Nursing Scenarios: Ethical Dilemmas and Best Practices, Exams of Nursing

Download Nursing Scenarios: Ethical Dilemmas and Best Practices and more Exams Nursing in PDF only on Docsity! RN 2.0 Leadership Practice Questions with full marking(grade 1 answers  A group of providers are participating in a cardiopulmonary resuscitation effort for a client who is in cardiac arrest. Which of the following types of leadership is required for this group to function efficiently? - Correct answer Autocratic  *Autocratic leadership is most efficient in an emergency situation. An autocratic leader will direct and issues commands necessary for successful cardiopulmonary resuscitation.  A nurse is caring for a client who is in the bathroom. The nurse hears a loud thud and after opening the bathroom door, finds the client on the floor. What is the nurses first step to asses? - Correct answer Determine level of consciousness Assertive communication uses "I" statements that describe the person's observations and feelings. It allows the person being confronted to respond to the issue with her own perceptions and feelings instead of feeling verbally assaulted. Subsequently, a verbal discourse that allows an open discussion of the issue can follow.  A nurse manager calls a meeting of the unit's staff members to discuss cost-contaminment issues - Correct answer Democratic  *This is an example of democratic leadership. A democratic leader guides staff toward reaching an objective and shares responsibility with the staff. This is the ideal type of leadership in this situation because a great amount of creativity can occur and many strategies can be developed.  A nurse is preparing to give change of shift report to the oncoming nurse. Which of the following information should the nurse include? - Correct answer Objective measurements about the client's condition  A nurse is caring for a client who is a local public official. A local newspaper reporter repeatedly phones the unit seeking information and states, "it is the public's right to know the health status of elected officials." Which action should the nurse take? - Correct answer Refer media inquiries to nursing supervisor  *The HIPAA Privacy Rule prohibits disclosing client information to individuals not involved in client care without that client's express consent. The reporter should be told that, due to confidentiality issues, no information can be given out about any clients. The nurse should refer the reporter to the nursing supervisor.  A nurse is delegating a client care task to an assistive personnel. Which of the following directions should the nurse give the AP? - Correct answer This client needs to ambulate using a walker three times today  *These directions include the type of task to be done, the frequency with which the task is to be performed, the duration of the task, and information about the mechanics of ambulating the client.  A nurse is caring for a client who has stage 4 ovarian cancer and has decided to stop treatment and enter hospice care - Correct answer Advocacy  *By following the ethical principle of advocacy, the nurse supports the client in the decisions she makes about her own health care.  A charge nurse on a pediatric unit is delegating tasks to an assistive personnel who is pregnant and reports that she is unsure of her immune status. Which of the following clients should the charge nurse assign to the AP? - Correct answer A 2 year old child who has impetigo contagiosa  *This is a safe assignment. If the AP practices universal precautions, there is no risk for contracting impetigo. Impetigo is a superficial skin infection caused by either staphylococcus or streptococcus.  A nurse is working with an assistive personnel who appears to be under the influence of alcohol during the night shift. - Correct answer Ask the nursing supervisor to observe the AP and validate the nurse's suspicion  A nurse in an emergency department is caring for four clients. which of the following requires mandatory report? - Correct answer A child who was left unsupervised for several hours at home and is being treated for a fractured leg  *This child exhibits findings of neglect and endangerment. The nurse is a mandatory reporter of any client situation in which children or older adult clients are being abused or neglected.  A nurse is caring for four clients who are scheduled for diagnostic tests. Which of the following tests should the nurse obtain written consent from the client? - Correct answer cerebral arteriogram  *A cerebral arteriogram is considered invasive because it involves injecting contrast material into an artery to study the cerebral circulation. Written consent is required.  A nurse manager believes that a nurse is taking breaks that are too frequent and lengthy. Which of the following is an assertive statement that the charge nurse should use to initiate discussion of the issue? - Correct answer I understand you are allowed to take scheduled breaks during each shift, but you are taking more that the number allocated  *Assertive communication uses "I" statements that describe the person's observations and feelings. It allows the person being confronted to respond to the issue with her own perceptions and feelings instead of feeling verbally assaulted. Subsequently, a verbal discourse that allows an open discussion of the issue can follow.  A nurse is working with an assistive personnel in a long term care facility. According to the five rights of delegation, which of the following determinations should the nurse make prior to assignment of tasks? - Correct answer The degree of supervision that the AP will require to complete the task  *Successful delegation involves assigning the right task to the right person under the right circumstance. The person that is to perform the task must be given adequate direction and specification regarding the amount of supervision that will be provided. The right communication of expectations and the right feedback on performance must also be supplied.  A charge nurse is making assignments for an oncoming shift. Which of the following clients should the charge nurse assign to a LPN? - Correct answer A client who is disoriented and awaiting transfer to a long term care facility  *A client who is disoriented will need observation and reality orientation, which is within the LPN's scope of practice. The client's condition can also be categorized as stable since discharge to a long- term care facility is scheduled.  A nurse is caring for several clients who require diagnostic testing and is delegating tasks to an assistive personnel. Which of the following tasks should the nurse direct the AP to perform first? - Correct answer Take an arterial blood gas specimen to the laboratory  *Arterial blood gas specimens are placed on ice and must be transported to the laboratory immediately to prevent degradation of the sample. Since this task needs to be done within a specified time frame, it is the first task the AP should perform.  A nurse on a medical surgical unit is caring for a group of clients. For which of the following situations should the nurse complete a variance report? - Correct answer The discovery that a preoperative client has received and eaten breakfast  *This situation represents a variation from the standard of care. A change in the client's plan of care is necessary for this client because the surgical procedure will need to be delayed. The nurse should complete a variance report for this situation.  A nurse is making a client's bed and finds a capsule of medication in the sheets. Which of the following actions by the nurse is consistent with safe nursing practice? - Correct answer Notify the provider of missed dose  Complete a variance report  Document the missed dose of medication on clients MAR  A nurse is caring for a client who received a sedative hypnotic medication at bedtime. The client gets out of bed and falls, sustaining a laceration that requires suturing - Correct answer Client found sitting on the floor with 3 cm laceration above left eyebrow. Oriented to name only. Provider notified.  *This statement is appropriate to include in the documentation. It presents objective facts and assessments related to this event. The nurse should also include vital signs, further assessments, the name of the provider that was notified, treatments or procedures that were done per the provider's prescription, and the client's response.  A nurse is preparing to provide discharge teaching to an older adult client. Which of the following teaching considerations should the nurse include? - Correct answer Allow frequent rest periods during teaching  *due to slower information processing  A charge nurse is observing a group of newly licensed nurses. Which of the following observations should the charge nurse report to the nurse manager as a violation of HIPAA? - Correct answer Talking about clients with other nurses in the cafeteria.  *The nurse should not discuss information about clients, including their personal concerns, diagnoses, and treatments, with anyone who is not directly involved in the client's care. Doing so is a violation of HIPAA regulations. Nurses should take special care not to compromise this right by discussing client care in such places as elevators, restaurants, or other areas that are accessible to the public in which the discussion might be overheard.  A nurse is delegating a task to an assistive personnel. The AP is to transfer a client who has a below the knee amputation from a bed to a wheelchair. the AP has never transferred a client with an amputation before. which of the following actions should the nurse take? - Correct answer Assist the Ap after he has practiced the transfer.