A PACKAGE DEAL FOR NUR 256 MIDTERM AND FINAL EXAM
QUESTIONS WITH DETAILED VERIFIED SOLUTIONS /A+ GRADE
ASSURED
The type of law that creates a nurse practice act is - ANSWER: statutory law
A professional's negligent conduct is - ANSWER: malpractice
A legal permit that serves as a means to protect public safety is - ANSWER: licensure
A strategy to prevent being named in a lawsuit is to - ANSWER: maintain a good
relationship with patients and families
________ has the authority to license nurses - ANSWER: The state board of nursing
is a reckless act that reflects a conscious disregard for the patient's welfare. -
ANSWER: gross negligence
The intent of _____ is to ensure confidentiality of the patient's health record -
ANSWER: HIPPA
_______ limits a nurse's liability or shields the nurse from malpractice for rendering
emergency assistance outside the employment setting. - ANSWER: Good Sumaritan
Immunity
requires that federally funded hospitals (Medicare, Medicaid) inform adult patients
in writing about their right to make treatment choices and to ask patients whether
they have a living will or a durable power of attorney for health care. - ANSWER: The
Patient Self-Determination Act
defines nursing within the state - ANSWER: The Nurse Practice Act
The public's right to expect to receive treatment that meets the standards of nursing
care is protected by: - ANSWER: federal law
________ have a major effect on nursing practice, mandating a minimal standard of
care in all health care settings that receive federal funds. Nursing practice is
governed by state laws that delineate the conduct of licensed nurses and define
behaviors of all health care professionals in promoting public health and welfare. -
ANSWER: Federal laws
Which nursing action best complies with the expectations for nursing care defined by
the "never events" identified by the 2012 Rules of Participation for Hospitals?
A. Requiring all unlicensed nursing personal to attend shift reports
,B. Providing care when convenient for the client whenever possible
C. Attending an in-service on evidence-based practice on urinary catheter care
D. Reporting suspected elder abuse to the nursing manager immediately - ANSWER:
C.
Nurses are required to develop greater expertise in the provision of evidence-based
patient care, case management, and discharge planning in order to avoid _____ -
ANSWER: "never events."
Which of the following situations fails to meet the criteria for establishing nursing
negligence or malpractice?
a. A nurse comes to work under the influence of alcohol.
b. The nurse leaves a client's bed in the raised position, resulting in a fall.
c. The nurse fails repeatedly to document a client's response to pain medication.
d. A nurse assigns first-time ambulation of a postop client to an aide and the client
falls. - ANSWER: C
In what situation may a nurse deliver care that is not considered at the level of
required standard of care?
a. When directly ordered to do so by a physician
b. When the nursing area is considered understaffed
c. When the situation is determined to be an emergency
d. When the client refuses care that would meet the standard of care. - ANSWER: C
A client who insists on leaving the hospital against medical advice (AMA) after being
properly advised signs the necessary form. In order to avoid legal consequences
regarding the client's decision, the nurse should:
a. objectively document all the details of the situation thoroughly but concisely in
the client's medical record. Correct
b. notify the nursing supervisor of the client's decision and that all reasonable
efforts were made to dissuade the client from leaving.
c. have a member of the security staff escort the client off the facility's property and
into their private vehicle or public transportation
d. with the client's permission notify a contact person that the client is leaving the
hospital against medical advice. - ANSWER: a
right to self-determination - ANSWER: autonomy
concern for others' welface - ANSWER: altruism
duty to inflict no harm - ANSWER: nonmaleficence
truth telling - ANSWER: veracity
,concern for right and wrong - ANSWER: justice
provider believes his actions are best - ANSWER: paternalism
promote goodness - ANSWER: beneficence
the greatest good for the greatest number of individuals - ANSWER: utilitarianism
conforms to overriding moral duty - ANSWER: deontology
A nursing journal - ANSWER: Hastings Center Report
Which of the following scenarios demonstrates a nurse engaging in value
clarification?
a. A client is reassured by the nurse who states, "I will stay with you as long as you
want."
b. A novice nurse regularly asks a veteran nurse, "What would you do if you were in
my place?"
c. A nurse reflects on the question, "What would be important to me if I was told my
cancer was terminal?"
d. When a client asks for advice, the nurse responds, "What can I do to help you
make this decision?" - ANSWER: c.
The process of ______ attempts to examine the values one holds and how each of
those values functions as part of a whole. Nurses must acknowledge their own
values by considering how they would act in a particular situation. - ANSWER: values
clarification
Reassuring the client is a means of providing - ANSWER: emotional support.
Asking the advice of a more experienced nurse is an example of - ANSWER: role
modeling.
Asking clients what they need to achieve their goals is a way to encourage -
ANSWER: autonomy and independence.
Normally, by what developmental milestone is a person expected to have learned
there are consequences for making bad decisions? - ANSWER: school age
Which scenario demonstrates the preconventional level of moral development?
a. Driving within the speed limit in order to avoid getting a speeding ticket
b. Opening the door for an elderly woman to show her respect
c. Anonymously providing money to a homeless shelter
d. Cleaning up the kitchen to make your mother happy - ANSWER: a
, Acting out of respect or a desire to please demonstrates the _____ level, where
behavior is less self-centered. - ANSWER: conventional
Anonymously doing good is an example of the ______ level, where motives are
beyond issues of authority or reverence. - ANSWER: postconventional
A nurse demonstrates client-centered altruism when:
a. reporting a nurse who has reported to work impaired by alcohol or drugs.
b. making sure the client receives all medications on time and as prescribed.
c. advocating for a client whose mental illness causes him to be a target of bullies.
d. spending time each evening with a client who has expressed feelings of sadness
and loneliness. - ANSWER: d
_________ is showing true concern for the welfare of another: giving a lonely client
individualized, personal attention demonstrates this - ANSWER: Altruism
Reporting an impaired nurse and advocating for a client are examples of - ANSWER:
social justice.
Providing appropriate nursing care is a - ANSWER: nursing responsibility.
A nurse preserves a client's right to autonomy by:
a. answering a client's questions about his prognosis truthfully.
b. answering a client's questions so he can make an informed decision.
c. providing medication to a trauma victim in a timely, appropriate manner.
d. providing pain medication only after a needed surgical consent has been
obtained. - ANSWER: b
is the preservation of a person's right to make his or her own decisions such as in the
case of informed consent. - ANSWER: Autonomy
is truthfulness even when the truth may cause the patient emotional pain - ANSWER:
Veracity
is demonstrated in doing good, such as when providing pain relief. - ANSWER:
Beneficence
is often ethically challenging, as in the case of withholding pain medication until a
necessary consent is obtained. - ANSWER: Nonmaleficence
Who invented the relaxation response? - ANSWER: Herbert Benson
reduces serum lactic acid levels - ANSWER: meditation
based on meridians - ANSWER: acupuncture
QUESTIONS WITH DETAILED VERIFIED SOLUTIONS /A+ GRADE
ASSURED
The type of law that creates a nurse practice act is - ANSWER: statutory law
A professional's negligent conduct is - ANSWER: malpractice
A legal permit that serves as a means to protect public safety is - ANSWER: licensure
A strategy to prevent being named in a lawsuit is to - ANSWER: maintain a good
relationship with patients and families
________ has the authority to license nurses - ANSWER: The state board of nursing
is a reckless act that reflects a conscious disregard for the patient's welfare. -
ANSWER: gross negligence
The intent of _____ is to ensure confidentiality of the patient's health record -
ANSWER: HIPPA
_______ limits a nurse's liability or shields the nurse from malpractice for rendering
emergency assistance outside the employment setting. - ANSWER: Good Sumaritan
Immunity
requires that federally funded hospitals (Medicare, Medicaid) inform adult patients
in writing about their right to make treatment choices and to ask patients whether
they have a living will or a durable power of attorney for health care. - ANSWER: The
Patient Self-Determination Act
defines nursing within the state - ANSWER: The Nurse Practice Act
The public's right to expect to receive treatment that meets the standards of nursing
care is protected by: - ANSWER: federal law
________ have a major effect on nursing practice, mandating a minimal standard of
care in all health care settings that receive federal funds. Nursing practice is
governed by state laws that delineate the conduct of licensed nurses and define
behaviors of all health care professionals in promoting public health and welfare. -
ANSWER: Federal laws
Which nursing action best complies with the expectations for nursing care defined by
the "never events" identified by the 2012 Rules of Participation for Hospitals?
A. Requiring all unlicensed nursing personal to attend shift reports
,B. Providing care when convenient for the client whenever possible
C. Attending an in-service on evidence-based practice on urinary catheter care
D. Reporting suspected elder abuse to the nursing manager immediately - ANSWER:
C.
Nurses are required to develop greater expertise in the provision of evidence-based
patient care, case management, and discharge planning in order to avoid _____ -
ANSWER: "never events."
Which of the following situations fails to meet the criteria for establishing nursing
negligence or malpractice?
a. A nurse comes to work under the influence of alcohol.
b. The nurse leaves a client's bed in the raised position, resulting in a fall.
c. The nurse fails repeatedly to document a client's response to pain medication.
d. A nurse assigns first-time ambulation of a postop client to an aide and the client
falls. - ANSWER: C
In what situation may a nurse deliver care that is not considered at the level of
required standard of care?
a. When directly ordered to do so by a physician
b. When the nursing area is considered understaffed
c. When the situation is determined to be an emergency
d. When the client refuses care that would meet the standard of care. - ANSWER: C
A client who insists on leaving the hospital against medical advice (AMA) after being
properly advised signs the necessary form. In order to avoid legal consequences
regarding the client's decision, the nurse should:
a. objectively document all the details of the situation thoroughly but concisely in
the client's medical record. Correct
b. notify the nursing supervisor of the client's decision and that all reasonable
efforts were made to dissuade the client from leaving.
c. have a member of the security staff escort the client off the facility's property and
into their private vehicle or public transportation
d. with the client's permission notify a contact person that the client is leaving the
hospital against medical advice. - ANSWER: a
right to self-determination - ANSWER: autonomy
concern for others' welface - ANSWER: altruism
duty to inflict no harm - ANSWER: nonmaleficence
truth telling - ANSWER: veracity
,concern for right and wrong - ANSWER: justice
provider believes his actions are best - ANSWER: paternalism
promote goodness - ANSWER: beneficence
the greatest good for the greatest number of individuals - ANSWER: utilitarianism
conforms to overriding moral duty - ANSWER: deontology
A nursing journal - ANSWER: Hastings Center Report
Which of the following scenarios demonstrates a nurse engaging in value
clarification?
a. A client is reassured by the nurse who states, "I will stay with you as long as you
want."
b. A novice nurse regularly asks a veteran nurse, "What would you do if you were in
my place?"
c. A nurse reflects on the question, "What would be important to me if I was told my
cancer was terminal?"
d. When a client asks for advice, the nurse responds, "What can I do to help you
make this decision?" - ANSWER: c.
The process of ______ attempts to examine the values one holds and how each of
those values functions as part of a whole. Nurses must acknowledge their own
values by considering how they would act in a particular situation. - ANSWER: values
clarification
Reassuring the client is a means of providing - ANSWER: emotional support.
Asking the advice of a more experienced nurse is an example of - ANSWER: role
modeling.
Asking clients what they need to achieve their goals is a way to encourage -
ANSWER: autonomy and independence.
Normally, by what developmental milestone is a person expected to have learned
there are consequences for making bad decisions? - ANSWER: school age
Which scenario demonstrates the preconventional level of moral development?
a. Driving within the speed limit in order to avoid getting a speeding ticket
b. Opening the door for an elderly woman to show her respect
c. Anonymously providing money to a homeless shelter
d. Cleaning up the kitchen to make your mother happy - ANSWER: a
, Acting out of respect or a desire to please demonstrates the _____ level, where
behavior is less self-centered. - ANSWER: conventional
Anonymously doing good is an example of the ______ level, where motives are
beyond issues of authority or reverence. - ANSWER: postconventional
A nurse demonstrates client-centered altruism when:
a. reporting a nurse who has reported to work impaired by alcohol or drugs.
b. making sure the client receives all medications on time and as prescribed.
c. advocating for a client whose mental illness causes him to be a target of bullies.
d. spending time each evening with a client who has expressed feelings of sadness
and loneliness. - ANSWER: d
_________ is showing true concern for the welfare of another: giving a lonely client
individualized, personal attention demonstrates this - ANSWER: Altruism
Reporting an impaired nurse and advocating for a client are examples of - ANSWER:
social justice.
Providing appropriate nursing care is a - ANSWER: nursing responsibility.
A nurse preserves a client's right to autonomy by:
a. answering a client's questions about his prognosis truthfully.
b. answering a client's questions so he can make an informed decision.
c. providing medication to a trauma victim in a timely, appropriate manner.
d. providing pain medication only after a needed surgical consent has been
obtained. - ANSWER: b
is the preservation of a person's right to make his or her own decisions such as in the
case of informed consent. - ANSWER: Autonomy
is truthfulness even when the truth may cause the patient emotional pain - ANSWER:
Veracity
is demonstrated in doing good, such as when providing pain relief. - ANSWER:
Beneficence
is often ethically challenging, as in the case of withholding pain medication until a
necessary consent is obtained. - ANSWER: Nonmaleficence
Who invented the relaxation response? - ANSWER: Herbert Benson
reduces serum lactic acid levels - ANSWER: meditation
based on meridians - ANSWER: acupuncture
