A nurse is caring for a client when they erroneously administer a medication dosage that is greater than the amount prescribed. Which of the following
... [Show More] ethical principles is the nurse demonstrating when they notify the provider of the medication error?
Veracity.
Holds that one should tell the truth.
A nurse is performing morning rounds for a client and finds the client's bedtime medication sitting at the bedside in a medication cup. Which of the following actions should the nurse take?
Document the missed medication administration in the client's medical record.
It is the responsibility of the nurse to record the facts of the missed medication administration in the clients medical record.
00:24
01:22
A nurse is providing teaching to a client's adult child regarding the clients discharge to home with hospice care. Which of the following statements by the client's adult child indicates an understanding of the teaching?
The hospice team will provide services for the entire family, not just my father.
Hospice services are provided by a team of health care professionals and nonprofessional that offer a full range of services, supporting both the client and family through the dying process.
A nurse manager is scheduling a meeting to address a conflict between staff members and a client's family. In the meeting, staff and family members will identify common goals and express their concerns. Which of the following conflict resolution strategies is the nurse manger implementing?
Collaboration
Collaboration involves both parties agreeing to work towards a common goal rather than individual goals to fins a mutually satisfying solution to the conflict. The goal becomes what is best overall, rather than what each individual wants or thinks is best.
A nurse in an acute care facility is caring for a client who is leaving against medical advice (AMA). Which of the following actions should the nurse take? SATA
Request the client sign an AMA form.
Notify the provider of client's intent.
Advise the client about the dangers of leaving.
A signed AMA form can assist with a counterclaim of negligence.
The nurse should immediately notify the provider of the clients intent to leave AMA.
The nurse should discuss the potential dangers of leaving AMA, such as complications of the clients medical condition.
A charge nurse is conducting an in-service on advocacy for a group of newly licensed nurses. Which of the following examples should the charge nurse include in the teaching as a demonstration of client advocacy? SATA
A nurse reports a procedure was completed incorrectly by another nurse to the charge nurse.
A nurse arranges for an interpreter for a client who speaks a different language.
The nurse should report improper completion of a procedure to the charge nurse and complete an incident report describing the incident. Reporting to the charge nurse is an act of client advocacy, which allows the charge nurse to further monitor the clients condition and prevent negative outcomes.
Requesting an interpreter for a client who speaks a different language than the nurse. An interpreter will facilitate understanding of the teaching and allow the client to communicate their needs to the nurse.
A nurse manger is working with a team to resolve an ethical dilemma. Which of the following steps should the team take to make an informed decision?
Identify and state the nature of the ethical dilemma.
List actions to take based on a list of alternatives.
Decide to select one alternative.
Communicate the justification for the decision.
A nurse suspects a client is developing opioid use disorder and reduces the clients dosage of pain medication by 50% without a prescription from the provider. The nurse checks on the client 1hr later and sees the client sitting up in a chair. The client tells the nurse, "I am in too much pain to reach the nurse call button." The nurse is liable for which of the following legal violations?
Gross negligence
Gross negligence is an extreme breach of care with an intentional, reckless disregard of consequences. The nurse's actions were intentional and reckless, in opposition of the provider's prescription, and placed the client at risk for pain and injury.
A nurse is providing teaching for a client about advance directives. Which of the following client statements indicates an understanding of the teaching?
My health care proxy will make my health care decisions when I am no longer able.
The client should discuss her health care wishes with the health care proxy while she is able.
A nurse manger is providing disciplinary action for a staff nurse who is claiming 1hr of overtime every day for the past month to complete computer documentation. Which of the following actions should the nurse manager take first?
Speak with the nurse regarding the incident.
Evidence based practice indicate the nurse manager should first provide a verbal waring to the nurse as the initial step of the progressive disciplinary process. This allows the nurse manager to meet with the nurse privately to address the behavior and explain why this conduct is unacceptable. If the remaining steps of the progressive disciple process become necessary, the nurse manager will give written reprimand, then a suspension, and finally the nurse manger will terminate the nurse if the behavior does not change.
A nurse is admitting a client who has heart failure and speaks a different language than the nurse. Which of the following actions should the nurse take when communicating with the client using an interpreter?
Observe the clients nonverbal expressions.
Body language and nonverbal expressions can assist the nurse to determine the client understanding of the information.
A nurse manager is considering changing the policy for administering medications to clients on a unit. Which of the following actions should the nurse manager take first?
Determine the unit staff's perception of the need for change.
The first action using the nursing process is assessment. By determining the unit staff's perception of the need for change, the nurse manager will be able to implement effective change.
00:02
01:22
A nurse is developing a plan of care for a client who has chronic kidney disease. The client gives the nurse copies of his advance directives which state that he does not want to begin dialysis. Which of the following actions should the nurse include in the plan?
Document within the medical record that the client has advance directives in place.
The patient self determination act requires acute care facilities to have documentation in the medical record that a client has advance directives. The nurse should document the clients wishes for other health care workers who are caring for the client so that they understand the clients plan of care.
A nurse from an acute pediatric unit who has not cared for adult clients in more than 5 years is assigned to float to a medical surgical unit. Which of the following actions should the nurse take?
Negotiate specific tasks to perform with the nursing supervisor.
Specific tasks to perform in order to ensure the nurse is providing safe care at the nurse's level of training and competence.
A nurse is caring for a client who was involved in a motor vehicle crash with his partner. The client asks the nurse about his partner's condition. WHich of the following actions should the nurse take?
Let the client know that he will be updated as soon as possible.
The nurse should obtain permission from the client's partner to release health condition information to the client.
A nurse manager is meeting with a staff nurse who is consistently late for work. Which of the following statements by the nurse manager demonstrates an assertive communication style?
When you come to work late, I am concerned that client care will be jeopardized.
Assertive communication focuses on the impact the staff nurses behavior has on the function of the unit.
A nurse manager on a maternal newborn unit is completing a chart audit on discharged clients to evaluate the success of breastfeeding education by a lactation consultant. Which of the following types of audits is the nurse manager utilizing?
Outcome audit.
Measure whether the services that nurses provide make any difference in a clients resulting health status.
A nurse is receiving change of shift report for a group of clients. Which of the following clients should the nurse assess first?
A client who is postoperative and has respiratory rate of 10/min.
A respiratory rate of 10/min is below the expected reference range of 12-20/min and can indicate that the client is experiencing an adverse effect from anesthesia or pain medication.
A nurse is teaching a newly licensed nurse about do not resuscitate (DNR) orders. Which of the following information should the nurse include in the teaching?
The provider should periodically evaluate the DNR order.
An revise it if the clients condition changes.
A nurse is performing mass casualty triage of clients following a tornado. Which of the following clients should the nurse identify as a priority for transportation to the acute care facility?
A middle adult client who has a severed lower extremity.
A client who has a traumatic amputation requires immediate intervention for survival.
A nurse is planning interdisciplinary care for a client experiencing an exacerbation of myasthenia gravis. Which of the following information should the nurse plan to communicate to an occupational therapist?
The client has difficulty grasping eating utensils.
OT assists client with fine motor skills, often related to performing ADLs.
A nurse manager is evaluating staffing needs for a unit, including the nurse for overtime hours. Which of the following actions should the nurse manage implement first?
Access computerized data correlating client acuity, staffing, and scheduling.
Nurse managers have a responsibility to ensure that the staff delivers cost-effective, high-quality care. Collecting data that support decision making.
A charge nurse is assigning tasks for a group of clients. Which of the following tasks should the nurse assign to an assistive personnel (AP)?
Collect a urine sample for urinalysis.
A charge nurse is walking outside on the facility's grounds during break time and overhears two nurses discussing the biopsy results of a client who is on the unit. Which of the following actions should the nurse take? SATA
Plan in in-service program for the nurses about HIPAA privacy rules.
Ask the nurses to stop discussing the clients protected health information.
Inform the nurse manager about the confidentiality breach.
It will reinforce the importance of protecting client confidentiality.
Take immediate action to inform the nurses that they have breached the clients confidentiality and to stop sharing information about the client.
It is possible that the nurses misunderstood their responsibility to adhere to HIPAA privacy rules. The nurse manager is the appropriate person to reteach these basic legal concepts and can assist in providing an in service.
A nurse is caring for a client who received pain medication 1hr ago. The client tells the nurse the medication is not working because they are still experiencing pain. Which of the following actions by the nurse demonstrates client advocacy?
Attempt to obtain a prescription for a different analgesic medication.
Directly intervening on behalf of the client.
A nurse is planning care after receiving report for four clients. Which of the following clients should the nurse plan to assess first?
A client who is 2 days postoperative and has a urinary output of 500 mL/24hrs.
This indicates an average urine output of about 20mL/hr., which is less than the expected reference range of 30mL/hr. This finding can indicate a fluid volume deficit, impaired kidney function, or impaired bladder tone which requires immediate assessment and intervention by the nurse.
A nurse in an acute care facility is preparing to discharge an older adult client to home. Which of the following actions by the nurse demonstrates client advocacy?
Contacting a social worker to assist the client with daily meals delivery services.
Client advocacy involves contacting available resources on behalf of the client.
A nurse is using the situation, background, assessment, recommendation (SBAR) format to provide hand off report for a client. In which of the following components of the SBAR report should the nurse include information about the clients current vital signs?
Assessment.
Current vital signs, pain level, and appearance of a wound dressing in the assessment section of the SBAR report.
A nurse is providing care to a group of clients. Which of the following steps should the nurse plan to take to manage time effectively? SATA
Organize tasks around the priority needs of the clients.
Create a list of all planned activities.
Delegate tasks to assistive personnel.
To decrease the risk of needs not being met in a timely manner.
Create a list of all planned actives to ensure that they are meeting their goals and managing their time effectivity. [Show Less]