NUR 601 Remediation Exam Management of Care: complete exam questions with explained answers
Question 1
pts
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
Nonmaleficence
Autonomy
Rationale: Nonmaleficence is the avoidance of hurt or harm. Remember that
in healthcare ethics, ethical practice involves not only the will to do good but
also the equal commitment to do no harm. Healthcare professionals try to
balance the risks and benefits of a plan of care while striving to do the least
possible harm. Justice refers to fairness and equity and ensuring fair
allocation of resources, such as nursing care for all clients. Fidelity is the
keeping of promises made to clients, families, and other healthcare
professionals. Autonomy refers to a person’s independence and represents
an agreement to respect another’s right to determine his or her course of
action.
Test-Taking Strategy: Focus on the subject - the ethical principle being
utilized. Recall the definition of each item in the options. Note the
relationship of the words “least possible harm” in the question and the
definition of nonmaleficence. Review: principles of healthcare ethics.
Reference: Potter, P., & Perry, A. (2009). Fundamentals of nursing (7th ed., p.
314). St. Louis: Mosby.
Cognitive Ability: Applying
Client Needs: Safe and Effective Care
Environment Integrated Process: Nursing
Process/Implementation Content Area:
Ethical/Legal
Giddens Concepts: Celluar Regulation, Ethics
HESI Concepts: Advocacy/Ethical/Legal Issues, Cellular Regulation
Question 2
,NUR 601 Remediation Exam Management of Care: complete exam questions with explained answers
pts
Which action by the nurse represents the ethical principle of beneficence?
The nurse provides equal amounts of care to all assigned clients on the basis
of illness acuity.
The nurse follows a plan of care designed to relieve pain in a client with
cancer.
The nurse upholds a client’s decision to refuse chemotherapy for lung cancer.
The nurse administers an immunization to a child even though it may cause
discomfort.
Rationale: Beneficence is taking action to help others. Although
administration of a child’s immunization might cause discomfort, the
benefits of protection from disease outweigh the temporary discomfort.
Fidelity is keeping promises made to clients, families, and other healthcare
professionals. Autonomy is a person’s independence. Respecting another’s
autonomy means that you are agreeing to respect that person’s right to
determine his or her course of action. Justice refers to fairness and equity,
including fair allocation of resources, such as nursing care for all clients.
Test-Taking Strategy: Focus on the subject, beneficence. Recalling that
beneficence refers to taking action to help others will direct you to the
correct option. Review: the principles of healthcare ethics .
Reference: Potter, P., & Perry, A. (2009). Fundamentals of nursing (7th ed., p.
314). St. Louis: Mosby.
Cognitive Ability: Applying
Client Needs: Safe and Effective Care
Environment Integrated Process: Nursing
Process/Implementation Content Area:
Ethical/Legal
Giddens Concepts: Ethics, Immunity
HESI Concepts: Advocacy/Ethical/Legal Issues, Immunity
Question 3
pts
The nursing instructor asks a student to name an example of false
imprisonment. Which
situation reflects a violation of this client right?
,NUR 601 Remediation Exam Management of Care: complete exam questions with explained answers
Threatening to give a client a medication against his or her will
Telling the client that he or she may not leave the hospital
Observing the provision of care to the client without the client’s permission
Performing a procedure without consent
Rationale: Telling a client that he or she may not leave the hospital constitutes
false imprisonment. Performing a procedure without consent is an example of
battery.
Threatening to give a client a medication against his or her will is assault.
Invasion of privacy takes place with unreasonable intrusion into an
individual’s private affairs.
Observing the provision of care to a client without the client’s permission is
an example of invasion of privacy.
Test-Taking Strategy: Focus on the subject, an example of false imprisonment.
Note the relationship of the subject and the words in the correct option.
Review: the concept of false imprisonment.
References: Cherry, B., & Jacob, S. (2008). Contemporary nursing issues:
Trends & management (4th ed., pp. 175, 176). St. Louis: Mosby.
Zerwekh, J., & Claborn, J. (2009). Nursing today: Transition and trends (6th ed., p.
424).
Cognitive Ability: Evaluating
Client Needs: Safe and Effective Care
Environment Integrated Process: Teaching and
Learning Content Area: Ethical/Legal
Giddens Concepts: Health Care Law, Leadership
HESI Concepts: Advocacy/Ethical/Legal Issues, Health Policy/Systems—
Health Care Law
Question 4
pts
The nurse and an unlicensed assistive personnel (UAP)enter a client’s room to
provide care and find the client lying on the floor. Which action should the
nurse take first?
Ask the nursing assistant to assist in getting the client back to bed
, NUR 601 Remediation Exam Management of Care: complete exam questions with explained answers
Contact the unit secretary on the intercom and ask that the client’s health
care provider be called
Check the client’s level of consciousness and vital signs
Ask the nursing assistant to complete an incident report
Rationale: When a client sustains a fall, the nurse must first assess the client.
The nurse should check the client’s level of consciousness and vital signs and
look for any bruises or injuries sustained in the fall. If the nurse determines
that the client has not sustained any injuries and that it is safe to move the
client, the nurse should ask the UAP to assist in getting the client into bed.
The nurse should then contact the health care provider and file an incident
report.
Test-Taking Strategy: Note the strategic word “first.” Use the steps of the
nursing process to answer the question. The correct option is the only one
that addresses assessment. Remember to always assess the client first if a
client sustains a fall. Review: client injuries and procedures for filing incident
reports .
References: Ignatavicius, D., & Workman, M. (2010). Medical-surgical nursing:
Patient– centered collaborative care (6th ed., p. 180). St. Louis: Saunders.
Potter, P., & Perry, A. (2009). Fundamentals of nursing (7th ed., p. 403). St.
Louis: Mosby.
Cognitive Ability: Applying
Client Needs: Safe and Effective Care
Environment Integrated Process: Nursing
Process/Implementation Content Area:
Delegating/Prioritizing
Giddens Concepts: Mobility,
Safety HESI Concepts:
Mobility, Safety
Question 5
pts
Which action exemplifies the use of evidence-based practice in the delivery
of client care?
Taking a rectal temperature from a client for whom bleeding precautions have
been instituted
Encouraging a client to take an herbal substance to treat his insomnia
Question 1
pts
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
Nonmaleficence
Autonomy
Rationale: Nonmaleficence is the avoidance of hurt or harm. Remember that
in healthcare ethics, ethical practice involves not only the will to do good but
also the equal commitment to do no harm. Healthcare professionals try to
balance the risks and benefits of a plan of care while striving to do the least
possible harm. Justice refers to fairness and equity and ensuring fair
allocation of resources, such as nursing care for all clients. Fidelity is the
keeping of promises made to clients, families, and other healthcare
professionals. Autonomy refers to a person’s independence and represents
an agreement to respect another’s right to determine his or her course of
action.
Test-Taking Strategy: Focus on the subject - the ethical principle being
utilized. Recall the definition of each item in the options. Note the
relationship of the words “least possible harm” in the question and the
definition of nonmaleficence. Review: principles of healthcare ethics.
Reference: Potter, P., & Perry, A. (2009). Fundamentals of nursing (7th ed., p.
314). St. Louis: Mosby.
Cognitive Ability: Applying
Client Needs: Safe and Effective Care
Environment Integrated Process: Nursing
Process/Implementation Content Area:
Ethical/Legal
Giddens Concepts: Celluar Regulation, Ethics
HESI Concepts: Advocacy/Ethical/Legal Issues, Cellular Regulation
Question 2
,NUR 601 Remediation Exam Management of Care: complete exam questions with explained answers
pts
Which action by the nurse represents the ethical principle of beneficence?
The nurse provides equal amounts of care to all assigned clients on the basis
of illness acuity.
The nurse follows a plan of care designed to relieve pain in a client with
cancer.
The nurse upholds a client’s decision to refuse chemotherapy for lung cancer.
The nurse administers an immunization to a child even though it may cause
discomfort.
Rationale: Beneficence is taking action to help others. Although
administration of a child’s immunization might cause discomfort, the
benefits of protection from disease outweigh the temporary discomfort.
Fidelity is keeping promises made to clients, families, and other healthcare
professionals. Autonomy is a person’s independence. Respecting another’s
autonomy means that you are agreeing to respect that person’s right to
determine his or her course of action. Justice refers to fairness and equity,
including fair allocation of resources, such as nursing care for all clients.
Test-Taking Strategy: Focus on the subject, beneficence. Recalling that
beneficence refers to taking action to help others will direct you to the
correct option. Review: the principles of healthcare ethics .
Reference: Potter, P., & Perry, A. (2009). Fundamentals of nursing (7th ed., p.
314). St. Louis: Mosby.
Cognitive Ability: Applying
Client Needs: Safe and Effective Care
Environment Integrated Process: Nursing
Process/Implementation Content Area:
Ethical/Legal
Giddens Concepts: Ethics, Immunity
HESI Concepts: Advocacy/Ethical/Legal Issues, Immunity
Question 3
pts
The nursing instructor asks a student to name an example of false
imprisonment. Which
situation reflects a violation of this client right?
,NUR 601 Remediation Exam Management of Care: complete exam questions with explained answers
Threatening to give a client a medication against his or her will
Telling the client that he or she may not leave the hospital
Observing the provision of care to the client without the client’s permission
Performing a procedure without consent
Rationale: Telling a client that he or she may not leave the hospital constitutes
false imprisonment. Performing a procedure without consent is an example of
battery.
Threatening to give a client a medication against his or her will is assault.
Invasion of privacy takes place with unreasonable intrusion into an
individual’s private affairs.
Observing the provision of care to a client without the client’s permission is
an example of invasion of privacy.
Test-Taking Strategy: Focus on the subject, an example of false imprisonment.
Note the relationship of the subject and the words in the correct option.
Review: the concept of false imprisonment.
References: Cherry, B., & Jacob, S. (2008). Contemporary nursing issues:
Trends & management (4th ed., pp. 175, 176). St. Louis: Mosby.
Zerwekh, J., & Claborn, J. (2009). Nursing today: Transition and trends (6th ed., p.
424).
Cognitive Ability: Evaluating
Client Needs: Safe and Effective Care
Environment Integrated Process: Teaching and
Learning Content Area: Ethical/Legal
Giddens Concepts: Health Care Law, Leadership
HESI Concepts: Advocacy/Ethical/Legal Issues, Health Policy/Systems—
Health Care Law
Question 4
pts
The nurse and an unlicensed assistive personnel (UAP)enter a client’s room to
provide care and find the client lying on the floor. Which action should the
nurse take first?
Ask the nursing assistant to assist in getting the client back to bed
, NUR 601 Remediation Exam Management of Care: complete exam questions with explained answers
Contact the unit secretary on the intercom and ask that the client’s health
care provider be called
Check the client’s level of consciousness and vital signs
Ask the nursing assistant to complete an incident report
Rationale: When a client sustains a fall, the nurse must first assess the client.
The nurse should check the client’s level of consciousness and vital signs and
look for any bruises or injuries sustained in the fall. If the nurse determines
that the client has not sustained any injuries and that it is safe to move the
client, the nurse should ask the UAP to assist in getting the client into bed.
The nurse should then contact the health care provider and file an incident
report.
Test-Taking Strategy: Note the strategic word “first.” Use the steps of the
nursing process to answer the question. The correct option is the only one
that addresses assessment. Remember to always assess the client first if a
client sustains a fall. Review: client injuries and procedures for filing incident
reports .
References: Ignatavicius, D., & Workman, M. (2010). Medical-surgical nursing:
Patient– centered collaborative care (6th ed., p. 180). St. Louis: Saunders.
Potter, P., & Perry, A. (2009). Fundamentals of nursing (7th ed., p. 403). St.
Louis: Mosby.
Cognitive Ability: Applying
Client Needs: Safe and Effective Care
Environment Integrated Process: Nursing
Process/Implementation Content Area:
Delegating/Prioritizing
Giddens Concepts: Mobility,
Safety HESI Concepts:
Mobility, Safety
Question 5
pts
Which action exemplifies the use of evidence-based practice in the delivery
of client care?
Taking a rectal temperature from a client for whom bleeding precautions have
been instituted
Encouraging a client to take an herbal substance to treat his insomnia
