lOMoAR
lOMoAR
cPSD|
cPSD|
30089585
30089585
Answer Key 1 2 Answer Key
22. Answer 2: Physiologic needs, such as eating always expect to get a private room with all
Answer Key and oxygenation, are the first priority accord- amenities.
ing to Maslow. 29. Answer 3: Health care workers are entitled to
23. Answer 4: Adolescence is time when love and respect from patients and also expect patients
belonging to a peer group are very important. to be responsible for their own behavior.
CHAPTER 1—THE EVOLUTION OF NURSING clinics, outpatient agencies, home health agen- Being part of a team is the best way to help him 30. Answer 3: LPN/LVNs never independently
cies, insurance companies, HCP offices, and the meet this need. alter the plan of care without the supervision of
Matching military services offer additional opportunities. 24. Answer 1, 3, 5: Patient can participate in smok- an RN.
1. b 14. Answer 1, 2, 4, 5: The LPN/LVN communi- ing cessation; stress, weight, and alcohol intake 31. Answer 4: For primary prevention, the nurse
2. d cates findings to members of the health care reduction; and control over own body and would encourage wellness activities and pre-
3. e team, demonstrates caring and empathy by health. Giving information about technology, emptive screening programs such colonoscopy
4. a using therapeutic communication skills with new medications, and costs may be of interest or glucose screening. Secondary prevention
5. f patients, administers care according to profes- to the patient, but these topics are less useful recognizes the presence of disease but seeks to
6. h sional standards and collects data from mul- in helping the patient take an active role in her reduce the impact of the condition by encour-
7. c tiple sources. The LPN/LVN would collaborate own health. aging behaviors to promote health, such as
8. g with the RN but would not independently cre- 25. Answer 4: Unlicensed assistive personnel dietary modification for recurrent hyperglyce-
9. j ate the care plan for a newly admitted patient. (UAP) are trained to assist patients with activi- mia. Tertiary prevention is applied by manag-
10. i 15. Answer 3: Reports indicate that challenges ties of daily living. The unit secretary orders ing care for those with serious health problems
related to feelings of social isolation, stereotyp- supplies using electronic or hardcopy requisi- with the goal of improving the quality of life
Multiple Choice ing about men who choose nursing, nursing tion forms. While the UAP or unit secretary can and reducing further loss of function.
11. Answer 4: NAPNES would assist a nurse instructors’ inability to incorporate masculine direct visitors, extreme caution should be used
who is seeking information about LPN/LVN styles of caring into the curriculum, and a lack in giving out patient information. (Note to stu- Critical Thinking Activities
standards. The purposes of NAPNES and Na- of male role models in the profession may be dent: Even acknowledging that a patient has 32.
tional Federation of Licensed Practical Nurses to blame for the high attrition of male nursing been admitted to the hospital can be viewed Wellness X Illness
(NFLPN) are to: students from nursing programs. as a violation of confidentiality.) Taking vital
Highest level of Diminished or impaired
Set standards for practical/vocational nursing 16. Answer 4: Advance directives could include a signs is acceptable; however, the pharmacist optimal health state of health
programs. health care power of attorney that states who generally restocks medications. Validating and
Promote and protect practical/vocational should make health care decisions if the per- interpreting are nursing responsibilities. This patient has some health problems and
nursing. son is unable to make them. A “living will” 26. Answer 2: Economical use of time and materi- some changes in her life, but she has a rela-
Educate and inform the general public about outlines wishes about end-of-life care. Ideally, als is the best way to contain costs for indi- tively high level of wellness. Her blood pres-
practical/vocational nursing. everyone should carefully consider advance vidual patients. Malpractice insurance does not sure is under control and she has adapted to a
For issues related to interpersonal conflict, directives and have discussions with family help to contain costs. While it is appropriate to major change (retirement), by taking on a new
the nurse would first attempt assertive com- members, caregivers, and the health care team. question the HCP about safety issues, it is not challenge of volunteering. Her positive outlook
munication with those who are bullying or 17. Answer 2: One of the primary problems of appropriate to question use of diagnostic test- on life allows her to find joy in the prospect of
harassing. If this is unsuccessful, it would be early nineteenth-century hospitals was poor ing. Diagnosis is an extremely complicated pro- sharing time with a new generation.
appropriate to go up the chain of command. hygienic practice. Hospitals were dirty and cess, which requires an extensive knowledge 33. a. Originally, the white pleated cap and the
Issues with nursing students can be reported to overcrowded and care was mostly given by about pathology. Referring patients to another apron signified respectability, cleanliness,
the nursing instructor or the education liaison. untrained persons. clinic shifts the financial burden to another part and servitude. Caps gradually became
For job seeking, the nurse would use personal 18. Answer 4: The population is aging rapidly and of the health care system. symbolic of office and achievement and
contacts, the Internet, or nurse recruiters. people with chronic illness are living longer. 27. Answer 1: Orem’s theory is based on helping were celebrated with capping ceremonies.
12. Answer 4: Case management is a modified sys- There is an increased need for nursing services the patient to attain self-care. Nightingale’s Uniforms became more informal and
tem to deliver care. The LPN/LVN assists the for this growing segment of the population. theory uses manipulation of the environment nurses complained that caps interfered
RN to achieve desired outcomes. The RN se- 19. Answer 3: “Nightingale Nurses” improved pa- (i.e., patient’s pillows). Benner and Wrubel with care, caused hair loss, took too much
lects the clinical pathway and coordinates and tient care and advanced the practice of nursing demonstrate caring by assisting the patient to time for washing and starching, and were a
plans patient care for individuals and groups through good hygiene, sanitation, patient ob- cope. Parse’s theory encourages the patient to source of bacteria. Health care facilities and
of patients. Cross-training is another type of servation, accurate recordkeeping, nutritional participate in the health experience. nursing schools typically have dress codes
modified system of care. While cross-training improvement, and the introduction and use of 28. Answer 1, 2, 3, 4, 6: Under the terms of this for style of uniform and/or color. Staff
is intended to expand the role of the employee, new equipment. document, patients are assured that they can members are generally required to wear
the LPN/LVN must not exceed scope of prac- 20. Answer 1: The four major concepts are nurse, expect high-quality hospital care, a clean and nametags and identification badges. Many
tice and cannot be expected to assume RN patient, health, and environment. safe environment, involvement in their care nurses do not approve of mandatory dress
responsibilities. 21. Answer 4: Poverty, homelessness, and unem- and the decision-making process, protection of codes. They argue that other health care
13. Answer 2: Long-term care facilities employ the ployment are barriers to accessing health care. privacy, help when leaving the hospital, and professionals do not depend on uniforms
majority of LPN/LVNs; however, hospitals, help with billing concerns. Patients cannot for their authority.
Copyright © 2023, 2019, 2015, 2011, 2006, 2003, 1999, 1995, 1991 by Elsevier Inc. All rights reserved. 1 Copyright © 2023, 2019, 2015, 2011, 2006, 2003, 1999, 1995, 1991 by Elsevier Inc. All rights reserved.
, lOMoAR cPSD| 30089585
Answer Key 3 4 Answer Key
b. It is likely that as a nursing student and a Multiple Choice deficit or feelings of anxiety or self-doubt. Go- and calling for help first are appropriate emer-
soon-to-be nurse that looking professional 6. Answer 4: The student has initiated the nurse- ing with her and observing performance and gency actions.
is important to you. You may feel anxious patient relationship and therefore has the duty pulling her file would be appropriate after as- 17. Answer 1: Being competent and compassion-
to be rid of your current student uniform to act. All students are cardiopulmonary resus- sessment. Directing someone to do a task that ate are the best defenses. Knowing the legal
for a variety of reasons. Freedom of choice, citation (CPR)-certified so the student has to is beyond his or her ability and understanding definition may be helpful, but definitions are
unattractive style, and not being marked perform the duty in a reasonable and prudent is inappropriate supervision and the nurse abstractions and the nurse’s day is full of real-
as a student are frequent reasons cited by manner as would other nursing students. All of would be liable for the UAP’s performance. world events. Obtaining malpractice insurance
students. From the patients’ point of view, the other options are also likely to be necessary. 11. Answer 2: The first action is to locate the RN in is likely to make the nurse feel better, but it
they feel more comfortable and confident (Note to student: Discuss this situation with charge so that the blood can be started. HCPs does not decrease the chances of getting sued.
when they are easily able to distinguish your clinical instructor for advice about visit- can supervise nurses and they know the poten- Validating nursing actions with another nurse
nurses from other staff members. ing patients during the preclinical preparation tial adverse reactions of blood products; how- is always beneficial, but this is not a realistic
time.) ever, they are generally less familiar with the option for minute-to-minute care.
Next-Generation NCLEX™ (NGN) 7. Answer 4: A poor nurse-patient relationship policies and procedures related to the actual 18. Answer 2: The nurse is assessing the wound
34. a. Answer 1 d, 2 i, 3 e, 4 c, 5 f, 6 a, 7 b, 8 g, 9 h: increases the likelihood that the patient will administration. Explaining the policy is appro- during the dressing change and documentation
Registered nurse (RN)—provides direct seek legal action and harm has to occur for lia- priate, but the priority is patient care. should reflect the nurse’s attention to the stan-
patient care in the hospital and an RN from bility to be established. The family of the older 12. Answer 1, 2, 3, 4: Do not include any informa- dard of care. Documenting the type of dressing
a home health agency would also be in- patient could seek damages, but that is less tion that identifies the patient. Information may be necessary for continuity of care and
volved in the care of this patient. likely if they understand that the nurse and fa- such as the room number or the HCP’s name also for reimbursement. The other options are
LPN/LVN—works under the supervision cility will try their best to prevent falls but are may seem harmless but including those details incorrect.
of the RN in providing patient care. unable to physically restrain patients for the could lead to speculation about the patient’s 19. Answer 4: Disciplinary defense insurance
Physician or other HCPs—uses results of purpose of preventing falls. The angry patient identity. A clinical report must include infor- includes attorney; wage loss reimbursement;
diagnostic testing and physical assessment may report the nurse to the supervisor, but mation such as vital signs and medical condi- travel, food, and lodging expenses; and le-
to determine the medical diagnosis and if no harm is sustained, then any legal action tion. If in doubt, the clinical instructor should gal fees when the nurse has to go before the
prescribes treatment and medications. against the nurse will not be successful. The be consulted. board of nursing for disciplinary action. The
Social worker—provides counseling and family who complained at 3:00 Am may also be 13. Answer 1: Patients must be at least 18 years old other types of insurance are for malpractice
referral to community resources. very angry. The nurse’s decision to wait must to give consent. If younger than 18, the excep- protection.
Physical therapist—teaches and monitors be based on comprehensive assessment of the tions are marriage; court-approved emancipa- 20. Answer 4: Regardless of years of experience,
exercise and will assist this patient in learn- patient to ascertain that there is nothing to war- tion; self-supporting and living apart from nurses should always seek instruction and
ing techniques for safe ambulation, bend- rant calling at 3:00 Am. Careful documentation parents; military service; or for sexually trans- supervision for any unfamiliar procedures or
ing, and lifting. is necessary. Making an incident report in all of mitted infections, alcohol or drug abuse, sexual practices. Asking to be reassigned could be an
Dietitian—provides nutritional counseling. these situations would be a good idea. assault, or family planning. option if there is no time or personnel avail-
Respiratory therapist—supervises oxygen 8. Answer 1, 2, 3, 4, 6: In a health care–related 14. Answer 3: Policies about giving patient infor- able to supervise the new nurse. Reviewing
administration and performs pulmonary case, items may include policies and proce- mation over the phone will vary. For example, the procedure might be an option if the nurse
assessments. dures, standards of care, medical records, some facilities may not allow acknowledg- is confident that the information is sufficient
Unlicensed assistive personnel—assists the assignment sheets, personnel files, equip- ing that the patient is or is not there. Other to ensure safe performance. Giving feedback
patient in the hospital and at home with ment maintenance records, birth certificates, facilities require that the patient have a list of about orientation might be useful to improve
bathing and other activities of daily living. marriage certificates, medical bills, and other people who are allowed to call for information. the orientation program, but it is not possible
Financial counselor—assists the patients documents pertinent to the issues at hand. The Another variation is that selected callers are to cover all skills and all patient situations dur-
in understanding the hospital bill and to UAP’s personal health records are confidential given a phone code to reach the patient. The ing orientation.
make arrangements for paying out-of- and unrelated to the patient’s case. nurse should be familiar with hospital policy, 21. Answer 1: First, assess the patient’s feelings by
pocket costs. 9. Answer 2: Early discharge and high levels because the policies are designed to specifically encouraging expression. The patient may not
of patient acuity require excellent discharge comply with Health Insurance Portability and understand the advance directives or may have
teaching so patients can perform self-care and Accountability Act (HIPAA). issues that were triggered by the discussion.
CHAPTER 2—LEGAL AND ETHICAL ASPECTS self-monitoring and are therefore less likely to 15. Answer 3: Alert the HCP so the child can be The other options are also necessary.
OF NURSING suffer harm. Being able to take a limited num- examined for occult injury. The other options 22. Answer 2: The patient’s living will is the best
ber of high-acuity patients would be ideal, but may also be used to investigate the possibility protection, because it reflects the patient’s
Matching high acuity is the current trend. Having mal- of child abuse. wishes. Policies and procedures and the Joint
1. c practice coverage is good if litigation occurs; 16. Answer 2: Good Samaritan laws offer limited Commission may contain general guidance
2. e however, insurance payouts may actually be liability, except in cases of gross negligence. about giving excellent care to patients, but will
3. a contributing to the problem. Ensuring account- A prudent nurse would know that moving a not offer any specific help in this situation. The
4. b ability of others is not possible. trauma victim could result in spinal cord in- Patient Self-Determination Act supports the
5. d 10. Answer 1: Assess knowledge and readiness jury. Initiating cardiopulmonary resuscitation, use of living wills to define the individual’s
to perform. Barriers may include knowledge using available material to control bleeding choices about care and treatment.
Copyright © 2023, 2019, 2015, 2011, 2006, 2003, 1999, 1995, 1991 by Elsevier Inc. All rights reserved. Copyright © 2023, 2019, 2015, 2011, 2006, 2003, 1999, 1995, 1991 by Elsevier Inc. All rights reserved.
lOMoAR
cPSD|
cPSD|
30089585
30089585
Answer Key 1 2 Answer Key
22. Answer 2: Physiologic needs, such as eating always expect to get a private room with all
Answer Key and oxygenation, are the first priority accord- amenities.
ing to Maslow. 29. Answer 3: Health care workers are entitled to
23. Answer 4: Adolescence is time when love and respect from patients and also expect patients
belonging to a peer group are very important. to be responsible for their own behavior.
CHAPTER 1—THE EVOLUTION OF NURSING clinics, outpatient agencies, home health agen- Being part of a team is the best way to help him 30. Answer 3: LPN/LVNs never independently
cies, insurance companies, HCP offices, and the meet this need. alter the plan of care without the supervision of
Matching military services offer additional opportunities. 24. Answer 1, 3, 5: Patient can participate in smok- an RN.
1. b 14. Answer 1, 2, 4, 5: The LPN/LVN communi- ing cessation; stress, weight, and alcohol intake 31. Answer 4: For primary prevention, the nurse
2. d cates findings to members of the health care reduction; and control over own body and would encourage wellness activities and pre-
3. e team, demonstrates caring and empathy by health. Giving information about technology, emptive screening programs such colonoscopy
4. a using therapeutic communication skills with new medications, and costs may be of interest or glucose screening. Secondary prevention
5. f patients, administers care according to profes- to the patient, but these topics are less useful recognizes the presence of disease but seeks to
6. h sional standards and collects data from mul- in helping the patient take an active role in her reduce the impact of the condition by encour-
7. c tiple sources. The LPN/LVN would collaborate own health. aging behaviors to promote health, such as
8. g with the RN but would not independently cre- 25. Answer 4: Unlicensed assistive personnel dietary modification for recurrent hyperglyce-
9. j ate the care plan for a newly admitted patient. (UAP) are trained to assist patients with activi- mia. Tertiary prevention is applied by manag-
10. i 15. Answer 3: Reports indicate that challenges ties of daily living. The unit secretary orders ing care for those with serious health problems
related to feelings of social isolation, stereotyp- supplies using electronic or hardcopy requisi- with the goal of improving the quality of life
Multiple Choice ing about men who choose nursing, nursing tion forms. While the UAP or unit secretary can and reducing further loss of function.
11. Answer 4: NAPNES would assist a nurse instructors’ inability to incorporate masculine direct visitors, extreme caution should be used
who is seeking information about LPN/LVN styles of caring into the curriculum, and a lack in giving out patient information. (Note to stu- Critical Thinking Activities
standards. The purposes of NAPNES and Na- of male role models in the profession may be dent: Even acknowledging that a patient has 32.
tional Federation of Licensed Practical Nurses to blame for the high attrition of male nursing been admitted to the hospital can be viewed Wellness X Illness
(NFLPN) are to: students from nursing programs. as a violation of confidentiality.) Taking vital
Highest level of Diminished or impaired
Set standards for practical/vocational nursing 16. Answer 4: Advance directives could include a signs is acceptable; however, the pharmacist optimal health state of health
programs. health care power of attorney that states who generally restocks medications. Validating and
Promote and protect practical/vocational should make health care decisions if the per- interpreting are nursing responsibilities. This patient has some health problems and
nursing. son is unable to make them. A “living will” 26. Answer 2: Economical use of time and materi- some changes in her life, but she has a rela-
Educate and inform the general public about outlines wishes about end-of-life care. Ideally, als is the best way to contain costs for indi- tively high level of wellness. Her blood pres-
practical/vocational nursing. everyone should carefully consider advance vidual patients. Malpractice insurance does not sure is under control and she has adapted to a
For issues related to interpersonal conflict, directives and have discussions with family help to contain costs. While it is appropriate to major change (retirement), by taking on a new
the nurse would first attempt assertive com- members, caregivers, and the health care team. question the HCP about safety issues, it is not challenge of volunteering. Her positive outlook
munication with those who are bullying or 17. Answer 2: One of the primary problems of appropriate to question use of diagnostic test- on life allows her to find joy in the prospect of
harassing. If this is unsuccessful, it would be early nineteenth-century hospitals was poor ing. Diagnosis is an extremely complicated pro- sharing time with a new generation.
appropriate to go up the chain of command. hygienic practice. Hospitals were dirty and cess, which requires an extensive knowledge 33. a. Originally, the white pleated cap and the
Issues with nursing students can be reported to overcrowded and care was mostly given by about pathology. Referring patients to another apron signified respectability, cleanliness,
the nursing instructor or the education liaison. untrained persons. clinic shifts the financial burden to another part and servitude. Caps gradually became
For job seeking, the nurse would use personal 18. Answer 4: The population is aging rapidly and of the health care system. symbolic of office and achievement and
contacts, the Internet, or nurse recruiters. people with chronic illness are living longer. 27. Answer 1: Orem’s theory is based on helping were celebrated with capping ceremonies.
12. Answer 4: Case management is a modified sys- There is an increased need for nursing services the patient to attain self-care. Nightingale’s Uniforms became more informal and
tem to deliver care. The LPN/LVN assists the for this growing segment of the population. theory uses manipulation of the environment nurses complained that caps interfered
RN to achieve desired outcomes. The RN se- 19. Answer 3: “Nightingale Nurses” improved pa- (i.e., patient’s pillows). Benner and Wrubel with care, caused hair loss, took too much
lects the clinical pathway and coordinates and tient care and advanced the practice of nursing demonstrate caring by assisting the patient to time for washing and starching, and were a
plans patient care for individuals and groups through good hygiene, sanitation, patient ob- cope. Parse’s theory encourages the patient to source of bacteria. Health care facilities and
of patients. Cross-training is another type of servation, accurate recordkeeping, nutritional participate in the health experience. nursing schools typically have dress codes
modified system of care. While cross-training improvement, and the introduction and use of 28. Answer 1, 2, 3, 4, 6: Under the terms of this for style of uniform and/or color. Staff
is intended to expand the role of the employee, new equipment. document, patients are assured that they can members are generally required to wear
the LPN/LVN must not exceed scope of prac- 20. Answer 1: The four major concepts are nurse, expect high-quality hospital care, a clean and nametags and identification badges. Many
tice and cannot be expected to assume RN patient, health, and environment. safe environment, involvement in their care nurses do not approve of mandatory dress
responsibilities. 21. Answer 4: Poverty, homelessness, and unem- and the decision-making process, protection of codes. They argue that other health care
13. Answer 2: Long-term care facilities employ the ployment are barriers to accessing health care. privacy, help when leaving the hospital, and professionals do not depend on uniforms
majority of LPN/LVNs; however, hospitals, help with billing concerns. Patients cannot for their authority.
Copyright © 2023, 2019, 2015, 2011, 2006, 2003, 1999, 1995, 1991 by Elsevier Inc. All rights reserved. 1 Copyright © 2023, 2019, 2015, 2011, 2006, 2003, 1999, 1995, 1991 by Elsevier Inc. All rights reserved.
, lOMoAR cPSD| 30089585
Answer Key 3 4 Answer Key
b. It is likely that as a nursing student and a Multiple Choice deficit or feelings of anxiety or self-doubt. Go- and calling for help first are appropriate emer-
soon-to-be nurse that looking professional 6. Answer 4: The student has initiated the nurse- ing with her and observing performance and gency actions.
is important to you. You may feel anxious patient relationship and therefore has the duty pulling her file would be appropriate after as- 17. Answer 1: Being competent and compassion-
to be rid of your current student uniform to act. All students are cardiopulmonary resus- sessment. Directing someone to do a task that ate are the best defenses. Knowing the legal
for a variety of reasons. Freedom of choice, citation (CPR)-certified so the student has to is beyond his or her ability and understanding definition may be helpful, but definitions are
unattractive style, and not being marked perform the duty in a reasonable and prudent is inappropriate supervision and the nurse abstractions and the nurse’s day is full of real-
as a student are frequent reasons cited by manner as would other nursing students. All of would be liable for the UAP’s performance. world events. Obtaining malpractice insurance
students. From the patients’ point of view, the other options are also likely to be necessary. 11. Answer 2: The first action is to locate the RN in is likely to make the nurse feel better, but it
they feel more comfortable and confident (Note to student: Discuss this situation with charge so that the blood can be started. HCPs does not decrease the chances of getting sued.
when they are easily able to distinguish your clinical instructor for advice about visit- can supervise nurses and they know the poten- Validating nursing actions with another nurse
nurses from other staff members. ing patients during the preclinical preparation tial adverse reactions of blood products; how- is always beneficial, but this is not a realistic
time.) ever, they are generally less familiar with the option for minute-to-minute care.
Next-Generation NCLEX™ (NGN) 7. Answer 4: A poor nurse-patient relationship policies and procedures related to the actual 18. Answer 2: The nurse is assessing the wound
34. a. Answer 1 d, 2 i, 3 e, 4 c, 5 f, 6 a, 7 b, 8 g, 9 h: increases the likelihood that the patient will administration. Explaining the policy is appro- during the dressing change and documentation
Registered nurse (RN)—provides direct seek legal action and harm has to occur for lia- priate, but the priority is patient care. should reflect the nurse’s attention to the stan-
patient care in the hospital and an RN from bility to be established. The family of the older 12. Answer 1, 2, 3, 4: Do not include any informa- dard of care. Documenting the type of dressing
a home health agency would also be in- patient could seek damages, but that is less tion that identifies the patient. Information may be necessary for continuity of care and
volved in the care of this patient. likely if they understand that the nurse and fa- such as the room number or the HCP’s name also for reimbursement. The other options are
LPN/LVN—works under the supervision cility will try their best to prevent falls but are may seem harmless but including those details incorrect.
of the RN in providing patient care. unable to physically restrain patients for the could lead to speculation about the patient’s 19. Answer 4: Disciplinary defense insurance
Physician or other HCPs—uses results of purpose of preventing falls. The angry patient identity. A clinical report must include infor- includes attorney; wage loss reimbursement;
diagnostic testing and physical assessment may report the nurse to the supervisor, but mation such as vital signs and medical condi- travel, food, and lodging expenses; and le-
to determine the medical diagnosis and if no harm is sustained, then any legal action tion. If in doubt, the clinical instructor should gal fees when the nurse has to go before the
prescribes treatment and medications. against the nurse will not be successful. The be consulted. board of nursing for disciplinary action. The
Social worker—provides counseling and family who complained at 3:00 Am may also be 13. Answer 1: Patients must be at least 18 years old other types of insurance are for malpractice
referral to community resources. very angry. The nurse’s decision to wait must to give consent. If younger than 18, the excep- protection.
Physical therapist—teaches and monitors be based on comprehensive assessment of the tions are marriage; court-approved emancipa- 20. Answer 4: Regardless of years of experience,
exercise and will assist this patient in learn- patient to ascertain that there is nothing to war- tion; self-supporting and living apart from nurses should always seek instruction and
ing techniques for safe ambulation, bend- rant calling at 3:00 Am. Careful documentation parents; military service; or for sexually trans- supervision for any unfamiliar procedures or
ing, and lifting. is necessary. Making an incident report in all of mitted infections, alcohol or drug abuse, sexual practices. Asking to be reassigned could be an
Dietitian—provides nutritional counseling. these situations would be a good idea. assault, or family planning. option if there is no time or personnel avail-
Respiratory therapist—supervises oxygen 8. Answer 1, 2, 3, 4, 6: In a health care–related 14. Answer 3: Policies about giving patient infor- able to supervise the new nurse. Reviewing
administration and performs pulmonary case, items may include policies and proce- mation over the phone will vary. For example, the procedure might be an option if the nurse
assessments. dures, standards of care, medical records, some facilities may not allow acknowledg- is confident that the information is sufficient
Unlicensed assistive personnel—assists the assignment sheets, personnel files, equip- ing that the patient is or is not there. Other to ensure safe performance. Giving feedback
patient in the hospital and at home with ment maintenance records, birth certificates, facilities require that the patient have a list of about orientation might be useful to improve
bathing and other activities of daily living. marriage certificates, medical bills, and other people who are allowed to call for information. the orientation program, but it is not possible
Financial counselor—assists the patients documents pertinent to the issues at hand. The Another variation is that selected callers are to cover all skills and all patient situations dur-
in understanding the hospital bill and to UAP’s personal health records are confidential given a phone code to reach the patient. The ing orientation.
make arrangements for paying out-of- and unrelated to the patient’s case. nurse should be familiar with hospital policy, 21. Answer 1: First, assess the patient’s feelings by
pocket costs. 9. Answer 2: Early discharge and high levels because the policies are designed to specifically encouraging expression. The patient may not
of patient acuity require excellent discharge comply with Health Insurance Portability and understand the advance directives or may have
teaching so patients can perform self-care and Accountability Act (HIPAA). issues that were triggered by the discussion.
CHAPTER 2—LEGAL AND ETHICAL ASPECTS self-monitoring and are therefore less likely to 15. Answer 3: Alert the HCP so the child can be The other options are also necessary.
OF NURSING suffer harm. Being able to take a limited num- examined for occult injury. The other options 22. Answer 2: The patient’s living will is the best
ber of high-acuity patients would be ideal, but may also be used to investigate the possibility protection, because it reflects the patient’s
Matching high acuity is the current trend. Having mal- of child abuse. wishes. Policies and procedures and the Joint
1. c practice coverage is good if litigation occurs; 16. Answer 2: Good Samaritan laws offer limited Commission may contain general guidance
2. e however, insurance payouts may actually be liability, except in cases of gross negligence. about giving excellent care to patients, but will
3. a contributing to the problem. Ensuring account- A prudent nurse would know that moving a not offer any specific help in this situation. The
4. b ability of others is not possible. trauma victim could result in spinal cord in- Patient Self-Determination Act supports the
5. d 10. Answer 1: Assess knowledge and readiness jury. Initiating cardiopulmonary resuscitation, use of living wills to define the individual’s
to perform. Barriers may include knowledge using available material to control bleeding choices about care and treatment.
Copyright © 2023, 2019, 2015, 2011, 2006, 2003, 1999, 1995, 1991 by Elsevier Inc. All rights reserved. Copyright © 2023, 2019, 2015, 2011, 2006, 2003, 1999, 1995, 1991 by Elsevier Inc. All rights reserved.
