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A practitioner asks the nurse to witness an informed consent. Which
patient does the nurse identify is unable to give an informed consent for
surgery?
1) 16 year old boy who is married
2) 35 year old woman who is depressed
3) 50 year old woman who does not speak English
,4) 65 year old man who has received a narcotic for pain. - ANSWER
✔✔Correct Answer: 4 (Narcotics depress the CNS, including decision-
making abilities.
1 - Because legally anyone under 18 who is married can make the
decision.
2 - wrong because a depressed person can make these decisions until
proven mentally incompetent.
3 - Wrong because this person can provide informed consent after
translations.
When the nurse is administering a medication to a confused patient, the
patient says, "this pill looks different from the one I had before." What
should the nurse do?
1) Ask what the other pill looked like.
2) Explain the purpose of the medication.
3) Check the original medication prescription.
,4) Encourage the patient to take the medication. - ANSWER
✔✔Correct answer: 3 (This is the safest intervention because it goes to
the original source of the prescription.)
1 - Wrong because This action by itself is unsafe because the patient is
confused and the information obtained may be innacurate.
2 - This intervention ignores the patient's concern.
4 - This action ignores the patient's statement and is unsafe without
obtaining additional information.
The nurse administers an incorrect dose of a medication to a patient.
What is the primary purpose of documenting this event in an Incident
Report?
1) Record the event for future litigation.
2) Provide a basis for designing new policies.
3) Prevent similar situations from happening again.
4) Ensure accountability for the cause of the accident. - ANSWER
✔✔Correct answer: 3 (Risk-management committees use stats about
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, accidents & incidents to identify patterns of risk and prevent future
accidents/incidents.)
1 - Wrong because although documentation of an incident may be used
in a court of law, it is not the primary reason for an incident report.
2- This is not the primary reason. New policies may or may not have to
be written and implemented.
4 - Although nurses are always accountable for their actions,
accountability for the cause of an incidence is the role of the courts.
A practitioner writes a prescription for a medication that is larger than the
standard dose. What should the nurse do?
1) Inform the supervisor
2) Give the drug as prescribed.
3) Give the average dose of the medication.
4) Discuss the prescription with the practitioner. - ANSWER
✔✔Correct Answer: 4 (Nurses have a prof. resonsibility to
know/investigate the standard dose for medications being administered.