PNR 300-Seneca College
Click here to purchase:https://www.stuvia.com/doc/1506806/pnr-300jeffrey-is-a-60-year-old-who-
had-knee-surgery-1-day-ago.....-answer
1.Jeffrey is a 60 year old who had knee surgery 1 day ago. Ashley the night nurse informs Jalpa the
day nurse that Jeffrey received one dose of morphine 2 hours ago and has been sleeping since then
with no pain. Jalpa assesses Jeffrey and finds he has no vital signs, a Code Blue is called and Jeffrey
is declared deceased. On chart review Ashley did not assess Jeffrey at any time after giving
morphine, hospital policy dictated vital signs should be assessed every 15 mins for one hour after
giving morphine. Ashley’s failure to properly monitor Jeffrey is an example of what:
Assault
Intentional Tort
Negligence
Incapacity
2.
Jeffrey is a 60 year old who had knee surgery 1 day ago. Ashley the night nurse informs Jalpa the
day nurse that Jeffrey received one dose of morphine 2 hours ago and has been sleeping since then
with no pain. Jalpa assesses Jeffrey and finds he has no vital signs, a Code Blue is called and Jeffrey
is declared deceased. On chart review Ashley did not assess Jeffrey at any time after giving
morphine, hospital policy dictated vital signs should be assessed every 15 mins for one hour after
giving morphine. Ashley’s failure to properly monitor Jeffrey is an example of what:
Assault
Intentional Tort
Negligence
Incapacity
3.
Documentation is used to communicate to all members of the health care team and to monitor
client status and progress. All of the following are examples how nurses demonstrate this standard
except?
Ensuring timely, complete and accurate record of care provided
Documenting both objective and subjective data accurately
Using abbreviations appropriately
,Ensuring documentation is made in a temporary format or record
Click here to purchase:https://www.stuvia.com/doc/1506806/pnr-300jeffrey-is-a-60-year-old-
who-had-knee-surgery-1-day-ago.....-answer
4.
Riley, a 12-year-old boy with leukemia, has been undergoing treatment for the last two years.
When asked about his disease, Riley is able to articulate the details of his illness and treatment. For
the last six months, Riley’s condition has deteriorated, and he has been admitted to the hospital
several times. Riley has expressed desire to discontinue his treatment and says “I know if I don’t
have my treatment, I won’t live anymore”. According to the Health Care Consent Act:
Riley is a minor and cannot consent to withdrawing treatment
Riley is only 12-years-old and is not capable of making an informed and voluntary decision
Riley appreciates his illness and its consequences and is considered capable of making the decision
to withdraw treatment.
Riley can withdraw treatment if his parents agree with the decision
5.
Monique an RPN has worked in a labour and delivery unit for 20 years. When resolving ethical
situations, Monique does not think she needs to consult with her colleagues because they do not
have as much experience as she does. Monique insists and is adamant on demonstrating bathing of
an infant to the baby’s father, because she feels it is beneficial for fathers to be actively involved.
This has been raised as an ethical issue on the unit by newer staff. What should the team do in this
situation?
Regardless of experience or expertise, consulting about ethical situations helps support decision-
making
Monique’s experience is enough, and she is able to resolve ethical conflicts independently
Monique is correct. Parents often experience anxiety over a new baby
Monique should be removed from being a client’s primary nurse whenever their values do not
match
6.
A Nurse witnesses a nursing colleague hitting a client. The nurse intervenes and stops the abuse.
The nurse identified that she was tired and frustrated, and that it will never happen again. She
asked the witness not to tell the manager. What is the witness’s responsibility in this situation?
You are responsible for supporting your colleague who is suffering from nurse fatigue. You are
responsible for protecting the client and must report the incident to the manager
, You are responsible for helping your colleague manage challenging patients who cause all nurses to
be frustrated
You can be silent because this is the first incident and the nurse said she will deal with her fatigue
You are responsible for supporting your client only
7.
The nurse is aware that an ethics committee in a health care facility serves
to: Interview all persons involved in an ethical dilemma
Illustrate circumstances that demonstrate malpractice
Serve as a resource for specific situations as they occur
Examine previous similar cases for comparison of outcome decisions
8.
Your client who has dementia refuses his 0800 medications. His daughter is his substitute decision-
maker. What should the nurse do?
Crush the medications, put them in apple sauce and then feed it to him
Contact his daughter to discuss the change in behavior
Get someone to help you open his mouth and make sure he swallows the medications
Contact his daughter and insist she come to the home and make sure her father takes his
medications
9.
Alyssa is a client on a mental health unit. On admission, she is a voluntary client and is competent
to make treatment decisions. She is diagnosed with an eating disorder. At meal times, she is
anxious and only eats fruit with ice cream. Her nurses want to give her a prn (take as needed)
medication to reduce her anxiety in order that she will eat more food. Alyssa is undernourished and
has lost weight. Identify the correct statement about Alyssa’s situation
A voluntary patient lacks capacity to make treatment decisions
A patient with incapacity is not able to understand the information relevant to making a decision
about the proposed treatment
A patient with capacity is able to understand the information relevant to making a decision about
the proposed treatment
A person capable of making treatment decisions never needs to be an involuntary patient
Click here to purchase:https://www.stuvia.com/doc/1506806/pnr-300jeffrey-is-a-60-year-old-who-
had-knee-surgery-1-day-ago.....-answer
1.Jeffrey is a 60 year old who had knee surgery 1 day ago. Ashley the night nurse informs Jalpa the
day nurse that Jeffrey received one dose of morphine 2 hours ago and has been sleeping since then
with no pain. Jalpa assesses Jeffrey and finds he has no vital signs, a Code Blue is called and Jeffrey
is declared deceased. On chart review Ashley did not assess Jeffrey at any time after giving
morphine, hospital policy dictated vital signs should be assessed every 15 mins for one hour after
giving morphine. Ashley’s failure to properly monitor Jeffrey is an example of what:
Assault
Intentional Tort
Negligence
Incapacity
2.
Jeffrey is a 60 year old who had knee surgery 1 day ago. Ashley the night nurse informs Jalpa the
day nurse that Jeffrey received one dose of morphine 2 hours ago and has been sleeping since then
with no pain. Jalpa assesses Jeffrey and finds he has no vital signs, a Code Blue is called and Jeffrey
is declared deceased. On chart review Ashley did not assess Jeffrey at any time after giving
morphine, hospital policy dictated vital signs should be assessed every 15 mins for one hour after
giving morphine. Ashley’s failure to properly monitor Jeffrey is an example of what:
Assault
Intentional Tort
Negligence
Incapacity
3.
Documentation is used to communicate to all members of the health care team and to monitor
client status and progress. All of the following are examples how nurses demonstrate this standard
except?
Ensuring timely, complete and accurate record of care provided
Documenting both objective and subjective data accurately
Using abbreviations appropriately
,Ensuring documentation is made in a temporary format or record
Click here to purchase:https://www.stuvia.com/doc/1506806/pnr-300jeffrey-is-a-60-year-old-
who-had-knee-surgery-1-day-ago.....-answer
4.
Riley, a 12-year-old boy with leukemia, has been undergoing treatment for the last two years.
When asked about his disease, Riley is able to articulate the details of his illness and treatment. For
the last six months, Riley’s condition has deteriorated, and he has been admitted to the hospital
several times. Riley has expressed desire to discontinue his treatment and says “I know if I don’t
have my treatment, I won’t live anymore”. According to the Health Care Consent Act:
Riley is a minor and cannot consent to withdrawing treatment
Riley is only 12-years-old and is not capable of making an informed and voluntary decision
Riley appreciates his illness and its consequences and is considered capable of making the decision
to withdraw treatment.
Riley can withdraw treatment if his parents agree with the decision
5.
Monique an RPN has worked in a labour and delivery unit for 20 years. When resolving ethical
situations, Monique does not think she needs to consult with her colleagues because they do not
have as much experience as she does. Monique insists and is adamant on demonstrating bathing of
an infant to the baby’s father, because she feels it is beneficial for fathers to be actively involved.
This has been raised as an ethical issue on the unit by newer staff. What should the team do in this
situation?
Regardless of experience or expertise, consulting about ethical situations helps support decision-
making
Monique’s experience is enough, and she is able to resolve ethical conflicts independently
Monique is correct. Parents often experience anxiety over a new baby
Monique should be removed from being a client’s primary nurse whenever their values do not
match
6.
A Nurse witnesses a nursing colleague hitting a client. The nurse intervenes and stops the abuse.
The nurse identified that she was tired and frustrated, and that it will never happen again. She
asked the witness not to tell the manager. What is the witness’s responsibility in this situation?
You are responsible for supporting your colleague who is suffering from nurse fatigue. You are
responsible for protecting the client and must report the incident to the manager
, You are responsible for helping your colleague manage challenging patients who cause all nurses to
be frustrated
You can be silent because this is the first incident and the nurse said she will deal with her fatigue
You are responsible for supporting your client only
7.
The nurse is aware that an ethics committee in a health care facility serves
to: Interview all persons involved in an ethical dilemma
Illustrate circumstances that demonstrate malpractice
Serve as a resource for specific situations as they occur
Examine previous similar cases for comparison of outcome decisions
8.
Your client who has dementia refuses his 0800 medications. His daughter is his substitute decision-
maker. What should the nurse do?
Crush the medications, put them in apple sauce and then feed it to him
Contact his daughter to discuss the change in behavior
Get someone to help you open his mouth and make sure he swallows the medications
Contact his daughter and insist she come to the home and make sure her father takes his
medications
9.
Alyssa is a client on a mental health unit. On admission, she is a voluntary client and is competent
to make treatment decisions. She is diagnosed with an eating disorder. At meal times, she is
anxious and only eats fruit with ice cream. Her nurses want to give her a prn (take as needed)
medication to reduce her anxiety in order that she will eat more food. Alyssa is undernourished and
has lost weight. Identify the correct statement about Alyssa’s situation
A voluntary patient lacks capacity to make treatment decisions
A patient with incapacity is not able to understand the information relevant to making a decision
about the proposed treatment
A patient with capacity is able to understand the information relevant to making a decision about
the proposed treatment
A person capable of making treatment decisions never needs to be an involuntary patient
