A nurse is caring for a client who asks the nurse to explain what advance directives are.
Which of the following statements should the nurse make?
A. "The health care proxy is a document that explains your wishes for care when you can no
longer do so."
B. "Be sure that your family agrees with your choices before preparing your advance
directives."
C. "The provider consults your living will in the event that you are unable to make health
care decisions."
D. "Be sure you know what you want to write in your advance directives, because you can't
change them later." - ANSWER C. "The provider consults your living will in the event
that you are unable to make health care decisions."
Living wills direct care when clients do not have the capacity to make decisions. The provider
will review the client's living will and plan treatment according to the client's preferences. A
health care proxy is a document that appoints another individual to make health care
decisions for the client. Although the family is usually involved, along with the provider, in
helping to decide a client's decisional capacity, no one else has to agree with the client's
choices. The nurse should instruct the client that they can change their advanced directives
at any time.
A nurse provides a medical interpreter to convey discharge instructions to a client who
speaks a different language than the nurse. This action is an example of which of the
following ethical values?
1
,A. Advocacy
B. Nonmaleficence
C. Veracity
D. Justice - ANSWER A. Advocacy
Advocacy is the ethical principle of supporting the client in every situation. The nurse
supports this client by using a medical interpreter to ensure that the client understands the
discharge teaching. Nonmaleficence is a commitment to do no harm. Although this principle
is essential to the practice of nursing, this action is not an example of nonmaleficence.
Veracity is telling the truth. Although this principle is essential to the practice of nursing, this
action is not an example of veracity. Justice is fairness in care delivery to all clients in order
to ensure each client's needs are met. Although this principle is essential to the practice of
nursing, this action is not an example of justice.
A nurse is reviewing guidelines for documentation in an electronic medical record with a
newly licensed nurse. Which of the following information should the nurse include?
A. It is important to include personal opinions when documenting assessments.
B. Wait until the end of the shift to document an error.
C. It is acceptable to document for another nurse in urgent situations.
D. Log out of the computer terminal after completing documentation. - ANSWER D.
Log out of the computer terminal after completing documentation.
It is important for the nurse to maintain the security of clients' medical records. Without
logging out, others could view or access clients' confidential health information.
A nurse receives handoff report on several clients. Which of the following clients is the
nurse's priority?
2
, A. A client who is postoperative following coronary artery bypass grafting and needs
discharge teaching
B. A client requiring education about a new prescription for treating asthma
C. A client who has a decreased level of consciousness
D. A client who is crying after receiving a terminal diagnosis - ANSWER C. A client who
has a decreased level of consciousness
A client who has a decreased level of consciousness is unstable; therefore, this client is the
nurse's priority and requires immediate action by the nurse.
A nurse is assisting a provider with obtaining informed consent for surgery from a client who
is anxious about having the procedure. Which of the following actions should the nurse
take?
A. Inform the client of the risks and benefits of the surgery.
B. Use an interpreter if the client's spoken language is different than the provider's.
C. Inform the client that signing the form makes the decision irreversible.
D. Make sure the client has received an antianxiety medication before signing the informed
consent form. - ANSWER B. Use an interpreter if the client's spoken language is
different than the provider's.
If the provider does not speak the same language as the client, it is essential to have a
medical interpreter present to make sure the client understands all aspects of informed
consent. Providing information in the client's spoken language is essential in providing safe,
competent nursing care.
A nurse in the emergency department is caring for a group of clients. The nurse should
identify that which of the following tasks is within the nurse's cope of practice?
A. Changing the form of a medication for a client who is unable to swallow
B. Inserting an endotracheal tube for a client experiencing respiratory distress
3
Which of the following statements should the nurse make?
A. "The health care proxy is a document that explains your wishes for care when you can no
longer do so."
B. "Be sure that your family agrees with your choices before preparing your advance
directives."
C. "The provider consults your living will in the event that you are unable to make health
care decisions."
D. "Be sure you know what you want to write in your advance directives, because you can't
change them later." - ANSWER C. "The provider consults your living will in the event
that you are unable to make health care decisions."
Living wills direct care when clients do not have the capacity to make decisions. The provider
will review the client's living will and plan treatment according to the client's preferences. A
health care proxy is a document that appoints another individual to make health care
decisions for the client. Although the family is usually involved, along with the provider, in
helping to decide a client's decisional capacity, no one else has to agree with the client's
choices. The nurse should instruct the client that they can change their advanced directives
at any time.
A nurse provides a medical interpreter to convey discharge instructions to a client who
speaks a different language than the nurse. This action is an example of which of the
following ethical values?
1
,A. Advocacy
B. Nonmaleficence
C. Veracity
D. Justice - ANSWER A. Advocacy
Advocacy is the ethical principle of supporting the client in every situation. The nurse
supports this client by using a medical interpreter to ensure that the client understands the
discharge teaching. Nonmaleficence is a commitment to do no harm. Although this principle
is essential to the practice of nursing, this action is not an example of nonmaleficence.
Veracity is telling the truth. Although this principle is essential to the practice of nursing, this
action is not an example of veracity. Justice is fairness in care delivery to all clients in order
to ensure each client's needs are met. Although this principle is essential to the practice of
nursing, this action is not an example of justice.
A nurse is reviewing guidelines for documentation in an electronic medical record with a
newly licensed nurse. Which of the following information should the nurse include?
A. It is important to include personal opinions when documenting assessments.
B. Wait until the end of the shift to document an error.
C. It is acceptable to document for another nurse in urgent situations.
D. Log out of the computer terminal after completing documentation. - ANSWER D.
Log out of the computer terminal after completing documentation.
It is important for the nurse to maintain the security of clients' medical records. Without
logging out, others could view or access clients' confidential health information.
A nurse receives handoff report on several clients. Which of the following clients is the
nurse's priority?
2
, A. A client who is postoperative following coronary artery bypass grafting and needs
discharge teaching
B. A client requiring education about a new prescription for treating asthma
C. A client who has a decreased level of consciousness
D. A client who is crying after receiving a terminal diagnosis - ANSWER C. A client who
has a decreased level of consciousness
A client who has a decreased level of consciousness is unstable; therefore, this client is the
nurse's priority and requires immediate action by the nurse.
A nurse is assisting a provider with obtaining informed consent for surgery from a client who
is anxious about having the procedure. Which of the following actions should the nurse
take?
A. Inform the client of the risks and benefits of the surgery.
B. Use an interpreter if the client's spoken language is different than the provider's.
C. Inform the client that signing the form makes the decision irreversible.
D. Make sure the client has received an antianxiety medication before signing the informed
consent form. - ANSWER B. Use an interpreter if the client's spoken language is
different than the provider's.
If the provider does not speak the same language as the client, it is essential to have a
medical interpreter present to make sure the client understands all aspects of informed
consent. Providing information in the client's spoken language is essential in providing safe,
competent nursing care.
A nurse in the emergency department is caring for a group of clients. The nurse should
identify that which of the following tasks is within the nurse's cope of practice?
A. Changing the form of a medication for a client who is unable to swallow
B. Inserting an endotracheal tube for a client experiencing respiratory distress
3
