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MEDICINE MED SURG MANAGEMENT OF
CARE - QUESTIONS
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Management of Care – Questions
1. A client with leukemia is being considered for a bone marrow transplant. The healthcare
team is discussing the risks and benefits of this treatment and other possible treatments
with the goal of inflicting the least possible harm on the client. Which principle of
healthcare ethics is the team practicing?
Justice
Fidelity
Autonomy
Nonmaleficence
2. Which action by the nurse represents the ethical principle of beneficence?
The nurse upholds a client’s decision to refuse chemotherapy for lung cancer.
The nurse follows a plan of care designed to relieve pain in a client with cancer.
The nurse administers an immunization to a child even though it may cause discomfort.
The nurse provides equal amounts of care to all assigned clients on the basis of illness acuity.
3. The nursing instructor asks a student to name an example of false imprisonment. Which
of the following situations reflects a violation of this client right?
Performing a procedure without consent
Telling the client that he or she may not leave the hospital
Threatening to give a client a medication against his or her will
Observing the provision of care to the client without the client’s permission
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4. A nurse and a nursing assistant enter a client’s room to provide care and find the client
lying on the floor. The nurse should first:
Ask the nursing assistant to complete an incident report
Check the client’s level of consciousness and vital signs
Ask the nursing assistant to assist in getting the client back to bed
Contact the unit secretary on the intercom and ask that the client’s physician be called
5. Which of the following actions exemplifies the use of evidence-based practice in the
delivery of client care?
Donning sterile gloves to change an abdominal wound dressing
Encouraging a client to take an herbal substance to treat his insomnia
Advising a client to agree to the treatment recommended by her physician
Taking a rectal temperature from a client for whom bleeding precautions have been instituted
6. The registered nurse has accepted a new position as case manager in a hospital. Which of
the following responsibilities are part of the nurse’s new role? Select all that apply.
Evaluating and updating the plan of care as needed
Prescribing treatments specific to the client’s needs
Assessing the client’s needs for home supplies and equipment
Coordinating consultations and referrals to facilitate discharge
Establishing a safe and cost-effective plan of care with the client
7. The nurse manager of a quality improvement program asks a nurse in the neurological
unit to conduct a retrospective audit. Which of the following actions should the auditing
nurse plan to perform in this type of audit?
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Checking the documentation written by a new nursing graduate on her assigned clients at the
end of the shift
Checking the crash cart to ensure that all needed supplies are readily available should an
emergency arise
Reviewing neurological assessment checklists for all clients on the unit to ensure that these
assessments are being conducted as prescribed
Obtaining the assigned medical record from the hospital’s medical record room to review
documentation made during a client’s hospital stay
8. A nurse preparing a client for a bronchoscopy notes that the client is wearing a gold
necklace. What should the nurse do to safeguard the client’s necklace?
Ask the client whether the necklace is gold
Ask the client for permission to lock the necklace in the hospital safe
Ask the client to remove the necklace and place it in the top drawer of the bedside table
Ask the client to sign a release to free the hospital of responsibility if the necklace is
damaged or lost during the procedure
9. A nurse providing preoperative care to a client who is scheduled for a left mastectomy
and axillary lymph node dissection notes that the client is wearing a wedding band on her
left ring finger. The nurse should:
Tape the wedding band in place
Explain to the client why the wedding band must be removed
Ask the client whether she would like to remove the wedding band or wear it to surgery
Ask the client to sign a release to free the hospital of responsibility if the wedding band is
lost during surgery
10. A nurse preparing a client to go to the radiology department for a chest x-ray notes that
the client is wearing a religious medal on a chain around the neck. The client, a Catholic,
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MEDICINE MED SURG MANAGEMENT OF
CARE - QUESTIONS
Downloaded by: Ariah |
Distribution of this document is illegal
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
Management of Care – Questions
1. A client with leukemia is being considered for a bone marrow transplant. The healthcare
team is discussing the risks and benefits of this treatment and other possible treatments
with the goal of inflicting the least possible harm on the client. Which principle of
healthcare ethics is the team practicing?
Justice
Fidelity
Autonomy
Nonmaleficence
2. Which action by the nurse represents the ethical principle of beneficence?
The nurse upholds a client’s decision to refuse chemotherapy for lung cancer.
The nurse follows a plan of care designed to relieve pain in a client with cancer.
The nurse administers an immunization to a child even though it may cause discomfort.
The nurse provides equal amounts of care to all assigned clients on the basis of illness acuity.
3. The nursing instructor asks a student to name an example of false imprisonment. Which
of the following situations reflects a violation of this client right?
Performing a procedure without consent
Telling the client that he or she may not leave the hospital
Threatening to give a client a medication against his or her will
Observing the provision of care to the client without the client’s permission
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4. A nurse and a nursing assistant enter a client’s room to provide care and find the client
lying on the floor. The nurse should first:
Ask the nursing assistant to complete an incident report
Check the client’s level of consciousness and vital signs
Ask the nursing assistant to assist in getting the client back to bed
Contact the unit secretary on the intercom and ask that the client’s physician be called
5. Which of the following actions exemplifies the use of evidence-based practice in the
delivery of client care?
Donning sterile gloves to change an abdominal wound dressing
Encouraging a client to take an herbal substance to treat his insomnia
Advising a client to agree to the treatment recommended by her physician
Taking a rectal temperature from a client for whom bleeding precautions have been instituted
6. The registered nurse has accepted a new position as case manager in a hospital. Which of
the following responsibilities are part of the nurse’s new role? Select all that apply.
Evaluating and updating the plan of care as needed
Prescribing treatments specific to the client’s needs
Assessing the client’s needs for home supplies and equipment
Coordinating consultations and referrals to facilitate discharge
Establishing a safe and cost-effective plan of care with the client
7. The nurse manager of a quality improvement program asks a nurse in the neurological
unit to conduct a retrospective audit. Which of the following actions should the auditing
nurse plan to perform in this type of audit?
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Checking the documentation written by a new nursing graduate on her assigned clients at the
end of the shift
Checking the crash cart to ensure that all needed supplies are readily available should an
emergency arise
Reviewing neurological assessment checklists for all clients on the unit to ensure that these
assessments are being conducted as prescribed
Obtaining the assigned medical record from the hospital’s medical record room to review
documentation made during a client’s hospital stay
8. A nurse preparing a client for a bronchoscopy notes that the client is wearing a gold
necklace. What should the nurse do to safeguard the client’s necklace?
Ask the client whether the necklace is gold
Ask the client for permission to lock the necklace in the hospital safe
Ask the client to remove the necklace and place it in the top drawer of the bedside table
Ask the client to sign a release to free the hospital of responsibility if the necklace is
damaged or lost during the procedure
9. A nurse providing preoperative care to a client who is scheduled for a left mastectomy
and axillary lymph node dissection notes that the client is wearing a wedding band on her
left ring finger. The nurse should:
Tape the wedding band in place
Explain to the client why the wedding band must be removed
Ask the client whether she would like to remove the wedding band or wear it to surgery
Ask the client to sign a release to free the hospital of responsibility if the wedding band is
lost during surgery
10. A nurse preparing a client to go to the radiology department for a chest x-ray notes that
the client is wearing a religious medal on a chain around the neck. The client, a Catholic,
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