NURS 101 HESI Practice - Questions, Answers and Rationales A client with cancer is undergoing treatment in a hospital. The nurse finds the orders from
... [Show More] the primary healthcare provider inappropriate. Clarification from the healthcare provider does not resolve the nurse's doubts. Who should the nurse contact and inform next? A. Risk manager B. Nursing student C. Supervising nurse D. Nurse administrator The nurse should go to the supervising nurse or follow the established chain of command if he or she finds any discrepancies in the primary healthcare provider's orders. All nurses must act as risk managers, depending upon the situation. The nurse in question should follow the established chain of command to address his or her doubts. A nursing student is still a novice and is too inexperienced to handle such matters. A nurse administrator manages client care and the delivery of specific nursing services within a healthcare agency; a nurse administrator is not the appropriate person to ask for help in solving the problem at hand. A registered nurse is educating a nursing student on the various classifications of torts. What acts are classified as intentional torts in nursing practice? Select all that apply. A. Battery B. Assault C. Negligence D. Malpractice E. False Imprisonment Intentional torts include battery, assault, and false imprisonment. Unintentional torts include negligence and malpractice. A client is placed on a stretcher and restrained with straps while being transported to the x-ray department. A strap breaks, and the client falls to the floor, sustaining a fractured arm. Later the client shows the strap to the nurse manager, stating, "See, the strap is worn just at the spot where it snapped." What is the nurse's accountability regarding this incident? A. Exempt from any lawsuit because of the doctrine of respondent superior B. Totally responsible for the obvious negligence because of failure to report defective equipment C. Liable, along with the employer, for misapplication of equipment or use of defective equipment that harms the client D. Exonerated, because only the hospital, as principal employer, is responsible for the quality and maintenance of equipment Using a stretcher with worn straps is negligent; this oversight does not reflect the actions of a reasonably prudent nurse. The nurse is responsible and must ascertain the adequate functioning of equipment. The hospital shares responsibility for safe, functioning equipment. A nurse is hired to work in a healthcare facility that has a completely computer-based client information system. The nurse in charge knows that the newly hired nurse is knowledgeable about this system when the nurse says what? A. "More medication errors are made when this system is used." B. "It is disappointing that nurses are not allowed to use this system." C. "Client information is immediately available when this system is used." D. "I will have less time to provide direct care to my clients with this system." The intent of these systems is to streamline documentation and record keeping for all appropriate health team members, including nurses. There is a reduction in medication errors with this type of system. Data are immediately available to appropriate health team members without the need to depend on record or chart availability. By streamlining documentation and record keeping, these systems increase opportunities for more direct client care by nurses. What services do community health centers provide in preventive and primary care services? Select all that apply. A. Day care B. Health screenings C. Physical assessments D. Disease management E. Acute and chronic care management Health screenings, physical assessments, and disease management services are provided by community health centers in preventive and primary care services. Day care and acute and chronic care management services are provided by nurse-managed clinics. A nursing student is listing the professional responsibilities and roles of the nurse. Who is the most independently functioning nurse? A. Nurse educator B. Nurse researcher C. Nurse administrator D. Advanced practice registered nurse The advanced practice registered nurse is the most independently functioning nurse. The nurse educator, nurse researcher, and nurse administrator all must be associated with an organization to pursue their professional prospects. What purpose does a community health center serve in preventive and primary care services? [Show Less]