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Terms in this set (65)A nurse caring for patients in the ICU develops values from experience to form a personal code of ethics. Which statements best describe this process? a. People are born w/ values b, c, d A pediatric nurse is assessing a 5 year old boy who has dietary modifications due to his diabetes. His parents tell the nurse that they want him to value good nutritional habits so they deprive him of a favorite TV program when he becomes angry when they deny him foods not on his diet. This is an example of what mode of value transmission? a. Modeling d A nurse who is working in a hospital setting uses value clarification to help understand the values that motivate patient behavior. Which examples denote "prizing" in the process of values clarification? a. A patient decides to quit smoking
following a diagnosis of lung cancer b, f A nurse incorporates the 5 values that epitomize the caring professional nurse into home health care nursing practice. Which attribute is best described as acting in accordance with an appropriate code of ethics and accepted standards of practice? a. Altruism d A nurse caring for patients in an institutional setting expresses a commitment to social justice. What action best exemplifies this attribute? a. Providing honest information to patients and the public b An older nurse asks a younger coworker why the new generation of nursing just aren't ethical anymore. Which reply reflects the BEST understanding of moral development? a. Behaving ethically develops gradually from childhood: maybe my generation doesn't value this enough to develop an ethical code a A home health nurse performs a careful safety assessment of the home of a frail older adult to prevent harm to the patient. the nurse's action reflects which principle of bioethics? a. Autonomy e A hospice nurse is caring for a patient with end-stage cancer. What action demonstrates this nurse's commitment to the principle of autonomy? a. The nurse helps the patient prepare a durable power of attorney document a A nurse wants to call an ethics consult to clarify treatment goals for a patient no longer able to speak for himself. The nurse believes his dying is being prolonged painfully. the patients doctor threatens the nurse with firing if the nurse raises questions about the patients care or calls the consult. What ethical conflict is this nurse experiencing? a. Ethical uncertainty b A student nurse begins a clinical rotation in a long-term care facility and quickly and quickly realizes that certain residents have unmet needs. The student wants to advocate for these residents. Which statements accurately describe this concept? a. Advocacy is the protection and support of another's right a, c, f A state attorney decides to charge a nurse with manslaughter for allegedly administering a lethal medication. This is an example of what type of law? a. Public d Newly hired nurses in a busy suburban hospital are required to read the state Nurse Practice Act as part of their training. Which topics are covered by this act? Select all that apply. A. Violations that may result in disciplinary action a, d A nurse in a NICU fails to monitor a premature newborn according to the protocols in place, and is charged with malpractice. What is the term for those bringing the charges against the nurse? a. Appelates c A nurse pleads guilty to a misdemeanor negligence charge for failing to monitor a patient's vital signs during routine eye surgery, leading to the death of the patient. The nurse's attorney explained in court that the nurse was granted recognition in a specialty area of nursing. What is the term for this type of credential? a. Accreditation c Review of a patient's record revealed that no one obtained informed consent for the heart surgery that was performed on the patient. which intentional tort has been committed? a. Assault b A veteran nurse, pleaded guilty to a misdemeanor negligence charge in the case of a 75-year-old woman who died after slipping into a coma during routine outpatient hernia surgery. The nurse admitted failing to monitor the woman's vital signs during the procedure. The surgeon who performed the procedure called the nurses action pure negligence, stating that the patient could have been saved. the patient was a vibrant grandmother of 10 who has walked three quarters of a mile the morning of her surgery and had sung in her church choir the day before. what criteria must be established to prove that the nurse is guilty of malpractice or negligence in this case a. The surgeon who performed the procedure called the nurse's action pure negligence saying that the patient could have been saved d An attorney is representing a patient's family who is suing a nurse for wrongful death. the attorney calls the nurse and asks to talk about the case to obtain a better understanding of the nurse's actions. How should the nurse respond? a. Im sorry, but I can't talk with you: you will have to contact my attorney a A nurse administers the wrong medication to a patient and the patient is harmed. the health care provider who ordered the medication did not read the documentation that the patient was allergic to the drug. which statement is true regarding liability for the administration of the wrong medication? a. the nurse is not responsible, because the nurse was only following the doctors orders d A nurse answers a patient's call light and finds the patient on the floor by the bathroom door. After calling for assistance and examining the patient for injury , the nurse helps the patient back to bed and then fills out an incident report. which statements accurately describe steps of this procedure and why it is performed? a. An incident report is used as disciplinary action against staff members d, c, e A nursing student asks the charge nurse about legal liability when performing clinical practice. which statement regarding liability is true? a. Students are not responsible for their acts of negligence for their acts of negligence resulting in patient injury b During rounds, a charge nurse hears the patient care technician yelling loudly to a patient regarding a transfer from the bed to chair. When entering the room, what is the nurse's best response? a. "you need to speak to the patient quietly so you don't disturb the other patients." d A public health nurse is leaving the home of a young mother who has a special needs baby. the neighbor states, "How is she doing, since the baby's father is no help?" What is the nurse's best response to the neighbor? a. new mothers need support a A 3 year old child is being admitted to a medical division for vomiting, diarrhea, and dehydration. During the admission interview, the nurse should implement which communication techniques to elicit the most information from the parents? a. reflective questions d A nurse enters a patients room and examines the patient's IV fluids and cardiac monitor. The patient states, "Well, I haven't seen you before. Who are you?" what is the nurse's best response? a. Im just the IV therapist checking your IV d A nurse enters the room of a patient with cancer. The patient is crying and states, "I feel so alone." Which response by the nurse is the most therapeutic action? a. the nurse stands at the patients bedside and states, "I understand how you feel. My mother said the same thing when she was ill. d A nurse caring for a patient who is hospitalized following a double mastectomy is preparing a discharge plan for the patient. which action should be the focus of this determining phase of the helping relationship? a. determining the progress made in achieving established goals a A nursing student is nervous and concerned about working at a clinical facility. Which action would best decrease anxiety and ensure success in the student's provision of care? a. determining the established goals of the institution c A nurse in the rehabilitations imitation division states to the head nurse: "i need the day off and you didn't give it to me!" the head nurse replies, "well, I wasn't aware you needed the day off and it isn't possible since staffing is so inadequate." instead of this exchange, what communication by the nurse would have been more effective? a. i placed a request to have august 8th off, but im working and i have a doctors appt b During a nursing staff meeting, the nurses resolve a problem of delayed documentation by agreeing unanimously that they will make sure all vital signs are reported and charted within 15 mins following assessment. this is an example of which characteristics of effective communication? a. group decision making a, d, e, f A nurse notices a patient is walking to the bathroom with a stooped gate, facial grimacing, and gasping sounds. Based on these non-verbal clues, for which condition would the nurse assess? a. pain a A nursing student is preparing to administer morning care to a patient. what is the most important question that the nursing student should ask the patient about personal hygiene? a. would you prefer a bath or a shower b A nurse is providing instruction to a patient regarding the procedure to change a colostomy bag. during the teaching session, the patient asks, "what type of foods should I avoid to prevent gas?" the patients question allows for what type of communication on the nurse's part? a. a closed-ended answer b When interacting with a patient, the nurse answers, "I am sure everything will be fine. You have nothing to worry about." this is an example of what type of inappropriate communication technique> a. cliche a A patient states, 'i have been experiencing complications of diabetes." the nurse needs to direct the patient to gain more information. what is the most appropriate comment or question to elicit additional information? a. do you take two infections of insulin to decrease the complications? d During an interaction with a patient diagnosed with epilepsy, a nurse notes that the patient is silent after communicating the nursing care plan. what would be appropriate nurse responses in this situation a. fill the silence with lighter conversation directed at the patient c, d, e A nurse is teaching first aid to counselors of a summer camp with children with asthma. this is an example of what aim of health teaching? a. promoting health b A nurse is teaching patients of all ages in a hospital setting. which examples demonstrate teaching that is appropriately based on the patients developmental level? a. the nurse plans long teaching sessions to discuss diet modifications for an older adult diagnosed with type 2 diabetes c, d, e A nurse is teaching a 50 yr old male patient how to care for his new ostomy appliance. which teaching aid would be most appropriate to confirm that the patient has learned the information? a. ask me 3
c A nurse is planning teaching strategies based on the affective domain of learning for patients addicted to alcohol. What are examples of teaching methods and learning activities promoting behaviors in that domain? a. the nurse prepares a lecture on the harmful longterm effects of alcohol on the body b, d, f A nurse is preparing to teach a patient with asthma how to use his inhaler. Which teaching method would be the best choice to teach the patient this skill? a. demonstration a A nurse has taught a patient with diabetes how to administer his daily insulin. How should the nurse evaluate the teaching-learning process? a. by determining the patients motivation to learn b A RN assumes the role of nurse coach to provide teaching to patients who are recovering from a stroke. which nursing intervention directly relates to this role? a. the nurse uses discovery to identify the
patient's personal goals and create an agenda that will result in change a A nurse is counseling a 19 yr old athlete who had his r leg amputated below the knee following a motorcycle accident. during the rehab process, the patient refuses to eat or get up to ambulate on his own. he says to the nurse, "what's the point. my life is over now and ill never be the football player i dreamed of becoming." What is the nurse counselor's best response to this patient. a. you're young and have your whole life ahead of you . you should focus on
your rehab and make something out of your life d. A nurse is caring for a patient who is admitted to the hospital with injuries sustained in a motor vehicle accident. while he is in the hospital, his wife tells him that the bottom level of their house flooded, damaging their belongings. when the nurse enters his room, she notes that the patient is visibly upset. the nurse is aware that the patient will most likely be in need of which type of counseling? a. long term developmental B A nurse forma a contractual agreement with a morbidly obese patient to achieve optimal weight goals. which statement best describes the nature of this agreement? a. this agreement forms a legal bond between the two of us to achieve your weight goals. b Nursing students are reviewing information about health care delivery systems in preparation for a quiz the next day. Which statements describe current US health care delivery practices? a. access to care
depends only on the ability to pay, not the availability of services c, e, f A nurse is providing health care to patients in a health care facility. Which of these patients are receiving secondary health care? a. a patient enters a community clinic with signs of strep throat b, c, f A nurse working in a primary care facility prepares insurance forms in which the provider is given a fixed amount per enrollee of the health plan. What is the term for this type of reimbursement? a. capitation a A nurse working in a pediatric clinic provides codes for a patient's services to a third party payer who pays all or most of the care. this is an example of what mode of health care payment? a. out of pocket payment b A nurse researcher keeps current on the trends to watch in health care delivery. what trends are likely included? a. globalization of the economy and society a, d, e, f A nurse is caring for patients in a primary care center. what is the most likely role of this nurse based on the setting? a. assisting with major surgery b A caregiver asks a nurse to explain respite care. how would the nurse respond? a. respite care is a service that allows time away for caregivers a A nurse caring for patients in a primary care setting submits paperwork for reimbursement from managed care plans for services performed. which purpose best describes managed care as a framework for health care? a. a design to control the cost of care while maintaining the quality of care a A nurse cares for dying patients by providing physical, psychological, social, and spiritual care for the patients, their families and other loved ones. what type of care is the nurse providing" a. respite care c Nurses provide care to patients as collaborative members of the health care team. which roles may be performed by the advanced practice registered nurse? a. primary care provider a, d, e A nurse who is a discharge planner in a large metropolitan hospital is preparing a discharge plan for a patient after a kidney transplant. Which actions would this nurse typically perform to ensure continuity of care as the patient moves from acute care to home care? Select all that apply A. Performing an admission health assessment b, d, f A discharge nurse is evaluating patients and their families to determine the need for a formal discharge plan or referrals to another facility. which patients would most likely be a candidate for these services? a. an older adult who is diagnosed with dementia in the hospital
a, b, f A home health care nurse is scheduled to visit a 38 yr old woman who has been discharged from the hospital with a new colostomy. which duties would the nurse perform for this patient in the entry phase of the home visit? a. collect information about the patient's diagnosis, surgery, and treatments c, d, e A hospital nurse is admitting a patient who sustained a head injury in a MVC. Which activity could the nurse delegate to licensed assistive personnel? a. collecting info for a health history d A nurse is preparing an infant and his family for a hernia repair to be performed in an AMB care facility. what is the primary role of the nurse during the admission process? a. to assist w screening tests c A patient is being transferred from the ICU to a regular hospital room. what must the ICU nurse be prepared to do as part of this transfer? a. provide a verbal report to the nurse on the new unit a Which statement or question most exemplifies the role of the nurse in establishing a discharge plan for a patient who has had major ABD surgery a. Ill bet you will be so glad to be home in your own bed b A nurse is counseling an older woman who has been hospitalized for dehydration secondary to a UTI. the patient tells the nurse "I don't like being in the hospital. There are too many bad bugs in here. I'll probably go home sicker than I was when I came." she also insists that she is going to get dressed and go home. she has the capacity to make these decisions. what is the legal responsibility of the nurse in this situation? a. to inform the patient that only the primary health care provider can authorize discharge from a hospital d A nurse decides to become a home health care nurse. Which personal qualities are key to being successful as a community-based nurse? a. making accurate assessments a, c, e, f A nurse ensures that a hospital room prepared by an aide is ready for a new AMB patient. which condition would the nurse ask to aide to correct a. the bed linens are folded back d Sets with similar termsAdmission, Transfer, and Discharge59 terms april_g_adams Chapter 9 Care Coordination and Continuity in Heal…10 terms Abbey_Dierks admission, transfer, and discharge53 terms haylee_hunt8 Other sets by this creatorCommon ADRS meds NCLEX10 terms
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Which response by the nurse would address the need to identify a patient's perception of her husband's deployment and that she is worried he will never come home?A military wife tearfully tells a nurse about her husband's deployment to an active war zone. This client cries daily and says to the nurse, "I am so worried that he will never come home." What response by the nurse addresses the need to identify the client's perception of the problem? "Your husband is safe.
When a nurse feels like she is the only one who understands the patient what is that called?Nursing empathy could be characterized by nurses' ability to understand the feeling, experiences or psychosocial ability of their patients [3].
Which action helps develop a good therapeutic relationship quizlet?The most essential task for a nurse to accomplish prior to forming a therapeutic relationship with a client is to clarify personal attitudes, values, and beliefs. Understanding one's own attitudes, values, and beliefs is called self-awareness.
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Which action would the nurse perform to provide non Judgemental care to patients with different values quizlet?
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