A primary care provider's orders indicate that a surgical consent form needs to be signed. Because the nurse was not present when the primary care
... [Show More] provider discussed the surgical procedure, which statement best illustrates the nurse fulfilling the client advocate role?
1. "The doctor has asked that you sign this consent form."
2."Do you have any questions about the procedure."
3. "What were you told about the procedure you are going to have?"
4. "Remember that you can change your mind and cancel the procedure."
3. "What were you told about the procedure you are going to have?"
Although the client refused the procedure, the nurse insisted and inserted a nasogastric tube in the right nostril. The administrator of the hospital decides to settle the lawsuit because the nurse is most likely to be found guilty of which of the following?
1. An unintentional tort
2. Assault
3. Invasion of Privacy
4. Battery
4. Battery
A nurse discovers that a primary care provider has prescribed an unusually large dosage of a medication. Which is the most appropriate action?
1. Administer the medication
2. Notify the prescriber
3. Call the pharmacist
4. Refuse to administer the medication
2. Notify the prescriber
A primary care provider prescribes one tablet, but the nurse accidentally administers two. After notifying the primary care provider, the nurse monitors the client carefully for untoward effects of which there are none. Is the client likely to be successful in suing the nurse for professional negligence?
1. No, the client was not harmed
2. No, the nurse notified the primary care provider
3. Yes, a breach of duty exists
4. Yes foreseeability is present
1. No, the client was not harmed
A nursing student is employed and working as an unlicensed assistive personnel (UAP) on a busy surgical unit. The nurses know that the UAP is enrolled in a nursing program and will be graduating soon. A nurse asks the UAP has performed a urinary catheterization on clients while in the nursing program. When the UAP says "Yes," the nurse asks him to help her out by doing a urinary catheterization on a post-surgical client. What is the best response by the UAP?
1. "Let me get permission from the client first"
2. "Sure. Which client is it?"
3. "I can't do it unless you supervise me."
4. "I can't do it. Is there something else I can help you with?"
4. "I can't do it. Is there something else I can help you with?"
The primary care provider wrote a do-not-resuscitate (DNR) order. The nurse recognizes that which applies in the planning of nursing care for this client?
1. The client may no longer make decisions regarding his or her own health care.
2. The client and family know that the client will most likely die within the next 48 hours.
3. The nurses will continue to implement all treatments focused on comfort and symptom management.
4. A DNR order from a previous admission is valid for the current admission.
3. The nurses will continue to implement all treatments focused on comfort and symptom management.
The nurse's partner/spouse undergoes exploratory surgery at the hospital where the nurse is employed. Which practice is most appropriate?
1. Because the nurse is an employee, access to the chart is allowed.
2. The relationship with the client provides the nurse special access to the chart.
3. Access to the chart requires a signed release form.
4. The nurse can ask the surgeon to discuss the outcome of the surgery.
3. Access to the chart requires a signed release form.
Following a motor vehicle crash, a nurse stops and offers assistance. Which of the following actions is/are most appropriate? Select all that apply.
1. The nurse needs to know the Good Samaritan Act for the state.
2. The nurse is not held liable unless there is gross negligence.
3. After assessing the situation, the nurse can leave to obtain help.
4. The nurse can expect compensation for helping.
5. The nurse offers to help but cannot insist on helping.
1. The nurse needs to know the Good Samaritan Act for the state.
2. The nurse is not held liable unless there is a gross negligence.
5. The nurse offers to help but cannot insist on helping.
The nurse notices that a colleague's behaviors have changed during the past month. Which behaviors could indicate signs of impairment? Select all that apply.
1. Is increasingly absent from the nursing unit during the shift.
2. Interacts well with others.
3."Forgets" to sign out for administration of controlled substances.
4. Offers to administer prn opioids for other nurses' clients.
5. Is able to say "no" to requests to work more shifts.
1. Is increasingly absent from the nursing unit during the shift.
3. "Forgets" to sign out for administration of controlled substances.
4. Offers to administer PRN opioids for other nurses' clients.
Which nursing actions could result in professional negligence? Select all that apply.
1.Learns about a new piece of equipment.
2. Forgets to complete the assessment of a client.
3. Does not follow up on client's complaints.
4. Charts client's drug allergies
5. Questions primary care provider about an illegible order.
2. Forgets to complete the assessment of a client.
3. Does not follow up on client's complaints.
Which women made significant contributions to the nursing care of soldiers during the Civil War? Select all that apply.
1. Harriet Tubman
2. Florence Nightingale
3. Fabiola
4. Dorothea Dix
5. Sojourner Truth
1. Harriet Tubman
4. Dorothea Dix
5. Sojourner Truth
Curricula for nursing education are strongly influenced by which of the following? Select all that apply.
1. Physician Group
2. Professional nursing organizations
3. Individual state boards of nursing
4. Hospital administrations
5. The National Council of State Boards of Nursing
2. Professional nursing organizations
3. Individual state boards of nursing
5. The National Council of State Boards of Nursing
Which is an example of continuing education for nurses?
1. Attending the hospital's orientation program
2. Completing a workshop on ethical aspects of nursing.
3. Obtaining information about the facility's new computer charting system.
4. Talking with a company representative about a new piece of equipment.
2. Completing a workshop on ethical aspects of nursing.
Health promotion is best represented by which activity?
1. Administering immunizations
2. Giving a bath
3. Preventing accidents in the home
4. Performing diagnostic procedures
3. Preventing accidents in the home
Who were America's first two trained nurses?
1. Barton and Wald
2. Dock and Sanger
3. Richards and Mahoney
4. Henderson and Breckinridge
3. Richards and Mahoney
A nurse with 2 to 3 years of experience who has the ability to coordinate multiple complex nursing care demands is at which stage of Benner's stages of nursing expertise?
1. Advanced beginner
2. Competent
3. Proficient
4. Expert
2. Competent
Which professional organization developed a code for nursing students?
1. ANA
2. NLN
3. AACN
4. NSNA
4. NSNA
Which social force is most likely to significantly impact the future supply and demand for nurses?
1. Aging
2. Economics
3. Science/Technology
4. Telecommunications
1. Aging
A registered nurse is interested in functioning as a health care advocate for individuals whose lives are affected by violence. This nurse will be investigating which expanded career role?
1. Clinical nurse specialist
2. Forensic nurse
3. Nurse practitioner
4. Nurse educator
2. Forensic Nurse
Fill in the blank:
Instead of debating academic requirements for RN preparation, nursing is now focusing on academic ________ for nursing students and graduates.
Progression
Which of the following is the lowest level of "best evidence" for evidence-based practice?
1. Clinical experiences
2. Opinions of experts
3. Client values and preferences
4. Trial and error
4. Trial and error
A quantitative research approach is most appropriate for which study?
1. A study measuring the effects of sleep deprivation on wound healing.
2. A study examining the bereavement process in spouses of clients with terminal cancer.
3. A study exploring factors influencing weight control behavior
4. A study examining a client's feelings before and after a bone marrow aspiration.
1. A study measuring the effects of sleep deprivation on wound healing.
A qualitative research approach is most appropriate for which study?
1. A study measuring nutrition and weight loss or gain in clients with cancer.
2. A study examining oxygen levels after endotracheal suctioning
3. A study examining client reactions to stress after open heart surgery.
4. A study measuring differences in blood pressure before, during, and after a procedure.
3. A study examining client reactions to stress after open heart surgery.
A key function of a study's methodology is to
1. Determine the hypotheses that will be tested in the study.
2. Exercise control over contaminating factors in the study environment.
3. Identify grants and other funding sources for conducting the study.
4. Protect the rights of the study's participants.
2. Exercise control over contaminating factors in the study environment.
In the PICO format for phrasing research questions and identifying key terms for a literature search, what does the "P" stand for?
1. Patterns
2. Population
3. Probability
4. Purpose
2. Populations
Which of the following is a nursing responsibility when reading published nursing research?
1. Assume that the research was properly conducted since it has been published.
2. Evaluate whether the findings are applicable to the nurse's specific clients.
3. Implement the research findings if at least two studies have shown the same results.
4. Request the raw data from the researchers so that the nurse can analyze the statistics again.
2. Evaluate whether the findings are applicable to the nurse's specific clients
A research critique can best be defined as a/an
1. Appraisal of a study's strengths and weaknesses
2. Conclusion about the utilization potential of a study's findings
3. Criticism of a study's flaws
4. Summary of a study's key points
1. Appraisal of a study's strengths and weaknesses.
An 85 year old client in a nursing home tells a nurse, "Because the doctor was so insistent, I signed the papers for that research study. Also, I was afraid he would not continue taking care of me." Which client right is being violated?
1. Right not to be harmed
2. Right to full disclosure
3. Right to privacy and confidentiality
4. Right to self-determination
4. Right to self-determination
Place each of the following steps of evidence-based practice change in their usual sequence.
1. _____ Locate the best evidence
2. _____ Ask the clinical question
3. _____ Assess the need for change
4. _____Integrate the change with client preferences
5. _____ Analyze the evidence
6. _____ Implement and evaluate the change.
3. Assess the need for change
2. Ask the clinical question
1. Locate the best evidence
5.Analyze the evidence
4.Integrate the change with client preferences
6.Implement and evaluate the change
A nurse proposes that the hospital apply the findings from a recent research study that shows that clients appreciate classical orchestra music and playing it frequently lowers clients' blood pressure. Which aspect of research suggests that it may not be appropriate to implement this as evidence-based practice. [Show Less]