A 40-year-old women is scheduled for a hysterectomy. The patient has yet to sign an
informed consent form. Which of the following describes the nurse's role in obtaining
informed consent?
1. Witness the patient sign the consent form
2. Explain the procedure to the patient
3. Explain the risks and benefits associated with the procedure
4. Describe alternatives to the procedure - ANSWER ANS: 1
Rationale:
(1) Correct. One the nurse's role is to witness the patient sign the consent form. (2)
Incorrect. The healthcare provider is responsible for explaining the procedure to the patient
prior to receiving consent (3) Incorrect. The healthcare provider explains the risks and
benefits associated with the procedure. (4) Incorrect. The healthcare provider is responsible
for providing information to the client related to alternatives.
An 89 year old patient is admitted to the hospital with an UTI. The nurse notices the bed
alarm going off and finds the patient on the floor alone in pain. Upon assessment, the nurse
notices the bed in a high position for one bedrail up. Which of following examples of tort
does this exemplify?
1. Negligence
2. Assault
3. Battery
4. Malpractice - ANSWER ANS: 4
RATIONAL
1
,(1) Incorrect. Negligence is failing to perform an action that a reasonably prudent nurse
would do in a similar situation. (2) Incorrect. Assault is intentionally threatening a patient
with physical harm. (3) Incorrect. Battery is intentional tort physically harming a patient. (4)
Correct. Malpractice is unintentional injury to a patient as a result of a breach of duty.
The nurse manager of a postpartum unit trusts her staff and considers their opinion. She
communicates with them in an upward and downward channel. What is the leadership style
of the director of nursing?
1. Authoritative
2. Democratic
3. Laissez-faire
4. Exploitive - ANSWER ANS: 2
(1) Incorrect. The director of nursing would be authoritative if she communicated in a
downward channel and only gave commands to her staff. (2) Correct. This is correct because
the director of nursing takes what her staff has to say into consideration. (3). Incorrect.
Laissez-faire is when the leader has a low level of involvement. (4)Incorrect. The nurse
doesn't exploit the nurses or try to sway their opinions.
A CT scan machine unexpectedly broke on floor 6 East of Utopia Hospital. Then nurse
manager needs to properly use her budgeted money to pay for a replacement. What type of
budget will the nurse manager need to pull from to allocate the money to replace the CT
scan machine?
1. Operating budget
2. Personnel budget
3. Supply/Non-supply budget
4. Capital budget - ANSWER ANS: 4
(1) incorrect. Operating budget is a combination of known expenses over the course of a
specific time frame. (2) Incorrect. This is incorrect because personnel budget is related to
2
, personnel like nurses etc.(3) Incorrect. This is incorrect because this relates to the supplies
that the hospitals use.(4) Correct. Capital budget includes equipment and large items costing
over $5000.
A client was admitted with a hemoglobin of 6.8 g/dL and has an order to receive 1 unit of
blood. The nurse began administering the blood later realizing that the client was receiving
the wrong blood type. What type of medical error occurred?
A. Error of omission
B. Sentinel event
C. Error of commission
D. Near miss - ANSWER ANS: B
A sentinel event is a patient safety event that results in death, permanent harm, or severe
temporary harm. Sentinel events signal the need for immediate response or investigation.
Once the nurse realized the client is receiving the wrong blood type, immediate response to
stop the administration is needed and results in a reaction of severe harm. Error of omission
is when action is not taken. Error of commission is when wrong action is taken. Near miss is
when a potential error is discovered before being carried out
The nurse manager's view of management stimulated a shift toward the realization of the
importance of participatory organizations. Which option provides a scenario that is an
example of a democratic organization?
A. The control of the organization is centralized, and decisions are made by upper-level
management.
B. Staff nurses are expected to provide support and nurturing for managements decisions.
C. The organization's approach to leadership is autocratic and bureaucratic.
D. Staff nurses provide input into planning and changes for their own unit -
ANSWER ANS: D
3
informed consent form. Which of the following describes the nurse's role in obtaining
informed consent?
1. Witness the patient sign the consent form
2. Explain the procedure to the patient
3. Explain the risks and benefits associated with the procedure
4. Describe alternatives to the procedure - ANSWER ANS: 1
Rationale:
(1) Correct. One the nurse's role is to witness the patient sign the consent form. (2)
Incorrect. The healthcare provider is responsible for explaining the procedure to the patient
prior to receiving consent (3) Incorrect. The healthcare provider explains the risks and
benefits associated with the procedure. (4) Incorrect. The healthcare provider is responsible
for providing information to the client related to alternatives.
An 89 year old patient is admitted to the hospital with an UTI. The nurse notices the bed
alarm going off and finds the patient on the floor alone in pain. Upon assessment, the nurse
notices the bed in a high position for one bedrail up. Which of following examples of tort
does this exemplify?
1. Negligence
2. Assault
3. Battery
4. Malpractice - ANSWER ANS: 4
RATIONAL
1
,(1) Incorrect. Negligence is failing to perform an action that a reasonably prudent nurse
would do in a similar situation. (2) Incorrect. Assault is intentionally threatening a patient
with physical harm. (3) Incorrect. Battery is intentional tort physically harming a patient. (4)
Correct. Malpractice is unintentional injury to a patient as a result of a breach of duty.
The nurse manager of a postpartum unit trusts her staff and considers their opinion. She
communicates with them in an upward and downward channel. What is the leadership style
of the director of nursing?
1. Authoritative
2. Democratic
3. Laissez-faire
4. Exploitive - ANSWER ANS: 2
(1) Incorrect. The director of nursing would be authoritative if she communicated in a
downward channel and only gave commands to her staff. (2) Correct. This is correct because
the director of nursing takes what her staff has to say into consideration. (3). Incorrect.
Laissez-faire is when the leader has a low level of involvement. (4)Incorrect. The nurse
doesn't exploit the nurses or try to sway their opinions.
A CT scan machine unexpectedly broke on floor 6 East of Utopia Hospital. Then nurse
manager needs to properly use her budgeted money to pay for a replacement. What type of
budget will the nurse manager need to pull from to allocate the money to replace the CT
scan machine?
1. Operating budget
2. Personnel budget
3. Supply/Non-supply budget
4. Capital budget - ANSWER ANS: 4
(1) incorrect. Operating budget is a combination of known expenses over the course of a
specific time frame. (2) Incorrect. This is incorrect because personnel budget is related to
2
, personnel like nurses etc.(3) Incorrect. This is incorrect because this relates to the supplies
that the hospitals use.(4) Correct. Capital budget includes equipment and large items costing
over $5000.
A client was admitted with a hemoglobin of 6.8 g/dL and has an order to receive 1 unit of
blood. The nurse began administering the blood later realizing that the client was receiving
the wrong blood type. What type of medical error occurred?
A. Error of omission
B. Sentinel event
C. Error of commission
D. Near miss - ANSWER ANS: B
A sentinel event is a patient safety event that results in death, permanent harm, or severe
temporary harm. Sentinel events signal the need for immediate response or investigation.
Once the nurse realized the client is receiving the wrong blood type, immediate response to
stop the administration is needed and results in a reaction of severe harm. Error of omission
is when action is not taken. Error of commission is when wrong action is taken. Near miss is
when a potential error is discovered before being carried out
The nurse manager's view of management stimulated a shift toward the realization of the
importance of participatory organizations. Which option provides a scenario that is an
example of a democratic organization?
A. The control of the organization is centralized, and decisions are made by upper-level
management.
B. Staff nurses are expected to provide support and nurturing for managements decisions.
C. The organization's approach to leadership is autocratic and bureaucratic.
D. Staff nurses provide input into planning and changes for their own unit -
ANSWER ANS: D
3
