Seneca College PNR PNR 300

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 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: voluntary decision 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 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 daughte