Considerations NCLEX Practice Quiz Latest
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. Even though the nurse may obtain the client's signature on a form, obtaining informed
consent is the responsibility of the:
A. Client
B. Physician
C. Student nurse
D. Supervising nurse. - CORRECT ANSWER: Answer: B. Physician
A bioethical issue should be described as:
A. The physician's making all decisions of client management without getting input from
the client
B. A research project that included treating all the white men and not treating all the
black men to compare the outcomes of a specific drug therapy.
C. The withholding of food and treatment at the request of the client in a written
advance directive given before a client acquired permanent brain damage from an
accident.
D. After the client gives permission, the physician's disclosing all information to the
family for their support in the management of the client. - CORRECT ANSWER: Answer:
B. A research project that included treating all the white men and not treating all the
black men to compare the outcomes of a specific drug therapy.
,The ethical issue was the inequality of treatment based strictly upon racial differences.
Secondly, the drug was deliberately withheld even after results showed that the drug
was working to cure the disease process in the white men for many years. So after
many years, the black men were still not treated despite the outcome of the research
process that showed the drug to be effective in controlling the disease early in the
beginning of the research project. Therefore harm was done. Nonmaleficence, veracity,
and justice were not followed.
A client has recently been told he has terminal cancer. As the nurse enters the room, he
yells, "My eggs are cold, and I'm tired of having my sleep interrupted by noisy nurses!"
The nurse may interpret the client's behavior as:
A. An expression of the anger stage of dying
B. An expression of disenfranchised grief
C. The result of maturational loss
D. The result of previous losses - CORRECT ANSWER: Answer: A. An expression of
the anger stage of dying
In the anger stage of Kubler-Ross's stages of dying, the individual resists the loss and
may strike out at everyone and everything, in this case, the nurse.
A client is hospitalized in the end stage of terminal cancer. His family members are
sitting at his bedside. What can the nurse do to best aid the family at this time?
A. Limit the time visitors may stay so they do not become overwhelmed by the situation.
B. Avoid telling family members about the client's actual condition so they will not lose
hope.
C. Discourage spiritual practices because this will have little connection to the client at
this time.
D. Find simple and appropriate care activities for the family to perform - CORRECT
ANSWER: Answer: D. Find simple and appropriate care activities for the family to
perform.
, It is helpful for the nurse to find simple care activities for the family to perform, such as
feeding the client, washing the client's face, combing hair, and filling out the client's
menu. This helps the family demonstrate their caring for the client and enables the client
to feel their closeness and concern. a. Older adults often become particularly lonely at
night and may feel more secure if a family member stays at the bedside during the
night. The nurse should allow visitors to remain with dying clients at any time if the client
wants them. It is up to the family to determine if they are feeling overwhelmed, not the
nurse.
A client who had a "Do Not Resuscitate" order passed away. After verifying there is no
pulse or respirations, the nurse should next:
A. Have family members say goodbye to the deceased.
B. Call the transplant team to retrieve vital organs.
C. Remove all tubes and equipment (unless organ donation is to take place), clean the
body, and position appropriately.
D. Call the funeral director to come and get the body. - CORRECT ANSWER: Answer:
C. Remove all tubes and equipment (unless organ donation is to take place), clean the
body, and position appropriately.
The body of the deceased should be prepared before the family comes into view and
say their goodbyes. This includes removing all equipment, tubes, supplies, and dirty
linens according to protocol, bathing the client, applying clean sheets, and removing
trash from the room.
A client's family member says to the nurse, "The doctor said he will provide palliative
care. What does that mean?" The nurse's best response is:
A. "Palliative care is given to those who have less than 6 months to live."
B. "Palliative care aims to relieve or reduce the symptoms of a disease."
C. "The goal of palliative care is to affect a cure of a serious illness or disease."