learn through this process? • Standards of practice • Ethical conduct • Autonomy • Decision making Nur 140 unit 6 questions with answers 2023 assured success The unit where a nurse works is undergoing structural changes along with changes in client load and managerial style. The nurse feels disorganized and stressed and is having difficulty sleeping. The nurse wonders if these feelings are related to the changes at work. What next step should the nurse choose in the 4A plan to address this issue? • Acting to make a change • Determining the severity of the distress • Analyzing the risks and benefits of acting to reduce the distress • Committing to self-care A client has been diagnosed with a debilitating neuromuscular disease that has left the client tired, confused, and in pain. Which action(s) will the nurse choose to advocate for this client in planning future care? Select all that apply. • Reiterate the importance of the client making all decisions. • Offer opinions on care options. • Facilitate involvement of people essential to the decision. • Provide education about treatments. • Explain laboratory and radiology findings. Which is the best definition of ethics? • The adherence to formal personal values • The informal, systematic study of moral beliefs • The formal, systematic study of moral beliefs • The adherence to informal personal values A female client is brought to the emergency room with matted hair, bruising, and malnutrition. The nurse suspects physical abuse and neglect. The nurse states, “This happens to many women.” Which type of ethical approach is the nurse exhibiting? • Feminist • Paternalism • Values clarification • Moralizing A nurse is providing care for a client with cancer. The client's spouse requests that the client not be told that the client is terminal. The nurse complies with this request. The nurse's action is a breach of which ethical principle? • nonmaleficence • fidelity • justice • beneficence Nur 140 unit 6 questions with answers 2023 assured success A nurse, while off-duty, tells the physiotherapist that a client who was admitted to the nursing unit contracted AIDS due to exposure to sex workers at the age of 18. The client discovers that the nurse has revealed the information to the physiotherapist. With what legal action could the nurse be charged? • Negligence • Malpractice • Libel • Slander Which statements made by a nurse would indicate to a nurse manager that the nurse requires further training? Select all that apply. • “I am accountable for any task that I delegate.” • “The nursing plan of care must be accurate and must be followed. It is part of the client’s permanent record.” • “When I document, I make sure it is factual, accurate, complete, and timely.” • “I will have the supervisor fill out the incident report when I make an error.” • “If I make a mistake, I will not tell anyone.” An HIV-positive client discovers that the client's name is published in a research report on HIV care prepared by the client's nurse. The client is hurt and files a lawsuit against the nurse. Which offense has the nurse committed? • Invasion of privacy • Unintentional tort • Negligence of duty • Defamation of character The nurse attempts to notify a health care provider about a client’s elevated temperature but does not get a response. Which statement, if documented by the nurse, would indicate that the nurse is following proper protocol for nursing documentation? • 1300: Client temperature elevated. Telephoned health care provider's service 3 times without a response. Tepid sponge bath given and nursing supervisor notified. • 1300: Client temperature elevated. Telephoned health care provider's service several times with no response. Will notify nursing supervisor during rounds. • 1300: Client temperature elevated. Health care provider paged, but did not respond. Administered acetaminophen without an order because I knew this health care provider does not return calls. • 1300: Client temperature elevated. Telephoned health care provider 3 times. As usual, health care provider did not respond. A nurse and the facility have been named as defendants in a malpractice lawsuit. In addition to the nurse's attorney, whom else would be appropriate for the nurse to talk with about the case? Nur 140 unit 6 questions with answers 2023 assured success • A colleague • The local press • The plaintiff's lawyer • The agency's risk manager A client has been in the emergency department for 3 hours for treatment of a migraine headache. Care has been delayed due to a multiple fatality car accident. The client gets up to go to the bathroom unattended, faints, and suffers a subdural hematoma. The family threatens to sue for malpractice. Which element of malpractice will be the most difficult for the attorney to prove? • Duty • Damages • Breach of duty • Causation Having recently completed a specialty nursing program in neonatal care, a nurse is now preparing to leave the medical unit and begin providing care in the hospital's neonatal intensive care unit (NICU). The nurse has completed which process of credentialing? • Certification • Validation • Accreditation • Licensure A nurse is overheard in the hospital cafeteria making false, derogatory comments about a client. The nurse is guilty of: • invasion of privacy. • assault. • libel. • slander. A family brings the client to the emergency department in an unconscious state with a head injury. The client requires surgery to remove a blood clot. What would be the appropriate nursing intervention in keeping with the policy of informed consent prior to a surgical procedure? • The nurse informs the family about the living will. • The nurse confirms that the client has signed the consent form. • The nurse confirms that the client's family has signed the consent form. • The nurse informs the family about advance directives. A client is in a persistent vegetative state. The client has no immediate family and is a ward of the state. Under these circumstances, who will speak on this client's behalf? • A best friend Nur 140 unit 6 questions with answers 2023 assured success • A church-appointed guardian • A significant other • A surrogate decision maker A nurse suspects that a client is a prostitute. The nurse documents this suspicion in the medical record and includes it in report to the oncoming shift. The nurse also mentions the suspicion to the nurse's sister saying, “I had a client named Susan in room 126 today who I think is a prostitute.” Which violations has this nurse committed? Select all that apply. • HIPAA • Libel • Assault • Battery • Slander A client informs the nurse about leaving the health care facility because the client is not satisfied with the treatment. The nurse knows that the client's treatment is incomplete and further testing and evaluations are scheduled. Which action by the nurse would be most appropriate to prevent false imprisonment? • Tell the client that the client will not be able to get access again. • Call the health care provider to speed up the discharge process. • Restrain the client to prevent from leaving. • Ask the client to sign a release without medical approval. Professional regulations and laws that govern nursing practice are in place for which reason? • To ensure that enough new nurses are always available • To ensure that practicing nurses are of good moral standing • To limit the number of nurses in practice • To protect the safety of the public A nurse threatens to restrain a verbally abusive client if the abuse continues. Which legal tort has the nurse committed? • Invasion of privacy • Negligence • Defamation of character • Assault A nurse is caring for a client following endotracheal intubation. Before applying soft wrist restraints to prevent the client from pulling out the endotracheal tube, what is the most appropriate action of the nurse? • Sedate the client. Nur 140 unit 6 questions with answers 2023 assured success • defamation of character. • invasion of privacy. A nurse talks with family members about an AIDS client from the clinic where the nurse works. Which tort has the nurse committed? • Invasion of privacy • Fraud • Slander • Assault The nurse is providing care to a client who had orthopedic surgery. The nurse has medicated the client for pain. However, the client reports that the pain is unrelieved. The nurse takes no further action regarding assessment and intervention for the client’s pain. The nurse does not notify the surgeon regarding the client’s pain. The nurse's failure to take further action represents which element of liability in this case? • Damages • Duty • Breach of duty • Causation After reporting to work for a night shift, the nurse learns that the unit is understaffed because two RNs called out sick. As a result, each nurse on the unit must provide care for four acute clients in addition to the nurse's regular clients. Which statement is true for this nurse when working in understaffed circumstances? • The nurse is legally obliged to refuse to provide care when understaffing creates the potential for unsafe conditions. • The nurse must document that float staff, nurses on overtime, and part-time staff were contacted in an effort to fill the gaps in care. • Understaffing constitutes an extenuating circumstance that creates a temporarily lower expectation for care for the nurse. • The nurse is legally held to the same standards of care as when staffing levels are normal. A nurse enters the client's room and finds the client lying on the floor experiencing a seizure. After stabilizing the client, the nurse informs the physician. The physician advises the nurse to prepare an incident report. What is the purpose of an incident report? • To provide information to local, state, and federal agencies Nur 140 unit 6 questions with answers 2023 assured success • To evaluate the quality of care provided and assess the potential risks for injury to the client • To determine the nurse's fault in the incident • To evaluate the immediate care provided by the nurse to the client Legal safeguards are in place in the nursing practice to protect the nurse from exposure to legal risks as well as to protect the client from harm. What is an example(s) of legal safeguards for the nurse? Select all that apply. • The nurse claims management is responsible for inadequate staffing leading to negligence. • The health care provider is responsible for administration of a wrongly prescribed medication. • The nurse documents all client care in a timely manner. • The nurse executes the health care provider's prescriptions without questioning them. • The nurse confirms informed consent was give by the client to perform a procedure. • The nurse educates the client about what to expect during the hospital stay. Nurses are occasionally asked to witness a testator's (person who makes the will) signing of a will. Which guideline is true regarding a nurse's role in witnessing a testator's signature? • Witnesses do not need to observe the signing of the will and can sign it at a later time. • A single witness is sufficient for a will. • A beneficiary to a will is allowed to act as a witness. • Witnesses to a signature do not need to read the will. While caring for an infant, the nurse hears another child screaming in the next room and rushes there, forgetting to put the side rails up on the infant's crib. The nurse returns to the room to find that the infant has fallen out of the crib and sustained a head injury. Based on the nurse's action, which tort is the nurse liable for? • Assault • Battery • Malpractice • Defamation When talking with family over dinner, the nurse shares about a client with infertility at the hospital, identifying the person by name. Which tort has the nurse committed? • Slander • Invasion of privacy • Fraud • Assault Which is an example of an unintentional tort? • A nurse gives the client a medication, and the client has an adverse reaction to it. • Nurses discuss a client’s laboratory values in the elevator. • A nurse threatens to restrain a client if the client does not stop talking. Nur 140 unit 6 questions with answers 2023 assured success • A nurse tells a client that the client cannot leave the hospital until the client pays the bill. While walking down the hall, a nurse manager overhears a staff member telling a client, "If you don't stay in this chair and stop wandering, I'm going to tie you to it." The nurse manager pulls the staff member aside and discusses what was said. The nurse manager intervenes because the staff member's statement is which type of tort? • False imprisonment • Battery • Invasion of privacy • Assault A client newly diagnosed with congestive heart failure has a prescription for digoxin. The nurse counts the heart rate before administration of the medication and obtains a heart rate of 51 beats per minute. Which action by the nurse demonstrates adherence to the standards of nursing care? • The nurse administers the medication and reassesses the client after 30 minutes. • The nurse withholds the medication, retakes the heart rate, and gives the medication at a later time. • The nurse withholds the medication and notifies the health care practitioner. • The nurse administers the medication after reviewing the client’s serum potassium level. A client states that the client's recent fall was caused by his scheduled antihypertensive medications being mistakenly administered by two different nurses, an event that is disputed by both of the nurses identified by the client. Which measure should the nurses prioritize when anticipating that legal action may follow? • Consult with practice advisors from the state board of nursing. • Consult with the hospital's legal department as soon as possible. • Document the client's claims and the events surrounding the alleged incident. • Enlist support from nursing and non-nursing colleagues from the unit. A client with end-stage renal disease decides against further treatment and requests a “Do Not Resuscitate” (DNR) order. The DNR status is part of the change-of-shift report. The client stops breathing and a nurse begins cardiopulmonary resuscitation. The family is upset and makes a complaint to the charge nurse. The charge nurse appropriately identifies that nurse has committed: