NCSBN Questions Lesson 1 Coordinated Care
Advance directives are required for all clients (T/F). False, An advance directive is a legal document that indicates client preferences
for treatment or life-saving measures. Clients are encouraged, but not required,
to have an advance directive.
The nurse has an obligation to carry out the health care False, The nurse should never carry out a health care provider's order that is
provider's written orders, whether the orders are unclear or inappropriate. The nurse should contact the HCP immediately to
appropriate for the client or not (T/F). clarify the order
The nurse is responsible for reporting any breach of True, According to ethical principles, many laws (including most nurse practice
client privacy or confidentiality. (T/F)- acts), and agency policies, it is the legal duty of nurses to protect client
confidentiality. Nurses should report violations of client confidentiality and/or
privacy.
The nurse has a legal duty to provide nursing care to True, The care the nurse provides must be within the legally defined scope of
clients. (T/F)- practice, as well as the nurse's education and experience.
Nurses should only access client information for those True, Nurses can legally access information that is required to provide nursing
clients directly under their care. ) T/F) care for clients assigned to them. Accessing client information for purposes other
than providing nursing care is a breach of confidentiality.
The nurse has a legal duty to abide by the scope of True, Each nurse practice act/nursing act defines the scope of activities that
practice set forth in the nurse practice act/nursing act. constitute the duty of a nurse licensed in that state/province/territory.
(T/F)
Nurses rarely participate in the organ donation process False, Nurses serve an important role in the organ donation process through
with clients' families. (T/F) providing families with support and resources. Nurses are responsible for
knowing their local laws and institutional policies about organ donation.
Negligence involves any action or inaction that results in True, Negligence means doing something that a "reasonably prudent" person,
unintended harm to a client. (T/F) under similar circumstances, would not do. Negligent conduct can be an act, or a
failure to act, that causes (unintended) harm to the client.
Nurses participate in quality improvement activities which True, Quality improvement is essential for all health care providers. Nurses
are intended to promote safety and improve quality of engage in quality improvement initiatives to facilitate collaborative practice,
care. (T/F) improve client outcomes, and enhance overall quality of care.
Before the client signs a surgical consent form, the nurse True, The nurse reviews the information in the consent form with the client and
must ensure the client has the ability to understand the witnesses the client's signature. The nurse verifies the client has the capacity to
information in the document. ( T/F) make choices and understands the consequences prior to the client signing the
consent.
The client has a musculoskeletal disorder and has been Assist the client while transferring from the bed to a chair RATIONALE, The UAP
newly fitted for a lower limb orthotic. Which activity can can assist with routine activities of daily living, including transferring clients from
be assigned to the unlicensed assistive personnel a bed to a chair or wheelchair. When performed correctly, these routine tasks
(UAP)? usually have a predictable outcome. The option about checking the client's skin
involves assessment and monitoring the client's response is evaluation, both of
which are nursing-only activities. A physical therapist would teach the client to
ambulate with an orthotic.
The home health nurse is visiting a client diagnosed with Occupational therapist
type 1 diabetes and osteoarthritis. The client has
difficulty drawing up the insulin dosage. The nurse
should refer the client to which community resource
person?
During the management of a client's pain, a nurse should The client's self-report of pain is the most important consideration
consider ethical practice. Which of these items best
describes the ethical considerations made by a nurse?
The LPN/VN assists the RN in evaluating the plan of Achievement or status of progress related to prior goals
care for clients. What action does the LPN focus on
during the evaluation phase?
, NCSBN Questions Lesson 1 Coordinated Care
The health care provider has written an order for Hold the medication and contact the health care provider
"morphine sulfate 2 mg IV push every 3 to 4 hours as
needed for pain" for a 75 year-old client in an extended
care facility. The licensed practical nurse (LPN) in charge
has no other licensed persons working that shift. Which
action should the LPN take first?
A client refuses to take the medication prescribed Discuss with the client to find out about the preferred herbal preparation
because the client prefers to take an herbal preparation.
What is the first action the nurse should take?
The nurse asks another staff nurse to sign for a wasted Report this immediately to the nurse manager
narcotic, which was not witnessed by anyone. This type
of request seems to be a recent pattern of behavior for
this nurse. What is the appropriate initial action of the
second staff nurse?
A home health nurse is providing care for a client. Which "When I emptied my urine catheter bag it looked like rusty colored water."
client statement should the nurse consider to be a
priority and report immediately to the case manager?
The nurse, who is located in a large urban area, uses Removes time and distance barriers from the delivery of care
telecommunications to provide health care and education
to clients in remote locations. What is the best reason for
using telehealth?
The licensed practical nurse (LPN) who is in charge Request an immediate private meeting with the health care provider and the UAP
hears a health care provider loudly criticizing one of the RATIONALE, Assertive communication respects the needs of all parties to
unlicensed assistive persons (UAP) within the earshot of express themselves in a private location, but not at the expense of others. The
others. The UAP does not react or respond to the health PN charge nurse needs first to protect clients and other staff from this display of
care provider's complaints. What should be the charge inappropriate behavior and come to the assistance or defense of the employee.
nurse's first action after hearing this?
The client had a colon resection two days ago. Which "Have the client sit on the side of the bed for three to five minutes before
statement should the nurse use when assigning an standing
unlicensed assistive person (UAP) to help ambulate this
client?
A newly licensed nurse is concerned about time Keep a time log for what was done during the hours worked
management. Which action should be most effective in
the initial development of a time management plan?
Information about case management and the role of the Case management is a collaborative process designed to meet complex client
case management nurse is presented during an needs
orientation session for new nurses. Which statement
correctly describes an important fact about case
management?
A client diagnosed with schizophrenia states, "I don't Clients have a right to know about any prescribed or over-the-counter
need medication. It makes me sleepy." The client insists medications
that the nurse explain the use and side effects of the
medication. What should the nurse understand before
responding to the client?
A LPN complains to the charge nurse that an unlicensed Explore for further identification about the nature of the problem
assistive person (UAP) consistently leaves the work area
untidy and does not restock supplies. What is the best
initial response by the charge nurse?
A Bosnian Muslim woman who does not speak English A female interpreter who does not know the client
seeks care at a community center. Through physical
gestures, the woman indicates that she has pain
originating in either the pelvic or genital region. Assuming
several people are available to interpret, who would be
the most appropriate choice?
The nurse is named in a lawsuit. Which of these factors Complete and accurate documentation of assessments and interventions
will offer the best protection for the nurse in a court of
law?
Advance directives are required for all clients (T/F). False, An advance directive is a legal document that indicates client preferences
for treatment or life-saving measures. Clients are encouraged, but not required,
to have an advance directive.
The nurse has an obligation to carry out the health care False, The nurse should never carry out a health care provider's order that is
provider's written orders, whether the orders are unclear or inappropriate. The nurse should contact the HCP immediately to
appropriate for the client or not (T/F). clarify the order
The nurse is responsible for reporting any breach of True, According to ethical principles, many laws (including most nurse practice
client privacy or confidentiality. (T/F)- acts), and agency policies, it is the legal duty of nurses to protect client
confidentiality. Nurses should report violations of client confidentiality and/or
privacy.
The nurse has a legal duty to provide nursing care to True, The care the nurse provides must be within the legally defined scope of
clients. (T/F)- practice, as well as the nurse's education and experience.
Nurses should only access client information for those True, Nurses can legally access information that is required to provide nursing
clients directly under their care. ) T/F) care for clients assigned to them. Accessing client information for purposes other
than providing nursing care is a breach of confidentiality.
The nurse has a legal duty to abide by the scope of True, Each nurse practice act/nursing act defines the scope of activities that
practice set forth in the nurse practice act/nursing act. constitute the duty of a nurse licensed in that state/province/territory.
(T/F)
Nurses rarely participate in the organ donation process False, Nurses serve an important role in the organ donation process through
with clients' families. (T/F) providing families with support and resources. Nurses are responsible for
knowing their local laws and institutional policies about organ donation.
Negligence involves any action or inaction that results in True, Negligence means doing something that a "reasonably prudent" person,
unintended harm to a client. (T/F) under similar circumstances, would not do. Negligent conduct can be an act, or a
failure to act, that causes (unintended) harm to the client.
Nurses participate in quality improvement activities which True, Quality improvement is essential for all health care providers. Nurses
are intended to promote safety and improve quality of engage in quality improvement initiatives to facilitate collaborative practice,
care. (T/F) improve client outcomes, and enhance overall quality of care.
Before the client signs a surgical consent form, the nurse True, The nurse reviews the information in the consent form with the client and
must ensure the client has the ability to understand the witnesses the client's signature. The nurse verifies the client has the capacity to
information in the document. ( T/F) make choices and understands the consequences prior to the client signing the
consent.
The client has a musculoskeletal disorder and has been Assist the client while transferring from the bed to a chair RATIONALE, The UAP
newly fitted for a lower limb orthotic. Which activity can can assist with routine activities of daily living, including transferring clients from
be assigned to the unlicensed assistive personnel a bed to a chair or wheelchair. When performed correctly, these routine tasks
(UAP)? usually have a predictable outcome. The option about checking the client's skin
involves assessment and monitoring the client's response is evaluation, both of
which are nursing-only activities. A physical therapist would teach the client to
ambulate with an orthotic.
The home health nurse is visiting a client diagnosed with Occupational therapist
type 1 diabetes and osteoarthritis. The client has
difficulty drawing up the insulin dosage. The nurse
should refer the client to which community resource
person?
During the management of a client's pain, a nurse should The client's self-report of pain is the most important consideration
consider ethical practice. Which of these items best
describes the ethical considerations made by a nurse?
The LPN/VN assists the RN in evaluating the plan of Achievement or status of progress related to prior goals
care for clients. What action does the LPN focus on
during the evaluation phase?
, NCSBN Questions Lesson 1 Coordinated Care
The health care provider has written an order for Hold the medication and contact the health care provider
"morphine sulfate 2 mg IV push every 3 to 4 hours as
needed for pain" for a 75 year-old client in an extended
care facility. The licensed practical nurse (LPN) in charge
has no other licensed persons working that shift. Which
action should the LPN take first?
A client refuses to take the medication prescribed Discuss with the client to find out about the preferred herbal preparation
because the client prefers to take an herbal preparation.
What is the first action the nurse should take?
The nurse asks another staff nurse to sign for a wasted Report this immediately to the nurse manager
narcotic, which was not witnessed by anyone. This type
of request seems to be a recent pattern of behavior for
this nurse. What is the appropriate initial action of the
second staff nurse?
A home health nurse is providing care for a client. Which "When I emptied my urine catheter bag it looked like rusty colored water."
client statement should the nurse consider to be a
priority and report immediately to the case manager?
The nurse, who is located in a large urban area, uses Removes time and distance barriers from the delivery of care
telecommunications to provide health care and education
to clients in remote locations. What is the best reason for
using telehealth?
The licensed practical nurse (LPN) who is in charge Request an immediate private meeting with the health care provider and the UAP
hears a health care provider loudly criticizing one of the RATIONALE, Assertive communication respects the needs of all parties to
unlicensed assistive persons (UAP) within the earshot of express themselves in a private location, but not at the expense of others. The
others. The UAP does not react or respond to the health PN charge nurse needs first to protect clients and other staff from this display of
care provider's complaints. What should be the charge inappropriate behavior and come to the assistance or defense of the employee.
nurse's first action after hearing this?
The client had a colon resection two days ago. Which "Have the client sit on the side of the bed for three to five minutes before
statement should the nurse use when assigning an standing
unlicensed assistive person (UAP) to help ambulate this
client?
A newly licensed nurse is concerned about time Keep a time log for what was done during the hours worked
management. Which action should be most effective in
the initial development of a time management plan?
Information about case management and the role of the Case management is a collaborative process designed to meet complex client
case management nurse is presented during an needs
orientation session for new nurses. Which statement
correctly describes an important fact about case
management?
A client diagnosed with schizophrenia states, "I don't Clients have a right to know about any prescribed or over-the-counter
need medication. It makes me sleepy." The client insists medications
that the nurse explain the use and side effects of the
medication. What should the nurse understand before
responding to the client?
A LPN complains to the charge nurse that an unlicensed Explore for further identification about the nature of the problem
assistive person (UAP) consistently leaves the work area
untidy and does not restock supplies. What is the best
initial response by the charge nurse?
A Bosnian Muslim woman who does not speak English A female interpreter who does not know the client
seeks care at a community center. Through physical
gestures, the woman indicates that she has pain
originating in either the pelvic or genital region. Assuming
several people are available to interpret, who would be
the most appropriate choice?
The nurse is named in a lawsuit. Which of these factors Complete and accurate documentation of assessments and interventions
will offer the best protection for the nurse in a court of
law?
