Exam 2 leader 2 NUR420 Exam (elaborations) NUR420 (NUR420) COMPLET E A+

1. A client states: “ I do not want to be awakened for breakfast-I didn’t sleep at all last night.” What is the first action for the RN to take? a. Notify the client’s provider b. Talk with the client to work out a mutual plan c. Consult with the patient’s family to get suggestions d. Contact the dietitian 2. An elderly client who has a documented history of dementia is intermittently alert and can currently tell you her name. Who should sign the client’s informed consent for an invasive diagnostic procedure? a. The client’s husband, who is blind b. The client herself, who has an advance directive c. The client’s friend who has durable power of attorney for health care for the client d. The client’s daughter, who is competent and visiting her mother from out of state 3. Nursing staff members are in the lounge on their morning break. A nursing assistant thinks that a unit secretary has acquired HIV and then tells the staff that the secretary probably caught it from her husband who is a drug addict. Which legal tort has she violated? a. Libel b. Slander c. Assault d. negligence 4. When referring to the standard of care, which phrase best describes the meaning of a nursing standard of care? a. The belief that nurses will always behave in a wise/prudent manner. b. The directive that ensures all nurses will always act in ways that help patients get better c. The ethical principle that states that a nurse shall do no harm d. The minimal level of nursing care and expertise that is expected to be delivered to a patient. 5. Which one of the following characteristics describes a “reasonable and prudent RN? a. At least 5 years of applicable RN experience b. Specialized RN skills for the assigned nursing area c. Average RN judgment and skill level in delivering patient care d. A BSN degree 6. An RN witnesses an assistive personnel (AP) under her supervision reprimand an elderly client for spilling urine form his urinal on the bed sheets. The AP verbally threatens to put a diaper on the client if he does use the urinal more carefully next time. Which one of the following wrong doings is the AP committing? a. False imprisonment b. Assault c. Invasion of Privacy d. slander 7. An RN accidentally sticks her hand with the syringe needle after administering an IM injection to a client. Which one of the following should the nurse do first? a. Notify the charge nurse of the incident b. Go to employee health services c. Complete an incident report d. Wash hand thoroughly with soap and water. 8. An RN notes that the toes on the casted left foot of her post-surgical client are cold and turning blue. The RN has notified the healthcare provides’ answering service every hour for the past two hours, yet the healthcare provider has not yet responded to the calls. The client is now complaining to extreme pain. What is the most important action for the nurse to take right now? a. Continue to call the healthcare provider’s answering service every 15 minutes until a response is obtained. b. Report the situation to the nursing supervisor so she can elevate the patient’s situation to the appropriate head/chief physician for the service. c. Continue to record the assessment finding, the time of each phone call and content reported each time to the healthcare provider d. Have the family file an immediate complaint with the Medical Staff Office against the physician. 9. Which statement best describes the value of clinical pathways (also known as care paths or critical pathways)? a. They provide a means of standardizing care for clients with similar diagnoses. b. They determine justifiable differences/variances among clients c. They decrease the amount of paperwork required for reimbursement d. They reduce administrative costs. 10. An RN overhears two care providers discussing a hospitalized client while getting coffee at the coffee bar in hospital lobby where many visitors can hear them. Which nursing action below is most appropriate for the RN to take first? a. Report the incident to their nurse manager b. Quickly engage them in a different conversation to change the subject. c. Quietly pull the two staff members aside and remind them about client confidentiality. d. Wait until they get their coffee and head back to the nursing lounge; then tell the care providers that the conversation was not appropriate. 11. A client who is admitted for suspected abuse is quiet and withdrawn. Which of the following should the nurse implement to promote client communication? a. Invite a family member to be present for the nursing history b. Provide basic wound care for obvious physical injuries c. Probe the client to offer an actual account of the abuse d. Provide privacy and be direct and honest when communicating with the client 12. Which behavior is a priority to minimize an RN’s risk for a malpractice claim? a. Maintain positive nurse-patient relationships b. Function within the state’s nursing practice act. c. Maintain sufficient professional liability insurance to cover you if you are sued d. Ask for assistance from other RNs when engaged in high risk procedures 13. A RN in the emergency department is assessing an elderly client. The client’s son states that the client has glaucoma, is extremely hard of hearing, and has been experiencing severe abdominal cramping and diarrhea for the past 24 hours. Which of the following actions is most appropriate for the nurse to do first?