CPEN FINAL (includes all midterm material) QUESTIONS WITH 100% CORRECT ANSWERS.

CPEN FINAL (includes all midterm material) QUESTIONS WITH 100% CORRECT ANSWERS. According to the nurse's Code of Ethics, the hallmark of nursing practice is accountability An important step in preventing legal action against the nurse Develop caring, therapeutic relationships with patients and their families What is the function of the National Council of State Boards of Nursing (NCSBN)? Developing the NCLEX-RN" licensing examinations Who sets educational standards for nursing licensure? State Boards of Nursing (SBN) A graduate with a BSN from an accredited nursing program in Pittsburgh and took the NCLEX-RN licensure exam in Philly (where he lives) and pass - He is licensed to practice as a registered nurse in PA. Next, he moves to California to start a new job. How can he get a license to practice nursing in California? Apply for licensure by endorsement and pay a registration fee to receive a California nursing license. The RN delegates changing a indwelling urinary catheter to a licensed practical/vocational nurse (LPN/LVN). Then, the patient developed a urinary tract infection. Which of the following statements is true? The RN is responsible for acts he/ she delegates. Which of the following is an acceptable reason for breaking a patient's confidentiality? Reporting certain diseases and/or abuse/neglect to public health authority Which of the following constitute the essential characteristics for a malpractice lawsuit due to negligence? (Select all that apply.) Harm to an individual has occurred. The nurse assumed the responsibility for the patient's care. The nurse is found to have failed to meet the standard of care. The harm to the patient must be shown to have been caused by the failure to meet the standard of care. In which of the following situations should the legality of an informed consent be questioned? Patient who received a preoperative dose of Demerol and is "sleepy" when asked to give consent Which of the following is a nursing responsibility regarding informed consent? Serving as a witness, ensuring that the patient does not feel coerced into a decision A competent resident in a long-term care facility refuses an ordered antidepressant medication. The nurse believes the patient needs the medication because he is clearly showing signs of depression and dissolves the medication in juice without telling the patient. This illustrates negligence by failure to communicate with a patient (hiding the medication). Which patient rights is guaranteed by HIPPA? Patients are protected against medical records being indiscriminately shared. The nurse caring for a patient states, “Your blood pressure is dangerously high. Are you taking antihypertensive medicine?” The patient states, “I can’t afford my medicine. I have no insurance.” The nurse tells her colleague: “I feel really sorry for that patient. I wish it wasn’t against policy to give her money.” The nurse wants to help and posts a message on Facebook that any donations would be appreciated to help a waitress who works at the cafeteria next door to the hospital buy her medications. The nurse posts that “She was so sick last evening when she came to the ED. Pleases help and donate if you can.” Did this nurse violated the pts HIPPA rights? yes A nursing student got a thank-you card from a patient's family and had another student take a photo of the student with the family. The student asks the nursing instructor if it would be alright to post the photo on Facebook. Which response by the instructor is best? "No, posting pictures of patients and families on social media sites is not acceptable." A child is tested for genetic abnormalities. After the test results are delivered from the laboratory, a representative of the parents' medical insurance company calls the nurse's station and asks for the results of the tests. The nurse's best response to this request is to.... Refuse to give the information, Remind the caller about HIPPA protections The nurse giving medications to a patient notes that an order for a medication is much larger than the typical dose given. The nurse looks up the medication in a pharmacology database and learns the prescribed dose is too large. Which action should the nurse take? Notifying the physician of these findings & verifying the order before giving the medication Which of the following is an important step in preventing legal action against the nurse? Develop caring, therapeutic relationships with patients. ANA Code of Ethics are based on autonomy To use an ethical decision-making model, which step should the nurse perform first? Identify the ethical dilemma in the case Which document guides RNs in all practice settings regarding their specific responsibilities and obligations to their patients and others they serve? ANA's Code of Ethics for Nurses with Interpretive Statements According to the nurse's Code of Ethics, the hallmark of nursing practice is accountability. In a clinical setting, professional ethics should override personal morals and values. True Allowing a patient to refuse chemotherapy is based on a belief in the ethical principle of autonomy A nurse is turning a patient to prevent pressure ulcers. The patient complains that the nurse is hurting him. The nurse explains the reason for the turning schedule and asks the patient if it is ok to complete the task. Turning this patient supports the ethical principle of nonmaleficence Answering a terminally ill patient's questions about his or her condition honestly is based on a belief in the ethical principle of veracity A school nurse teaching school-aged children about hand hygiene is an example of which ethical principle? autonomy Taking a geriatric patient to the recreation room at a promised time is based on the belief in the ethical principle of fidelity When nurses receive a patient assignment and accept reports on these patients, they are committed to providing care to those assigned to them. This is based on the ethical principle of beneficence The current emphasis on eliminating racially based health disparities is based on which of the following ethical principles? Justice A nurse who advocates for a longer stay when a medically indigent patient is being prematurely discharged due to an inability to pay for care is applying which ethical principle? Justice Collaboration among health care professionals most importantly results in positive patient outcomes Which of the following is an important outcome of the "orientation" phase of the nurse-pt relationship? trust Which behaviors help patients to develop trust? conveying acceptance of the patient in with a nonjudgmental attitude Which of the following best illustrates nonjudgmental acceptance of the patient? Demonstrating caring behavior in spite of negative feelings Which questions will help the nurse plan culturally congruent care? (Select all that apply) "What do smiles, nods, and hand gestures mean?" "How should I address you?" "What do you like to eat when you are sick?" "Who is involved in making decisions about health care?" •An English-speaking nurse gave a non–English-speaking patient instructions about preparing an abdominal surgical site.