NURSING JURISPRUDENCE EXAM REVIEW
SHEET LATEST QUESTIONS AND
SOLUTIONS GRADED A+
⩥ In the long-term care setting where you work, some of the
residents are prescribed herbal remedies by a physician who
practises Chinese medicine.
What are you accountable for in administering these substances?
Answer: You must balance client choice with professional
responsibility. At a minimum, you would need information about
the purpose, action and anticipated effects of the substance to
fulfil your professional responsibility to assess the risks and
benefits of providing this treatment in relation to the health
status of the client. You would also be responsible for evaluating
the effects of the treatment. If you had access to sufficient
information to meet this expectation, then you may agree to
provide this treatment. One way to achieve this would be to
arrange for a team conference with the physician to develop a
plan of care related to the administration of the prescribed herbal
substances.
⩥ TRUE OR FALSE?
,All conflict is negative.
Answer: FALSE.
The experience of dealing with conflict can lead to positive
outcomes for nurses, their colleagues and clients.
⩥ Conflict between a nurse and a client can escalate if a client
is:
Answer: a) intoxicated or withdrawing from a substance-
induced state;
b) being constrained (for example, not being permitted to
smoke) or restrained (for example, with a physical or chemical
restraint);
c) fatigued or overstimulated; and/or
d) tense, anxious, worried, confused, disoriented or afraid.
⩥ Conflict between a nurse and a client can escalate if a client
has:
Answer: a) a history of aggressive or violent behaviour, or
is acting aggressively or violently (for example, using profane
language or assuming an intimidating physical stance);
b) a medical or psychiatric condition that causes impaired
judgment or an altered cognitive status;
,c) an active drug or alcohol dependency or addiction;
d) difficulty communicating (for example, has aphasia or a
language barrier exists); and/or
e) ineffective coping skills or an inadequate support network.
⩥ Conflict between a nurse and a client can escalate if a nurse:
Answer: a) judges, labels or misunderstands a client;
b) uses a threatening tone of voice or body language (for
example, speaks loudly or stands too close);
c) has expectations based on incorrect perceptions of cultural or
other differences;
d) does not listen to, understand or respect a client's values,
opinions, needs and ethnocultural beliefs;12
e) does not listen to the concerns of the family and significant
others, and/or act on those concerns when it is appropriate and
consistent with the client's wishes;
f) does not provide sufficient health information to satisfy the
client or the client's family; and/or
g) does not reflect on the impact of her/his behaviour and values
on the client.
, ⩥ Nurses can employ client-centred care strategies to
_______________ behaviours that contribute to the escalation
of conflict.
Answer: prevent
⩥ Nurses can prevent the escalation of conflict by:
continually seek to ________________ the client's
health care needs and perspectives;
Answer: understand
⩥ Nurses can prevent the escalation of conflict by:
__________________ the feelings behind the client's behaviour;
Answer: acknowledge
⩥ Nurses can prevent the escalation of conflict by:
ask __________-_____________ questions to establish the
underlying meaning of the client's behaviour;
Answer: open-ended
⩥ Nurses can prevent the escalation of conflict by:
SHEET LATEST QUESTIONS AND
SOLUTIONS GRADED A+
⩥ In the long-term care setting where you work, some of the
residents are prescribed herbal remedies by a physician who
practises Chinese medicine.
What are you accountable for in administering these substances?
Answer: You must balance client choice with professional
responsibility. At a minimum, you would need information about
the purpose, action and anticipated effects of the substance to
fulfil your professional responsibility to assess the risks and
benefits of providing this treatment in relation to the health
status of the client. You would also be responsible for evaluating
the effects of the treatment. If you had access to sufficient
information to meet this expectation, then you may agree to
provide this treatment. One way to achieve this would be to
arrange for a team conference with the physician to develop a
plan of care related to the administration of the prescribed herbal
substances.
⩥ TRUE OR FALSE?
,All conflict is negative.
Answer: FALSE.
The experience of dealing with conflict can lead to positive
outcomes for nurses, their colleagues and clients.
⩥ Conflict between a nurse and a client can escalate if a client
is:
Answer: a) intoxicated or withdrawing from a substance-
induced state;
b) being constrained (for example, not being permitted to
smoke) or restrained (for example, with a physical or chemical
restraint);
c) fatigued or overstimulated; and/or
d) tense, anxious, worried, confused, disoriented or afraid.
⩥ Conflict between a nurse and a client can escalate if a client
has:
Answer: a) a history of aggressive or violent behaviour, or
is acting aggressively or violently (for example, using profane
language or assuming an intimidating physical stance);
b) a medical or psychiatric condition that causes impaired
judgment or an altered cognitive status;
,c) an active drug or alcohol dependency or addiction;
d) difficulty communicating (for example, has aphasia or a
language barrier exists); and/or
e) ineffective coping skills or an inadequate support network.
⩥ Conflict between a nurse and a client can escalate if a nurse:
Answer: a) judges, labels or misunderstands a client;
b) uses a threatening tone of voice or body language (for
example, speaks loudly or stands too close);
c) has expectations based on incorrect perceptions of cultural or
other differences;
d) does not listen to, understand or respect a client's values,
opinions, needs and ethnocultural beliefs;12
e) does not listen to the concerns of the family and significant
others, and/or act on those concerns when it is appropriate and
consistent with the client's wishes;
f) does not provide sufficient health information to satisfy the
client or the client's family; and/or
g) does not reflect on the impact of her/his behaviour and values
on the client.
, ⩥ Nurses can employ client-centred care strategies to
_______________ behaviours that contribute to the escalation
of conflict.
Answer: prevent
⩥ Nurses can prevent the escalation of conflict by:
continually seek to ________________ the client's
health care needs and perspectives;
Answer: understand
⩥ Nurses can prevent the escalation of conflict by:
__________________ the feelings behind the client's behaviour;
Answer: acknowledge
⩥ Nurses can prevent the escalation of conflict by:
ask __________-_____________ questions to establish the
underlying meaning of the client's behaviour;
Answer: open-ended
⩥ Nurses can prevent the escalation of conflict by:
