LPN STUDY GUIDE With Explanation Of Correct Answers.

Violation of HIPPA privacy may result in (select all that apply) 1. Federal Government Charges 2. Board of Nursing Discipline 3. Termination 4. Revoked Nursing License 5. All of the above - correct answer 5. All of the above A patient in a pre-operative clinic appointment is filling out advance directive forms. Which of the following indicates patient understanding of advanced directive? 1. I know they won't go ahead with the surgery unless I prepare these forms 2. I'd rather have my brother make decisions for me, but I know it has to be my wife 3. I plan to write that I don't want them to keep me on a breathing machine 4. I will get my regular doctor to approve my plan before I hand it in at the hospital - correct answer 3. I plan to write that I don't want them to keep me on a breathing machine. A way of practicing fidelity to a patient would be to? 1. discuss the patient with friends at a social gathering 2. document the patient's expression of feelings and wishes 3. categorize the patient as a "down and out alcoholic" 4. develop the care plan without patient input - correct answer 2. document the patient's expression of feelings and wishes Which process is the framework for the practice of nursing and critical thinking? 1. Assessment process 2. Outcome process 3. Management process 4. Nursing process - correct answer 4. Nursing process The patient asks the nurse, "I overheard the instructor talking to a student about accountability. What does the word accountability really mean?" The best response by the nurse would be, "It is?" 1. a transfer of responsibility for wrong actions 2. shared responsibility with the physician for wrongdoing" 3. Personal responsibility for one's nursing actions 4. giving up responsibility when the situation dictates - correct answer 3. personal responsibility for one's nursing actions To provide justice to patients on the unit, the nurse must 1. give all patients with the same diagnosis the same level of care 2. treat all patients with equal dignity and respect 3. base care on patients culture, religion, and social status 4. determine who's more deserving of extra care - correct answer 2. treat all patients with equal dignity and respect The Board of Nursing exists to protect? 1. The public 2. The nurse 3. the facility 4. the profession - correct answer 1. the public Who is able to make a referral to the South Dakota Health Professionals Assistance Program? 1. Employer of the Nurse 2. Licensing Board of the Nurse 3. Colleague of the Nurse 4. Self Referral 5. All of the above - correct answer 5. All of the above The South Dakota Boarad of Nursing includes 2 public members? 1. True 2. False - correct answer 1. True What is SDCL-35-9-4? 1. South Dakota Codified Law State Nurse Practice Act 2. South Dakota Codified Law State Health Professionals Guide 3. South Dakota Codified Law Medical Professionals Guide 4. South Dakota Codified Law Standards of Care - correct answer 1. South Dakota Codified Law State Nurse Practice Act In caring for a patient in an emergency room setting, a patient has indicated to the nurse he wishes to leave AMA. The nurse is aware the patient will be at a significant health risk by leaving the facility. The nurse then prepares to administer PRN sedative medication the patient has not requested along with his usually medication. Which of the following types of tort is the nurse about to commit? 1. Negligence 2. Assault 3. False Imprisonment 4. Breach of confidentiality - correct answer 3. False Imprisonment Encouraging a patient to be involved in planning and caring out their own care is a nursing action that supports the ethical principle of? 1. confidentiality 2. Privacy 3. Autonomy 4. Justice - correct answer 3. Autonomy Ignorance is a valid defense in legal issues in nursing 1. True 2. False - correct answer 2. False The Nursing Standard of Care for a new graduate LPN is? 1. based on what an RN with similar nursing workforce experience would do in similar circumstances 2. based on what an ordinary, prudent nurse would do in similar circumstances 3. based on what an ordinary prudent nurse with similar education and nursing experience would do in similar circumstances 4. based on what an RN with 20 years of experience would do in similar circumstances - correct answer 3. based on what an ordinary prudent nurse with similar education and nursing experience would do in similar circumstances You are a nurse working in a busy med-surg unit and have noticed another nurse is having difficulty focusing and appears drowsy. Which action should you take first? 1. Report the observations to the nurse manager on the unit 2. Alert the American Nurse Association 3. Fill out an incident report 4. Ask the nurse if she has been stealing patient medications - correct answer 1. Report the observations to the nurse manager on the unit When a nurse is negligent, which of the following principles does he fail to hold up? 1. Fidelity 2. Beneficence 3. Nonmaleficence 4. All of the above - correct answer 1. Fidelity A patient in the emergency department at a large trauma center has indicated he would like to leave the facility and receive treatment elsewhere. The nurse responsibilities include (select all that apply) 1. Document the information provided to the patient 2. Notify the physician 3. Inform patient of the risks associated with leaving 4. Obtain a signature from the patient on an AMA document 5. All of the above - correct answer 5. All of the above Which of the following are steps to develop critical thinking skills? (select all that apply) 1. Reflection 2. Beneficence 3. Intuition 4. Focused thinking 5. All of the above - correct answer 5. All of the above A nursing student tells another student "The instructor assigned both a textbook chapter and a journal article, it should be one or the other not both. The reply that shows the best understanding is? 1. The journal article may give us updated information on one aspect of the assignment 2. Sometimes textbooks have incorrect information, so it provides checks and balances 3. Reading articles allows us to make sure the instructor provide current information in lecture 4. Copyright laws prevent the instructor from lecturing directly from that source so we have to read - correct answer 1. The journal article may give us updated information on one aspect of the assignment The health professional assistance program can be best described as? 1. confidential referral and support of healthcare providers to assist in recovery and return to work following early interventions, evaluation, and treatment 2. Confidential referral and support of nursing professionals only to assist in recovery and support following early interventions, evaluations, and treatment 3. Non-confidential or confidential referral and support of healthcare providers to assist in recovery and return to work following early intervention, evaluation, and treatment 4. Non confidential or confidential referral and support of nursing professionals to assist in recovery and return to work following early intervention, evaluation, and treatment - correct answer 1. confidential referral and support of healthcare providers to assist in recovery and return to work following early interventions, evaluation, and treatment Terms: 1. Malpractice 2. Libel 3. Negligence 4. Slander - correct answer 1. Malpractice- Nurse committing a medication error 2. Libel- Email indicating a provider is incompetent 3. Negligence- practice that does not meet standard of care 4. Slander- Telling a coworker over lunch that a provider is incompetent What does critical thinking in practical nursing involve? 1. not guided by logic or professional standards 2. non-purposeful outcomes focused on problems 3. based on principles of the nursing process and science 4. driven by providers rather than the patient and family - correct answer 3. based on principles of the nursing process and science "Patient surrogate" in the event the patient is unable to make decisions for themselves best describes? 1. Living will