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A client admitted to the inpatient medical-surgical unit has suffered sudden respiratory
failure. The client's condition is getting worse; he is cyanotic (turning blue) with periods
of labored breathing. What action should the nurse take first?
a. Study the discharge plan.
b. Check the graphic data for vital signs.
c. Examine the history and physical examination.
d. Look for an advance directive. - CORRECT ANSWER: d. Look for an advance
directive.
A friend recently graduated from high school and is planning to start a program to
become a registered nurse, which will include 2 years of nursing classes plus many
liberal arts and science classes. Which of the following educational routes is your friend
taking to become a nurse? - CORRECT ANSWER: Associate degree program
A neurosurgeon is suing you for falsely claiming to other hospital staff in informal
conversations that he falsified his credentials as a surgeon. He claims that his
reputation has been damaged as a result. Which of the following torts is the surgeon
accusing you of? - CORRECT ANSWER: Slander
A patient with leukemia is facing a difficult choice in terms of whether to continue
chemotherapy or to begin hospice care. He has no family and likes to discuss the
matter with you. In talking with him, you decide to learn about his life story and about his
feeling about life and death so that you can help shed light on the decision he has to
make. Which of the following ethical frameworks are you applying in this situation? -
CORRECT ANSWER: Ethics of care
Aesthetic Knowing - CORRECT ANSWER: opposite of empirical, empathy, behaviors of
PT, creativity/individualizing unique person, rapport.
,All documentation should be FACTUAL. What does the acronym stand for? - CORRECT
ANSWER: Facts, accurate, complete, timely, unusual occurrences, assessment and
legal record/documentation
Americans with Disabilities Act - CORRECT ANSWER: Persons with mental or physical
disabilities are entitled to reasonable accomidations
As a nurse, you are particularly concerned about protecting the rights of low-income
clients and making sure that they receive the care they need. You frequently contact
social services personnel to determine the eligibility of clients to receive financial
assistance. Which professional nursing value are you demonstrating in this case? -
CORRECT ANSWER: Altruism
As part of a disaster response team, you arrive at the site of an industrial accident to
find several dozen workers with traumatic and chemical burn injuries of widely varying
severity. Because you and the other healthcare team members cannot tend to all of the
victims at once, you begin to look for the most serious cases first. One worker is
wounded so severely that he is likely to die no matter what care is provided to him, so
you move on to another victim who is more likely to survive after receiving care. This
principle of "doing the most good for the most number of people" is associated with
which of the following ethical frameworks? - CORRECT ANSWER: Utilitarianism
As you are preparing a client for major surgery, you explain once more the details of the
procedure, including its risks and benefits, and then ask the client to sign an informed
consent form. Which ethical principle underlies this action? - CORRECT ANSWER:
Autonomy
Assault - CORRECT ANSWER: threat/fear of harm
Battery - CORRECT ANSWER: contact without consent
Boundary Crossing - CORRECT ANSWER: brief excursions across professional lines of
behavior that may be inadvertent, thoughtless or even purposeful
,Boundary Violation - CORRECT ANSWER: confusion between the needs of the PT and
the needs of the nurse- characterized by excessive personal disclosure by the nurse
Civil Law - CORRECT ANSWER: issues between people who end up in court of law
Common Law - CORRECT ANSWER: bench or case law, judge made a decision, "this
is what the practice is going to be", exp common law marriage
Criminal Law - CORRECT ANSWER: judicial, punishment
Delegation - CORRECT ANSWER: "transfer of authority to another nurse or competent,
unlicensed assistive person to perform a specific nursing task or activity in a specific
situation"
Deontological Ethical Theory - CORRECT ANSWER: focuses on principles of right and
wrong, not outcomes of actions-people more important than the goal (categorical
imperatives)
Dignity of the persons - CORRECT ANSWER: foundation for human rights
During a late shift in the emergency room, you see a patient arrive limping and
supported on either side by a friend. When you examine the patient's leg, you see that
the ankle is swollen and red. The patient describes the pain as severe, especially when
he puts any weight on the leg. You determine from these findings that the ankle is likely
fractured. Which of the following processes did you use to arrive at this conclusion? -
CORRECT ANSWER: Inductive reasoning
Emergency Medical Treatment and Active Labor Law - CORRECT ANSWER: Pregnant
women arrive at an emergency department adn who are about to give birth cannot be
denied care even if they cannot pay, also applies to any other person seeking
emergency care in the ED
, Empirical Knowing - CORRECT ANSWER: systematic, numbers, visible.
Ethical Knowing - CORRECT ANSWER: morality of nursing, considers personal/cultural
beliefs, advocates, cloudy, monitoring, informed consent.
Ethics - CORRECT ANSWER: the systematic study of what a person's conduct and
action ought to be with regard to self, other human beings and the environment.
Good Samaritan Law - CORRECT ANSWER: an immunity law that encourages health
care providers/other trained responders to provide needed care in an emergency
situation without fear of incurring criminal or civil penalty.
Health Insurance Portability and Accountability Act - CORRECT ANSWER: a person
owns their own medical information
How many provisions are in the Nursing Code of Ethics? - CORRECT ANSWER: 9
How much time is generally spent on charting during a shift? (percentage) - CORRECT
ANSWER: 25%
If you make a mistake on documentation, how do you correct it? (written) - CORRECT
ANSWER: draw one single line through mistakes and initial
In performing a handoff report, the nurse should communicate information on which of
the following?
Select all that apply.
a. Teaching performed
b. Any change in client status
c. Treatments administered
d. Hygiene measures performed - CORRECT ANSWER: A, B, C